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Amica provides counselling emotional and psychological support but not policy advice
This programme offers a confidential, non-judgemental space for senior doctors (Consultants and SAS doctors) to talk through concerns with a trained peer — someone who understands the realities of senior clinical work.
You will find further information about this programme below and how to make contact with us.
Consultant and senior doctor roles are demanding and, at times, difficult — whether newly appointed, returning to work, or established in post.
Many doctors experience what is now described as moral distress — the unease that arises when you know what the right thing is for a patient, but are unable to act due to time, staffing, or system constraints. BMA Moral distress and moral injury pdf
When these situations are repeated or prolonged, they can contribute to moral injury, associated with more significant psychological strain. BMA Moral distress and moral injury pdf
Many doctors report that this reflects their experience of working in the NHS. BMA Moral distress and moral injury pdf
This programme recognises that reality, and provides a space to talk about it.
This is a structured but informal opportunity to:
The aim is simple: to make it easier to have conversations that might otherwise not happen.
To request a conversation, complete the short form at the bottom of this page. This asks a few brief questions about your situation and preferences.
Once submitted:
In the conversation, they will:
Often, that conversation is sufficient.
If further support is needed, they can help you access it.
It is not always straightforward to speak openly:
Speaking to a peer — outside your immediate working environment but familiar with the role — can make this easier.
Where appropriate, there is access to:
These sit alongside the peer support offer.
Peer supporters are consultant and colleagues who understand the context and pressures of the role.
This is a peer-led programme, developed and delivered by consultants.
Peer supporters:
They are not there to diagnose or treat, but to provide space to think and talk.
All peer supporters:
Details of peer supporters, including roles and backgrounds, are provided below.






Amica provides counselling emotional and psychological support but not policy advice