SCReaM Human Factors and Team Resource Management Training

Summary: The course is aimed at raising the awareness, understanding, and application of Human Factors in healthcare, specifically focussed on Theatre staff (both clinical and non-clinical) in order to improve staff and patients’ safety and wellbeing.
Provider: The courses are delivered by a faculty of accredited Crew Resource Management (CRM) instructors, experts from other high risk and performance industries, a chartered ergonomist, and healthcare workers with a background in HF.
Location: Royal Surrey NHS Foundation Trust, Guildford, Surrey.
Duration: Three stage course, each stage is one day. Recommend six months to a year between each stage for participants.
Knowledge/experience needed: None related to HF, but delegates must be Healthcare professionals working within the theatre environment – qualified or in training.
Email: [email protected]

Who should attend?

Healthcare workers.

Why should you attend?

As healthcare workers we are exposed to medical error on a daily basis and working under ever increasing pressure in an already overstretched NHS. We fire fight everyday trying to keep patients safe. It’s all too easy to just keep grinding away and keep doing things the same way and expecting a different outcome, impacting patients, the NHS and ourselves. We are all highly trained individuals who want to do the best for our patients, but currently that’s not enough and we need to change the way we think about the way we work. This course will show you how you are integral to improving your working lives and patients’ lives.

What will you learn?

The course provides an overview of what HF is, with a focus on non-technical skills training based on Crew Resource Management from the aviation industry. Each course utilises a facilitative workshop style aimed at helping delegates understand that as humans we make mistakes. It provides insight and tools & techniques to help identify and capture the causes of mistakes in ourselves, in others, and in the environments in which we work. 

Expected outcomes

Having attended the course, delegates are expected to: have a basic understanding of human factors and how it relates to individual performance, wellbeing and teamwork; have a good understanding of the non-technical skills that affect performance and take away a range of tools and techniques to support self-improvement; have an improved confidence to put their learning into practice.

Course content

The course provides an overview of what HF is, but focuses on non-technical skills, including threat and error detection and management, stress and fatigue, communication, leadership, situational awareness, operator safety culture, and decision making.


There is no formal assessment as part of the course, however, as part of their continued learning and to track the translation of learning into practice, participants are encouraged to undertake a ‘pledge’: Something that has resonated with them that they wish to try in their working lives.  These are small, simple and time-bound. Delegates are supported in creating and carrying out their pledge by faculty and are encouraged to share their successes and challenges with their course peers.

What’s included?

Each course is a full day, with lunch and breaks. Due to Covid-19, these are currently run virtually, with a view of returning to the classroom in the future. Post course notes are distributed after the course. On completion of the pledge activity, you will be provided with your own personalised lanyard.

About us

In 2013, the Royal Surrey NHS Foundation Trust in Guildford developed a Human Factors and Team Resource Management programme to improve team performance, staff wellbeing, and patient safety. In 2015, we developed and implemented the first UK Emergency Theatre Prompt Cards to improve team performance during theatre emergencies. In October 2016 we then launched our training programme. We have since provided tailored training to other departments including Maternity, the Emergency Department, Oncology, and to teams involved in specific Serious Incidents and Never Events.