The COVID Struggles List

Many cognitive analytic therapists use CAT ideas as part of reflective practice, to help support staff groups and teams. This might involve a regular meeting of staff on a ward or similar service setting. Team members can share how the work they are doing impacts on them and how well they are working together. They may reflect on the care they are offering patients or residents. Having space to think is an essential component of providing good quality care. So this kind of reflective space can also be useful to improve care where things have gone wrong.

During the COVID 19 pandemic many staff working in mental health and other health settings had to cope with enormous changes to the way they work. In response to these challenges, the CAT service lead for Cumbria, Northumberland, Tyne & Wear NHS Foundation Trust developed a tool to help staff in his Trust reflect on their impact. This was called the “COVID Struggles List” and Steve Jefferis was the CAT therapist who developed it.

In the video below, Steve outlines why and how he developed the COVID Struggles List. He also shares the results of an evaluation of its use over 2020. Steve was presenting his findings to other ACAT members at an online meeting in September 2020. He is happy to share his talk here as one example of CAT reflective practice. You can also see tweets about it under the hashtag #COVIDStrugglesList

You can download a copy of the List at this link:

Also you can read more about this work on the CNTW website at

Thanks go to Steve Jefferis for his contributions to this page and all original materials relating to the COVID Struggles List.

The COVID Struggles List Blog by ACAT Public Engagement Team is licensed under CC BY-SA 4.0