Practical advice, strategies, and insights to help leaders across the care sector attract, recruit, retain, and develop exceptional teams.
The first 90 days in a new role can shape an employee’s entire experience with an organisation. During this time, they are learning new skills, building relationships and developing confidence in their role.
For employers, these first few months are an opportunity to help new starters succeed. A structured approach can improve engagement, reduce early staff turnover and support the delivery of safe, high-quality care.
In health and social care, where employees often work with vulnerable people, investing in the first 90 days is an investment in both the workforce and the people they support.
The first few days should focus on helping employees feel welcomed, informed and supported. This includes:
The aim is not to teach everything immediately, but to help new employees feel confident that support is available.
As employees become familiar with their role, managers should gradually increase responsibilities while continuing to provide guidance. During this stage, employers should:
Employees who feel supported are more likely to ask questions early, reducing the risk of mistakes and helping them develop confidence.
By this stage, many employees are becoming more comfortable in their role. Managers can begin to:
Support should continue, but with a greater focus on helping employees become confident and independent members of the team.
Employees perform best when they understand what success looks like. Managers should discuss:
Clear expectations reduce uncertainty and help employees understand how their contribution supports the wider organisation.
Feeling part of a team is just as important as learning the role itself. Encourage new employees to:
Strong workplace relationships improve collaboration, confidence and job satisfaction.
Starting a new job can be exciting, but it can also be stressful. Managers should create an environment where employees feel comfortable discussing:
Early conversations can prevent small concerns from developing into larger issues.
Feedback should not be saved for annual appraisals. During the first 90 days, regular conversations allow managers to:
Feedback should be balanced, constructive and focused on helping employees succeed.
The end of the first three months is an ideal opportunity to reflect on progress. A structured review might include:
This conversation helps both the employee and the organisation plan for continued success.
Recruitment brings people into an organisation, but effective support helps them stay.
The first 90 days are not simply about learning policies and procedures—they are about building confidence, developing relationships and helping people feel that they belong. Organisations that invest in structured support during this period are more likely to retain talented employees, strengthen workplace culture and deliver consistently high-quality care.
The first 90 days should be viewed as the beginning of an employee’s journey, not the end of the recruitment process. Great leaders understand that confidence, competence and commitment develop over time. By providing structure, encouragement and regular support, organisations create the conditions for both employees and teams to thrive.
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Posted by:
M Ramalani
Editorial Assistant – The Daily Round
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