New report from the Royal College of Nursing calls for urgent review of Nurse staffing levels to ensure patient safety this winter.
The Royal College of Nursing (RCN) has today published a report, Safe and Effective Staffing: Nursing Against the Oddswhich shows the results of a recent staff survey. The survey, carried out in May 2017 reveals more than half (55%) say shifts did not have the level of nurses planned, and that shortages were compromising patient care (53% ).
Nursing staff in all four UK countries were asked about staffing levels on their most recent shift and the quality of care provided. More than a third (36%) report having to leave elements of patient care undone due to a lack of time, while two thirds (65%) work an unpaid extra hour on average.
Seven in 10 nurses (71%) in England said their last daytime shift exceeded NICE guidelines, which states that more than eight patients to one nurse should act as a ‘red flag’. A quarter (26%) reported shifts with 14 or more patients per nurse.
The respondents also reported that:
patients are no longer afforded enough dignity, even dying alone;
colleagues have burned out and have become sick themselves, unable to come to work;
staff leave work “sobbing” at the impact of shortages on patient care;
many question their future in nursing and contemplate leaving the profession;
they struggle to give their children and families enough support after shifts that can exceed 12 hours.
This report, authored by Ipsos MORI, outlines the findings of qualitative research into the drivers and barriers to entry into general practice nursing (GPN) | NHS England
It finds that the general perception is that general practice is more suitable for older or more experienced nurses. As student placements in general practice are rare, there is a lack of opportunity for students to develop an understanding of the GPN role. The research also highlights the need for greater support for GPNs and the lack of standardisation in pay for GPN roles.
Party argues NHS Professionals, which helps NHS England avoid gaps in rotas and saves £70m per year, should be kept in public hands | The Guardian
Labour is demanding an inquiry into the privatisation of a government-owned NHS recruitment firm that saves hospitals £70m a year.
NHS Professionals helps the health service in England tackle its staffing crisis by arranging for doctors and nurses on its books to cover potentially harmful gaps in rotas.
Labour has asked the National Audit Office to look into why Jeremy Hunt, the health secretary, is selling a profitable and effective company his Department of Health owns. The firm should be kept in public hands and allowed to continue playing a key role in alleviating widespread NHS understaffing, the party says.
A major new programme to drive better staff retention in trusts across England has been launched by NHS Improvement (NHSI).
With recruitment and retention adding to the huge amount of pressure already facing trusts in England, the regulator hopes the project will reduce the rates of people leaving the NHS workforce by 2020.
Led by NHSI, the programme will support trust leads and staff by providing a series of masterclasses for directors of nursing and HR to discuss ways to reduce staff leaving trusts. The organisation will also work alongside NHS Employers and look into how the current national retention programme can be built on and improved.
Specific, targeted support will also be made available for mental health providers to improve retention rates of staff groups, and a tool designed to help trusts understand why staff leave will be rolled out. A series of guidance through webinars will also be implemented to improve retention rates.
This report paints a picture of an NHS struggling without the nursing staff it knows it needs| Royal College of Nursing
This report calls for the rest of the UK to follow the example of Wales and enshrine safe staffing levels in law following analysis which shows that there is approximately 40,000 unfilled nurse posts in England with a further 12,000 health care support worker vacancies. The report finds that care providers are increasingly hiring fewer registered nursing staff and that four in five NHS nursing directors have reported concerns that their hospital relies on the goodwill of staff to keep services running.
New research at an NHS hospital has shown a “direct link” between the care individual patients receive from nurses and their risk of death due to low staffing levels | HSJ
First UK study to link individual patient outcomes to nursing care and staffing levels
Patients were at increased risk of death when there was low staffing and high temporary staffing
High levels of admissions per nurse were associated with increased risk
Emerging findings from the study, the first of its kind in the UK to link nursing care to the outcomes of individual patients, also demonstrate a link between the risk of death and the use of temporary staff, as well as increased risks for patients when wards have high numbers of admissions.
NHS reality check: Delivering care under pressure | Royal College of Physicians | OnMedica
Around three quarters of doctors (74%) say they are worried about the ability of their service to deliver safe patient care in the next 12 months due to pressures on the NHS, according to a survey carried out by the Royal College of Physicians (RCP).
The RCP launched a report today at its annual conference in which it detailed various concerns raised by the 2,101 doctors who responded to its survey.
The survey asked doctors about their experiences of delivering healthcare and their confidence in being able to raise concerns about patient care.
Focusing on their experiences of care over the past 12 months, 78% of doctors said demand for their service was rising and more than half (55%) of physicians believed patient safety had deteriorated.
More than a third (37%) said the quality of care had fallen while the majority (84%) had experienced staffing shortages in their team, while 82% believed the workforce was demoralised.