AIBU the high skilled immigration salary threshold

[Tantrumschmantrum]

The government are looking at a minimum threshold at how much you would earn as a highly skilled immigrant (over 30k) BUT then they keep bringing up that we need nurses, which is a skilled profession where the top end of their salary to my knowledge barely meets this threshold. Is it just me or is this ridiculous?

I am being naughty and posting before reading pages 2 and 3 but it really annoys me that we emphasise Nurses salaries when the pay band salary for NHS is for so many other professions. (These often dont have evening or weekend work options which helps top up salary). Not suggesting Nurses are paid enough, at all! Just saying there are so many other MSc qualified, skilled health workers on the same salaries who we ignore.

This is so true. Allied health professionals tend to be on the same banding as nurses.

I guess nurses always get focused on because there are more of us and we are very visible to the public.

Not suggesting Nurses are paid enough, at all! Just saying there are so many other MSc qualified, skilled health workers on the same salaries who we ignore.

I'm not sure which other band 5s are responsible for making life and death decisions though? Sometimes we are the only thing between patients and the grave. I do believe the level of accountability is different. Please correct me if I'm wrong though.

Yes, you are wrong FruitCider. The level of accountability is equal. Every one of us has a clinically important role which has the potential for harm and death so we are very accountable. There are , or course, a lot of generalisations to be had too and differences between Trusts regarding responsibilities etc. I thnk mutual respect for roles is important and we should advocate for eachother. (Ex Band 8a)

What would be the problem with telling people they have to be a carer or a fruit picker or lose their benefits? Assuming the job exist and the claimant can physically do those jobs?

necromunda can you give me some examples? My workplace may mean my knowledge is limited and I'd rather be educated on the subject x

fruit many paramedics start at band 5. They definitely have to make life and death decisions!

I would equally like to know what life and death decisions a band 5 Nurse would have to make. (Not meaning to sound "funny", genuinely interested as this is not the experience I have had with Nursing staff in the many Hospitals I worked in - life and death "decisions" were made by medics.)

I undertand that the levels of care all have risk but am interested in the "decision" making process.Surely major decisions would have to be signed off by medical staff or Seniors, or indeed were based on a DNR etc.

Clinical areas where risk would potentially place a patient in that "only thing between them and the grave" area would include a huge raft or examples - Pharmacists with everyday supply of medications, Dietitians with prescriptions of tube feed in ICU and in prescribing rights, Paramedics, Practitioners using CT scanners.contrast dye etc, even Social Workers with at risk patients. We all have extremely important roles which carry a huge amount of risk for clients and with huge responsibility.

OOps, forgot SALTS and swallow assessments, sorry.

It might be a nice idea to shadow some of your fellow workers to see what they do :)

The bottom of band 5 is £23023, not £22k.

I would imagine there will be a shortage occupation list just as the has been for tier 2 visas. So the toing and froing on this thread about nurses salaries may be irrelevant. Also, there are plenty of other people who work in the NHS who rarely get mentioned but are just as vital as nurses: OTs, physios, ODPs, radiographers, Dorchester and language therapists just of the top of my head. Let's not exclude them.

Ah, I see that has been covered. I blame a tiny screen!

fruit many paramedics start at band 5. They definitely have to make life and death decisions!

Not any more, they have been awarded band 6 for agenda for change and I'm very pleased for them

would equally like to know what life and death decisions a band 5 Nurse would have to make. (Not meaning to sound "funny", genuinely interested as this is not the experience I have had with Nursing staff in the many Hospitals I worked in - life and death "decisions" were made by medics.)

In prison we have doctor cover for 30 hours a week. The other 138 hours are covered by nurses, the majority of which are band 5.

Some examples are:

• deciding if a patient requiring dialysis or a patient with a suspected pulmonary embolism should go to hospital - can't send both
• deciding if that groin pain is a strained muscle or a DVT
• deciding what drugs to administer in a cardiac arrest
• deciding whether to commence CPR on a prisoner who has just been cut down from a suspended ligature or holding off for 30 seconds to see if they breathe themselves
• deciding when to administer rectal diazepam during a seizure and whether to ask for a blue light ambulance
• deciding if someone has swallowed enough razor blades to attend a+e
• deciding if my patient with tonsillitis and a news of 3 is at risk of sepsis or just has tonsillitis

I think some professiond find it easier to move from band five to six im thinking occupational and physio therapists probably because there are far fewer of them on ward level ? I also felt rhey had more autonomy this is juat from my experiemce of working in mental health wards though.

Surely any swallowed razor blades is enough for a&e 😧

Surely any swallowed razor blades is enough for a&e 😧

No, they are designed to be so thin stomach acid dissolves them. It's only a problem if there is a large number.

It is rather ridiculous. As is the cap on the total number allowed work visas. For example, the NHS advertised heavily and offered huge incentives to recruit NHS doctors. Who were then now permitted to actually start their new jobs as there is a cap on how many can enter on each band of visa each month. What a waste of time and money! And we still don't have the doctors we desperately needed.

They were not permitted to start work, that should have said, sorry.

I do think your job is very specific Fruit and again i cant beleive your only paid a band five , but whenni worked in acute psychiatry we always had medical cover and we were a mental health unit based in a general hospital (although a different trust complicated logistics) so it was far easier to obtain help i could see A and E from the window for example .

No, they are designed to be so thin stomach acid dissolves them. It's only a problem if there is a large number.

Wow... the more you know!

That's good to know about the razor blades!

Just to be pedantic though, most nurses in NHS hospitals won't be making life and death decisions - there will be back up available, or if in doubt send them to A and E type arse covering that is unfortunately necessary now.

Nor are pharmacists, dieticians or those doing contrast studies. You are mixing up 'what could happen if something went wrong' with 'life and death decision'. We are all more likely to kill someone driving than any of these are to kill someone by accident!

Social workers are one exception - their decisions may cause death if wrong.

eightoclock the decisions of other AHPS can cause death if wrong too. I did distinguish between decisions and clinical risk :)

Eightoclock- I agree. CP Social workers also have the unenviable task of being judged almost solely by their failures (by the public). A thankless task and research suggests many SW were abused themselves as children. If I've been correctly informed, the Baby P SW was a newly qualified one and had been given 80 cases instead of 11 - she was hung out to dry by the press.