Sorry Nannyamc I dont know what the community district nursing service is like where you are but I can tell you in Scotland it is in complete meltdown.
I feel overwhelmed by the pressure we are under.
I'm only a band 3 and could earn more in Tesco nightshift than I get. The skills and knowledge required to do my job well include phlebotomy, wound care, catheter care, continence training, vital signs and patient assessment, moving and handling, palliative care, working knowledge of several IT systems including Vision, Office 365, PECOS, MORSE aswell as reception and telephone duties and all office administration and even waste disposal, courier service, social work and generally anything else that has a patient in need at the end of it!
Luckily wee Nicola did give us £500 bonus this month even though it was taxed, as the 1% offer is derisory.
My team of 9 staff has been reduced to just 4 for a year as District nurses have left, retired and gone off sick and never been replaced. Every team in the locality is at less than half staffing levels and management want us to work til 10pm at night AND do Covid clinics on our days off. No annual leave as there is noone left to work.
Overtime was daily and unpaid at least an hour a day but we caused a stink and now get paid for it if we justify it. 1 nurse is now expected to visit 10 diabetics in the morning before starting the rest of their work, usually 3-5 pairs of full leg bandages, 2 catheter changes, a few palliative visits and several wounds.
The phones ring off the hook all day and emails pile in with referrals and we have no admin support.
RCN and unison have been completely useless and we have been told if we dont like it to leave, so the nurses have done just that.
There are so many covid jobs which are easier than ours the service is collapsing when the need is greater than ever.
Don't get me started on the Covid clinics. The clinical lead in charge of a clinic is just any band 5 they can get to do it. They are in charge of over 40 staff, every patient through the clinic (500 a shift), any adverse events, vaccine control and delivery, IT issues the whole shooting match, for just £15 an hour. I get £9 an hour for giving the covid jags, the opticians, vets etc sitting next to me are getting £66 an hour!
The management of the NHS is a complete disgrace and everyone I work with is ready to crack and leave.