Staffing is a massive issue. My team can't spend our staffing allowance. In mental health especially there's a massive crisis where staff on the old pension deal are able to retire now and their numbers far outweigh those coming through nursing programmes
My team had approximately 12 nurses in 2016, it's now has 4. We run rolling adverts because we can't recruit.
Our area was given a massive boost in funding to increase the services but while extra roles were recruited, it's only been unable to fill them bar a small percentage from attracting the staff already working locally thus increasing the shortage in other local services
My team is underspent massively due to all the vacancy but one expensive locum doctor can deplete that quickly but we are desperate for Dr cover so that's what it's used on
Due to the pay banding it's very difficult to make jobs like mental health nursing in frontline teams attractive, staff would be paid exactly the same in less stressful roles else where. Locally GPs for example are able to recruit outside banding so we've lost staff to more wage and less stress or other teams where the responsibility is less. As qualified numbers in teams plummet then they become more stressful and less attractive again. My role is far less stressful and far more attractive if you are part of a team or 1 of 12 qualifieds, once poor staffing hits it's far less attractive
As the alternative we can recruit more support roles,admin etc but ultimately there are some jobs that can only done by qualified. Equally we can recruit higher bands more easily, however this leads to bloating (see management criticisms above!). We try and advertise roles that remove parts that are unattractive but when those parts are core business it just pushes them onto existing staff.
It also creates a scenario where you are fully spent, fully staffed by budget and numbers but still attempting to run with barely any qualifieds and no space to recruit any more
The staff retiring outweigh staff entering. My team has 75% of it's rmn retiring in the next 10 years. mental health need is massively expanding, services are expanding and new services being created with less staff than we had 10 years ago