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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To think it’s ridiculous that given the NHS recruitment crisis my Dd has been told she can’t do the new T level in nursing due to a lack of placement places.

126 replies

Mudlark3r2 · 25/07/2022 06:15

She has the course requirements and then some and has been bumped onto a BTec which the government are phasing out.😵‍💫

Can this government organise anything properly?

OP posts:
Rummikub · 25/07/2022 16:12

Depends on her learning style. A levels aren’t the best way for everyone.

1FootInTheRave · 25/07/2022 16:14

My daughter is 1 year into the T levels with a view to training as a paediatric nurse.

It is poorly run, inconsistent and she has had 2 weeks placement in a home for people with extra needs.

I wish she had done the btec level 3 or a levels.

AlaskaThunderfuckHiiiiiiiii · 25/07/2022 16:16

I’m doing mine through the open uni employer sponsored and it’s an issue across the board. My ward placements have all been self led pretty much and you really need to go and insert yourself into situations to learn, the nurses are so busy their first thought isn’t always for the student. Thankfully I’ve worked i healthcare a long time so can pretty much work the ward and keep on top of stuff albeit not always seeing the stuff I should be, for example one shift last week was with an agency nurse so I was left to my own devices pretty much. We also routinely get counted in the numbers which we shouldn’t be, bed managers come and say they won’t bother sending another HCA because I’m there, I’ve already told them it isn’t acceptable.

I feel for the young students coming from the brick uni with no experience as they are often just left to the HCAs and often don’t have the skills yet to speak up for themselves

AlaskaThunderfuckHiiiiiiiii · 25/07/2022 16:17

Oh my next placement is in a nursing home, I use the term loosely as it isn’t nurse run and the district nurses come in to do all the nurse stuff, I personally feel this is a bit unsuitable for a second year considering the amount of skills I need signed off by the end of third year and I’m simply not going to get it there but it’s the shortage of placements.

TooBigForMyBoots · 25/07/2022 16:19

Can this government organise anything properly?

No. Twelve years of Conservative government has destroyed the UK. I'm sorry that your daughter, and all our children are going to have to deal with the fallout of their arrogance, incompetence and corruption @Mudlark3r2.

Suedomin · 25/07/2022 16:24

If she does do the Btech even if they are discontinued the Government's will continue funding students part way to though their course and completed courses will still be recognised.
But would it be better for her to do A levels rather than a Btech and then a nursing degree?

Felixsmama · 25/07/2022 16:25

I'm a third year stn and some of our cohort had to do COVID testing last year as there wasn't enough placements. I don't see how they are going to get T level placements when student nurses can't get them? Most healthcare settings only accept 18 year olds for insurance purposes.

MercurialMonday · 25/07/2022 16:27

Do you think BTecs will still be valued if it’s being phased out? Gov has been quite scathing of them.

T-levels are being introduced in England only. For the rest of the UK, Btecs (available across the UK), NVQs (available in England, Wales and Northern Ireland) and other vocational courses like Scottish Vocational Qualifications (SVQs) will continue to apply.
www.bbc.co.uk/news/education-51489571

The Universities have dealt with Btec for years - and will through equivalent qualification continue to deal with them from rest of UK for years to come.

They won't cut funding if she's already started on the course either.

T-levels are much more unknown and the roll out isn't without problems - so talk to the college but BTecs will still be valued.

Felixsmama · 25/07/2022 16:28

Ggu · 25/07/2022 07:49

More nursing students leave the course because of not achieving the required grades than those who decide the practical aspect isn't for them, though

This isn't true you only need to scrape 40 percent to pass apart from the safe medicate. Many people on my course aren't academic and they still passed. They just did a resit.

titchy · 25/07/2022 16:29

This is a blessing in disguise. The established, well respected BTEC (the one the Gov wants to de-fund in two years Hmm) is a much better qualification. Get her on that.

Loads of colleges, universities, sector lobby groups etc are vehemently opposed to the defunding of the BTECs. T levels as you have discovered don't have the employer support they need. I hope and suspect that in a few years T levels will drop by the wayside and BTECs quietly not defunded.

Rummikub · 25/07/2022 16:31

The placements requirements are a big issue for T levels. It was meant to be designed with what employers wanted: they wanted work ready young people. I think they should’ve been told that’s not possible and everyone learns a lot during real work,

The work placements will end up being useless and not fit for purpose. BTECs are great courses and can lead to uni. No idea why the govt are intent on getting rid.

AlaskaThunderfuckHiiiiiiiii · 25/07/2022 16:32

Of course there is a hard academic side and rightly so, we as nurse now are being expected to do more and more of what doctors used to do and we need to be able
to give rationales for every decision we make.

I have seen people saying that it should all be dropped back, no need for entry requirements to back to ward learning and no academic side but I wouldn’t like a nurse looking after me who couldn’t work out what medication I was meant to have, I’m not fantastic at maths but when you’re working with syringe drivers and things that could potential harm or kill someone you need to be competent

Rummikub · 25/07/2022 16:35

titchy · 25/07/2022 16:29

This is a blessing in disguise. The established, well respected BTEC (the one the Gov wants to de-fund in two years Hmm) is a much better qualification. Get her on that.

Loads of colleges, universities, sector lobby groups etc are vehemently opposed to the defunding of the BTECs. T levels as you have discovered don't have the employer support they need. I hope and suspect that in a few years T levels will drop by the wayside and BTECs quietly not defunded.

I hope this is the case and they disappear.
BTECs can give a lovely step by step from pre gcse to HE level.

TimeSlipMushroom · 25/07/2022 16:44

I've just finished having a healthcare student with me for 3 months which I chose to do voluntarily.

My employer has received a payment for having the student. I've received nothing. I've worked unpaid extra time to fit in student mentoring sessions, tutorials, meetings with the course tutors and to allow for the slower pace of work when a student is learning skills. All on top of my existing caseload.

I know more placements are needed but I am knackered.

PinkWisteria · 25/07/2022 16:45

YesItIsI · 25/07/2022 06:22

I think the issue may be that due to recruitment crises there's no one to supervise a placement!

Exactly this. Supervising a placement if done properly needs time.

UndertheCedartree · 25/07/2022 17:55

They were struggling for placements when I did my Nursing degree years back. You have to have a trained mentor to be able to assess you on your skills. There are only so many of those to go around. Ime, nurses avoid doing the training because it is one extra thing to add to their day. They don't get given any extra time to train and assess their students. Even though you can be supervised by any member of staff your mentor still has to have time to sign off your skills and it was hard enough to find time when I did it. Realistically in the community a nurse can only take one student with them. But I agree with you something needs to change. One idea is nursing lecturers to be able to come onto wards to assess students on their skills, even to come into community offices. I agree also that especially the youngest students need quite a lot of support. As a mature student I was more able to just get on with it, but of course still needed to get my skills signed off.

UndertheCedartree · 25/07/2022 18:03

Mudlark3r2 · 25/07/2022 06:32

But they’ve told her due to her age she can do bank nursing whilst doing the course. So it’s ok to be in the hospital and be paid getting no training but not to be in hospital unpaid whilst getting training. Lucky patients! It’s madness.

She can't do bank nursing, but could to bank health care assistant. She will get some very basic training and also lots of experience but she won't need to be supervised beyond first few shifts. The point is if she is getting training there needs to be someone to do the training.

UndertheCedartree · 25/07/2022 18:14

Mudlark3r2 · 25/07/2022 07:01

She wants to do the shiny new course the government says prepares you the best for nursing. That isn’t Alevels and it isn’t a btec they are phasing out. To only just realise they can’t accommodate said new better course as they are phasing out the previous nearest equivalent during a staffing crisis is beyond shit its incompetent.

I don't know anything about this new T level, but Al levels and bank HCA work is fine for preparing you for the nursing degree. Being a degree it requires a lot of academics which A levels will prepare her for. At least when I did the degree there was a problem with some students not being up to scratch with their English, Maths and Science and really struggling.

UndertheCedartree · 25/07/2022 18:17

Oh and don't know if anyone has answered this but HCAs do jobs like personal care, making/cleaning beds and bed area, doing care rounds and taking observations - then it will depend on the nature of the ward as to what other duties they have.

AgathaMystery · 25/07/2022 18:22

LakieLady · 25/07/2022 08:07

There aren't enough placements because staffing numbers are so low they can't train students without jeopardising patient safety. So there aren't enough new nurses coming through the system to replace those leaving and retiring, and so it will go on.

If the govt is deliberately fucking up the NHS so that there will be no outcry when it's finally privatised, it's working well. If it's not deliberate, it's at a level of incompetence I would previously have thought impossible.

I feel really sorry for those like OP's daughter, who really want to go into nursing but can't get on courses, but I also think that they've had a narrow escape.

There are also more students because they places are now calculated by the uni and not ‘ordered’ by the CCG. Now uni’s can charge fees for nursing it’s a free for all.

one branch of nursing (at the uni where I work) has always had a sept intake of 14-24 students. Never ever more than 24. It went up to 80 the first yr they charged fees. It’s now sat at 130.

there were not enough mentors when there were 24 students.

UndertheCedartree · 25/07/2022 18:22

Mudlark3r2 · 25/07/2022 07:57

She doesn’t feel she’s academic but she’s not dim. If unis take BTecs and have for some time then surely wanting a more practical and relevant route onto the degree isn’t an issue. Nursing isn’t about academia is it.

Thank you Lougle that’s really interesting, your degree sounds amazing. Thank you all for the reassurance. It’s hugely helpful. Maybe as you say it could be a blessing. Still think this gov are beyond shit though and the whole issue is ridiculous. They couldn’t organise a piss up in a brewery.

Nursing is about all sorts of things. One of those is academia. We need nurse researchers for example, we need nursing lecturers. You'll do her no favours by presenting the nursing degree as a practical course. She will be expected to pass drug calculations with 100% and to complete a dissertation in 3rd year.

UndertheCedartree · 25/07/2022 18:25

AgathaMystery · 25/07/2022 18:22

There are also more students because they places are now calculated by the uni and not ‘ordered’ by the CCG. Now uni’s can charge fees for nursing it’s a free for all.

one branch of nursing (at the uni where I work) has always had a sept intake of 14-24 students. Never ever more than 24. It went up to 80 the first yr they charged fees. It’s now sat at 130.

there were not enough mentors when there were 24 students.

I know, it was obvious this was only going to make the mentor situation worse. The government billed it as training more nurses, hoping that noone realised it would be giving nurses worse training and that universities wouldn't be looking to enrol only the best students to make excellent nurses.

UndertheCedartree · 25/07/2022 19:31

Sandysandwich · 25/07/2022 08:02

I am currently halfway through my nursing degree.
Loads of students came from the BTEC and it has set them up well.
But there is no difference between them and the women who did the access course and who did A-levels except the women from access had a harder time because access is harder than 1st year degree.

I did totally unrelated A-levels (Art, History and English) and got onto my course easily, mostly because I have outside experience. It is not a difficult degree course to get onto.

I can't see what benefit a T level would be, surely you would have to relean the basics when you got to uni anyway as they have to teach everyone else all the basics.

I am in a smaller branch of nursing but in a year and a half people on my course have halved. I know the drop out rare is steep on the other branches as well, if she can she should do anything slightly open ended. She might realise the field is wrong for her, and she would be better as a an OT or a Physio or a SALT and that is easier without a very narrow college course.

All the students who came straight from college dropped out in the 1st year. It wasn't what they expected, the academics were more than they thought, or they had no caring experience to build off and no life experience to help them. It would serve her more to get experience, particularly with the elderly and people with additional needs.

It's not difficult to get on the course now trusts don't set the number of places! It used to be hard to get onto.

UndertheCedartree · 25/07/2022 19:49

Felixsmama · 25/07/2022 16:28

This isn't true you only need to scrape 40 percent to pass apart from the safe medicate. Many people on my course aren't academic and they still passed. They just did a resit.

Many students either left the course or were asked to leave at my Uni. The pressure of having to complete a resubmission alongside the current assignments and exam revision is a lot. Of course if you can't even scrape a pass the 2nd time you are asked to leave. And of course there are those that can't get 100% on their drug calculations. Other people may want to get a good degree not just scrape through! It will be harder if they want to do post-grad studies if they struggled with under graduate.

gatehouseoffleet · 25/07/2022 19:51

Mudlark3r2 · 25/07/2022 06:52

Courses will be full, none she wants to do and schools have broken up. She doesn’t want to do Alevels. She wants a more practical route to get a true flavour of the job which helps with Uni applications. It’s quite a hard course to get onto.

A levels and work experience in eg a care home will easily get her onto a nursing course. I doubt courses are full, there will be a lot of movement when GCSE results come out. My son held two sixth form college offers open until the day he had to enrol!

She doesn't need a T level or a BTEC. But a BTEC will be fine - it's not considered sub-par by anyone other than whoever was education secretary at the time. They won't be recruiting nurses!

It also keeps her options open in case she changes her mind about nursing and eg wants to do physiotherapy or radiology or something else allied instead.

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