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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Aibu to think the nurse crisis could be solved if they had an incentive for people to become nurses

354 replies

Starsinyoureyes13 · 04/09/2022 17:52

A student nurse doesn't get paid to study and train on the wards. 37.5 hours and due to lack of nurses they are working alongside nurses wouldn't it be better to pay the trainee nurses and give nurses a payrise rather than NHS squandering money on £60 pound an hour agency staff?

OP posts:
Starsinyoureyes13 · 04/09/2022 19:59

Fififelix · 04/09/2022 19:53

Senior nurses ANPs have to do clinical decision making and diagnose. They are also able to prescribe. There seems to be a misconception by the public about what nurses do. Many of the jobs nurses used to do go to the HCAs or Nurse associates. The days of being a doctor's assistant is over .

HCAS are terribly underpaid and have been screwed over for years. 100 percent agree with your comment. They get a little over 11 maybe 12 pounds an hour to do the jobs that was once only performed by trained nurses. It's scandalous!

OP posts:
titchy · 04/09/2022 19:59

Nurses haven't always had all these degrees though have they? And it worked perfectly well before!

The debate over whether nursing should or shouldn't need a degree is irrelevant. It's not the need for the degree that causing the burn out or the stress levels or the long hours or the poor pay. It's the conditions - as has been said a billion times - recruitment is NOT an issue. Retention is.

(As an aside I feel making the profession degree level, like teaching, is a good thing. It gives it status and respect and professionalism, which were there to an extent back in the day, but not as much - there are far more career opportunities for in nursing than there ever were. Removing degree status now would be dreadful.)

Fififelix · 04/09/2022 20:00

I actually did a service improvement project on retaining staff. Most staff are female many have caring responsibilities. A lot of people I know leave permanent posts and go to bank/agency because of caring responsibilities. They need flexible hours which isn't doable in permanent ward roles.

Wimpeyspread · 04/09/2022 20:00

Cabsnotlint · 04/09/2022 19:48

Nurses haven't always had all these degrees though have they? And it worked perfectly well before!

Dr's.... well you expect them to have qualifications and high ones at that because everyone sees them as the "boss" not just that it's nurses who bleep the Dr in an emergency not the other way round.

Cabsnotlint. What nurses are expected to do today is nothing like what they were expected to do 30 years ago - do you know what the job involves?

Thriwit · 04/09/2022 20:00

We were talking about this at work the other day. Several lab analysts said they’d love to retrain as either nurses, physios, or radiographers. They’d earn much more money and have better benefits. But none can afford to take a break from work to train, so unfortunately it’s a non-starter.

Pricklesinperil · 04/09/2022 20:00

The health secretary and government know full well how to solve these problems, they have access to the best expert advice. They DON’T want to solve the problems because the operating model doesn’t suit their conservative agenda. They want the NHS to be unfit for purpose so they can introduce an American style model so they can make vast sums of money.

Exasperatednow · 04/09/2022 20:00

CornishGem1975 · 04/09/2022 18:02

Controversially, I don't think nursing should ever become a degree profession. It's a vocation.

Many people who go into nursing do so a bit later in life.

They've put a lot of blockers to people wanting to change to nursing in later life. For instance, my friend in her mid-40s wanted to train as a nurse but she didn't have the required GCSE grade in maths. So she would have had to do a foundation course or GCSE maths first. Despite the fact, she has a levels, a degree, and a masters in another subject. So she never bothered. That surely doesn't help.

Another friend is in her 3rd year of student nursing and it's been brutal. Her experience at university has been dreadful. The actual student nursing itself, not so bad, though not everyone is welcoming on the wards, but university has been a painful experience.

I think this proves you know very little about modern nursing.

Alexandra2001 · 04/09/2022 20:03

The NHS is short of a whole range of healthcare professionals and the UK just simply has not enough young people to fill these roles and all the other sectors that haven't enough workers, regardless of pay or incentives to train.

Brexit fucked the UK.

FizzyStream · 04/09/2022 20:03

annoyedneighbour1 · 04/09/2022 18:09

& midwives.

For every 30 new midwives that qualify, 29 of them leave.

I'm in my 3rd and final year of training, and I certainly won't be the 1 idiot staying. There is no support for newly qualified midwives and the preceptorship is laughable.

I pay £9,250 a year for the pleasure of working 37.5 a week. I love the women, but the job is completely unworkable.

How I've managed to stay afloat financially over the last 2 years, I don't know. I've just about managed to keep up with my mortgage payments, god knows what will happen this year with the energy costs.

Don't forget... they're trying to make the NHS fail. Don't be fooled into thinking they care. There are plenty of simple things that could be done to make the NHS more efficient.

Don't forget... they're trying to make the NHS fail.

Absolutely this.

SaggyBlinders · 04/09/2022 20:04

£60 per hour for an agency nurse? The most I've been paid by an agency is £40 per hour.

Fififelix · 04/09/2022 20:09

Starsinyoureyes13 · 04/09/2022 19:59

HCAS are terribly underpaid and have been screwed over for years. 100 percent agree with your comment. They get a little over 11 maybe 12 pounds an hour to do the jobs that was once only performed by trained nurses. It's scandalous!

I'm a bank HCA while I'm a student nurse In LD/MH and I think I get 10.80 weekdays to restrain people and get attacked.

Mybestyear · 04/09/2022 20:10

MatildaTheCat · 04/09/2022 18:00

Recruiting people to train isn’t the problem. It’s retention that’s a total scandal and has been for decades.

What @MatildaTheCat said. I work in a role supporting student nurses and we struggle to get them enough placement hours to meet requirements. training more is not the answer.

Qualified nurses are leaving in droves and European nurses are no longer coming to the U.K. in big numbers. The wards are a nightmare- too many people living too long (sorry if that sounds harsh) and no residential or nursing home places. Sick people on the general wards that would have been high dependency/ICU a decade ago.

Scottish students get a bursary of 10k and fees paid. They can get more if they have kids etc.they also work as health care support workers an can end up earning more than a newly qualified band 5 nurse.

I honestly just think the NHS is no longer fit for purpose - I don’t know how to fix it but it’s only a matter of time before many more of us are going private.

ClottedCreamAndStrawberries · 04/09/2022 20:10

It’s the same for the Allied Health Professions. I recently completed Return to Practice as an OT after a 10 year gap. I left again after 6 months and returned to project management 😢 There was a total lack of preceptorship, the management was shit, every time I asked a question they seemed to get angry at me, it was awful. I’d cry in the toilets and it was taking over my life at home. I felt like I couldn’t do anything right. I’ll never go back and, actually, I’ve just had a promotion so I’m actually doing something right. Those 6 months traumatised me.

MissTruecrime · 04/09/2022 20:11

Its like teaching, they keep putting money into training new teachers but it’s retention that’s the biggest problem. They just don’t want to look at it or they just don’t care why there are so many of us leaving or thinking about leaving.

YellowPlumbob · 04/09/2022 20:11

Patienceisntvirtuous · 04/09/2022 19:57

This is unfair. I only have a 'D' in maths but I know how to read a label! I just found the learning of maths very stressful based on not being extremely good at it whereas I excelled in other subjects, I ended up being quite afraid of learning it. And nobody with an M.A is stupid and unable to learn about dosages and all that goes with it.

And, I wanted to do Psychology 'AS' level but had to resit GCSE maths for that. I went to one lesson for the maths, hated it and never went back. Nobody noticed it and I still got my AS in psychology. Which involved basic maths of course, but I didn't struggle.

Erm, nurses don’t just “read a label” and give a dose, Jesus fucking Wept.

TabithaTittlemouse · 04/09/2022 20:14

We haven’t had a shortage of students but we have had to turn some students away because we having had enough staff to ensure that they get the most out of their placement.

I’ve declined two students recently because I wasn’t mentally able to mentor anyone. I would have put them off for life. I was able to do my job but not able to manage any extra stress. I did end up being signed off with stress (far later than I should have done because I felt guilty about leaving an already overstretched team).

It’s a sinking ship and it’s becoming harder to stay.

x2boys · 04/09/2022 20:15

There are different routes into nurse training these days a friend of mine completed the two year nursing associate course she was paid £17,000 / year and didn't have too pay tuition fees she's currently doing a top up course and will become a registered nurse next year for the first 12 months she got a bursary and for the last six months she's paid minimum wage she hasent had to pay tuition fees she will qualify as a band five in the new year.

TabithaTittlemouse · 04/09/2022 20:17

@Patienceisntvirtuous ‘know how to read a label’?

I can cook a great paella. It doesn’t make me a chef.

FredaFox · 04/09/2022 20:18

Surely something can be done about the cost of agency nurses?
If they stopped paying out silly money for that and paid nurses a decent wage maybe they would stop leaving?

XenoBitch · 04/09/2022 20:19

AFAIK attracting students is not the problem, it is retaining staff.
I did an Access to Nursing course (most went into adult nursing, but others went into mental health, midwifery, childrens, and ODP). Of the people I kept in touch with, not many are nurses anymore or even working for the NHS.
I went into ODP, and less than half that I stayed in contact with are ODPs now. Several burnt out. Some can no longer work at all.

During my training, the course was paid for and there was a bursary. That should never had stopped IMO.

But the real issue is the workplace long after you have qualified.

BrimFullOfAsher · 04/09/2022 20:20

13 years as a nurse almost killed me, like very nearly. I had a hell of a lot of experience in that time and still held a ridiculous amount of compassion and love for my patients. However, the way we get treated, especially if you don't toe the corporate line or dare speak out about whitewash investigations, strips so much out of a person.

I gave so much blood, sweat and tears (I gave too much tbf, as do so many others) and was treated like I was nothing, purely a number, replaceable (well more so back then, not so much now with the wider staffing issues).

If they could show just an ounce of the care and compassion that the majority of nurses do, they wouldn't have ended up I'm this shit show to start with

x2boys · 04/09/2022 20:20

titchy · 04/09/2022 18:07

For instance, my friend in her mid-40s wanted to train as a nurse but she didn't have the required GCSE grade in maths.

Yeah you're right - who needs decent maths skills when they're working out how much of a drug someone needs... Hmm

Well there will be qualified nurses who haven't got maths gcse ,I did my training in the 90,s under project 2000 the entry requirements were five gcse,s at grade c or above including English and Maths or a science I failed maths but had chemistry and biology Gcse so got in, obviously thr training requirements have changed but there will be many nurses still working that don't have maths .

Fififelix · 04/09/2022 20:20

FredaFox · 04/09/2022 20:18

Surely something can be done about the cost of agency nurses?
If they stopped paying out silly money for that and paid nurses a decent wage maybe they would stop leaving?

Nope there's not enough nurses let alone permanent nurses and wards need to be staffed.

pimlicoanna · 04/09/2022 20:21

They should also stop nurses form having to pay to keep their registration.

SaggyBlinders · 04/09/2022 20:22

FredaFox · 04/09/2022 20:18

Surely something can be done about the cost of agency nurses?
If they stopped paying out silly money for that and paid nurses a decent wage maybe they would stop leaving?

To work for the agency I work for, you actually have to currently work for the NHS. It's a specialised role and they need you to be up to date with training etc.