It’s not just the lack of nurses, or other valuable NHS staff. It’s the appropriate skill mix that also ensures safe care.
I’m the most experienced nurse specialist in my team, cancer services. I’ve had 2 nurses quit in the past month, one burnt out and leaving the profession, the other going to a job with a higher banding. We are a small team. It takes easily a couple of years for a nurse to get the specialist qualifications and experience to practice safely, and they are mentored and monitored throughout before sign out. The more who leave, the worse the pressure for others. Our job is so specialist, there are no bank staff. Anywhere.
At the same time, we are being forced to provide cover to other areas.Not wards, but any space where our Trust can stick a few beds, and put some nurses into look after them. It was branded as an overflow ward, only to be used when the hospital was full, and the patients moved there close to discharge. This is now virtually a permanent fixture.Patients are often high needs, high dependency, in a ‘ward’ with one loo,one wash basin….it was never built as a ward. Staff are putting their registration on the line as they not a proper ward team, and have little back up. Matrons just come in and say get in with it. Five members of staff complained to the Chief Exec, who came down from his office to say it has to be done to keep the hospital open.If the hospital closes to admissions, we get fined .If a target is not met, we get fined. Less money, more demand.
Nurses are concerned about safety and care. Its not as simple as a nurse can nurse anywhere. The best and safest care is achieved by having appropriately experienced nurses to care for a patient. That’s what I’d want for my loved ones, that’s why I’m backing the strike, my patients deserve better.
As for pay, I can earn, on short term contract, £2000 for a weekend’s work in my related field. I’m not saying I should get the equivalent in my current contract, but a rise that reflects the responsibility of modern nursing is overdue.