I’m a senior NHS nurse qualified for 31 years, I’m an Band 8a Matron, not because I’ve been round a long time but because I’ve done a myriad of additional qualifications and applied for senior roles.
To put my job in context there are only 3 of us in the hospital, the majority of qualified nurses are employed at Band 5, the majority of HCAs are Band 2.
The current recruitment and retention problems are the worst I have ever seen, we have one ward running at 45% of RN posts vacant. We are absolutely reliant on agency staff whose availability and reliability is hit and miss.
Often there are shifts with only 1 of our own permanent nurses on duty and rest agency staff who may never have worked there before. We often only achieve this by moving nurses round from ward to ward to ensure there are not 2 agency nurses on together, there will only be 2 registered nurses on a ward for a night shift.
Anyone who thinks that a newly qualified Band 5 nurse will not be relied upon for clinical decision-making and supervisory skills is just displaying their ignorance.
The number of staff leaving is unsurprising, we are working hard to recruit from abroad but this is complex and not without its problems. Internationally trained nurses may find the starting salary of a Band 5 nurse sound attractive until they experience the cost of living in the UK, we have had more leave than stay.
Senior managers have been looking into how to support staff experiencing hardship but without the ability in increase their salaries.
The recent paltry ‘pay rise’ caused some such as myself to actually experience a pay cut due to the government fuckwits who organised this as we experienced a pension % contribution increase, I thought this just affected people like me on Band 8a so did not worry about it too much until I heard that staff on Band 3 had been similarly affected 😡
Patients will be kept safe during the strike, we shall see to that though some routine appointments may have to be cancelled to accommodate this.
Senior staff will ensure that all areas are safe and if they are I hope I will then join my colleagues on the picket line. I never imagined myself saying such a thing but I never imagined the mess we are currently in.