Some fantastic memories here.
What did happen to bed cradles? I haven't seen one in years...
In response to those asking why is it so different now, this is my perspective having trained in the good old days (early 1990's for me) and now in a senior nursing post today:
Acuity of patients:
Admitted patients are far sicker today, people living longer with multiple complex medical issues.
Social issues:
Reliance on SS to deliver care that was traditionally performed by family members, not possible now as families live further apart, more WOMH etc
Drink and Drugs:
Massive problems. Go to any general medical ward up and down the country and I'll bet there will be a large number of patients with drug and drink problems. Very time consuming and mentally straining to care for: abusive and disruptive, high levels of theft on the ward, constant demands for methadone/valium etc.
Agenda for change pay scale system:
We did away with the traditional 'E' grade staff nurse, which you applied for having been qualified for say 18 months - 2 years. You needed to have completed your teaching qualification, mentored students, shown initiatve etc. If a position became vacant, you would apply. If successful, you got a pay rise and promotion. That is now gone. There is now no difference between the newly qualified nurse and the staff nurse qualified 10 years. Madness.
Removal of EN's and addition of HCA's:
EN's much more qualified and experienced. HCA's less so and therefore cheaper.
Internal Markets of the NHS:
Has removed the authority of Sister/Matron. In those roles in the past, if you wanted something for your ward, you got it. Today, because every department is cross charging, you cannot just snap your fingers. You have to argue the point across. Sadly, the things you need you do need them right now, to make a difference for the patient who is there at the time. Contracting out key services to private firms also influences this. No private cleaning company is going to keep up with the traditional ethos of the hospital.
I could go on and on and on....