Nursing and midwifery crisis
Inadequate recruitment and retention of nursing and midwifery staff due to lack of comprehensive bursary schemes.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Committee recommendation
90match
#3 - Introduce comprehensive bursary scheme for nursing and midwifery students, guaranteeing NHS work.
The Government’s current target of recruiting 50,000 NHS nurses is not having any meaningful impact on the true scale of nursing shortages. The Government must introduce a new bursary scheme comprising full coverage of tuition fees, a non-means- tested grant of at least £1,000, and a means-tested bursary. In addition, nursing and midwifery students who take up this...
Matched on
terms: midwifery, nursing
Committee recommendation
90match
#25 - Eighteenth Report - NHS nursing workforce
NHSE&I acknowledged that there are worrying signs of stress and burnout amongst NHS staff since the COVID-19 outbreak. It cited figures from a Nursing Times survey, 56 C&AG’s Report, para 2.6. Based on England-domiciled applicants, UK universities, and includes midwifery degrees. The withdrawal of the NHS bursary applied to students on courses in England. NHS bursary schemes continued...
Matched on
terms: midwifery, nursing
Committee recommendation
78match
#23 - Eighteenth Report - NHS nursing workforce
Since 2017, the number of people accepted onto nursing and midwifery degree courses has increased from 22,045 in 2017 to 23,060 in 2019. This still means that, in 2019, only 430 (2%) more people accepted a place on a nursing degree course compared with 2016 when the NHS bursary was still available. Between 2017 and 2019, the number...
Matched on
terms: midwifery, nursing
Committee recommendation
78match
#6 - Eighteenth Report - NHS nursing workforce
The COVID-19 outbreak presents new challenges, as well as opportunities, for improving the recruitment and retention of nurses in the NHS. In particular, it is vital that the NHS protects the mental health and well-being of nurses who have contributed so much during the COVID-19 outbreak. NHSE&I told us it had put measures in place to support staff,...
Matched on
terms: nursing
Committee recommendation
78match
#5 - Eighteenth Report - NHS nursing workforce
The removal of the NHS bursary in 2017 signally failed to achieve the Department’s ambition to increase nursing student numbers. From 2017, the Department changed the funding arrangements for nursing, midwifery and allied health professional students. It removed the NHS bursary and payment of tuition fees for students and moved them onto student loan arrangements. The Department hoped...
Matched on
terms: midwifery, nursing
Committee recommendation
74match
#21 - Eighteenth Report - NHS nursing workforce
From 2017, the Department changed the funding arrangements for nursing, midwifery and allied health professional students. Prior to 2017, HEE paid tuition fees to universities and NHS bursaries to students to cover their living costs. Instead, these students moved onto the existing student finance arrangements, with most eligible for full loans for tuition fees and maintenance costs. The...
Matched on
terms: midwifery, nursing
Inquiry recommendation
73match
F192 - Strong nursing voice
The Department of Health and Nursing and Midwifery Council should introduce the concept of a Responsible Officer for nursing, appointed by and accountable to, the Nursing and Midwifery Council.
Matched on
terms: midwifery, nursing
Committee recommendation
70match
#28 - Eighteenth Report - NHS nursing workforce
NHSE&I acknowledged that COVID-19 has had a disproportionate impact on Black, Asian and minority ethnic (BAME) staff and admitted that there is variability in how well these staff have been supported during the pandemic. In response to our questions 64 Q 40 65 NWF0006 - Royal College of Nursing submission, para 4.3 & 4.5. 66 NWF0006 - Royal...
Matched on
terms: nursing
Committee recommendation
70match
#4 - Eighteenth Report - NHS nursing workforce
The nursing needs of social care remain an unaddressed afterthought for the Department of Health & Social Care. Vacancies for nurses in social care have increased from a rate of 4.1% in 2012–13 to 9.9% in 2018–19, while the number of registered nursing posts in social care has fallen by 10,400 (20%) since 2012–13. The NHS and social...
Matched on
terms: nursing
Committee recommendation
70match
#3 - Eighteenth Report - NHS nursing workforce
We are not convinced that the Department has plans for how the NHS will secure 50,000 more nurses by 2025. The Department plans to meet the 50,000 commitment by increasing the domestic supply of registered nurses, recruiting from overseas and improving retention rates. However, it could not tell us how many nurses each of these supply routes are...
Matched on
terms: nursing
CQC action
69match
North Tyneside General Hospital
The service should continue to monitor the sickness rate for nursing and midwifery staff in maternity and continue to follow the trust sickness policy to support and manage staff appropriately and meet the trust target of 4.0%.
Matched on
terms: midwifery, nursing
CQC action
69match
Berwick Infirmary
The service should continue to monitor the sickness rate for nursing and midwifery staff in maternity and continue to follow the trust sickness policy to support and manage staff appropriately and meet the trust target of 4.0%.
Matched on
terms: midwifery, nursing
Committee recommendation
68match
#16 - Thirty-Fifth Report - Introducing Integrated Care Systems
We have been raising concerns about the lack of long-term planning for the NHS workforce since well before the COVID-19 pandemic52. We have noted that among comparable OECD countries the UK has relatively low numbers of nurses and doctors per 1,000 population.53 The Department has repeatedly failed to make good on its commitments to produce a plan to...
Matched on
terms: crisi, midwifery
Committee recommendation
66match
#27 - Eighteenth Report - NHS nursing workforce
NHSE&I noted that over 32,000 nurses stepped up to support the NHS during the COVID-19 outbreak, including former nurses and over 20,000 students. However, it acknowledged that there needs to be better local systems for retaining these returners, such as to establish how many wish to return to the NHS and in what capacity.70 We were also told...
Matched on
terms: nursing
PFD report
65match
Rodney Gates
The coroner raised concerns regarding the failure to undertake required patient observations, which was linked to low nursing staff numbers, reliance on agency nurses, and a lack of staff experience and equipment on the ward.
Matched on
terms: nursing
Inquiry recommendation
64match
F213 - Training standards for healthcare support workers
Until such time as the Nursing and Midwifery Council is charged with the recommended regulatory responsibilities, the Department of Health should institute a nationwide system to protect patients and care receivers from harm. This system should be supported by fair due process in relation to employees in this grade who have been dismissed by employers on the grounds...
Matched on
terms: midwifery, nursing
Inquiry recommendation
64match
F212 - Training standards for healthcare support workers
The code of conduct, education and training standards and requirements for registration for healthcare support workers should be prepared and maintained by the Nursing and Midwifery Council after due consultation with all relevant stakeholders, including the Department of Health, other regulators, professional representative organisations and the public.
Matched on
terms: midwifery, nursing
Committee recommendation
62match
#24 - Eighteenth Report - NHS nursing workforce
In December 2019, the government announced the introduction of a new maintenance grant for nursing students from September 2020, which consists of a non-repayable grant of £5,000 to £8,000 to help with living costs. Students will still pay their own tuition fees and the higher education market will therefore still determine the number of places.62 The Department said...
Matched on
terms: nursing
Committee recommendation
62match
#22 - Eighteenth Report - NHS nursing workforce
The policy change impacted on some students and regions more than others. For example, from 2016 to 2018, there was a 10% increase in the number of students accepted onto nursing degree courses for children’s nursing and for applicants from the North East. This is in contrast to large reductions in students accepted onto learning disability courses (-41%)...
Matched on
terms: nursing
Committee recommendation
62match
#9 - Eighteenth Report - NHS nursing workforce
The Department acknowledged that the demand for nurses and the extent of nurse shortages vary between specialisms and regions.14 For example, in the period July– September 2019, NHS trusts in England reported an overall nursing vacancy rate of 12%, but these ranged as high as 16% for mental health trusts and 15% in London.15 Macmillan Cancer Support noted...
Matched on
terms: nursing
Committee recommendation
62match
#8 - Eighteenth Report - NHS nursing workforce
It is essential that the NHS understands not just how many nurses it needs, but where and in what specialisms. However, the NAO and other stakeholders have noted that the NHS Long Term Plan contained service commitments that did not have a complete assessment of the type and number of nurses needed to deliver the plan. For example,...
Matched on
terms: nursing
Committee recommendation
62match
#7 - Eighteenth Report - NHS nursing workforce
NHSE&I told us that the advent of COVID-19 meant that workforce planning over a horizon of three to four years was not currently possible, and at the moment the main focus of the system was on winter planning. It thought it would be possible to make a longer-term plan after winter, once the impacts of COVID-19 on service...
Matched on
terms: nursing
PFD report
61match
Elizabeth Robinson
The coroner noted insufficient nursing staff levels impacted patient supervision and nurses' ability to take full breaks. Furthermore, front-line nursing staff had not received the findings of the internal investigation into the patient's death.
Matched on
terms: nursing
PFD report
61match
Angela O’Donnell
The coroner noted concerns regarding the hospital trust's reliance on agency nursing staff and sought information on measures to reduce this dependence. They also inquired about national plans to address the ongoing shortage of nursing staff.
Matched on
terms: nursing
PFD report
61match
Elizabeth Roberts
The coroner noted residual staffing shortages in the District Nursing Service at Tameside and Glossop Integrated Care and NHS Foundation Trust, which require a national change of approach to resolve.
Matched on
terms: nursing
Committee recommendation
61match
#26 - Eighteenth Report - NHS nursing workforce
The Royal College of Nursing noted that, to retain nurses who worked during the pandemic, it will be essential to provide access to specialised mental health support, carry out risk assessments for staff and ensure people are able to take rest breaks and annual leave.66 NHSE&I told us that it has made a free mental health helpline available...
Matched on
terms: nursing
LGO / SPSO decision
60match
202403956 - Lothian NHS Board - Acute Services Division
C’s parent (A) suffered a number of falls during an admission to hospital where A sustained a head injury and subsequently died. C complained to the board that A’s falls risk was not effectively managed. The board identified some failings in relation to A’s falls care, including a lack of personalised falls prevention plan and a lack of...
Matched on
terms: nursing
LGO / SPSO decision
60match
202401362 - Lothian NHS Board - Acute Services Division
C complained about the nursing care provided to their late parent (A) during their admission to hospital. A arrived at the emergency department before being admitted to a ward. While in hospital, A lost weight and had difficulty eating. Due to delirium, A’s mobility was poor and they experienced a number of falls whilst in hospital. This resulted...
Matched on
terms: nursing
Inquiry recommendation
59match
F193 - Standards for appraisal and support
Without introducing a revalidation scheme immediately, the Nursing and Midwifery Council should introduce common minimum standards for appraisal and support with which responsible officers would be obliged to comply. They could be required to report to the Nursing and Midwifery Council on their performance on a regular basis.
Matched on
terms: midwifery, nursing
CQC action
57match
Worthing Hospital
The trust must ensure there are enough nursing staff to keep patients safe.
Matched on
terms: nursing
CQC action
57match
The York Hospital
The service must ensure that there are enough midwifery and medical doctors to meet minimum staffing levels and they should mitigate against the risks of short staffing.
Matched on
terms: midwifery
CQC action
57match
The Princess Royal Hospital
The trust should ensure nursing and healthcare assistant staffing levels are as planned.
Matched on
terms: nursing
CQC action
57match
Scarborough Hospital
The trust must ensure that there are sufficient allied healthcare professional, nursing, and medical staff to keep people safe.
Matched on
terms: nursing
CQC action
57match
Salford Royal Hospital
The trust must ensure that any shortfalls in midwifery staffing have mitigations in place to ensure safe levels.
Matched on
terms: midwifery
CQC action
57match
Rochdale Infirmary
The trust must ensure that any shortfalls in midwifery staffing have mitigations in place to ensure safe levels.
Matched on
terms: midwifery
CQC action
57match
Princess Royal Hospital
The trust must ensure there are enough nursing staff and medical staff to keep patients safe. This needs to include arrangements for the management of patients operated on by Royal Sussex County Hospital surgeons.
Matched on
terms: nursing
CQC action
57match
Pilgrim Hospital
The trust should ensure they provides sufficient numbers of nursing and medical staff to safely support patients.
Matched on
terms: nursing
CQC action
57match
Northwick Park Hospital
The trust should ensure that there are enough nursing and support staff on every shift to keep patients safe.
Matched on
terms: nursing
CQC action
57match
Ellesmere Port Hospital
The trust should ensure that there are sufficient numbers of nursing staff that can meet peoples care and treatment needs and keep them safe from avoidable harm.
Matched on
terms: nursing
CQC action
57match
Ealing Hospital
The trust should ensure that there are enough nursing and support staff on every shift to keep patients safe.
Matched on
terms: nursing
CQC action
57match
Doncaster Royal Infirmary
The trust must ensure it has enough nursing, medical and support staff with the right qualifications, skills, training, and experience to keep patients safe from avoidable harm and to provide the right care and treatment.
Matched on
terms: nursing
CQC action
57match
Fairfield General Hospital
The trust must ensure that any shortfalls in midwifery staffing have mitigations in place to ensure safe levels.
Matched on
terms: midwifery
CQC action
57match
UHBW Bristol Campus
The service should ensure there are enough midwifery staff to provide a full range of maternity choices including use of the midwifery-led unit.
Matched on
terms: midwifery
CQC action
57match
Salisbury District Hospital
Consider the impact of midwifery staffing challenges on resourcing the quality and safety agenda in maternity.
Matched on
terms: midwifery
CQC action
57match
Royal Derby Hospital
Ensure there enough suitably qualified midwifery staff to ensure safety.
Matched on
terms: midwifery
CQC action
57match
James Paget Hospital
The service must ensure there are enough midwifery and medical staff with the right qualifications, training, and experience to keep women and pregnant people safe from avoidable harm and provide the right care and treatment.
Matched on
terms: midwifery
CQC action
57match
Bridlington Hospital
The service must ensure that sufficient numbers of suitably qualified, competent, skilled and experienced registered nursing staff are deployed across the medicine wards on the Scarborough Hospital site to promote safe care and treatment of patients.
Matched on
terms: nursing
Inquiry recommendation
57match
F206 - Strengthening the nursing professional voice
The effectiveness of the newly positioned office of Chief Nursing Officer should be kept under review to ensure the maintenance of a recognised leading representative of the nursing profession as a whole, able and empowered to give independent professional advice to the Government on nursing issues of equivalent authority to that provided by the Chief Medical Officer.
Matched on
terms: nursing
Inquiry recommendation
57match
F205 - Strengthening the nursing professional voice
Commissioning arrangements should require the boards of provider organisations to seek and record the advice of its nursing director on the impact on the quality of care and patient safety of any proposed major change to nurse staffing arrangements or provision facilities, and to record whether they accepted or rejected the advice, in the latter case recording its...
Matched on
terms: nursing
LGO / SPSO decision
56match
201104145 - Tayside NHS Board
Mrs C suffered from lung cancer and chronic obstructive pulmonary disease (a disease of the lungs in which the airways become narrowed). She was receiving chemotherapy but after the second cycle her condition deteriorated and she was admitted to hospital, where she died a few days later. Her daughter, Miss C, was concerned that while her mother was...
Matched on
terms: midwifery, nursing