Standing up for patient and public safety
This report describes the lack of clear roles, responsibilities and accountability for workforce planning and supply in England. In reality, this means that the health and care workforce is not growing in line with increasing population need for health and care services, and there are large numbers of vacant posts throughout the system. This impacts upon patient safety and outcomes, and leads to a challenging working environment for staff. To resolve this, the RCN makes the case for this to be resolved through legislation, alongside additional investment in the nursing workforce and a national health and care workforce str...
Source: Health Management Specialist Library - October 8, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Patient safety Workforce and employment Source Type: blogs

Outstanding models of district nursing
This report, written in conjunction with the Royal College of Nursing, calls for urgent investment in district nursing, as new figures show the number of district nurses working in the NHS has dropped by almost 43 per cent in England in the last ten years. It explores all the elements which need to be in place to support an outstanding district nursing service.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 23, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Changing configuration of health services Workforce and employment Source Type: blogs

Parity of esteem: delivering physical health equality for those with serious mental health needs
This report gives an overview of the work the RCN is doing to address the mortality gap between people with serious mental illness and the rest of the population as well as our work towards establishing parity of esteem between mental and physical health. ReportRCN publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 20, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Mental Health Source Type: blogs

Sexual and reproductive health: RCN report on the impact of funding and service changes in England
This report outlines the findings of a survey of nurses working in sexual and reproductive health. It provides clarification and evidence following increasing concerns reported from those working in England on the impact of service provision following the changes to commissioning after the implementation of the Health and Social Care Act in 2012.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 14, 2018 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Workforce and employment Source Type: blogs

Why nurses must help lead the NHS
The NHS is robust. And part of that is due to the passion of its workforce. Since its beginning in 1948, the service has met each new challenge with vigor. But never before has it’s existence been under such threat. And with it, the safety of a nation. And there is no one more qualified to save it than those who fight on the frontline. I sat down with Wendy Preston, head of nursing practice at the Royal College of Nursing (RCN) to learn how nurses can save the NHS. Nurses are leaders Wendy is inspirational. Dissatisfied with the limitations of patient care, she chose to take a senior role in designing new ways to hel...
Source: Kevin, M.D. - Medical Weblog - March 22, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/ben-janaway" rel="tag" > Dr. Ben Janaway < /a > Tags: Policy Public Health & Source Type: blogs

Left to chance: the health and care nursing workforce supply in England
This report analyses UCAS data and finds that the number of applications for nursing degree courses has fallen by a third since 2016. It calls for a range of incentives to encourage people into nursing, including a central funding pot in the Department of Health and Social Care to help with students ’ costs; more incentives for post-graduates to convert to nursing; and the DHSC and Treasury to cover the cost of apprenticeships to encourage greater uptake by NHS employers.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - February 5, 2018 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs

Safe and effective staffing: nursing against the odds
Royal College of Nursing -Following on from the publication of"Safe and effective staffing: the real picture" in May 2017, the RCN launched a survey of nursing and midwifery staff in the UK. The survey asked people about their last shift or day worked in health or social care. More than 30,000 responses were received in just two weeks, providing insight into staff experiences and staffing levels across the UK. The findings provide a strong voice from nursing staff, clearly describing the impact that poor staffing has on both patient care and their own wellbeing. Some of the experiences and stories shared via the ...
Source: Health Management Specialist Library - October 4, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs

An RCN toolkit for school nurses
Royal College of Nursing (RCN) - This toolkit provides school nurses with information, examples of good practice, templates and useful websites to support and develop professional practice. It considers varying policy and practice which applies across the UK and the range of settings in which school nurses work.GuidanceRCN publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 25, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Workforce and employment Source Type: blogs

Safe and effective staffing: the real picture
This report calls for the rest of the UK to follow the example of Wales and enshrine safe staffing levels in law following analysis which shows that there is approximately 40,000 unfilled nurse posts in England with a further 12,000 health care support worker vacancies. The report finds that care providers are increasingly hiring fewer registered nursing staff and that four in five NHS nursing directors have reported concerns that their hospital relies on the goodwill of staff to keep services running.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 15, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Patient safety Workforce and employment Source Type: blogs

Personal safety when working alone: guidance for members working in health and social care
Royal College of Nursing (RCN) -This guide has been developed for RCN members who work alone. It also contains a checklist for RCN safety representatives who work on negotiating improvements to workplace safety for members and nurse managers who manage lone working staff.GuidanceRCN - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - October 6, 2016 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs

The medicine needed for the emergency care service
This report, written jointly with the Royal College of Nursing, outlines key recommendations from both organisations on reducing the pressures on emergency medical services in the UK. The report calls for a commitment for education funding, provision of training time and a realistic workforce planning strategy for emergency care. It also highlights the need for a change in culture to enable emergency departments to be more collaborative and to adopt a hub structure.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 22, 2016 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Changing configuration of health services NHS measurement and performance Workforce and employment Source Type: blogs

The Buurtzorg Nederland (home care provider) model: observations for the UK
Royal College of Nursing (RCN) - The Buurtzorg model is a cost-effective and nurse-led district nursing system founded in the Netherlands. This briefing looks at the successes of the Buurtzorg model, while also identifying some of the challenges which would need to be addressed if the UK were ever to adopt a similar system approach. The content and analysis have been updated to reflect developments taking place across the UK with regards to piloting Buurtzorg. Briefing RCN publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 25, 2016 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Quality of care and clinical outcomes Social care Workforce and employment Source Type: blogs

Briefing ahead of second reading of the Trade Union Bill in the House of Commons
Royal College of Nursing -This research shows that trade unions are saving the NHS at least £100 million every year. Independent evidence has revealed that staff turnover in organisations without union representatives is three times higher than in those with union representatives. Briefing Royal College of Nursing - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 10, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS finances and productivity Workforce and employment Source Type: blogs

The Royal College of Nursing response to the Nursing and Midwifery Council (NMC) evaluation of the revalidation pilots
Royal College of Nursing (RCN) - Revalidation is a process being introduced by the NMC that all nurses and midwives will be required to undertake every three years, in order to renew their registration. This response is the result of a consultation with RCN members and sets out a number of areas on which the RCN feel that the NMC must urgently provide clarity, in order to instil confidence in the nursing workforce and indeed the wider healthcare system that current proposals will be effective. Response Press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 13, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Regulation, governance and accountability Workforce and employment Source Type: blogs

Famous nurses (2): Mary Seacole
Mary Seacole was born in Jamaica, had lived in London, and went also to the Crimea, where she ran a hospital or hostel for soldiers.  She had prior experience in nursing and herbal medicine.  History seems to have forgotten her for some time, but more recently there have been efforts to remember her again.  There seems some controversy over what she did, and a perception in some places that if she is made more important, it has to be at the expense of Nightingale.  These issues are explored here (I can't see who makes this site, but it looks to be worth mentioning).  Alongside this, seek out "...
Source: Browsing - July 12, 2015 Category: Databases & Libraries Tags: Mary Seacole nursing Source Type: blogs

Dementia resources
An earlier post describes the Dementia Friends initiative of the Alzheimer's Society.   Here are a few useful looking web resources to give you more information about dementia, and about living with dementia.  Social Care Institute for Excellence: Dementia GatewayExtensive collection of information, resources and elearning (some of which is used as part of the Dementia Champions scheme, which is what can come after being a Dementia Friend).   Material is for care workers, people living with dementia and their friends and family.   There is information about signs of dementia and about wha...
Source: Browsing - June 27, 2015 Category: Databases & Libraries Tags: dementia Source Type: blogs

Dementia web resources
An earlier post describes the Dementia Friends initiative of the Alzheimer's Society.   Here are a few useful looking web resources to give you more information about dementia, and about living with dementia.  Social Care Institute for Excellence: Dementia GatewayExtensive collection of information, resources and elearning (some of which is used as part of the Dementia Champions scheme, which is what can come after being a Dementia Friend).   Material is for care workers, people living with dementia and their friends and family.   There is information about signs of dementia and about wha...
Source: Browsing - June 27, 2015 Category: Databases & Libraries Tags: dementia Source Type: blogs

Seven day care in England - update for RCN Congress 2015
Royal College of Nursing (RCN) - This briefing warns that expert nurse posts have been disproportionately lost in recent years, putting government plans for seven day care at risk. It notes that despite recent recruitment to fill nursing posts, the NHS now has 2295 fewer nurses working in expert or leadership roles than in 2010. It highlights the need for investment in the nursing workforce, particularly at the upper levels of the profession. Briefing RCN news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - June 22, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Quality of care and clinical outcomes Workforce and employment Source Type: blogs

Frontline first: the fragile frontline
This report finds that there are fewer nurses than in 2010 and that an already over-stretched workforce is being forced to carry out even more work, with serious implications for patient care and staff welfare. It also highlights other areas for the next Government to consider such as the decrease in numbers in the community nursing workforce and cuts to student nursing places. Report Press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 13, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: General Election 2015 Workforce and employment Source Type: blogs

Frontline first : protecting services, improving care
This report shows an unprecedented rise in the amount the NHS spends on agency nursing staff in England, with a projected spend of at least £980 million on agency nursing staff by the end of this financial year if action is not taken. This is an average of £4.2 million per trust. Report Royal College of Nursing - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - February 5, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS finances and productivity Quality of care and clinical outcomes Workforce and employment Source Type: blogs

Nursing counts
Royal College of Nursing -The Royal College of Nursing is calling on all political parties to protect patient care across the UK by defending the nursing profession from cutbacks and short sighted decision making, as it launches its manifesto, Nursing Counts, ahead of this year’s General Election. Manifesto Royal College of Nursing - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - February 4, 2015 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: General Election 2015 Workforce and employment Source Type: blogs

RCN London safe staffing report 2014
This report shows that the region’s nursing shortage is increasing with more than 8000 nursing posts in the capital unfilled. 14% of London nursing posts are now vacant, up from 11% a year ago. It calls for system-wide action to ensure London employers are able to recruit enough nurses to keep staffing numbers at the level they believe are needed to keep patients safe. Report Press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 16, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Patient safety Workforce and employment Source Type: blogs

Frontline First: Turning back the clock? RCN report on mental health services in the UK
Royal College of Nursing (RCN) -This special report seeks to highlight the issues facing the mental health nursing community and puts the case forward for greater investment in this vital service in conjunction with Rethink Mental Illness. Report RCN - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 24, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Mental Health Workforce and employment Source Type: blogs

Good practice for handling feedback
Royal College of Nursing -This guidance aims to help health care workers deal with feedback, concerns, complaints and compliments. It has been developed following discussion with RCN members about their own experiences. It is part of the RCN’s commitment to help improve the way the NHS handles feedback and complaints following a review into the NHS complaints system. Consultation with RCN members revealed that many feel there is a lack of information in their workplace from their employers on what the process is for dealing with complaints, and what is expected of them. Guidance Royal College of Nursing - news (Sour...
Source: Health Management Specialist Library - November 12, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Quality of care and clinical outcomes Workforce and employment Source Type: blogs

BMA Updates "Decisions Relating to Cardiopulmonary Resuscitation"
On Tuesday, the British Medical Association, in conjunction with Resuscitation Council (UK) and the Royal College of Nursing, published a new guidance, a revised edition of Decisions Relating to Cardiopulmonary Resuscitation. The guidelines identify the key ethical and legal issues that should inform all CPR decisions. Key points emphasized in the new guidance include:The value of making anticipatory decisions about CPR as an integral part of good clinical practice The importance of involving people (or their representatives if they are unable to make decisions for themselves) in the decision-making pro...
Source: blog.bioethics.net - October 9, 2014 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs

All in it together? The executive pay bill in England’s NHS
This report finds that the pay bill for senior NHS managers is accelerating ahead of pay for nursing staff. This report analyses the results of FOI requests sent to NHS provider trusts in England which revealed that the amount spent on executive directors over the last two years has increased by an average of 6.1%, compared to a 1.6% rise in earnings for nurses, midwives or health visitors. Report Press release   (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - June 16, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS finances and productivity Workforce and employment Source Type: blogs

RCN development programme: transforming dementia care in hospitals - evaluation report
Royal College of Nursing (RCN) -This paper reports on a year-long programme which has highlighted the importance of investing in nurse leaders and dementia nurse specialists to improving dementia care. The programme involved nine NHS trusts developing innovative ways to improve dementia care in hospitals – ranging from trust-wide education programmes, improving individualized care and supporting family carers. Evaluation report RCN - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - May 21, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Mental Health Quality of care and clinical outcomes Source Type: blogs

The management of waste from health, social and personal care
Royal College of Nursing (RCN) - The guide was developed with RCN members and waste management experts from across the UK. It was co-authored by WSP, the professional consultancy which also helped produce the Department of Health’s revised guidance on the safe management of health care waste. It aims to supporting health care workers to classify waste appropriately in order to bring benefits to health organisations as well as the environment. Guide RCN - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 23, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs

Frontline First: more than just a number
This report reveals that there are 3,994 fewer full time equivalent nursing staff working in senior positions than in April 2010. Staff working at this level include ward sisters, community matrons, clinical nurse specialists and advanced nurse practitioners. It warns that with almost 4,000 fewer senior nursing posts than 2010, the NHS is being drained of valuable leadership, experience and specialist knowledge from the health service. Report RCN - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 11, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Leadership and leadership development Workforce and employment Source Type: blogs

Building a culture of candour: a review of the threshold for the duty of candour and of the incentives for care organisations to be candid
Royal College of Nursing (RCN) -This review concludes that healthcare organisations must usher in a new culture of candour to ensure patients and their families are told honestly and openly about any harm that has been caused and how it will be put it right. The main recommendation to come from the report was that an environment that allows staff to be trained and supported in admitting errors should be encouraged, reporting them and learning fully from mistakes. Report RCN - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 7, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Patient safety Workforce and employment Source Type: blogs

The triangle of care - carers included: a guide to best practice for dementia care
Royal College of Nursing (RCN) - The triangle of care is a model for dementia care that supports a partnership approach between the person with dementia (the patient), the staff member and carer. It is designed to ensure that carers are appropriately included and involved in the care of people with dementia, particularly in hospital settings. Guidance RCN - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - January 21, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Source Type: blogs

Use of restrictive practices in health and adult social care and special schools
Royal College of Nursing (RCN) -As part of the programme of actions set out in Transforming Care: a national response to Winterbourne View Hospital the RCN was commissioned by the Department of Health to lead a review and develop new guidance on the use of positive behaviour support (PBS) and the minimisation of restrictive practices across health and adult social care. This consultation and draft guidance which has been developed in conjunction with a range of professionals, patients, service users, their families and carers is the result of that initial review. The RCN is seeking further views to help it strengthen and r...
Source: Health Management Specialist Library - December 19, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Consultations Source Type: blogs

Autumn statement 2013
HM Treasury -The statement provides an update on the government’s plans for the economy based on the latest forecasts from the Office for Budget Responsibility. Full statement Autumn statement - all documents  Responses: Age UK Association of Chief Executives of Voluntary Organisations British Medical Association Carers UK Centre for Policy Studies Chartered Society of Physiotherapy Citizens Advice Bureau The Health Foundation Healthcare Financial Management Association Local Government Association National Association for Voluntary and Community Action National Children's Bureau NHS Employers Nuffield Tr...
Source: Health Management Specialist Library - December 6, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS finances and productivity Source Type: blogs

Beyond breaking point?
This report is based on a survey of over 2000 nursing staff and argues that patient care in the UK is being put at risk by staff cuts and excessive workloads, leading to unprecedented nurse stress and ill health. It also raises concerns about the working culture which is operating in the care system in the UK, both in hospitals and community care. It calls on employers to take urgent action to protect staff welfare and patient care as well as for the Health and Safety Executive to take enforcement action where employers are failing to meet the legal requirement to assess and manage the risk of work related stress. ...
Source: Health Management Specialist Library - September 30, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Patient safety Quality of care and clinical outcomes Workforce and employment Source Type: blogs

Positioning nursing in a digital world: RCN eHealth survey 2012 report
Royal College of Nursing (RCN) - This survey explores the knowledge and experiences of nursing staff in relation to current eHealth developments, together with their attitudes to new and emerging uses of technology in health and social care.The aims of the 2012 survey were to identify the readiness of nursing staff to participate in eHealth, to understand the barriers that prevent nursing staff from benefiting from information and communications technology, and to ascertain what progress has been made since the previous RCN eHealth survey in 2010. Report RCN - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 12, 2013 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: New technologies Workforce and employment Source Type: blogs

EFPIA Transparency Guidelines: Reporting Payments in Europe
In a recent update from the international law firm Fulbright & Jaworski, through its soon-to-be new firm Norton Fulbright (now Norton Rose), the law firm discussed the disclosure of payments to healthcare practitioners in the United Kingdom (UK). The UK pharmaceutical industry has started publicly disclosing aggregate data on payments to healthcare practitioners (HCPs) and consulting on establishing a public register to disclose individual payments from 2016 onwards. As we previously noted, payments from the pharmaceutical industry working with HCPs have been estimated to be around £40 million for 2012 in ...
Source: Policy and Medicine - June 21, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

Leadership survey 2013
The King's Fund is working with several organisations including the Royal College of Nursing to examine the state of leadership in the health service in the wake of the Francis inquiry report. This short survey aims to further an understanding of the factors that have an impact on quality and the types of leadership qualities currently driving the NHS. Views from managers and clinicians in NHS provider organisations are invited until the 1st March. Survey RCN - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - February 25, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Source Type: blogs

Report of the Mid Staffordshire NHS Foundation Trust public inquiry
This report is the result of a public inquiry into the commissioning, supervisory and regulatory bodies in the monitoring of Mid Staffordshire hospital between January 2005 and March 2009. Following the earlier NHS inquiry in 2010, this report considers why the serious problems at the trust were not identified and acted on sooner, and identifies important lessons to be learnt for the future of patient care. It makes 290 recommendations designed to change the culture of care in the NHS; strengthen leadership; and improve openness and transparency. Final report Press release  Further reading The King's Fund - ...
Source: Health Management Specialist Library - February 7, 2013 Category: UK Health Authors: The King's Fund Information & Library Service Source Type: blogs