Posts Tagged ‘midwives’

Why we are short of Nurses

Sunday, January 9th, 2022

Why we are short of Nurses
On January 9th 2016 I took the pictures shown here of a rally and march against the axing of bursaries for student nurses and midwives. The current huge surge in hospitalisation of Covid victims as Omicron rages through the nation has highlighted the huge shortage of qualified medical people in the NHS at all levels.

For years, but increasingly since the Tory-led coalition came to power in 2010, there have been huge shortages, with the NHS having to recruit from overseas – including from many poorer countries which are even more short of staff than the UK.

We have of course been bringing in nurses and doctors from abroad for many years – at least from the 1950s – rather than training enough from our own population. It has never been that there were not enough young people who want to be nurses and doctors – and in my years as a teacher I taught quite a few suitable young men and women who were well qualified but failed to gain admission to medical schools where there were perhaps 12 applicants for every place.

Hospitals have also become hugely reliant on agency nurses rather than directly employed staff, partly because of relatively low pay, but also because of a lack of self-defeating lack of flexibility by underfunded NHS hospitals which actually results in increased costs.

But for training nurses, the Tory government really messed things up in 2016 by removing the training bursaries for NHS nurses and midwives. Unlike other students they perform essential work for the NHS in hospitals caring for patients as an integral part of their courses, which makes it virtually impossible for them to undertake other part-time employment during their studies.

And in 2017 things got even worse and nursing students have had to pay tuition fees in the same way as other university students, leaving them with large loans to pay off when they complete their courses and go into employment.

Len McClusky, General Secretary of Unite next to a Unison banner

In 2020 the Royal College of Nursing published a report Beyond the Bursary: Workforce Supply which makes the point that at the start of the pandemic there were almost 40,000 nursing vacancies in the NHS in England alone, and called on government to develop a fully funded workforce strategy and aim for “an oversupply of nurses given years of underinvestment and the growing needs of our population.

The report notes that following the removal of the bursary there was a 31% drop in applicants for nursing courses, and over 4% fewer being accepted. Where we needed and increase in numbers being trained due to the shortage, government policies directly produced a decrease.

The RCN called on the government to abolish the tuition fees for nursing courses and reimburse the fees for those students affected by the removal of the bursary. And although the welcomed the decision to bring back an annual maintenance grant of £5000 for nursing students (£8,000 for some difficult to recruit specialities) from September 2020 they asked for that to be increased to a level that reflects the actual cost.

Of course the pandemic has made things worse. Some have died from Covid, partly as a result of the failure to provide effective protective clothing – and those contracts given to Tory mates with no experience in the field while some established companies failed to get orders. Many among those who recovered from Covid continue to suffer its after-effects – ‘long-Covid’. Others have simply been exhausted by overwork – and this is “a workforce that felt undervalued, unrewarded and where one in three were nearing retirement age.”

Brexit too has taken its toll, both with nurses from European countries leaving the UK and the failure of our government to respect the early promises it made to EU citizens working in the UK has not helped. Brexit and the continuing squabbles by the government over the treaty it signed is also a deterrent to people to now come and work here.

The shortage of nurses – and other medical staff – is a direct result of government policies. Not just the Tories but also of Labour under Blair and Brown, and is a part of the slow sabotaging of the NHS as a part of a policy of creeping privatisation that has been underway since at least the Thatcher years, though vastly accelerated since 2010. Unfortunately it isn’t as one placard states that the Tories are short-sighted, but that they are playing a long game to undermine our National Health Service.

More pictures on My London Diary:
NHS Bursaries March
NHS Bursaries rally before march


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9 January 2016

Saturday, January 9th, 2021

Class War at White Cube Bermondsey

This was always the most depressing point of my year. Particularly back when I was still teaching full-time, getting up on cold dark mornings to go into work, at the start of the term which, particularly for those teaching classed facing exams in May and June, seemed to be longest and hardest slog of the year. We are actually just a few days past the latest sunrise of the year, (it is a whole 2 minutes earlier today) but its only really by the middle of the month it starts to be noticeable.

NHS Bursaries Rally & March

Usually we’ve put away the Christmas decorations, turned off the Christmas tree lights and put the tree outside, waiting for the energy to plant it in the garden. We’ve eaten the Christmas cakes (we usually have an iced fruit cake, stollen and Buche de Noel to get through, finished the meat, eaten the nuts and fruit, Bombay Mix and chocolates and are back on normal fare, with perhaps a dose of austerity to make up for the previous weeks of minor gluttony.

NHS Bursaries Rally & March

But this year has been different, with no family, friends and neighbours visiting to help us get through the Christmas bonus or see in the New Year. Everything has been flatter and less interesting, and I’m feeling bored. I exercise along routes I’ve cycled or walked close to home many times before, taking out my camera and making pictures largely out of habit rather than any great interest.

Ian Bone and Rita the Raven

Back in earlier years, protests and other events were getting back into swing at this time of year after something of a hiatus over Christmas and the New Year, when most of us were busy with other things. I live just too far from central London to be able to easily take part in the New Years Eve events, and though for some years I went up the following morning to photograph the New Year Parade, in recent years this became too organised to be really interesting.

Ian Bone takes a free kick

Saturday 9th January 2016 began for me with a rally and march against the axing of training bursaries for NHS nurses and midwives. As a part of their training they perform valuable work in hospitals, caring for patients, and the time involved means that unlike other students they are not able to get part-time work to support themselves.

Fire-eating outside the White Cube

The removal of the bursaries seems certain to result in much greater hardship and also in fewer students training as nurses – and we already have a shortage of nurses. It was a simple cost-cutting measure that only makes any sense as a part of the Tory plans to privatise our NHS by stealth, part of which involves putting greater pressure on the system so that more aspects of it can be put out to private tender. Many in government have interests in private health companies and favour a move away from the principles behind the NHS of a service based on clinical need free to all towards a US-style high-cost insurance-based system.

I left the march before it finished to join Class War outside the White Cube Gallery in Bermondsey St, one of the areas of London where gentrification is most apparent.

December 9th 2015: Class War protest Gilbert & George at White Cube Bermondsey

I’d come the previous month to photograph Ian Bone of Class War and Simon Elmer of Architects for Social Housing holding a short protest outside the gallery over the appropriation of protest slogans by Gilbert and George in the show taking place there, and the gentrification of the area. I wrote then:

Bermondsey, once a working class industrial area on the edge of London’s docks with many small workshops in yards off of Bermondsey St producing hats, leather goods and a more recent arrival, the print trade, has changed dramatically. Run down when I first photographed there in the 1980s (and produced an industrial archaeology walk leaflet, West Bermondsey – The leather area) it is now full of restaurants, galleries, designer clothes and other businesses catering for London’s new gentrification, with offices, design studios and expensive flats now having replaced most of the workshops.

http://mylondondiary.co.uk/2015/12/dec.htm#banners

In front of the gallery is their large open yard, and Class War had decided that as this is an area where many still live in council estates with notices on the green spaces ‘No Ball Games’ that this would be an ideal place to hold a game of football as a protest against gentrification. And I’d been invited to come along and take pictures.

Although they hadn’t been invited, the police had clearly heard about the protest and had come along too, along with some security staff employed additionally by the gallery. A large sculpture at one side of the yard had also been wrapped up to protect it from damage (and artistically that seemed to me a great improvement.)

Jane Nicholl performs ‘The Finest f***ing Family in the Land

There was some opposition – and a hapless young police woman tried to tell the protesters that kicking a ball around was reckless behaviour – but the protest continued. Here is my description from My London Diary:

The protesters deliberately kicked the football at police and security, encouraging them to join in the game. Some of them did kick the ball back, while others simply stood and let a protester come to collect it, sometimes holding it but returning it when requested.

But the protest outside the ‘protest’ show (entitled ‘Banners‘) was not just football, but there was some spectacular fire breathing along with a premiere performance of Ray Jones‘s latest song, ‘any chance of a sub?’ dedicated to Damien Hirst and accompanied by the dancing Lucy Parsons banner ‘We must devastate the avenues where the wealthy live’. (Jones, together with Ian Bone were formerly part of the Welsh punk band “Page 3”.) ‘Sid Skill’ had brought along a fairly lifelike black model bird (a fiver on eBay) which inspired a histronic performance from Ian Bone, about how the security men guarding the White Cube had murdered the last raven from the Tower of London, and that London was now doomed. Doomed I say, doomed.

Later, there were two spoken word performances, one by Jane Nicholl of a traditional verse, ‘The Finest f***ing Family in the Land‘, performed with great gusto and with the small crowd joining in, and the second of a rather odd poem about a raven, sent in response to a tweet about Ian’s performance at the protest by Ray Jones, which he read to us all. And the Womens Death Squad led a rousing performance of their anthem, ‘ Bunch of C***s

Altogether it was a ‘happening’ with arguably rather more artistic credibility than the rather sterile work on display inside the gallery, and one that was appreciated by some members of the public even though it lacked the Art World’s financial imprimatur.

Eventually it was time to leave – and for Class War to continue their celebrations in a local pub … On the way a number of Class War Womens Death Squad stickers somehow found their way onto street furniture, walls and estate agents windows, to remind the gentrifiers that Class War will be back.

http://mylondondiary.co.uk/2016/01/jan.htm#whitecube

More on My London Diary
Class War Footy at White Cube
NHS Bursaries March
NHS Bursaries rally before march


All photographs on this and my other sites, unless otherwise stated, are taken by and copyright of Peter Marshall, and are available for reproduction or can be bought as prints.