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.
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
