Feel there should have been more thought, planning and consultation with nurses and healthcare assistants involved with direct patients care.
The whole of nursing should be regulated to ensure high quality and standards of patients care. If the majority of the workforce are unregulated, how can this be really good for quality, it's just a rhetoric to say there is quality, when in reality nothing is there to enforce it.
Planning should include structured career pathways where progression should not be based on waiting for someone in a higher grade to move on, but rather be based on those who are willing to develop their skills and experience and to get 'promoted' into a higher grade if they have the right competencies, attributes, skills and knowledge. There will be people who are happy to work at specific levels, for those, there should be other incentives and development options to facilitate these people to continue to develop and enhance their practice too.
However it all feels that there are too many glass ceilings. Nurses are being kept down with more mechanisms to dumb-down skills, keeps nursing pay low.
Seems like at every grade it is very difficult for nurses who would like to progress, without having to quit their job and applying for another one elsewhere. Internal development is very slow or non-existent.
Senior managers are rarely seen being involved with direct patients care, involved directly with problem solving or looking for solutions to facilitate improving patients care. Those that do, do make fantastic role-models for others to aspire to, they also help and develop their colleagues - but they are very rare.
Have any other union said they will be striking too?
Secondary strikes can't happen, but nothing to stop colleagues showing support in their own time, and only work to limits of their competencies and time.
If goverment have their way, no new nurses will be trained in UK + existing nurses being tempted to go abroad where pay is better, like Scotland ;) ;p +/or further.
Doctors already know theyve got highly transferable skills + prepared to work abroad.
Nurses also have very transferable skills. Some nurses are already switching to supplement income with agency work. Might see in future nurses doing 50:50 NHS:Agency hours before taking plunge to where there is appropriate remuneration.
" ...incentive in some understaffed areas."
There are not too many areas that aren't understaffed or bearly adequately staffed (assuming their patients are stable and acuity low). Even on 1:4 nurse:patients ratios, it can still be very tricky if you're in the middle of a procedure with a patient, when another patient asks urgently for toilet and someone else about to get out of bed / wheelchair thinking they can walk, all happening when your colleagues are also busy.
For career changers, it might be enough to deter them from joining nursing and consider taking their previous experience + skills into another area of healthcare (or customer service!).
If NHS is to recruit + retain enough nurses, will need to pay at least a living wage during training and clinical placements. The hours of placement forms 50% of the course. Like qualified staff, expectation is ongoing training + development, being professional at work, and being able to deliver quality care.
If there's a post registration tie in period, eg 5 years with NHS it shouldn't be tied to one trust either. Qualified staff can + do migrate between different NHS trusts. If trusts want to develop their staff, more secondment contracts should be available + accessible.
Currently large numbers of people leave nursing training due to excessive stress + financial burdens with being on both an academic programme as well as full time clinical placements. Post registered nurses leave NHS and/or nursing due to poor conditions of work, poor support, generally being undervalued.
If a prospective student needs loans to fund tuition fees + living costs, might not take up nursing + use their 6 Cs attributes for other courses like politics, business or management. Potentially they could also enter the NHS in the future and even do a better job.