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PM's expert nursing forum fears it has been scrapped

A group of senior nurses set up by  the prime minister to advise on ways to improve the quality of care has been left “in limbo”, after apparently being unofficially scrapped.

The Quality Nursing and Care Quality Forum made up of more than 20 experienced frontline nurses was set up by David Cameron in April 2011, as part of efforts to address high profile failings in nursing care.

The group has played a key role in pushing for safe staffing levels, developing leadership in nursing and promoting a culture of compassionate care. However, it has now been told unofficially that it is no longer needed.

“We feel we have done a good job and feel a little bit disappointed that we are being kept in limbo like this”

Sally Brearly

The forum’s chair, Sally Brearley, told Nursing Times the group’s last meeting was in November and members were aware then that there was a “question mark over our continued existence”.

Sally Brearley

Sally Brearley

“We’ve had some discussions with [chief nursing officer for England] Jane Cummings, in particular, about the value or not that she places on the forum,” said Ms Brearley. “I think it’s fair to say she thinks there isn’t a role for the forum, now she has her strategy in place.”

The national nursing strategy for England – Compassion in Practice – was launched in December 2012. The three-year plan includes the “6Cs” – a set of values and behaviours that nurses and midwives are expected to aspire to.

However, Ms Brearley said the forum’s members were “very keen to continue” and that a submission had been made to both David Cameron and Jeremy Hunt, the health secretary.

“A submission was made to the secretary of state and the prime minister about what the future or not of the forum might be, so we are still waiting to hear,” she said. “We feel we have done a good job and feel a little bit disappointed that we are being kept in limbo like this.”

As exclusively revealed by Nursing Times in November, the forum called for the introduction of a minimum staffing level to “bridge the gap” – a policy opposed by the government – until guidelines from the National Institute for Health and Care Excellence are completed.

But Ms Brearley said she “had not had any direct feedback” to suggest the forum had been dropped because it has been too outspoken on issues like safe staffing levels.

“We’d like to carry on with some more of the same, because there’s still work to be done”

Sally Brearly

Responding robustly to the Francis report and highlighting the need for safe staffing had been among its key achievements, she argued, as had promoting the importance of staff wellbeing and patient experience. “We’d like to carry on with some more of the same, because there’s still work to be done,” she said.

“We are pleased NICE will be looking at safe staffing but anxious to see how useful that will be, and there is more work to be done on intentional rounding and whether it’s being implemented in the right way, and [on] leadership within the profession,” Ms Brearly told Nursing Times.

“The secretary of state asked us a relatively short time ago to work with the Care Quality Commission, so we would like the opportunity to pursue that, as well as work on pre-nursing care experience.”

She also highlighted the latest Royal College of Nursing Frontline First report, describing its findings as “extremely concerning”. The report, published last week, revealed a significant drop in the number of senior nurses on bands 7 and 8.

She said if the forum was going to be scrapped, then members would like to have a final meeting to review progress and highlight areas that still needed work.

The Department of Health would neither confirm nor deny that the forum had been scrapped. A spokeswoman said: “All members will be kept informed of any future changes to the group.”

NHS England declined an offer to respond.

Readers' comments (20)

  • 6C's Jane Cummings clearly wants to be the only show in town so no wonder she wants rid of this lot. Personally, this shower of 'experts' and Jane could all disappear and I don't think your average nurse and more importantly, your average patient would know any different.

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  • who is Jane Cummings?



    well, well, well, well!

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  • tinkerbell

    left on the scrap heap eh? All the so called 'experts'. Whatever next? Time for the real frontline, coal face nurses to get their protest marching boots on I think.

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  • eileen shepherd

    This is disappointing particularly if the forum is being sidelined because it has been outspoken. Nursing needs a voice and an opportunity to influence policy.

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  • michael stone

    If I were clear about whether they have been told [unofficially] that they have been scrapped, as opposed to 'fearing it has been unofficially scrapped' (which is a bit different), then I would have commented that these politicians lack good manners: if it has been scrapped, then they should be told !

    But I seem to remember writing about the 'lack of clout' of even senior nurses, before - for example, by pointing out that I read in a book that when the NHS was being created, the politicians consulted with doctors organisations, but didn't bother to consult nurses.

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  • what did you expect? this is the UK we are talking about!

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  • I think nursing in the UK has lost the plot altogether because it is too fragmented, with groups here and there who are working but not talking, so the right hand does not know what the left hand is doing. Front line nurses need Support and not Talk!! Standards will ONLY improve of the ivory tower talkers move down into the depths of front line nursing to find out what goes on and not over-reliant on reports that are out-dated as soon as they are published. it is little wonder that the attrition rate in nursing is rising daily.

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  • Anonymous | 19-Mar-2014 1:10 pm

    you are right. somebody needs to topple the ivory towers.

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  • So long suckers!

    Your passing will leave but a ripple. Did you people think this was a serious attempt to help the NHS? Useful idiots, that is all you were. Wise up, lying down with the government will just get you covered in fleas.

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  • FranEntwistleNT

    Disappointing news.

    This group was set up to give nurses a voice within government - whether them being removed makes a difference to frontline nursing or not, it strongly suggests politicians aren't intrested in hearing, let alone listening to, a nursing voice.

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  • FranEntwistleNT | 19-Mar-2014 2:07 pm

    they don't even to think there is such a need. maybe for some reasons, only known to them, they consider it beneath them and nursing will just run itself with the resources they deign to supply them with!

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  • tinkerbell

    David Camerons face in the above picture appears to me to be saying 'how can I tell you it's over?'.

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  • You want to improve patient care -put more registered nurses on the wards and improve nurse's salaries!! End of forum-Next problem

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  • why do they move into ivory towers instead of remaining with patients where they are needed?

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  • "The Quality Nursing and Care Quality Forum made up of more than 20 experienced frontline nurses was set up by David Cameron in April 2011, as part of efforts to address high profile failings in nursing care."

    Cummings and Brearly were not frontline nurses, what about the others on the forum who were they? How can ivory tower and desktop or mobile office/clipboard nurses identify 'high profile failings in nursing care' or even worse low profile swept under the carpet failings which go unnoticed until too late, and thus inform good nursing care?

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  • Isn't the only thing that has actually come from this collaboration with Cameron the hourly rounding farce. If anything shows that these so called frontline staff are clueless about what happens on the shop floor it was that.
    Jane Cummings should be scrapped alongside them together with her patronising promotion of the 6 Cs.

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  • We don't need people who call themselves senior nurses to be our voice. Come on Nurses all of us has a voice use it, stand up for good nursing practice and fair treatment for us and our patients.
    Be professional and don't accept less.
    Strike if it will get us listened to.
    Unions where are you?
    CQC are you doing your job?

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  • michael stone

    tinkerbell | 19-Mar-2014 4:29 pm

    Interesting observation, Tink. Also unusual to see Cameron flanked on both sides by only women: is there perhaps a link, between most nurses being women, and this type of 'disrespect' ?

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  • tinkerbell

    michael stone | 21-Mar-2014 3:23 pm

    well a picture does paint a thousand words. I know that look, I have not looked at a few ex boyfriends that way, or they not looked at me that way, I can't remember, either way no one was looking at the other. Beware of those who avert their eyes!

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  • Well, look what happened to the CNO roles! There's an interesting history here. Once, nurses were senior specialist civil servants with their own departments and able to influence policy directly. Now it's just a disposable ad hoc group.

    I agree with Tinkerbell. I'm not surprised at what has happened since the whole thing was clearly window dressing, but they used to dish out a few minor gongs before disbanding them. Not even sure this group got a party bag of sweeties to take home.

    This government holds nursing in contempt. For these people, we're just another subset of the menial servant classes. We shouldn't be fooled by such PR nonsense into thinking they want to listen us.

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