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The big question: should HCAs be regulated?


The topical issue of the moment: should HCA’s be regulated? Add your comments and they could be published in the magazine

This month, we are kicking off a new section in Nursing Times and on talking about the topical issues of the moment and getting your views.

First up: the thorny issue of HCA regulation. Should HCAs be regulated? How and why? And who should be doing it? Would it make your life easier or more difficult? Would it confuse or help patients? How do you feel about it if you are an HCA?

Let us know your views below, and tell us if you’re a qualified nurse or HCA or someone else with a view. We will select the most interesting ones to get printed in Nursing Times.


Readers' comments (8)

  • Richard White

    Another thorny issue for the RCN to deal with, it won't go away.

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  • How about the government deciding on a reasonable budget for nursing across the land and then leaving the RCN and other relevant bodies and nursing leaders and front line workers to get on and organise the profession for care provision, education, training, career structures, salaries, pensions and benefits. These are the only ones who fully understand how to do this and what the needs of patients and staff are not Mr Cameron and Mr. Lansley paying brief visits to the wards with their sleeves rolled up dictating on how to care with inadequate resources.

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  • Tinkerbell

    wouldn't HCA's being regulated fit in very nicely with them taking charge of the ward and being paid peanuts? At the same time employing less qualified staff and eventually there no longer being a requirement for qualified staff, except maybe one or two as on call consultants, working Mon to Fri between 9-5. Out of hours and at weekends who cares what happens?

    It's all about saving money ultimately.

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  • i was a care assistant in a nursing home for 10 years before moving to the local hospital to become a healthcare assistant and now a third year student nurse.
    for me the best training i had was my very first job as a carer. i worked alongside the nurse until she felt i was at standard to go solo, she explained the rationale behind every part of the role from bedmaking and pressure sores to importance of good personal hygiene.
    when i went to the hospital i was given a induction then a shift alongside another nursing assitant who taught me the role...thank goodness i had my previous knowledge!!
    i learnt how to take observations but not the meaning behind them and as a busy mum as three i never thought to look it up in my own time.
    i then went onto my training and looking at the future im not sure if regulation of hcas are the way forward. i feel sharing knowledge and guidance from the staff nurse is.nurses should be working alongside them breaking the barriers of communication by being appraochable and giving them a sense of worth and the understanding of the role they are in and the importance of that role.
    how can nurses delegate effectively (NMC2008) if hcas are working alone !!!

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  • mum232005 | 28-Mar-2012 2:27 pm

    you were very lucky to have this experience with this nurse as a carer. unfortunately not all are such good mentors.

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  • yes hcas should be regulated they are often the staff that do "nursing"as qualified staff are more likely to be sat doing paperwork all the most basic of care is done by hcas i think its a terrible injustice to hcas that they are called that they are in effect nurses they are more qualified than the old sens of old.
    some hcas can go no further as they are held back in hospitals as hospitals dont want to employ many over the nvq 2 level which is a shame.
    also a lot of hcas are better nurses than qualified nurses.
    thay get no recognition for the job they do without them hospital wards would close. time they were appreciated , and regulated a lot of hcas are very much at the front of care they need to be respected.

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  • why is this even a question?

    surely anybody involved with the delivery of health care, which impacts on safety and human lives must be qualified and regulated.

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  • My late husband died from proven neglect ( POVA enquiry) by the District Nurse team ---Grade 4 pressure sores needing surgery , plus osteomyelitis , needing blood transfusions and admission to hospital . The carers ( HCAs and myself had looked after him for over 5 years at home , bed bound. ( M.S)and he never had a mark on him .

    What does this tell you about qualifications --Team Leader had a Degree , Diploma in Community Nursing , and a Teaching and Assessing Cert. The NMC say there is no case to answer about the Team Leader Is it any wonder the public has lost faith in the nursing " profession" ?

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