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What will Francis do to address lack of resources?

  • Comments (4)

Many nurses feel like they are working in a war zone even though they are actually working in a NHS district general hospital in a town or in the outskirts of a city. They don’t have enough staff, enough equipment and feel stretched to their limits. They feel concerned they are failing their patients and not supporting families.

Although many will welcome the Francis report and what it recommends, many will feel that it will not change the reality of their day to day struggle.

They will wholeheartedly agree with the call for more professional and compassionate care, the need to improve workplace culture, the call for the ward sister to return. Clear labeling of staff, regulation and standardised training for HCAs and aptitude tests for potential student nurses. All to be welcomed.

But what does the report do to address the fact that too few nurses are looking after too many patients with complex comorbidities? The only chink of light that I can see is that Robert Francis calls for “evidence-based tools for establishing the staffing needs of each service”.  

Until services and units are properly staffed, it will be difficult to offer the quality care that Francis outlines without the majority of staff finishing their shift in a state of exhaustion and frustration. The recommendation in the Francis report to establish staffing needs of each service is not one that has hit the headlines, but it is one of the most important.

  • Comments (4)

Readers' comments (4)

  • michael stone

    Francis addressed resourcing issues indirectly, but powerfully - very clearly, Francis wishes for clinicians to be able to voice concerns of 'this situation is dangerous, because we are under-resourced', and to take those concerns public if the issues are not adequately addressed.

    'Shining a light on the issues'.

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  • Anonymous

    The only way NHS hospitals can stop being warzones is to completley disband the foundation trust and trust system.
    Provide mandatory minimum staffing levels for all areas.
    And managers being compelled to act on nurses concerns with regards to staffing levels and lack of resources.

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  • Anonymous

    I completely agree with anonymous 5:01 pm. Also the absurd internal market and primary/secondary care split needs to go. Money does not need to change hands in this way, simply give clinical teams an allocationa and avoid all the accounting and incredible administrative burden to provide a lean, healthy NHS.

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  • I was amazed when I came to the NHS as a manager, from a lab role. I thought clinicians made decisions and I just sorted out their paperwork. How naive I was! Completely agree with the previous post about the internal market, what nonsense. The devolved nations seem to be doing a lot better without it.

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