This looks very good. We see a lot of really good evaluations of nurse led services and yet their value is still doubted.
Wonder what is happening to the other specialist nurse posts in that CCG?
This is an interesting piece. The comments on ageism are justified as this is a generalisation but there is a bigger issue here that I think the editor was remarking on. Anecdotally I find it common for those who are no longer in front line roles to underestimate workload and complexity-this is regardless of age. It is by no means all but I think it common enough in which some in nursing leadership have created a bubble which has tolerated poor working conditions and allowed nursing to be devalued and defined as time filled with tasks-essentially tick box care. This has led to the false assumption that anyone who is nice can do the job without understanding the skill or experience required (which many older nurses have in abundance I imagine!)
The loss of the bursary and the lack of visibility of the contribution of nursing add to this. The media shapes the ideas of many but the profession tolerates being belittled and does not respond to this for fears of being seen as "elitist".
We need to attract and importantly retain people. Better working conditions are a key factor otherwise its trying to fill a leaky bucket.
Nursing is not a series of tasks. The work of nursing is increasingly complex and requires judgement. We know from the evidence that RNs delivering (and not just managing) care offer patients better outcomes. A non graduate route to nursing will make England the exception to nurse training which will possibly make career progression for ANs very difficult This role may also create an underclass of nurses, paid less for a lot of responsibility. A better option would be to develop the assistant practitioner role fully upto foundation degree and have that role as a clearly defined & valued one.
The proposal of this role is underpinned by false assumptions. Bringing back ENs might look like good financial solution but not necessarily one without a lot of risk to both the workforce and the patients. That risk need to be managed.
If anyone ever questions the value of nursing the answer is right here. Its people like Tony Kemp.