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Bonfire of acute nursing posts as care in hospital is run down

  • 28 Comments

The first analysis of local NHS plans to save huge amounts of money in the next four years, confirms there will be large cuts in jobs for hospital nurses.

Nursing Times has analysed the quality, innovation, productivity and prevention (QIPP) plans for more than 20 primary care trust areas.

Nurses will need to look at where their skills can best be placed

Together, the QIPP plans are supposed to help the NHS make the £15bn-£20bn efficiency savings the Department of Health estimates are needed by 2014.

The plans seen by Nursing Times show PCTs plan to make most of their savings by cutting the use of hospital care.

Of NHS Sheffield’s planned £43m savings between 2010 and 2014, for example, just under one fifth is from “urgent care for the over-75s”, to be achieved through less hospital emergency care.

The largest saving in plans in Manchester, where several PCTs are working together, is a programme for reducing referrals and “demand for hospital services”. That accounts for 11 per cent of a £231m intended saving with further savings planned to come from other areas of hospital care.

NHS Tameside and Glossop’s £29.5m savings plans for the current year include £4m from urgent care, another £4m from planned care - largely from reducing follow-up outpatient appointments - and £1m from reducing referrals for a set of procedures, such as varicose veins operations, which are thought often to be of little clinical value.

If these plans are implemented, hospital beds and services will be reduced and the number of jobs cut. There may be more posts outside hospitals, which nurses could be transferred to, but redundancies are also likely.

NHS North West chief nurse Jane Cummings, the QIPP lead for the region, confirmed the changes would mean fewer hospital nurses and some changes would not be “popular”.

She told Nursing Times: “Nurses will need to look at where their skills can best be placed. Doing what is right will mean in many cases looking after patients in a different environment.

Asked about hospital nurse post reductions, she said: “There will be some difficult decisions.”

  • 28 Comments

Readers' comments (28)

  • Oh this is a really bloody good idea isn't it? We don't need Nurses in hospitals do we? No, we have enough admin assistants and unqualified HCA's, I'm sure a hospital can be run like that. Why not get rid of a load of Doctors too? Oh I know, the Police and the firemen cost money, why not get rid of them? I'm sure we can get untrained volunteers to do it for free? And as for those bloody soldiers, costing the country a damn fortune aren't they? I'm sure we don't need as many of them to fight a war!!!

    FFS!!!! Are these people on drugs or something? What the hell are they thinking? I swear the next article that blames Nurses for shortfalls in care, I am going to print it out, find the author and beat them to death with a rolled up copy of it!

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  • mike your at it again you can run the hospital by yourself wow! why the n h s has to worry when you are around you can do everything even work with a pen up your ass when your not sitting on it your the one the goverment needs for the savings put us all out of a job for mike?

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  • What about turning NHS into NHSS?
    National Health Self Service is the answer! All patients should be discharged home and start looking after themselves! Nurses would be consulting the rich part of society on the phone.

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  • Sorry but I thought Mike was spot on - I think the comment underneath it misses the point ENTIRELY!!!! Not understand sarcasm?

    I work at a small hospital and there are more matrons than staff! You couldn't make it up. When oh when are they going to sack all the pen pushers who are so far removed from the front line of actually looking after patients???

    Oh to blow the whistle......

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  • Anonymous | 12-Oct-2010 7:22 am - Irony deficiency??

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  • no mike dont like anyone below is grade?

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  • I think Jane Cummings Chief Nurse NHS Northwest, needs to reflect on all the initiatives since the community care act 1992 onwards to attempt to care for people in different settings!! Has this worked....NO, they will still end up at the doors of A and E!

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  • Replying to Anonymous | 12-Oct-2010 9:46 am

    I am a former nurse who is now one of those pen pushers who clearly should be up against the wall. My job does not involve direct care or even contact with patients, but my efforts are aimed at ensuring that those who are delivering the frontline care are sufficiently prepared and qualified to provide that care in the safest possible manner. I do it in the face of resisitance, criticism and two-faced attitudes from (some) clinical staff, but nonetheless I still do it. Hopefully my efforts will not only have helped ensure that more staff are allowed to access the training that they need to ensure that risks to patients are minimised as far as they can be, but will also save my Trust a seven figure sum each year as it will have to pay less into the negligence claims fund for having high quality assurance in terms of patient safety.

    Not all pen-pushers (by the way we have computers now!) are sat on their arses checking their e-bay accounts.

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  • Hospitals without Nurses? Sounds like "bricks without straw" from Moses' days!

    "Efficiency savings" always mean staff cuts.

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  • Anonymous | 12-Oct-2010 7:22 am and Anonymous | 12-Oct-2010 10:31 am, back in your box and be quiet.

    The simple fact is, hospitals CANNOT run without clinical staff! And Nurses make up the bulk of clinical staff! It is simple as that!

    They have been wanting to scale back hospital use in favour of primary care services for a while now, (look at the bloody Darzi report!) but that is moronically short sighted. First of all Primary care services can barely cope with what they have to do already (not a reflection on them in any way, as always, too few staff, not enough funds) and will not cope with an influx of patients, second of all, there will ALWAYS be a need for hospitals, regardless of where the focus of care is! Stripping them back to the bare minimum of clinical staff is idiotic at best, dangerous at worst!

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