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Ministers to reconsider plans for compulsory insurance for nurses


The government is to reconsider plans that would require all nurses and midwives to buy clinical insurance cover before they can register to practise, Nursing Times has learnt.

The Department of Health had been on the verge of pushing through a rapid consultation on proposals to introduce compulsory professional indemnity for nurses and midwives in a system which would mirror the way doctors already pay for their own insurance, as revealed by Nursing Times in April.

However, unions who were concerned that the new proposals could have led to a fundamental shift in the NHS stance on the issue of clinical negligence have forced the government to reconsider its plans.

Most NHS staff currently have ‘vicarious’ indemnity through their NHS employers but the government proposals would have seen the onus being placed on individual nurses to ensure they had indemnity cover – indemnity for an independent nurse can currently cost as much as £500 a year.

Nursing Times understands that after talks held earlier this month between the DH, Unison, the RCN and the RCM, the government has agreed to look at the issue in more depth over the next 12 months.

A letter sent to Unison general secretary Dave Prentis by health secretary Alan Johnson on 21 May – and seen by Nursing Times – confirms that the DH has agreed to ‘pause and take stock of whether compulsory professional indemnity is the most effective way’ of giving patients compensation if they suffer harm through the negligence of a healthcare professional.

A DH spokesperson confirmed that the government had held discussions with the unions about their concerns over the issue and that the health secretary had ‘written to them about our intentions’.

Unison’s head of health Karen Jennings said she was pleased that Mr Johnson had listened to union concerns and that the government had agreed to ‘develop a much more effective and proportionate way of ensuring this works rather than making every single nursing professional in the country have indemnity insurance’.

RCN policy adviser Howard Catton said he was pleased that the government was going to take more time to examine the proposals. ‘It is a serious issue, we want to see a solution to this but it has to be proportionate, these proposals would have meant using a sledgehammer to crack a nut,’ he said.


Readers' comments (4)

  • Rubbish!! this is extra burden on my finances.We have already a hefty NMC registration and additional fee for this unecessary fees.
    In this respect joining the union is getting the same amount of assistance and legal help.The government just passing the finacial burden to us nurses.That is the use of Litigation authority NHS whose doing this anyway?
    Im my opinion...i will pay if half of my NMC registration is paid by this compulsory clinical insurance.This should not be compulsory...or this idea should be scrapped.

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  • I wonder if this burden will stop union subscriptions RCN Unison etc as we all have to work in a budget? Perhaps this is an injustice the unions, who have a historic record for fighting, will take up the cause for all nurses? We only want to do our job but this may be one barrier too far for some. We cant keep paying just so we can work. Other employers pay professional fees so why can't the NHS we need each other to achieve patient focused goals.

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  • This position simply shows how irrelevant the RCN is becoming. The economic logic is pushing us towards becoming a unionised skilled workforce rather than a body of professional workers. If the RCN cannot protect us then, in the face of a hostile management system, we must do so ourselves.

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  • we were told when we qualified (or perhaps it was only advice) to join the RCN for the insurance as to my knowledge at the time it was the only one available and had always believed it to be compulsory, and I paid membership until i retired. now I belong as an associate member to use the online library as it provides access to a large range of nursing/medical journals.

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