This site is intended for healthcare professionals only

Care failings in the community must be addressed, say nurses

Written by: | Published:

An overwhelming 98 per cent of primary care and community nurses acknowledge quality of care could be improved in practice and community settings, but warn key barriers to overcome include insufficient qualified nurses and inappropriate use of skill mix.

Following the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, exposing an NHS in need of 'cultural change', Independent Nurse's online survey of 351 nurses found 39 per cent view the lack of skilled nursing staff as the number one issue undermining patient care in community settings.

This was followed by 'the focus on targets' (18 per cent) and 'ongoing organisational change' (14 per cent).

Just a quarter of respondents believe care can improve while the Nicholson Challenge (to save £20 billion by 2015) is in place in the NHS.

One nurse respondent commented: 'The NHS cannot be run properly while there are unconscionable 'money saving' measures being taken by the government.'

New commissioning structures have been developed since the inquiry into care failings in Mid Staffordshire, but less than a quarter of nurses polled believe these will improve care standards.

However, despite voicing concern about practical barriers to change, Independent Nurse readers support the report's key recommendations, including mandatory annual appraisals for nurses (84 per cent), the introduction of nurse revalidation (64 per cent) and pay linked to 'delivery of excellent care' (70 per cent). A total of 84 per cent support regulation of healthcare assistants and 60 per cent back separation of the RCN's professional and union roles.

Crystal Oldman, chief executive of the Queen's Nursing Institute, said: 'The report highlights our main concern, which is the shortage of community nursing staff with the right skills.'

Jenny Aston,a Norfolk-based advanced nurse practitioner and chair of the Royal College of GPs' Foundation Nursing Group, added: 'Revalidation of nurses would need to be meaningful and will help them remain competent. But it is a massive piece of work and I'm doubtful the NMC will achieve this by 2015.'

What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Comments

Name
 
Email
 
Comments
 

Please view our Terms and Conditions before leaving a comment.

Change the CAPTCHA codeSpeak the CAPTCHA code
 

Most read articles from Practice Nursing Journal

Practice Nursing Journal latest issue and most read articles.

Click here to read a selection of free to access articles from Practice Nursing Journal

Newsletter

Sign up to the newsletter

About

Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.

Newsletter

Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.

Archive

Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team

Authors

Find out how to contribute to Independent Nurse here.