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CoronavirusNHSLatest NewsPublic sectorSkills shortages

UK lacks nursing staff to operate Nightingale hospitals

by Adam McCulloch 9 Nov 2020
by Adam McCulloch 9 Nov 2020 Vudi Xhymshiti / Shutterstock.com
Vudi Xhymshiti / Shutterstock.com

Some of the UK’s seven Nightingale hospitals, built to add capacity to the NHS during the first wave of coronavirus, will never fully open because of staff shortages.

During the first wave only two, in London and Manchester, admitted anyone with just 200 patients being cared for during the first wave.

Currently, only the Nightingale in Manchester is active and taking patients, while its equivalents in Harrogate and Exeter are said to be being used for non-Covid diagnostic care, such as cancer screening.

Chief executive of NHS Providers Chris Hopson, said there were “not the hundreds or thousands of NHS staff waiting to be deployed into those hospitals”.

His comments were supported by Dr Gary Masterson, a consultant at the Royal Liverpool University Hospital, who said: “I think perhaps the thinking was done before we had any understanding of this disease process.”

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Dr Masterson said they were not likely to contribute much to the fight against Covid-19 because it was already difficult to find the numbers of multi-disciplinary staff needed for our standard hospitals.

“There was an impression that if you stick a ventilator by a bed you get an intensive care bed space – that’s simply not true,” he said.

Hopson said: “In effect, you would have to take them [staff] from existing hospitals.” Staff would have to carry on treating patients in existing hospitals for as long as possible, he said, until all of the existing capacity was used. Then you flip to your insurance policy of using the Nightingales.

“But as soon as you start doing that, you will start drawing staff from existing hospitals, so the patient-to-members-of-staff ratio will start dropping, which will mean more pressure on quality of care.”

However, Hopson added: “The idea that you don’t need a lockdown because you are not using your Nightingale capacity is not true.”

Last week, chief executive of NHS England Simon Stevens revealed that about 30,000 NHS staff were self-isolating or off work because of Covid-19.

The Royal College of Nursing (RCN) recently warned that nursing shortages across the NHS could lead to staff burnout.

The nursing union said that staff absence because of the pandemic, coupled with about 40,000 registered nursing vacancies in England, was exerting too much pressure on the remaining workforce.

RCN director for England, Mike Adams, said: “We already know that frontline nurses – in hospitals, communities and care homes – are under huge strain.

“Anecdotally we’re hearing that in some hospitals they [nurses] are becoming increasingly thinly spread on the ground, as staff become unwell or have to isolate, at the same time as demand on services continues to increase.”

The NHS employs 1.3 million people in England.

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Nightingale hospitals
Adam McCulloch

Adam McCulloch first worked for Personnel Today magazine in the early 1990s as a sub editor. He rejoined Personnel Today as a writer in 2017, covering all aspects of HR but with a special interest in diversity, social mobility and industrial relations. He has ventured beyond the HR realm to work as a freelance writer and production editor in sectors including travel (The Guardian), aviation (Flight International), agriculture (Farmers' Weekly), music (Jazzwise), theatre (The Stage) and social work (Community Care). He is also the author of KentWalksNearLondon. Adam first became interested in industrial relations after witnessing an exchange between Arthur Scargill and National Coal Board chairman Ian McGregor in 1984, while working as a temp in facilities at the NCB, carrying extra chairs into a conference room!

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6 comments

J corden 17 Dec 2020 - 6:18 pm

Why are they not using military staff surely they are fully trained in nursing care

mrs smith 18 Dec 2020 - 12:22 pm

surrley nurses could be freed up from hospitals as on there wards there would be less patients due to distancing every other bed also we keep hearing about cancellations docters surgens twidling there fingers not being able to carry out proccedures i dont understand where all the nhs have gone to

Anne Ginty 18 Dec 2020 - 9:40 pm

The fortune spent on the Nightingale Hospitals could have been spent to increase pay for NHS staff
Many have to go to food banks to survive
This government has wasted soo much money

ian Williams 24 Dec 2020 - 2:05 pm

Why does’nt the NHS transfer the thousands of nurses from university to the nightingdale hospitals to continue basic training (as was done in the past for SRNs) also make the role of Health Care assistants more akin to State Enrolled Nurses rather than glorified auxiliaries thus encouraging recruitment.

ian Williams 24 Dec 2020 - 2:07 pm

Why does’nt the NHS transfer the thousands of nurses from university to the nightingdale hospitals to continue basic training (as was done in the past for SRNs) also make the role of Health Care assistants more akin to State Enrolled Nurses rather than glorified auxiliaries thus encouraging recruitment.

Lorraine Parsons 27 Dec 2020 - 5:59 pm

im sure carers could do the job in these hospitals with a little training and some supervision after all they have been doing the same in care homes when hospitals have refused to take the residents if this had happened im sure some may not have died thro lack of ventilators

Comments are closed.

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