LET’S CELEBRATE JOIN THE UK’S BIGGEST NURSING PARTY ON 12 MAY

DAME DONNA COULD CHANGES TO PERSONALISED UK CHIEF NURSES BECOMES PERMANENT A&E TARGETS AFFECT DEMENTIA CARE INSPIRE ENTHUSIASM RCN CHIEF EXEC PATIENT SAFETY? TRANSFORMS LIVES DESPITE CHALLENGES P3 NEWS P7 OPINION P8 FEATURE P10 FEATURE

ISSUE NO. 375 MAY 2019 RCN.ORG.UK/BULLETIN 2 NEWS

Nursing now a public The RCN represents nurses and nursing, promotes It’s time for safety issue in NI excellence in practice and shapes health policies. The RCN is holding public meetings to raise change. awareness of the current staffing and nurses’ pay Editor: Kim Scott crises in Northern Ireland. Email: [email protected] Ask for more. Web: rcn.org.uk/bulletin We believe it’s time to explain why nursing Address: 20 Cavendish Square, services are now at breaking point, how this London W1G 0RN situation has developed, and seek support for Classified advertising Final hurdle for Scotland’s what action the RCN believes is necessary to Tel: 020 8423 1333 resolve the issues. Fax: 020 8423 4382 safe staffing law Email: [email protected] Scotland will take another step towards The Northern Ireland Board has already sought Acceptance of an advertisement bringing safe nurse staffing measures into law approval from the RCN’s governing body to does not constitute an on 2 May, with the final parliamentary stage of ballot members employed within the HSC on endorsement of a product, The Health and Care (Staffing) (Scotland) Bill. industrial action, including strike action. service or company, either by the RCN or RCN Publishing. This last step sees the Scottish Parliament debate Nurses’ pay within the health service in Northern any final amendments to the bill. The RCN Ireland continues to fall behind England, For RCN country and regional has been campaigning to protect the changes Scotland and Wales and there are more than contact details visit achieved so far. These include provisions so that 2,500 unfilled nursing posts across the system. rcn.org.uk or call RCN Direct senior charge nurses do not hold a caseload and on 0345 772 6100. so the bill applies the same principles across the Visit rcn.org.uk/northernireland © Copyright 2019. RCN Publishing NHS and care homes. MSPs have received over Company Limited and 2,000 emails asking them to support the RCN’s The Royal College of Nursing. positions in the debating chamber. Following the Printed on 100% recycled paper debate, MSPs will decide whether the bill should manufactured in the UK. become law. Find out what happens at Cover picture by Jonathan Perugia. rcn.org.uk/askformore

Shed load of savings Name change vote at AGM

Members will be asked to agree to change the name of the RCN Health Practitioners Committee to the Nursing Support Workers Smacking ban proposed Committee at this year’s annual general meeting. The committee believes the new in Wales name reflects the members it represents The RCN has welcomed legislation introduced more accurately. in Wales that seeks to protect children from all forms of violence. Members at next month’s meeting will also Whether you spend the May bank vote on a small technical change to our Michelle Moseley, winner of the RCN in Wales holidays making memories or making Standing Orders to enable RCN Council Nurse of the Year Safeguarding Award 2018, over your home, head to RCNXtra for to put transition arrangements in place if said this is a chance to educate parents and great deals on everything from there is a change to the make-up of Council. carers, provide a clear message and offer discounted cinema tickets and family You have until Friday 3 May to share your support where needed. attractions to savings at John Lewis, views on these issues at tiny.cc/rcnagm19 B&Q and much more. “As a nation we have to advocate for our children, The RCN Annual General Meeting will our future generations, and respect what is set out Just visit RCNXtra and start take place on Monday 20 May at the in the United Nations convention on the rights of saving today. ACC in Liverpool. the child,” she added. Xtra benefits. Xtra easy. See page 13 to read a summary of the The RCN believes school nurses, health visitors and Register now at rcn.org.uk/xtra 2018 accounts. children’s nurses are best placed to advise parents about managing their children’s behaviour.

RCN.ORG.UK/BULLETIN RCN BULLETIN MAY 2019 3

Dame Donna becomes permanent Chief Exec Are you ready to celebrate?

The RCN has appointed Dame Donna Kinnair as its permanent Chief Executive & General Secretary after a competitive selection process. Dame Donna has held the role in an acting capacity since last August and takes up the permanent post immediately.

“It is quite simply the best job in nursing and the greatest privilege to continue serving RCN members at the highest level,” she said. Picture by Jonathan Perugia Dame Donna joined the RCN as Head of Nursing in 2015, and held various senior Join the UK’s Biggest Nursing Party on 12 May to celebrate nursing roles before then. She advised the Prime Minister’s Commission on the Nurses’ Day and the remarkable difference you make Future of Nursing and Midwifery in 2010, and served as nurse/child health assessor Get your selfie sticks and teapots at the ready time to download our digital party pack. to the Victoria Climbié Inquiry. because Nurses’ Day is fast approaching. It includes selfie props, popcorn holders, This year we’re encouraging you to take part posters to promote your party and more. in the UK’s Biggest Nursing Party on 12 May. And if a party isn’t an option, there are Thousands demand We know you’re facing many challenges. many other ways you can mark the day. But we also know how skilled and See the yellow box below for ideas action on safe staffing passionate you all are. So we want to and inspiration. in England celebrate everything that’s great about nursing and the remarkable difference RCN member Olivia Watson (pictured Thousands of you have supported you make. above centre) said: “It’s nice to have a day our #safestaffingsaveslives campaign where I can celebrate with my colleagues to tell NHS leaders we need If you’re yet to plan an event in your and take a moment to reflect on all the accountability for safe staffing in law workplace, don’t worry – there’s still amazing work nursing staff do.” in England. NHS England and NHS Improvement launched a consultation asking for public views on legal Five ways to get involved changes they say will help deliver health care plans for the next 10 years. • Create a personalised film to say thank you to a colleague Ten thousand RCN members and • Add a Nurses’ Day Twibbon to your social media profile supporters sent an email demanding • Share the pics of your Nurses’ Day party using @thercn #nursesday staff shortages are addressed. The • Make a colleague a cup of tea and say cheers to nursing consultation closed on 25 April and • Download our Spotify playlist of our specially selected Nurses’ Day tunes we expect a response this summer. Visit rcn.org.uk/safestaffing Visit rcn.org.uk/nursesday

RCN BULLETIN MAY 2019 RCN.ORG.UK/BULLETIN 4 GOOD NEWS

Congress poet Molly releases new book about nursing

Member Molly Case stunned underestimated the sheer scale crowds at RCN Congress in 2013 of it – an arena with 5,000 health Molly performing when she took to the podium to care workers! But I knew as I at RCN Congress in 2013 perform her poem Nursing was performing that something the Nation was happening, there was a palpable change in the Written as a defence of the atmosphere of the room.” profession in the wake of media criticism, her passion resonated Molly’s latest project is memoir loudly with the audience of How to Treat People, in which she nursing staff who gave her a weaves experiences from her daily standing ovation. life as a nurse with the story of her father who was suddenly admitted The video quickly went viral, to the high dependency unit where with over half a million views she works. on YouTube. Molly began to experience national recognition In her lyrical prose, Molly and her career took off. describes the privileged position that nurses hold in being part “I’ve worked hard to get to where I of other’s lives at times of great we are all stronger and more willing am with both nursing and writing, vulnerability and difficulty. to come forward and acknowledge but something definitely shifted on the good job we are doing. We are that day at Congress and my life It’s clear that six years on from that part of a huge community and there We shouldn’t changed forever,” she says. pivotal Congress moment, Molly is great strength in that.” is still as passionate about the forget the great “I was terribly nervous. I hadn’t profession as ever. She says: “We Molly’s book is now available to buy impact we have ever attended Congress and had have been through a lot, but I think at major retailers. on people’s lives

Emilia breaks silence on brain injury Keep up with to launch new charity Congress 2019 RCN Ambassador Emilia Clarke The UK’s largest nursing has launched a charity to help conference and exhibition is increase access to rehabilitation taking place in the next couple after brain injury and stroke. The of weeks. There are many ways Game of Thrones star revealed to keep up with the action if you she’d survived two aneurisms as can’t make it to RCN Congress she unveiled the charity SameYou in Liverpool from 19 May. to the world. She had brain Watch the main speeches live on surgery at the National Hospital Facebook, follow the action on for Neurology and Neurosurgery Twitter using #rcn19 and see the in London when she suffered a debates on the Congress website subarachnoid haemorrhage at 24. at rcn.org.uk/congress. There’ll She now says she wants to increase also be exclusive features on the the funding for neurorehabilitation RCN magazines website. Visit to maximise the recovery potential rcn.org.uk/magazines of everyone following brain injury or stroke. Visit sameyou.org

RCN.ORG.UK/BULLETIN RCN BULLETIN MAY 2019 5

The big picture MEET THE MEMBER

Each month RCN Bulletin asks a member to share a little bit about themselves.

Name: Evan Keir From the heart Role: Health care support worker and health practitioner representative on Nursing staff at Gloucester Orthopaedic Outpatient Department get their groove on as they dance in the start of each shift. “It’s uncomplicated happiness,” says nurse Sheeba David. “It helps keep morale RCN Council. high and relieve stress.” The view from here Sum up what you do in a sentence Support people with dementia and cognitive impairment. THINKING POSITIVELY Feedback How did you get where you are now? I worked on the bank for a while and now Nicki Pointer, ward manager show appreciation for our colleagues. It have a permanent role. I became an RCN at Tunbridge Wells Hospital, helpsCall remind to action us when we’ve had a good activist, getting involved with student shift despite the many challenges we face. explains what she and her team recruitment and campaigning. I trained as a safety rep and then a steward before have done to create a little We’ve also introduced an employee of going for the role on RCN Council. happiness at work theWhat month I’m competition. thinking Colleagues can be nominated by their peers or patients. What’s the best bit about your job? Nursing on a gynaecology and women’s As the ward manager I couldn’t ask Getting good feedback from the families surgery ward is tough. Helping people for a better job than to read through I support. through pregnancy loss and invasive theOn positive the web comments before posting surgery is hard. As a team, we need to the winner on Twitter. But there’s a And the worst? Working with people be there for patients. But we need to practical benefit for nursing staff too, as who will not recover. It’s hard to see look after ourselves too. I photocopy the nomination forms and people who are very young with dementia. giveThe them month to staff ahead to use as peer feedback To help support each other, we’ve set for their revalidation files. What helps get you through a up message boards in our break room. difficult day at work? We use them to focus on all the positive Staff and patient care go hand in hand. Peer support. I’ve had very hard jobs which things we do and the messages that If Instaff the feel media valued they do a better job, I’ve stayed in because of great colleagues. staff share really reflect our ward and so in the end patients feel the benefit too. trust values. Without this we’re in If you could have a superpower what danger of forgetting our importance. It’s sometimes hard for us to remember would it be? To stop time. It’s especially whatIn my a brilliant day job job we do. Times are relevant for the nursing profession. It’s a great way to make us remember the hard. The NHS is stretched. But we’re many good things we do. We now take making our corner of the world a more something positive out of each day and pleasant place to be in. rcn.org.uk/healthcaremag The way things were

ARE YOUR MEMBERSHIP DETAILS UP TO DATE? CHECK ONLINE AT RCN.ORG.UK/MYRCN OR CALL 0345 7726 100. Political action 6 OPINION

THE VIEW What you’ve been saying FROM HERE The heart of nursing Congress speakers excite It’s not so much the medication that makes people better, it’s so much more. Having I’ve seen Tom and Nic Ray speak on time to brush the wig of the cancer patient so a number of occasions now. (‘Sepsis she can face the day. Being with someone‘s survivor to share his remarkable story mum when she was scared and telling her with members’, RCN Bulletin, April issue). everything is going to be OK. Telling parents they are doing a great job. In short, giving All I can say is, sit back and fasten your some of your love which makes such a seat belts. It’s gonna be an amazing difference to someone in their hour of need. ride. A special thank you to Pippa who manages this amazing couple. Not giving Angela on Facebook anything away, you will need to see them for yourself. The power of poetry Emma Matthews Garry on Facebook Staff nurse I read your article on World Poetry Day with interest (RCN Bulletin online: rcn.org.uk/ Supporting patients after We’re all aware that nurses are experiencing bulletin). I use poetry in our local doctor’s cancer surgery tough times. We’re facing staffing crises, surgery in the health education booklet we put safety issues and stereotyping; a lack of on the waiting room chairs. Patients read it Super proud of our Oxford Enhanced professional respect; pay disputes and while waiting for their doctor’s appointment. Recovery After Surgery Team who work losing the bursary. While the issues are real The little booklet is supposed to be amusing collaboratively with MDTs and help and need serious action, perhaps now more but it helps to get a message of health create pathways to reduce complications than ever we need to celebrate nursing and education to patients while they wait. I’ve also and hospital length of stay for patients remind ourselves why we do it. completed one for children, which is used to undergoing cancer surgeries. Patients distract them during medical procedures and have diaries with goals to aim for. Nursing is a unique profession. It’s built take their mind off the medical intervention. #RCNBulletin on compassion, not profit or persuasion. There’s no snobbery. We work with our Elizabeth by post Humi on Twitter patients to empower them to live their best lives and fight for them when they need us. There is no such thing as a wasted day as a QUOTE OF THE MONTH nurse. A tough day? Absolutely. But never pointless or meaningless, because every Nursing gave me curiosities and areas of interest day, we’re helping people. that have stuck with me throughout my life. Nursing is about progress. It is steeped You will find this with your own career too. in history, but pushes for advances in health care, balancing the latest science RCN President Anna Marie Rafferty in a speech at the National Student Nurse Congress and technology with the reality of patient experiences. We should celebrate the leaps and bounds made in nursing over the last FOUR THINGS TO DO IN MAY half century. As nurses take on even more advanced roles and skills, it’s clear that 1. Download a digital party pack to 3. Follow all the action from RCN there is no limit to where our careers can go. celebrate Nurses’ Day on 12 May: Congress on Twitter using #rcn19 rcn.org.uk/nursesday 4. Check out new resources to help By taking pride in our expertise, we can 2. Opt out of your print issue of RCN Bulletin you navigate changes to practice- empower each other and even build some at rcn.org.uk/go-green and instead read based learning: much-needed morale. It will take more than it online: rcn.org.uk/bulletin rcn.org.uk/practice-based-learning a pat on the back, but armed with self-belief we will be better equipped to take on the challenges to our marvellous profession. GOT SOMETHING TO SAY? The RCN Magazines team is always looking for members to contribute to the rcn.org.uk/nursesday opinion pages. If you’re keen to share your views, email [email protected]

RCN.ORG.UK/BULLETIN RCN BULLETIN MAY 2019 Share your thoughts on nursing issues. Email [email protected] 7

MESSAGE TO MEMBERS As the government trials changes the demand on all of our services. to the four-hour target in A&E #safestaffingsaveslives Shelley departments in England, how will this affect patient safety? That is a difficult question to answer. I have seen patients moved from EDs It’s an essential driver and incentive for with incomplete treatments, antibiotics emergency department and hospital and anti-epileptics not given, dressings flow. The problem was never the target, not completed, because they were but ignoring most other aspects of care. approaching their four hours. It could Gary be argued in these sort of cases that the deadline is detrimental to patient Retaining a flow metric, such as four- safety! Christopher hour standard, is crucial to safety in emergency departments, for patients and It’s difficult because right now it’s not staff. Any specific quality metrics should working, however we do not want to go Dame Donna Kinnair complement, not replace, this. Twelve back to 20-hour waits to be seen. The RCN Chief Executive hour wait should also be from arrival targets should be more appropriate: & General Secretary time, not the decision to admit. Janet time to triage, time to be seen by a clinician, time to final decision. It is the greatest privilege to be announced I’m not sure the target is the issue that And when will we stop penalising as the RCN’s permanent Chief Executive & most impacts on patient safety, I think departments financially who under- General Secretary and to continue to serve you it’s the woeful lack of staff to provide perform? They then continue to do so as at the highest level in this role. I’ve spent the safe and effective care and the lack they have little-to-no money to fix the last seven months truly listening to what you of capacity in any sector to manage problems! Ashleigh want and how we can work with you, and for you, to protect and improve our profession. I’ve heard the challenges you’re under and I’m of Florence Nightingale’s birth, as the Year ready to do battle on your behalf. We have an of the Nurse and Midwife. What better way opportunity to put to celebrate than with a culture change For too long our warnings have gone unheard. that allows nurses to see themselves as We insisted losing the bursary in England nurses at the centre influential and disruptive leaders? We will would result in a fall in nursing students. We launch the Nightingale Challenge at the cautioned against what would happen if funds of health policy International Council of Nurses Congress in for CPD were cut. Our predictions were right June to help at least 20,000 young nurses and our worst fears have been realised. We Dr Barbara Stilwell, Nursing Now and midwives build leadership skills. now have more than 40,000 nurse vacancies Executive Director, explains why and thousands leaving the profession. This we’re approaching an exciting year The Nursing Now campaign has become must stop. We must be consulted and listened for nursing an active network of groups working to to. Our time to make an impact is now. ensure health policy takes account of the The Nursing Now campaign launched in contribution that nurses can and do make So I won’t sit back and let things happen to February 2018 to improve global health by to health care. Nursing Now is growing nursing. We’ll use both the professional and raising the status and profile of nursing. fast and now has 192 groups active in trade union parts of the College to do what the On International Nurses’ Day on 12 May, more than 80 countries. RCN is here for – improve standards of care, we want to shine a brighter light on the tackle ministers and leaders and offer support vital contribution of nurses towards Now is the moment to have our voices and guidance to you in your varied roles. universal health coverage. heard. We have a once-in-a-generation opportunity to put nurses and midwives Safe staffing legislation is just one example It is only by investing in nurses – who at the centre of global and national health of how we can unite to change things on the make up over half of the global health policy, and to celebrate what nurses and frontline. We have a huge voice and huge workforce – that we will be able to provide midwives do. power when we speak together. I urge all of care for the most marginalised and those you to get involved. Ministers are mistaken living in hard-to-reach communities. Find out how to get involved in the if they think we can be ignored anymore. Nursing Now campaign at nursingnow.org In May, we expect the World Health or follow us on Facebook and Twitter rcn.org.uk/safestaffing Assembly to declare 2020, the bicentenary @NursingNow2020

RCN BULLETIN MAY 2019 RCN.ORG.UK/BULLETIN READ MORE 8 FEATURES ONLINE rcn.org.uk/ bulletin

Calling time on boredom at the Derwen Arms

Inspired by the Scandinavian model of dementia care, nursing staff in a south Wales hospital are driving up standards and providing personalised treatment for patients and their families

You wouldn’t usually expect So staff got planning. But how do role as a social area has brought to find a pub in a typical NHS you make part of an NHS hospital benefits the staff hadn’t dreamt of. hospital ward. But for people with ward look like a pub? dementia who don’t always realise Dawn Griffin, clinical lead on they’re in hospital, that sense of Ward manager Katharine the ward, decided to organise a The happy familiarity can be the difference Protheroe had always thought the romantic supper on Valentine’s atmosphere between a good and bad day. curved design of the unused night Day hosted in the pub. they’ve created is station lent itself to being used so different to a Recreating common surroundings as a bar, so she and her nursing “It was a chance to invite wives of and everyday life for people with team got creative. our patients to spend time with traditional clinical dementia isn’t new of course. their loved ones in a way they environment The Scandinavian model of Being resourceful might have done before,” she dementia care has been well explains. “We spread rose petals Words by Sharon documented. There, mini-villages “One of the support workers around the whole ward and all the Palfrey. Pictures with an emphasis on replicating contacted a local commercial wives were blown away.” by Stuart Fisher life as it used to be provide safe printing company. They designed surroundings for patients with a vinyl wall piece to look just like But staff hadn’t predicted what dementia. Cultural and socialising a bar. Leading off that area we’ve happened next. Far from this preferences can be taken into used a spare double bedroom as being a one-off social event, the account but in a resource- the bar’s lounge. In there we have wives got talking to each other – stretched NHS, ideas like these a fridge, a dart board, a pool table they realised they weren’t alone often remain just that. and some sports memorabilia,” and swapped numbers. she says. Unless, that is, you have They now support each other nursing staff who are absolutely Having a ready-made activity through many of the challenges determined to make a difference. which provokes happy memories that come with having a loved one Staff who are willing to use of familiar surroundings has who is living with dementia. Dawn what resources they have to proved really helpful. Patients can is setting up an afternoon tea for go the extra mile and use their pop into “The Derwen Arms” for a the female relatives as the huge imaginations to best effect. non-alcoholic pint before lunch or benefits of supporting them as well later on in the afternoon. as the men in their direct care have Creating something special become clear. “It really helps settle the patients, Many of the patients on the but staff have got on board Clear health benefits Derwen Ward in Ysbryd y Coed right from the beginning. We’ve Hospital are older men living with taken on the project as our own, Since the Derwen Arms opened dementia. With their hospital stays sourcing the essentials like sturdy its doors, there’s been a huge often lasting months, rather than plastic pint glasses. And relatives change on the ward. A reduction weeks, staff get to know them well. really enjoy being able to help in the number of falls, fewer They noticed that many of the too – they’ve gone to local pubs to medications being used and less men believe they’re still working ask for beer mats and bar towels,” aggressive behaviour have all been and come five o’clock they want to Katharine adds. reported. The men are socialising know why they’re still there, when, like never before – initiating as far as they’re concerned, they Using the space to replicate a conversations, keen to know when should be clocking off and heading former life isn’t the end of the the pub will open. Even staff to the pub. story in the Derwen Arms. Its new satisfaction has improved.

RCN.ORG.UK/BULLETIN RCN BULLETIN MAY 2019 9

FromFROM the heart THE HEART

The view from here

Feedback

Call to action

WhatDenise I’m Whitelockthinking Daughter of a patient on Derwen Ward

OnSeeing the Mum web and Dad have their first meal together in a year on Valentine’s night was wonderful. They sat together in the decorated Derwen Arms to exchange cards Theand monthgifts. It meant ahead the world to Mum that Dad gave her a chocolate flower.

He’s living with Lewy body dementia Inand the has media been on the ward for 17 months. The nursing staff there go way beyond their hospital duties to help us all live life as normally as we can. The happy Inatmosphere my day job they’ve created is so different to a traditional clinical environment. Going for a game of pool in the pub with a non- alcoholic beer is a great way for us all to Theforget way where things he is justwere for a little while. Pictured left to right: Staff nurse Loren Evans, clinical lead Dawn Griffin, Ward manager Katharine Protheroe, relative Janet Gill and support worker Sharon Williams The individual care staff provide means I can go to them if I have a question or More evidence is now being gathered A quiet revolution in NHS dementia Politicalconcern and action I’m confident that they will but what’s clear is that this is just the care in this hospital is spreading. come to us first if Dad becomes distressed. beginning. More events are being planned, Resources might be thin on the ground If we have a difficult visit, they phone me including race days and bingo nights. but enthusiasm, compassion and care are later to tell me if he’s calmed down and abundant, thanks to nursing staff. they always let me speak to him on the Managers have embraced and supported phone. He’s happy to ask them to phone the work so now if you visit the ladies me too, so he can speak to me anytime. ward you’ll notice a tea room and a hair RCN dementia guidance salon as other wards get in on the act. By 2025 it’s expected that more than We’re a close family so this is a very one million people will be living with difficult time. Dad’s had a visitor every “Now ladies have their hair done and then dementia in the UK. Visit rcn.org.uk/ single day since he’s been on the ward. come to our pub to socialise,” says Dawn. dementia for guidance and resources And on every day of these 17 months, the that support the RCN’s commitment nursing staff have been there for us all. “Another ward is looking at setting up a to improving care for patients with flat and we’ve got plans for an outdoor dementia and their families. rcn.org.uk/dementia garden with potting sheds.”

RCN BULLETIN MAY 2019 RCN.ORG.UK/BULLETIN N READ MORE U ONLINE rcn.org.uk/ 10 FEATURES R bulletin S D E A S’ Y Celebrating nursing As members prepare to party for Nurses’ Day on 12 May, the UK’s chief nursing officers share what they feel there is to celebrate about the profession right now

Ruth May, Chief Nursing Officer, England Jean White, Chief Nursing Officer, Wales Ours is a truly unique profession. Nurses are there for Nursing staff have always been flexible people in the most profound moments. and creative in providing care to people of all ages. Now there’s global Patients don’t just talk about how nurses made them feel better recognition of the vital contribution with kindness, warmth and compassion. They talk about how nurses make to population health. reassured they were, how much more confident they were, because of the nurses’ skill, expertise and competence. In Wales, nursing staff are leading the way in delivering improved service My vision for nursing in England is to build a workforce fit for models and they’ll be essential as we the future, renew the reputation of our profession and speak move more care out to the community with one collective voice. Underpinning this vision is each of us. in the years to come. The amazing work we do. If we value ourselves and each other, if we speak as one, we are stronger. Workforce is our priority, so in addition to the now enacted nurse staffing levels legislation, we will start to see increasing I am proud to be a nurse. We are numbers of newly qualified staff enter the workforce soon. educated, and skilled. And ours is a profession which continues to evolve. We also continue to support students with the bursary and are focussed on retaining and recruiting more staff. So on Nurses’ Day I am optimistic for the future and I want to say thank you Nursing is a wonderful profession with many highs and lows to each and every one of you. but when done with passion and commitment it can also bring great joy. Thank you all for your hard work and please accept Picture of Ruth by Barney Newman my best wishes this Nurses’ Day.

Charlotte McArdle, Chief Nursing Officer, Fiona McQueen, Chief Nursing Officer, Scotland Northern Ireland Nursing, the most trusted profession Nursing is dynamic, flexible, respected. It learns from in the UK, is unique. It combines its past to inform its future. It shapes itself to meet the the human element with scientific population’s needs. knowledge and critical thinking, making it an exceptional career. Shortages are making work environments challenging but nurses do extraordinary things to ensure people are cared for. Nurses connect with people across You go home knowing you’ve made a difference. communities and ages, making a tangible difference to lives. That’s We’ve invested heavily in undergraduate places and this year something to be incredibly proud of. we’ll see the first of those additional graduates join the register. New nurses have exciting careers ahead because so The Scottish Government really values nursing. The student bursary many services will be nurse-led. is increasing, student nurse numbers are growing, and there will be more funding for postgraduate education and training. On Nurses’ Day, I want to say thank you because I know how stressed our Legislation going through parliament commits to ensuring profession is. I also want to say, bear with nurses’ workload is taken into account in workforce planning. us. It will take a little longer to sort out Nursing is challenging but this legislation recognises the workforce challenges but there is a plan importance of nurses’ wellbeing. and we’ll see the benefits soon. There’s hope for the future – and things will get So this Nurses’ Day, I want to thank Scotland’s nursing staff better as we work together to transform for caring for patients in ways that are sensitive, compassionate the health and social care system. and so essential for health and wellbeing. INSURANCE from the heart

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J0535_LV_RCN_MAY_Bulletin_AW1_CV.indd 1 17/04/2019 11:26 12 FEATURES

Care in the extreme Combining a love for climbing with his skills as an emergency nurse has given RCN member Ben Cooper the chance to work in some of the world’s most remote places

“He was very unwell after a fall. He’d collapsed and I was trying to maintain his airway. We were both winched into a helicopter and taken to the hospital where I It’s amazing the worked, where he later died. volunteering roles “He was one of those patients out there for you never forget. The sister on nursing staff duty knew I was upset. She took me with her to clean him and put him in a gown, so I could do something for him. It’s not good to bottle things up.”

International adventure

As well as helping those in distress up mountains, Ben’s travelled as far as Antarctica to look after mountaineers and has worked in medical teams in the South Pole. Three months into his nursing certainly helped in challenging He’s even been a film body-double course aged 19, Ben was climbing environments,” says Ben. “Being up through his adventures. in the Peak District when he a mountain and cold, sometimes heard someone blowing a whistle. in the dark with quite distressed “I spent time as a location nurse “Few people had mobile phones people means you must remain for TV and films in Greenland and in those days,” says Ben. “I knew calm and communicate well.” Iceland. I changed my work to it was a distress signal as I’d used an annual hours contract, which the same call after a climbing The team is on-call 24-hours a gave me the flexibility to do other accident left me with broken ribs, day, 365 days a year. Call-outs are things I enjoy.” Words by arms and a head injury a few usually from climbers, horse-riders Susan Embley months before.” and people who’ve got lost. “Many Outside his day job, Ben is one of those rescued have broken of only two UK nurses that run Following the call, Ben came bones and are in shock,” adds Ben. medical courses with World Do you across a paramedic already at the “Hypothermia can kill, so keeping Extreme Medicine in ’s volunteer as scene. “A climber and his friend people warm is key. You have to be Arctic Circle. “We train students a nurse? had fallen, just like I had,” says confident you’re able to look after in expedition craft, frostbite, If so, you can Ben. A few moments later, the yourself as well as others.” hypothermia and avalanche be safe in the Edale Mountain Rescue Team rescue, among other things. It’s knowledge the arrived. “Seeing what they did, Unfortunately, Ben’s had to amazing the volunteering roles RCN’s indemnity and after what had happened to recover people who have taken out there for nursing staff, from scheme will most me, I wanted to help others by their own lives, or died from a humanitarian work to space likely cover you volunteering for them.” Twenty- fall. “We’re all trained to deal with medicine. Being part of a team in your voluntary five years on, he’s still involved. these types of situations and there and doing different roles in role. It’s best to is ongoing training too,” says Ben. different parts of the world breaks check the small Challenging environment down barriers between doctors print though. “But I can still remember my first and nurses. It’s great to be able to Visit rcn.org.uk/ “You don’t have to be a nurse significant trauma. I was called to use my nursing skills outside of a indemnity to volunteer, but my skills have a young lad the same age as me. hospital setting.”

RCN.ORG.UK/BULLETIN RCN BULLETIN MAY 2019 SUMMARY OF ACCOUNTS 13

Summary annual report Chair of RCN Council Sue Warner sets out the College’s key achievements and challenges during 2018

The year saw hard-won progress on a members want to be communicated with, number of important fronts, but held so that we can get better at it and make considerable and unexpected challenges sure the RCN is the organisation members for the RCN Group. I am determined we need it to be and the Group provides the In 2018, the Group provided help will learn from these and will adapt and services and support you need. be stronger as a result. and support to record numbers That voice is used most powerfully in our of members. We recruited more 2017 ended with the opening of tough campaigning. Safe staffing legislation students in the autumn months negotiations with the Westminster is the top priority for members and than ever before and progressed Government on a new pay award for following the success in Wales, where our plans to recruit more health England following the confirmation that it the Nurse Staffing Levels (Wales) Act, would ‘Scrap the Cap’ on NHS pay rises as was enshrined in law in 2016, campaigns practitioners to the College, a direct result of our members’ intensive began to take shape this year to fight for tailoring a greater number of campaigning. In the early months of 2018, safe staffing legislation across the rest our services to their work. we kept the pressure on Government of the UK. Our fantastic network of and NHS Employers, forcing them to accredited reps, reaching drop planned attacks on unsocial hours In 2018, the Group provided help and into workplaces, also gave payments and annual leave entitlement. support to record numbers of members. We recruited more students in the immeasurable reassurance and After an agreement was reached for the autumn months than ever before and support on the ground NHS in England and put to members progressed our plans to recruit more in the spring, the RCN’s own processes health practitioners to the College, and procedures did not stand up to later tailoring a greater number of our services The RCN Annual Report 2018 will be scrutiny. Despite the very real benefits to their work. Our fantastic network of available to download from the RCN the three-year deal brings after years accredited reps, reaching into workplaces, website and copies will be available at of austerity, the College should have also gave immeasurable reassurance and the ACC in Liverpool on Sunday 19 and been clearer in explaining to members support on the ground. Monday 20 May ahead of the 2019 annual how and when each would be affected. general meeting. Senior personnel left and, following an In this year, the RCN worked more co- extraordinary general meeting, elections operatively across the whole Group to were held to elect a new RCN Council. develop our commercial offer and deliver on our ambition to diversify our finances, In the time since, the College has to roll-out a self-service model and taken forward recommendations manage the significant task of complying Sue Warner made in an independent report by the fully with new data handling (GDPR) laws Chair of RCN Council Electoral Reform Services – including to protect members’ information. clearer governance, decision-making, accountability and, most importantly, The College faced one of the toughest member engagement and communication. years in its considerable history, but our These changes are designed to ensure the dedicated and skilled staff ensured that voice of our members shapes every aspect it was business as usual throughout. of the Group’s work. The first ever group strategy and three- year plan for 2019-2021 was agreed, I truly believe our biggest strength is our significant progress was made with the members. Not many organisations can implementation of the new governance say they have such a large membership. arrangements and our key business We can be the only real voice of nursing. priorities for the year were delivered. As Chair of Council, my key priority is The year ended with more members and to make sure that we’re connecting with greater energy and optimism for our members in a meaningful way. We are future and that of the great profession undertaking research to understand how we represent.

RCN.ORG.UK/BULLETIN RCN BULLETIN MAY 2019 14 SUMMARY OF ACCOUNTS

Financial review for the year to 31 December 2018

These summarised RCN Group financial The slight decrease in group expenditure Council members’ responsibilities statements are prepared for distribution is due to lower costs of member to the full membership. As they are a representation for regulatory and clinical In approving the full financial statements, summary only, members seeking a full negligence indemnity cases. Although Council are confirming they are satisfied understanding of the financial affairs staff costs have increased, this was offset these statements give a true and fair view of the organisation can refer to the full by efficiencies in business support costs. of the state of affairs of the group and the accounts including the Auditor’s Report surplus in the period. and the Report of Council, copies of The RCN Group operating surplus for the which are available from the Chief year ended 31 December 2018 of £6.7m is Council are responsible for keeping Executive & General Secretary, Royal similar to the operating surplus of £6.6m adequate accounting records, for College of Nursing, 20 Cavendish Square, in 2017, reflecting the fact that both safeguarding the assets of the group London W1G 0RN or from the RCN income and expenditure remain broadly and for taking reasonable steps for the website at rcn.org.uk similar to the previous year. prevention and detection of fraud and other irregularities. The financial statements are presented Activity outside of the operating surplus in accordance with Financial Reporting includes investment income, currency So far as each Council member is aware, Standard 102 (FRS 102), issued by the movements linked to investments and there is no relevant audit information Financial Reporting Council and the dividends from subsidiaries. After of which the organisation’s auditor Trade Union and Labour Relations incorporating these activities the RCN is unaware. (Consolidation) Act 1992. The RCN Group is reporting a surplus after taxation Group statements report the of £9.9m (31 December 2017: £13.4m) The full financial statements, from which consolidation on a line-by-line basis these summarised financial statements are of RCN UK, its trading subsidiary The decrease in the RCN Group surplus derived and on which the auditors gave an RCNi, the RCN Foundation and RCN has been driven by poor performance of unqualified opinion, were approved by Holdco Limited. the RCN Group investment portfolios Council on 9 April 2019. and adverse currency movements These summarised accounts relating to these investments. Further include a consolidated statement of information regarding investments can comprehensive income, statement of be found in the RCN Group annual report changes in equity and the statement of and financial statements. financial position. The RCN Group defined benefit pension The consolidated statement of scheme liability at 31 December 2018 comprehensive income shows that the was £2.5m (31 December 2017: £12.2m). RCN Group total income in the year to Council continue to be committed to 31 December 2018 was £90.2m, which reducing this deficit. Further information is the same as in the previous year to 31 regarding the defined benefit scheme can December 2017. Total expenditure was be found in note 15.2 of the RCN Group £83.5m in the year to 31 December 2018 annual report and financial statements. compared to £83.6m in the year to 31 December 2017. Risk management

Total RCN membership income was Council has a formal risk management £73.9m in the year to 31 December 2018, process assessing the risks to which the increasing by only £67k compared to the RCN Group is exposed. This involves year ended 31 December 2017. There has identifying the types of risk the RCN been growth in the health practitioner faces, prioritising them in terms of Annual membership category, including those potential impact and the likelihood of Report 2018 joining from the first cohort of trainee occurrence, and identifying means of nurse associates. mitigating those risks.

RCN.ORG.UK/BULLETIN RCN BULLETIN MAY 2019 SUMMARY OF ACCOUNTS 15

Summary financial statements and graphs for the RCN Group

Consolidated statement of 31 31 Consolidated statement of comprehensive income comprehensive income for the December December year ended 31 December 2018 2018 2017 Income Costs Operating surplus (£’000) £’000 £’000 Total income 90,198 90,189 100,000 Total costs 83,470 83,584 90,000 Operating surplus 6,728 6,605 Investment income 2,524 2,434 80,000 Net realised investment gains 2,233 3,635 70,000 Foreign exchange (losses)/gains on (1,560) 801 60,000 investments Taxation 5 (79) 50,000 Surplus after taxation 9,930 13,396 40,000 Actuarial gains/(losses) 1,829 (938) 30,000 on defined benefit scheme Revaluation reserve adjustment (64) (63) 20,000 Net unrealised (losses)/gains (5,292) 3,295 10,000 on fixed asset investments 0 Total comprehensive income 6,403 15,690 for the period 12 months to 12 months to 31 December 2018 31 December 2017 31 31 Reconciliation of changes December December in equity for the year ended 2018 2017 31 December 2018 (£’000s) Breakdown of RCN Group Income sources £’000 £’000 Surplus in period 9,930 13,396 Total comprehensive income (3,527) 2,294 4 per cent Net changes in funds 6,403 15,690 Accumulated funds at 123,427 107,737 beginning period 14 per cent Accumulated funds 129,830 123,427 at period end Membership income 31 31 Consolidated statement Trading income December December of financial position as at 2018 2017 31 December 2018 (£’000s) Other income £’000 £’000 82 per cent Property, plant and equipment 18,466 21,111 Intangible assets 2 5 Investments 90,359 94,978 Current assets 39,633 35,828 Creditors falling due within (10,854) (10,299) one year Provision (5,305) (6,032) Breakdown of RCN Group expenditure by activity Defined benefit pension (2,471) (12,164) scheme liability Representation activities Other Group activities Total net assets 129,830 123,427 Other College activities Funds: Revaluation reserve 1,991 2,055 Staff costs Accumulated funds 97,680 99,841 Reserves excluding reserves Premises and for charitable purposes and 99,671 101,896 estate costs pension liability Pension reserve (2,471) (12,164) Travel and accommodation Reserves excluding reserves 97,200 89,732 for charitable purposes Other service Reserves for charitable purposes 32,630 33,695 delivery costs Total reserves 129,830 123,427 £’000 0 10,000 20,000 30,000 40,000 50,000 60,000

RCN BULLETIN MAY 2019 RCN.ORG.UK/BULLETIN 16 SUMMARY OF ACCOUNTS

Consolidated statement of financial position 31 December 2018 31 December 2017 100,000

80,000

60,000

40,000

20,000

0

-20,000

-40,000 Property, plant Intangible Investments Current Creditors Pension scheme Provision and equipment assets * assets <1 year liability * Intangible assets of £2,000 are held by RCNi but are not visible on the graph due to the scale of the axis.

Independent auditor’s statement to the members of the Royal College of Nursing of the United Kingdom (RCN)

We have examined the summary Respective responsibilities of statements describes the basis of our financial statements contained within Council members and auditor opinion on those financial statements and the Summary of Accounts for the year the Report of Council. ended 31 December 2018 which comprise The Council members are responsible the Summary Consolidated Statement for preparing the Summary of Accounts Opinion of Comprehensive Income, Summary (which includes the summary financial Consolidated Statement of Financial statements) and the supplementary In our opinion, the summary financial Position and reconciliation of Changes material in accordance with applicable statements contained within the Summary in Equity. The Summary of Accounts United Kingdom law. of Accounts in RCN Bulletin are consistent are not required to be produced under with the full annual financial statements the Trade Union and Labour Relations Our responsibility is to report to you for the year ended 31 December 2018. (Consolidation) Act 1992 (the “Act”), our opinion on the consistency of the and regulations under the Act, and have summary financial statements contained been voluntarily produced by the within the Summary of Accounts with the Council members. full annual financial statements.

This report is made solely to the College’s We also read the other information members, as a body, in accordance with contained in the Summary of Accounts the terms of our letter of engagement and the supplementary material as with the College. Our work has been described in the contents section, Deloitte LLP undertaken so that we might state to the and consider the implications for our Statutory Auditor, London College’s members those matters we are report if we become aware of any United Kingdom required to state to them in an auditor’s apparent misstatements or material 9 April 2019 report and for no other purpose. To the inconsistencies with the summary fullest extent permitted by law, we do not financial statements. Notes: The directors are responsible for the maintenance accept or assume responsibility to anyone and integrity of the corporate and financial information other than the College and the College’s We conducted our work in accordance included on the company’s website. Legislation in the members as a body, for our audit work, for with Bulletin 2008/3 issued by the United Kingdom governing the preparation and this report, for our audit report, or for the Auditing Practices Board. Our report dissemination of financial statements may differ from opinions we have formed. on the College’s full annual financial legislation in other jurisdictions.

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A European community of learning

While the UK’s future relationship with the rest of Europe remains uncertain, a pan-European network is ensuring the nursing profession continues to nurture its continental links

Last year, they created a research group and are hoping to bring several institutions together with similar interests. European nurses “From a network perspective, this are connecting is an organisation that thrives on with each other unity,” says Richard Luck, Associate for the good Head of International at Coventry of patients University’s School of Nursing, Midwifery and Health.”Nursing and midwifery are not just professions but a global movement. It’s crucial that we ensure students are professionally ready to practise and have a broad knowledge of global research and developments.” The Florence Network is one programmes, particularly with of Europe’s oldest nursing and and . For students, the benefits to taking midwifery networks. Made up of part include developing their 46 health care-focused educational “European nurses are connecting communication skills, networking, institutions from 21 European with each other for the good of clinical and theoretical knowledge, countries, including the UK, it patients and the education of alongside intercultural skills which allows a platform for exchanging nurses,” says the university’s can be adapted to work with local ideas and experiences and subject lead for nursing Donna diverse communities. enhances personal, professional Bray. “It’s critical that nurses and curriculum development. speak up and talk about the value Improving career prospects of these relationships.” “I would call it a community It could also make all the difference of learning, sharing and caring Forward looking when seeking employment, says for European higher education Mr Luck. “One student told me nurses and midwives,” says The network holds an annual that, at an interview for a qualified the network’s President, Susan conference, which was hosted post, the employer put down the Schaerli-Lim. “International this year by Coventry University, interview documents and asked her collaboration is important. the other English university in to tell them about her international Through it we find creative the network. Topics addressed field trip, and how she felt it solutions for similar problems.” included artificial intelligence and enhanced her studies. Find out more simulation in education, mental about the Florence Northampton University – one health in the future workforce, “The student was convinced one Network at of only two English universities the wellbeing of migrants, and of the reasons for her success theflorencenetwork. in the Florence Network – was innovations in teenage cancer care. was not just her education at coventry.domains invited to join in 2016 following Coventry University, but her its well-established and highly Looking ahead, the network is broad experience of international Words by successful European exchange keen to encourage more research. activities across three years.” Lynne Pearce

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RCN.ORG.UK/BULLETIN RCN BULLETIN MAY 2019 APPOINTMENTS: INTERNATIONAL 19

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021RCNBullwk29.indd 21 26/04/2019 11:43 22 APPOINTMENTS: GENERAL Nurse Case Manager Want a life with no shifts? Nationwide Mobile Screening Nurses Opportunity to work remotely from your home anywhere ✔ )T^TZ\FSYYTNSHWJFXJ^TZWNSHTRJ\NYMHTRUQJYJĆJ]NGNQNY^ LQWKH8.RUEHEDVHGLQRXURI¼FHVLQ:HOZ\Q*DUGHQ&LW\ over how & when you work with a role that works perfectly alongside any current employment or other commitments? ✔ )T^TZ\FSYJ]HJQQJSYWFYJXTKUF^$ Nursing doesn’t have to mean unsociable hours and unrealistic ✔ )T^TZ\FSYLWJFYOTGXFYNXKFHYNTS$ workloads. With the ENA Care Group you can continue to )ZJYTXNLSNąHFSYLWT\YMFSISJ\HTSYWFHYX\JFWJST\WJHWZNYNSLRTWJ use your skills and knowledge to support disabled and elderly registered nurses UK wide including England, Scotland, Wales, Northern individuals, including CPD training costs. Ireland, Southern Ireland and the Channel Islands to further enhance our XJQKJRUQT^JISZWXJSJY\TWP>TZ\NQQGJWJXUTSXNGQJKTWZSIJWYFPNSLFI ENA Care Group is a privately owned company that is hoc domiciliary insurance medicals & pathology tests for applicants of Life Insurance at a scheduled appointment that is mutually convenient to renowned for providing high levels of care to individuals in their ^TZFSIYMJFUUQNHFSY*FHM[NXNYYFPJXGJY\JJSRNSZYJXIJUJSINSL own home. This involves the management of our client’s clinical upon the requirements of the case. MSS will provide full operational needs and the training and supervision of our carers. training as well as any ongoing assistance required through our friendly and dedicated nurse support team. Other Perks: Duvet Days, Car, Health Plans, Interested applicants will need to: Sociable Work Hours, Pension, Supportive • have an active Registration and Indemnity ï MF[JJ]UJWNJSHJNSUMQJGTYTR^ IJXNWFGQJGZYSTYJXXJSYNFQ Working Environment and more! ï MF[JYWFSXUTWYFSIXZKąHNJSYĆJ]NGNQNY^YTHTSIZHYWJLZQFW appointments at your convenience 8SETTP]SV½RHSYXQSVIGEPP'PEVISR You will be paid monthly for all completed cases. 07789 485051 Or Email [email protected]

For an information pack please e-mail Julie Collett NSHQZINSLFHZWWJSY(;NKF[FNQFGQJ MANAGEMENT Email: [email protected] Tel: 0118 467 0555 www.trustmss.co.uk Head of Clinical Services Worthing, West Sussex 37.5 hours per week c£50,000 per annum We are now recruiting for a Head of Clinical Services to lead our multi-disciplinary clinical team. If you are a Registered Nurse leader, REGISTERED NURSE NIGHT DUTY who holds a valid NMC pin, mentorship qualification and are passionate LOOE, CORNWALL about the delivery of high-quality clinical services then we welcome your application. Please contact the H.R. team on: 01903 213458 for an An opportunity has arisen for a registered nurse to work with our application pack or visit our website for further details. night duty team. The home is divided into a General Nursing wing and a specialist Dementia Care facility, with a Registered Manager and Clinical Lead heading each unit. A senior post possibly available to the right CHILD HEALTH candidate.

Established in 1989, we are a family run business. Rated outstanding Founded 1881 for Caring in our last CQC inspection, our vision is to continue in our HMC IAPS quest to achieve excellence in all areas. We are looking for someone Culford is an independent boarding who shares our vision and passion for care. We are located in a beautiful and day school for boys and girls area of Cornwall only 20 miles from Plymouth. Good road and rail aged 1 to 18 years connections and a thriving local community. ZĞƐŝĚĞŶƟĂůEƵƌƐĞ;ĂŶĚϲͿ We offer excellent working conditions and an environment that is From September 2019 motivating and appreciating. We are a team; this means you will be v c c h ch fully supported in your role. You will need a valid NMC PIN and some  Ă ĂŶ LJ ĂƐĂƌŝƐĞŶĨŽƌĂƌĞƐŝĚĞŶƟĂůŶƵƌƐĞ;ĂŶĚϲͿĂƚƵůĨŽƌĚ^ ŽŽů͘ dhĞƌŽůĞŝƐϭ9hƌƐƉĞƌǁĞĞŬƉůƵƐŽvĞƌŶŝŐhƚĂŶĚǁĞĞŬĞŶĚƐŽŶcĂůů͘ZĞŶƚĨƌĞĞ experience in dementia care. We can offer assistance with relocation or ĂccŽŵŵŽĚĂƟŽŶŝƐĂϯďĞĚƌŽŽŵĞĚŐƌŽƵŶĚŇŽŽƌŇĂƚǁŝƚhŐĂƌĚĞŶĂƩĂchĞĚ possibility of local rented accommodation. ƚŽƚhĞŵĞĚŝcĂůcĞŶƚƌĞĂŶĚĂvĂŝůĂďůĞƚŽƚhĞƉŽƐƚhŽůĚĞƌƚhƌŽƵŐhŽƵƚƚhĞLJĞĂƌ͘ c h For full details of the post and local area please contact Sharon Keast, ĞŶĞĮƚƐŝŶ ůƵĚĞ͗ϭဒǁĞĞŬƐ ŽůŝĚĂLJƉĞƌLJĞĂƌ͕ĂůůŵĞĂůƐĚƵƌŝŶŐƚĞƌŵƟŵĞ͕ƐƉŽƌƚƐ cĞŶƚƌĞŵĞŵďĞƌƐhŝƉĂŶĚƐchŽŽůĨĞĞƌĞŵŝƐƐŝŽŶ͘ Shelley Blyth or Diane Price on 01503 265151HYVMRKSJ½GILSYVW c c c or email [email protected] ƵůĨŽƌĚŝƐƐĞƚŝŶϰဒϬĂ ƌĞƐŽĨŵĂŐŶŝĮ ĞŶƚůĂŶĚƐ ĂƉĞĚŐƌŽƵŶĚƐ͘/ƚďŽĂƐƚƐ ƐƚĂƚĞŽĨƚhĞĂƌƚƚĞĂchŝŶŐĨĂcŝůŝƟĞƐĂƐǁĞůůĂƐƚŽƉqƵĂůŝƚLJƐƉŽƌƚƐ͕ƐŽcŝĂůĂŶĚ ƌĞcƌĞĂƟŽŶĂůĂŵĞŶŝƟĞƐ͘ ƵůĨŽƌĚŝƐcŽŵŵŝƩĞĚƚŽƐĂĨĞŐƵĂƌĚŝŶŐĂŶĚƉƌŽŵŽƟŶŐƚhĞǁĞůĨĂƌĞŽĨchŝůĚƌĞŶ͖ The job title may dier. ĂƉƉůŝcĂŶƚƐǁŝůůƵŶĚĞƌŐŽĂƉƉƌŽƉƌŝĂƚĞchŝůĚƉƌŽƚĞcƟŽŶƐcƌĞĞŶŝŶŐĂŶĚďĞƐƵďũĞcƚ But the support is the ƚŽchĞcŬƐǁŝƚhƉƌĞvŝŽƵƐĞŵƉůŽLJĞƌƐĂŶĚƚhĞDŝƐcůŽƐƵƌĞĂŶĚĂƌƌŝŶŐ^ĞƌvŝcĞ͘ same. h c h c Assistant &Ƶƌƚ ĞƌĚĞƚĂŝůƐĂŶĚĂŶĂƉƉůŝ ĂƟŽŶĨŽƌŵŵĂLJďĞŽďƚĂŝŶĞĚĨƌŽŵƚ Ğ,ZKĸ Ğ͖ Health care practitioner ,ZΛĐƵůĨŽƌĚ͘ĐŽ͘ƵŬ assistant Health care HCA/AP rst year membership support worker – just over £4 per month. ůŽƐŝŶŐĚĂƚĞĨŽƌĂƉƉůŝĐĂƟŽŶƐ͗tĞĚŶĞƐĚĂLJဒƚhDĂLJϮϬϭ9

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022RCNBullwk29.indd 22 26/04/2019 12:35 APPOINTMENTS: CHILD HEALTH 23

Diversify your paediatric nursing skills

Discover how Rui dos Santos, PICU Clinical Nurse Manager, joined HCA Healthcare UK.

“I studied nursing in and came over to the “Imagine my surprise to be side-by-side with someone UK to join the NHS. While I was there, colleagues told that I had only read about in books – it made me me about the opportunities in private healthcare, and realise that HCA UK really does work with the how I could get the chance to work with pioneering best experts.” clinicians and develop my career. So I joined HCA UK in 2012.” “I have been able to develop my career here, thanks to the fantastic development opportunities that “On my first day as a Senior Staff Nurse at The Harley they provide. Not only allowing movement around Street Clinic, I had the opportunity to work alongside campuses to diversify and develop skills, but also a Consultant who’d created a surgical procedure that facilitating academic growth.” revolutionised cardiac surgery worldwide.”

We have opportunities for Paediatric and PICU We specialise in neuro rehab, cardiac and oncology nurses, all of which offer the chance for excellent treatments that aren’t available anywhere else. permanent and annualised hours working and You’ll also receive our new Golden Hello bonus* outstanding benefits, including: – if you are child registered and hold a PICU • Funding for the PICU qualification qualification, you’ll receive £5k whenyou start, • Preceptorship and mentoring programme £5k after 12 months and a further £5k after 24 months. If you don’t have the qualification, • Exposure to acute and complex care you’ll receive an additional month’s salary Join Rui dos Santos at our CQC Outstanding facility when you start. The Harley Street Clinic, or The Portland Hospital.

To find out more or apply, contact *Terms and conditions apply.

[email protected]

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024RCNBullwk29.indd 24 26/04/2019 11:53 MENTAL HEALTH ONCOLOGY 25

Sta Nurse + Senior Sta Nurse Devizes (RMN/RNLD) Bòrd SSN nan Eilean Siar Band 5 + 6 (£24,214-£37,267) Health Centre, Spring eld Road, Stornoway, Isle of Lewis, HS1 2PS Working within a newly built unit providing a service for people with learning disabilities and complex needs. Lead Nurse Cancer and Palliative Care Band 8B: £53,291 - £62,259 pro rata Due to location you will need to be a driver. Plus £1,043 Distant Islands Allowance pro rata Fantastic bene ts package! Permanent, 30 hours per week Ref: WI2167c For more information on living and working in the Western Isles, visit Charge Nurse (RMN/RNLD) the website: www.wihb.scot.nhs.uk/wihrr.pdf. Milton Keynes Practice Development Nurse An exciting opportunity has arisen for a skilled, motivated and experienced individual £37,000-£38,633 + benets who will further develop and lead the Cancer and Palliative Care Services within the Western Isles in line with national standards. The post holder will be based in Stornoway and have managerial responsibility for the Western Isles Macmillan Nursing team. Working within a Forensic Low/ Medium Secure As part of the Lead Cancer Clinician element of the role, the successful candidate will Hospital for Males/Females aged 18+ act as the QPI lead in terms of receipt, commentary and action plan development. Mixed shifts or days or nights only! Fundamental to this role, is extensive experience, expert knowledge and skills at a senior level in cancer and or palliative care, evidence of partnership working and 4 and 3 shifts per week (Full time) maintaining of relationships. Fantastic bene ts package and opportunities for This role will provide strategic nursing leadership, effective management and expert great career and specialist development. professional advice and it is essential that you are currently a Registered Nurse with the NMC with a masters level post graduate quali cation in this eld. You should have Community Mental Health Nurse substantial post registration experience and must demonstrate positive and enabling Plymouth (RMN) Band 5 & 6, £24,214-£37,267 leadership skills. Full and Part Time! Applications are invited from those who are suitably quali ed in this eld of practice. For further information on this post, please contact Kathleen McCulloch, Lead Nurse Community on 01851 763307. Join a community team providing a Home The successful applicant will be required to register with the PVG Scheme (Protecting Treatment Service. Vulnerable Groups Scheme). This post is eligible for relocation expenses. Patients aged 18+ inc older adults. All NHS Western Isles vacancies appear on the SHOW website: www.jobs.scot.nhs.uk along Newly qualied nurses and preceptors welcome with a job description and an application form. Fantastic bene ts inc exible working/pension/ Gheibhear bileag-tagraidh agus dealbh-obrach bho Roinn Feachd-obrach, Ospadal relocation package. nan Eilean Siar, Rathad MhicAmhlaigh, Steòrnabhagh, Eilean Leòdhais HS1 2AF. [email protected] Fòn: 01851 762027. 01304200315 Return completed application form in Word Format to [email protected] or mail to; www.sterlingcross.com Human Resources Department, Western Isles Hospital, Macaulay Road, Stornoway, Isle of Lewis HS1 2AF. Paper copies can be obtained by calling Tel: 01851 762027. Closing date: 30 May 2019. CRISIS CARE PRACTITIONER Misneachail mu chiorramaich RMN £2300 Golden Hello Included www.jobs.scot.nhs.uk Want to try something new? We have an exciting band 6 opportunity in our Ealing Crisis, Assessment & Treatment Team (CATT). You will gain a variety of experience as a key member of the community healthcare team and be part of a multi-disciplinary service that other teams call on for help. Working in this service places you on the frontline of community mental health service LEARNING DISABILITIES and will enable you to respond to a variety of clinical needs at short notice. e role in CATT consists of initial assessments and also brief home-based treatment to people with mental health problems at risk of admission to hospital. We also provide what North and West Division we consider as brief interventions for those presenting with low Sutherland Base need mental health diculties for up to three months. Community Learning Disability e successful candidate for this Mental Health Nurse post will Nurse Lead/Advanced Practitioner – (Band 7) meet the following criteria: £32,974 - £43,471 Ref: 107/18.19ES1 An exciting opportunity has arisen based within the outstandingly beautiful county of Sutherland. • Qualified Mental Health Nurse Working as a Community Learning Disability Nurse Lead/Advanced Practitioner you will have a clinical caseload in Sutherland and also provide professional leadership across the N & W Division • Up to date NMC registration of NHS Highland. We are looking for a motivated individual who is able to work as part of a team and is seeking to • Demonstrate proven experience working in an acute develop their Advanced Practice and Leadership skills in this rewarding area of nursing. mental health setting You will be a First level Registered Nurse, (Learning Disability) and have an excellent level of professional knowledge, skill and clinical nursing expertise attained through experience. You will also • Strong communication and interpersonal skills have good leadership, change management and service improvement skills. Relocation package will be available to the successful candidate. For further details / informal visits contact: This is a permanent post of 37.5 hours per week, to be worked Monday-Friday. Sarah (Ealing Team Manager, 07968 473 406) Informal enquiries would be welcomed by Lorraine Coe, District Manager, Team Lead (Sutherland), Tel: 01408 664033. if you would like to discuss this opportunity further or Application forms/full information packs are available (quoting Job Ref: 107/18.19ES1) by telephoning Employment Services on 01955 880403 or emailing [email protected]. arrange an informal visit. Closing date for applications: 12 noon on Wednesday 15th May 2019. Apply via this link: https://www.jobs.nhs.uk/xi/vacancy/?vac_ref=915548993 www.nhshighland.scot.nhs.uk

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025RCNBullwk29.indd 25 26/04/2019 14:11 Looking for a new job?

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026RCNBullwk29.indd 26 26/04/2019 12:03 TRAINING 27

The UH Trust Health Scholarship Worth £9,000

You could be eligible for a £9,000 UH Trust Health Scholarship in one of the following areas: Adult Nursing, Child Nursing, Mental Health Nursing, Learning Disabilities Nursing, Midwifery, Social Work, Physiotherapy, Paramedic Science, Diagnostic Radiography, Radiotherapy and Oncology.

Open to all applicants who receive an offer on one of the above courses and confirm the University of Hertfordshire as their firm choice by the 30 June 2019 or accept a clearing offer by 26 August 2019.

Apply now! Visit go.herts.ac.uk/hsw

Back by popular demand The London MDT Tracheostomy Study Days at Northwick Park Hospital, North West London TRAINERS REQUIRED to deliver high quality CLINICAL COURSES in the private Health & Social Care Sector. MDT Fundamentals of Tracheostomy Care On: Tues 9th July 2019 & Medex Group Ltd is a well-established and fast-growing company who are now MDT Advanced Skills for Tracheostomy Care recruiting QUALIFIED NURSES throughout the following regions: On: Weds 10th July 2019 • Birmingham • Shropshire • Herefordshire • Norfolk • Suffolk Cost: £100 per day (or £175 for both days) Up to date PIN essential, current training experience desirable, excellent rates of pay Course includes: Tutorials, Practical Demonstrations & Workshops. Please get in touch on 0114 2665264 or email [email protected] Suitable for both acute & community healthcare professionals. For further information and an application form contact (020) 8869 2254/51 E-mail: [email protected] or REACH OVER book online at: www.medicalcourses-nwlh.com 400,000 NURSING PROFESSIONALS Venepuncture Cannulation Call 020 8423 1333 and IV Therapy Courses

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