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Nursing Times Get £50 of FREE Training 10-16 MAY 2011 “Nurses become guerrilla PLUS NURSINGTIMES.NET ADVICE ON £1.90 Vol 107 No 18 fi ghters against the NursingDEALING Practice WITH system” Sir Ian Kennedy p3 COMPLAINTSXxxxx Talking about death Ensure patient choice at the end of life p12 Promoting safety in child sedation p18 Investigation reveals workforce cuts at struggling trusts p2 NEW LOOK • MORE CONTENT Subscribe today to the new Nursing Times Get £50 of FREE training £50OF FREE TRAINING Throughout your career, we’ll help you be the best nurse you can be To celebrate the launch of our new Nursing Times we’re offering every magazine subscriber £50 of online training FREE. Keep your skills up to date with a choice of 5 free CPD training units. Plus, you’ll have exclusive subscriber access to all the latest practice information,clinical reviews and research both online and in print. Don’t miss out, subscribe to Nursing Times today and take your nursing practice to the next level. Subscribe now and get £50 of free training Visit: www.subscription.co.uk/nurstimes/nuyl Call: 0844 848 8859 and quote priority code NUYL NT190 subscription FP.indd 1 05/01/2011 15:13 Contents Editorial comment The Nursing Week “The impact of cuts on 2 Struggling trusts to slash sta numbers 5 No “token” nurses on boards, says NHS care cannot be ignored” Future Forum nursing member 6 Matron scheme standardises doctors’ ward rounds he warning signs are mounting that cuts to NHS serv- 7 Collaboration is crucial when caring for ices are starting to have a noticeable impact on patients terminally ill children, says Anne Harris and the nurses who are attempting to care for them. The 8 When I grow up I want to make everyone warnings are also mounting that we must learn the les- agree with me, says Mark Radcli e T sons of the past if we are to avoid catastrophic care failings. An investigation this week by Nursing Times reveals the plans made by the most fi nancially challenged trusts in England to make the massive savings required of them. It does not make Nursing Practice for cheerful reading – hundreds of posts are earmarked to go and regrets of the dying should 11 Comment: skill-mix reviews are in the offi ng (page 2). infl uence end of life care Nigel Edwards, interim chief executive of the NHS Confed- 12 Innovation: think about it – a prompt to eration – yes, a management voice – warns those planning the discuss end of life choices cuts should be mindful of what happened at Mid Staffs after the 14 Research: how e ective is the preferred narrow-sighted pursuit of fi nancial targets over care standards. priorities of care document? Separate fi gures collected by Nursing Times also reveal that 18 NICE guidance: sedation for infants and the number of nurse job vacancies advertised on the NHS Jobs children website has plummeted to below 1,000 (page 3). 20 Research methods: mind mapping in Taken all together, this evidence should start alarms bells qualitative research well and truly ringing, especially when added to last month’s King’s Fund warning that NHS waiting times are at their highest level for three years and news that a Conservative peer, Baroness Staples, had to wait for nearly fi ve hours on a trolley at St Thomas’. This week the bell should also ring a bit louder as Unison is due to reveal results from a survey of 2,500 nurses – 80% of Nursing Life whom say managers are making cuts. 24 60 seconds with deputy So far, however, the government seems determined to turn a director of nursing at deaf ear to the cuts – while apparently prepared to listen with the Royal Brompton and other to concerns about its reform agenda. But ministers must be Harefi eld Trust Michele made to take their earplugs out. As last month’s RCN Congress Hiscock (right) showed, the profession has a very loud voice when it wants to. Role model: from care We know reducing nursing staff numbers and diluting its on the battlefi eld to skill mix has a negative impact on morbidity and mortality. The cancer research consequences if the cuts continue do not bear thinking about. Steve Ford, deputy news editor [email protected]. Follow me on Twitter @SteveJFord EDITORIAL: 020 7728 3703 Editor Jenni Middleton 020 7728 3705 Deputy practice O ce administrator Senior marketing executive fax: 020 7728 3700 020 7728 3757 editor Eileen Shepherd, DipN, Ibadete Fetahu 020 7728 3703 Lesinda Leightley email: [email protected] or Deputy news editor Steve Ford 0115 923 1953 Assistant practice Director of new business Head of health Jason Winthrop 020 7728 3713 editor Nerys Hairon Acting Marie Rogers 020 7728 3778 Recruitment group sales 1st name.2nd [email protected] Chief reporter Charlotte Santry 020 assistant practice editor Kathy Group commercial director manager James Frowde NEWS: 020 7728 3713; fax: 020 7728 3700 7728 3758 Senior correspondent Oxtoby 020 7728 3704 Fran Christofi des Sales executive Elizabeth Harris CLASSIFIED ADVERTISING: 020 7728 3806; Dave West 020 7728 3755 Head of production and art Commercial director David 020 7728 3803 fax: 020 7728 3866 Reporters Sarah Calkin 020 7728 Andrew Snowball 020 7728 3753 Chipchase 020 7728 4941 Head of sales administration DISPLAY ADVERTISING: 020 7728 3736; 3746; Ben Clover 020 7728 3749; Group art editor Judy Skidmore Sales manager Tim Verbrugge Juliet Theobald Sales and online fax: 020 7728 3866 Crispin Dowler 020 7728 3717; 020 7728 3764 Deputy production 020 7728 3736 administrator Lisa Singh Please note some of the calls made to our Simon Lewis 020 7728 3718; editor Sarah Hill 020 7728 3709 Digital sales manager Patrick Managing director Steph Grice advertising teams are recorded for training David Williams 020 7728 3760 Group online editor Rachel Purkett Kearns 020 7728 3733 020 7728 3577 purposes Practice and learning editors 020 7728 3756 Production manager Laura Warren Chief executive SUBSCRIPTIONS UK: Enquiry line: 0844 848 Kathryn Godfrey, HV Cert, Deputy online editor Classifi ed production Katie Andersz Natasha Christie-Miller 8858; order line: 0844 848 8859 020 7728 3706; Ann Shuttleworth Nadine Woogara 020 7728 5286 Head of Marketing Fiona Farmery SUBSCRIPTIONS OVERSEAS: Enquiry line: 01858 438847; order line: 01858 438804 NURSING TIMES Greater London House, Hampstead Road, London NW1 7EJ Published by Emap Inform, a part of Emap Ltd. © 2011 NURSING TIMES is published weekly by Emap Inform, a part of Emap Ltd, and printed by Headleys. customer service adviser: 020 7874 0555 Registered as a newspaper at the UK Post O ce. ISSN 0954 7762. First published on 6 May 1905. Nick Cover: Lowndes, PA www.nursingtimes.net / Vol 107 No 18 / Nursing Times 10.05.11 1 “One of the things I’ve hated in my life is being a token this, that and the other” The Julie Moore p5 Nursing WeekACUTE SECTOR INVESTIGATION reinforce union claims that frontline staff and services will not be protected in the NHS savings drive, despite government insistence that the health budget has been ringfenced. Examples from the plans include proposals to: » Cut Agenda for Change clinical staff by 192 whole-time equivalent posts – or 13% – at Princess Alexandra Hospital Trust in Essex this year, and by a total of 251 by March 2014. The trust also wants to close 42 emergency beds and one elective ward this year; The writing is on the wall: nurses’ workloads are likely to increase when posts are axed »Cut 142 posts this year at Whipps Cross University Hospital Trust in London, only 25 of which will be back-offi ce or clinical support jobs. It plans to save £1m through a Huge cuts ahead nursing skill-mix review; » Cut 50 beds, and reduce one surgical ward from seven to fi ve days at West Middlesex for frontline sta Hospital Trust; » Slash spending on pay at Imperial College Healthcare Crispin Dowler draft plans from 13 trusts out “The pursuit of Trust by £44m, or 8%, and cut [email protected] of 19 in England identifi ed by 150 posts this year. our sister title Health Service fi nancial targets Many trusts whose plans Nurses at struggling hospitals Journal as planning the was heavily were analysed by Nursing Times are set to face major pressures biggest cuts this year. implicated at Mid cited pressure from primary this year, as managers plan These trusts have said they Sta s. I hope that’s care trusts to reduce activity to slash staff numbers and need to cut costs by 8% or and the drive for foundation review skill mix, an more in 2011-12. Those that very much in the trust status among the investigation by Nursing Times have published plans aim to minds of the people reasons for major cost cutting. has revealed. make savings through a developing these The government wants all Rising fi nancial pressures combination of post cuts, trusts to achieve foundation have sparked warnings that productivity drives, cost improvements” status by 2014. Acute trusts Nigel Edwards trusts must not harm care reductions in length of stay, without foundation status standards, as occurred at Mid changes to skill mix, and constituted more than two Staffordshire Foundation Trust. ward and bed closures. thirds of the 19 trusts that Nursing Times has analysed The radical cuts proposed were planning savings of 8% 2 Nursing Times 10.05.11 / Vol 107 No 18 / www.nursingtimes.net » asdfsa asdf a The Nursing Week News or more, and fi ve of the seven aiming to save 10% or more. Nurses’ “Dunkirk” spirit exploited NHS Confederation acting chief executive Nigel Edwards warned trusts not to repeat Sarah Calkin know that nurses in Healthcare Commission’s the failures at Mid [email protected] particular, and some doctors, West Midlands team.
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