Monday, 20 Sep 2021

Damning audit report says government does not have enough nurses to cope

The NHS is lacking more than 40,000 nurses it needs according to a damning report by the National Audit Office.

The report warned ministers that rising demand for NHS services alongside a failure to tackle barriers for new recruits had led to significant vacancy rates across many parts of the health service.

One in eight posts are empty with only five per cent of workers joining the force since 2010, data shows.

There were over 43,000 vacancies reported by NHS trusts in July to September 2019.


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Boris Johnson has vowed to recruit 31,000 new nurses by 2024-25 and retain a further 18,500 who may otherwise have left, including through the reversal of cuts to bursaries for student nurses.

But officials from the NAO, which independently scrutinises public spending for Parliament said the government's efforts to draw more students in have 'failed to meet expectations'.

The study also highlighted the Government's decision to cut student bursaries in 2017, saying it had led to sluggish enrollment in nursing courses, resulting in the Department of Health failing to hit its 2018-19 and 2019-20 targets to increase student nurse numbers by 25%.

While the overall numbers of nurses working in the NHS in England increased by 5% between 2010 and 2019, there are still not enough, the report adds.

Between July and September 2019, vacancy rates as reported by NHS trusts were 12% for nursing, the equivalent to 43,590 full-time vacancies and higher than the overall staff vacancy rate of 9%, the NAO said.

The problem is particularly acute in some areas of the health service, the authors detail a 38% reduction in the number of learning disability nurses during the same time frame.

In January last year, the NHS Long Term Plan acknowledged the need to increase staff numbers, noting that the biggest shortfalls were in nursing.

But the NAO said there is "significant time lag" of at least three to four years before policies to train new nurses have an impact.

The report comes as cases of coronavirus in the UK saw the biggest day-on-day increase in coronavirus cases, with 85 people now confirmed to have the virus.

The jump comes as England's chief medical officer, Professor Chris Whitty, warned that a UK epidemic is looking "likely".

"At this point in time we think it is likely, not definite, that we will move into onward transmission and an epidemic here in the UK," he told BBC Radio 4's Today programme on Wednesday.

Commenting on the report, Public Accounts Committee chairwoman Meg Hillier, said: "As the coronavirus spreads, the importance of the NHS and nurses who look after us becomes ever more apparent.

"There are 44,000 nursing vacancies. Plans to increase the numbers of nurses starting degrees have failed to meet expectations.

"It takes three to four years for policies to train new nurses to have an impact."

She added that the NHS People Plan, expected in the spring, "must be fully funded and finally start to tackle the real reasons why there are not enough nurses".

Responding to the report, the NHS Confederation, which represents organisations across the healthcare sector, said next week's Budget is an opportunity for the government to address the issue.

Susan Masters, the Royal College of Nursing's director of nursing, policy and practice, added: "There simply aren't enough nurses joining the profession in England to look after the health of the population.

"Next week's Budget is the perfect opportunity for the Government to respond to the workforce problems of NHS and social care.

"We are calling for investment to remove financial barriers for nursing students, by paying for tuition fees and providing grants for the real costs of living.

"Until there's a law clarifying who is responsible and accountable for workforce in Government and throughout the health and care system, patient safety remains at risk".

An NHS spokesman said: "NHS hospitals successfully opened extra hospital beds at a record rate this winter, made possible by having over 7,700 extra nurses working across the NHS than last year.

"But given the pressures on the NHS, the Government's commitment to increase the number of nurses by 50,000, as well as invest in more new beds and facilities, will be crucial when it comes meeting the growing need for care."

A Department of Health and Social Care spokeswoman said: "There are already record numbers of nurses in our NHS, up by over 8,000 compared to the same time last year – and we will deliver 50,000 more nurses over the next five years.

"We're taking immediate action to reduce vacancies including funding for 5,000 more student training placements a year and supporting greater international recruitment.

"From September we're also giving nursing students at least £5,000 a year to help secure the staff we need for the future."

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