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The 2014 Act stated clearly that we were looking for safe staffing. The cry at the moment is an urgent plea for a safe staffing formula that will satisfy the needs of the whole population. As far as I can see, five years after the law was passed, we are...
The 2014 Act stated clearly that we were looking for safe staffing. The cry at the moment is an urgent plea for a safe staffing formula that will satisfy the needs of the whole population. As far as I can see, five years after the law was passed, we are...
My Lords, how are the Government determining the safe level of staffing? In the Health and Social Care Act, one of the requirements was to look for safe levels. Could the Minister tell us how the Government will assure us that they are safe levels?
My Lords, how are the Government determining the safe level of staffing? In the Health and Social Care Act, one of the requirements was to look for safe levels. Could the Minister tell us how the Government will assure us that they are safe levels?
I am grateful to the noble Baroness for that question. First, we have safe levels by recruiting more staff. We recognise that there is a need for it, and we are recruiting more staff in every category. The actual safe level of staffing is a trust-level issue that needs to be determined in response to the case load they have at any moment.
My Lords, I, too, congratulate the noble Lord, Lord Darzi, on opening the debate and thank him for being such a breath of fresh air, as
he always is when he speaks in this House. I also thank the right reverend Prelate the Bishop of Carlisle for his words. It...
My Lords, I, too, congratulate the noble Lord, Lord Darzi, on opening the debate and thank him for being such a breath of fresh air, as
he always is when he speaks in this House. I also thank the right reverend Prelate the Bishop of Carlisle for his words. It...
My Lords, I thank the noble Lord, Lord Patel, and the committee members for the report. It was like taking a breath of fresh air when I read it. With my experience over some years in the health service, it came alive straightaway. The report states that the,
“biggest internal threat...
My Lords, I thank the noble Lord, Lord Patel, and the committee members for the report. It was like taking a breath of fresh air when I read it. With my experience over some years in the health service, it came alive straightaway. The report states that the,
“biggest internal threat...
My Lords, I thank the noble Lord, Lord Clark, for his introduction. I declare my interests as listed in the register: I am a retired nurse and a retired midwife. I joined the health service in 1953 as a student nurse and I have had a privileged career.
I find it...
My Lords, I thank the noble Lord, Lord Clark, for his introduction. I declare my interests as listed in the register: I am a retired nurse and a retired midwife. I joined the health service in 1953 as a student nurse and I have had a privileged career.
I find it...
My Lords, I congratulate and thank my noble friend Lady Watkins not only for securing this debate but for her excellent speech and setting the scene so ably this afternoon. I also thank the noble Viscount, Lord Bridgeman, for his tenacity of purpose. Ever since I joined the House, he...
My Lords, I congratulate and thank my noble friend Lady Watkins not only for securing this debate but for her excellent speech and setting the scene so ably this afternoon. I also thank the noble Viscount, Lord Bridgeman, for his tenacity of purpose. Ever since I joined the House, he...
My Lords, I thank the Minister for reminding us how many patients have been removed from hospital, but I declare an interest that goes back to the 1970s, when I was responsible for transferring 1,500 and then another 1,200 patients from hospital through a joint working party involving social services and the health service. It seems that we have discharged patients. The Royal College of Nursing demonstrated in a recent report that, from the nursing point of view, never have so few nurses been trained in mental handicaps. People with learning disabilities have physical and mental requirements, as well as environmental ones. Safe staffing is the issue here. Following on from what the noble Lord, Lord Hunt, said, will the Minister please consider getting out an edict on the importance of looking not just at hospital staff but at community staff?
My Lords, I thank the Minister for reminding us how many patients have been removed from hospital, but I declare an interest that goes back to the 1970s, when I was responsible for transferring 1,500 and then another 1,200 patients from hospital through a joint working party involving social services and the health service. It seems that we have discharged patients. The Royal College of Nursing demonstrated in a recent report that, from the nursing point of view, never have so few nurses been trained in mental handicaps. People with learning disabilities have physical and mental requirements, as well as environmental ones. Safe staffing is the issue here. Following on from what the noble Lord, Lord Hunt, said, will the Minister please consider getting out an edict on the importance of looking not just at hospital staff but at community staff?
The noble Baroness raises a very important point. It is worth saying that an assurance board monitors the national transformation plan on a monthly basis and comprises local authorities as well as CCGs and others. On the workforce front, which is obviously crucial, it is no good putting money into a system if you do not have the right people to deliver the care. We expect the number of whole-time learning-difficulty nurses to increase from around 3,000 to more than 5,000 over the next five years, so there should be more resource going into this very important area.
My Lords, first, I apologise for not being present at Second Reading. I know it is customary not to speak in Committee unless—
My Lords, first, I apologise for not being present at Second Reading. I know it is customary not to speak in Committee unless—
I joined the Royal College of Nursing in 1957 and I am still an active member and fellow of the college. I support all that it does on both the professional and labour relations sides. I have also been chairman of a trust and of a regulatory body, so I...
I joined the Royal College of Nursing in 1957 and I am still an active member and fellow of the college. I support all that it does on both the professional and labour relations sides. I have also been chairman of a trust and of a regulatory body, so I...
My Lords, it is my great privilege to welcome the noble Baroness, Lady Watkins of Tavistock, to the House and to extend warm congratulations to her on her most excellent maiden speech. It is an indication of the expertise that we can look forward to in her future contributions.
I thank...
My Lords, it is my great privilege to welcome the noble Baroness, Lady Watkins of Tavistock, to the House and to extend warm congratulations to her on her most excellent maiden speech. It is an indication of the expertise that we can look forward to in her future contributions.
I thank...
My Lords, I, too, congratulate my noble friend Lord Patel on securing this debate and on his timely contribution.
I refer back to the 1942 Beveridge report and the six years it took for the politicians to agree the NHS Bill and launch the NHS. I have been privileged to serve
the...
My Lords, I, too, congratulate my noble friend Lord Patel on securing this debate and on his timely contribution.
I refer back to the 1942 Beveridge report and the six years it took for the politicians to agree the NHS Bill and launch the NHS. I have been privileged to serve
the...
Does the noble Earl agree that the apprenticeship scheme should encourage young people, particularly those coming into nursing, but that at the same time it is important that enough supervision and basic knowledge are given to apprentices before they are allowed to practise, to prevent any mishaps or mistakes being made and ensure that the quality of care is satisfactory?
Does the noble Earl agree that the apprenticeship scheme should encourage young people, particularly those coming into nursing, but that at the same time it is important that enough supervision and basic knowledge are given to apprentices before they are allowed to practise, to prevent any mishaps or mistakes being made and ensure that the quality of care is satisfactory?
The noble Baroness is quite correct that the quality of care in these roles is so important, as is the fact that so many young people are coming into this area. According to the overall apprenticeship figures, covering the whole employment workforce, there are now more than 119,000 apprenticeship starts for those under the age of 19, which is an increase of 4.6%.
My Lords, the Royal College of Nursing’s underlying concern in its report was the safety of patients due to shortage of nurses. The royal college is greatly concerned that there has been a cutback in training places because of the inclusion of overseas nurses over the last three years. Can the Minister see whether the report will result: first, in an
increase of nurses in training back to the level of three years ago; and secondly, in revisiting the levels of safe staffing?
My Lords, the Royal College of Nursing’s underlying concern in its report was the safety of patients due to shortage of nurses. The royal college is greatly concerned that there has been a cutback in training places because of the inclusion of overseas nurses over the last three years. Can the Minister see whether the report will result: first, in an
increase of nurses in training back to the level of three years ago; and secondly, in revisiting the levels of safe staffing?
As usual, the noble Baroness is more than familiar with the latest developments in the world of nursing. Health Education England is committed to commissioning an additional 23,000 nurses over the next four years. On safer standards of nursing, I know that she has taken a keen interest in the work that has been done around nurse staffing levels in relation to the numbers of patients. It is the Government’s view that the actual decisions about safe staffing should be taken at a local level, based on the acuity of patients on the ward, and should largely be up to the judgment of the ward sister and senior nurses within the hospital.
My Lords, yesterday I was at the Royal College of Nursing, where a lot of work has gone into producing advice on end-of-life care. It has produced a small pocket handbook—and a larger one that goes with it. If the Minister has not seen the handbook, perhaps he would find it useful, from the point of view of spreading it through care homes and hospitals. End-of-life care is in the curriculum for nurses but there is always a need for a reminder. These little cards that are to go in the pocket provide the essentials about end-of-life care.
My Lords, yesterday I was at the Royal College of Nursing, where a lot of work has gone into producing advice on end-of-life care. It has produced a small pocket handbook—and a larger one that goes with it. If the Minister has not seen the handbook, perhaps he would find it useful, from the point of view of spreading it through care homes and hospitals. End-of-life care is in the curriculum for nurses but there is always a need for a reminder. These little cards that are to go in the pocket provide the essentials about end-of-life care.
My Lords, I thank the noble Baroness for those comments. Over the years I have spent quite a lot of time with nurses who are specialists in palliative care and I have always been hugely impressed by their work. I have not seen the booklet produced by the RCN to which the noble Baroness refers and I would certainly like to do so.
Seven lines and one word in the gracious Speech summarise the programme to be undertaken by the Government, behind which lies a tremendous amount of work, as set out in the forward view programme for the NHS. It sets a formidable number of changes to be effected by many currently...
Seven lines and one word in the gracious Speech summarise the programme to be undertaken by the Government, behind which lies a tremendous amount of work, as set out in the forward view programme for the NHS. It sets a formidable number of changes to be effected by many currently...
I thank the Minister for repeating the Statement. I want to pick up two points. The report by the King’s Fund relating to the supervision
of midwifery said that there was a risk in changing the situation because there might be no one ready to take on the job. That...
I thank the Minister for repeating the Statement. I want to pick up two points. The report by the King’s Fund relating to the supervision
of midwifery said that there was a risk in changing the situation because there might be no one ready to take on the job. That...
My Lords, the Bill proposes a major change in the criminal law. The title used for the previous Bill was assisted suicide, while this one is assisted dying. “Assisted dying” is a much more attractive term to the public, and I think it has attracted the large number of letters...
My Lords, the Bill proposes a major change in the criminal law. The title used for the previous Bill was assisted suicide, while this one is assisted dying. “Assisted dying” is a much more attractive term to the public, and I think it has attracted the large number of letters...
My Lords, I have one or two points to make. It is not very often I disagree with the noble Baroness, Lady Cumberlege, but we really have to focus on the safety of mother and child.
I am talking about independent midwives only, not the whole directive, because I support the...
My Lords, I have one or two points to make. It is not very often I disagree with the noble Baroness, Lady Cumberlege, but we really have to focus on the safety of mother and child.
I am talking about independent midwives only, not the whole directive, because I support the...
My Lords, I add my thanks to the noble Lord, Lord Saatchi, for putting forward this important Bill. I add my appreciation to all those who have provided helpful and thought-provoking briefs. I also thank Peers who have widened the debate and discussion today. I declare an interest, being a...
My Lords, I add my thanks to the noble Lord, Lord Saatchi, for putting forward this important Bill. I add my appreciation to all those who have provided helpful and thought-provoking briefs. I also thank Peers who have widened the debate and discussion today. I declare an interest, being a...
My Lords, I support the amendment in the name of the noble Lord, Lord Hamilton, and agree with the views just expressed by the noble Baroness about spirituality. I ask for the forgiveness of your Lordships’ House for this late intervention on the subject. I speak as a retired nurse,...
My Lords, I support the amendment in the name of the noble Lord, Lord Hamilton, and agree with the views just expressed by the noble Baroness about spirituality. I ask for the forgiveness of your Lordships’ House for this late intervention on the subject. I speak as a retired nurse,...