May 17, 2020

Autumn Statement: The NHS is Failing, and the Government Has Finally Taken Note

NHS
United Kingdom Healthcare
NHS
Admin
3 min
Chancellor George Osborne holds the budget briefcase for the 2014 Autumn Statement.
This years Autumn Statement outlined ambitious plans to abolish the deficit, introduced a new tax on multinationals and also saw an overhaul of stamp du...

This year’s Autumn Statement outlined ambitious plans to abolish the deficit, introduced a new tax on multinationals and also saw an overhaul of stamp duty. But one note was unforeseen and while generous, worrisome, as well.

It is no news that the NHS has been facing capacity challenges in the face of an aging population – just one week ago, the NHS reported a record 108,301 patients had been admitted for emergency treatment in just seven days.

Six months into the financial year, more than three-quarters of all acute hospitals have a net deficit of £714m, according to The Guardian. Hospitals are also failing to achieve the four-hour target in A&E departments and there has been a steady decline in overall patient care.

Liberal Democrat coalition partners lobbied Chancellor George Osborne last month to pledge £1.5bn to the NHS and Osborne responded by exceeding that demand in his Autumn Statement speech.

An extra £2bn has been made available to the health service in 2015 with an additional £2bn being made available per year for the next five years. The funds will come from a £10bn reduction in spending plans.

"It's because our economy is growing, and we've kept a tight control on the finances, that we can do more for the NHS,” said Osborne in his speech. “I can confirm that we will invest an extra £2bn next year in our front line NHS, across the UK. This will support the day-to-day work of our incredible nurses, doctors and other NHS staff. But it is also a down-payment on the future of our health service."

While the donation from the government is much needed, it is a sign that the government is worried and feels the need to take action. It will take much more than £2bn to fix the system, however.

Simon Stevens, the NHS’ new head, recently published the Five Year Forward View, seeking to refocus the NHS on the key job of improving productivity and modernizing care. While the plan has been widely accepted throughout the NHS, it will take time, preparation and more funding – roughly £8bn more.

Chief economist at the independent health care charity The Health Foundation, Anita Charlesworth, commented on Osborne’s statement, saying, “Halfway through this financial year, the net deficit across England's hospital sector is more than £700 million and 80 percent of acute hospitals are running at a loss. Pressures on our hospitals are not just financial – they are struggling to meet key targets for A&E, cancer and surgery. This is the stark backdrop to George Osborne's announcement of extra cash for the NHS.”

“Despite this additional funding, the NHS is far from out of the woods,” she added. “The current government plans spending cuts of more than £30bn by 2018 to meet its targets to eliminate the deficit. In May 2015, the incoming government will need to reconcile this with the NHS funding requirement of at least £8bn at the end of the decade.”

While Osborne’s announcement of this short-term cash injection into the NHS will fend off a pre-election crisis, whoever wins the general election come May 2015 will have to face the issue of finding the money the NHS truly needs and re-evaluating a deficit reduction plan.

But, for now, let’s celebrate this small victory for the NHS and hope this awareness will bring a brighter future for the state of health care in the UK. 

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Jul 22, 2021

COVID-19 "causing mass trauma among world’s nurses"

COVID19
Hospitals
nurses
burnout
5 min
COVID-19 "causing mass trauma among world’s nurses"
Two nurses tell us about COVID-19, nurse burnout, and how to address it

Healthcare providers are facing ongoing nursing shortages, and hospitals are reporting high rates of staff turnover and burnout as a result of the COVID-19 pandemic. In June a report found that levels of burnout among staff in England had reached "emergency" levels

Registered nurses Molly Rindt and Erika Haywood are nurse mentors on US recruitment platform Incredible Health. In this joint Q&A they tell Healthcare Global about their own experiences of burnout and what can be done to tackle it. 

What does it mean to be suffering from burnout? 
Some of the most common reasons for nurse burnout include long work hours, sleep deprivation, a high-stress work environment, lack of support, and emotional strain from patient care. 

While every profession has its stressors, the nursing industry has some of the highest burnout rates. The massive influence on patients’ lives, the long hours, and many other factors put nurses at risk of severe burnout. And with the rise of COVID-19, many healthcare professionals feel the strain more than ever.

Burnout in nurses affects everyone — individual nurses suffer, patients are impacted, and employers struggle with enormous turnover. This is why it’s crucial for healthcare systems and management to watch for signs of nurse burnout and take steps to provide a healthier workplace. Employers should be careful to watch for burnout symptoms in their healthcare staff — and not ignore them. 

Symptoms include constant tiredness, constant anxiety related to work, emotional detachment and unexplained sickness. 

How widespread is this problem?     
Unfortunately, burnout affects approximately 38% of nurses per year and even the WHO recently labelled burnout as an official medical diagnosis. To put this statistic into perspective, nearly 4 out of 10 nurses will drive to work dreading their shift. Burnout is a reason nurses leave their positions. 

Other top reasons for leaving included a stressful work environment, lack of good management or leadership, inadequate staffing, and finding better pay or benefits elsewhere.

Even before the pandemic, demanding workloads and aspects of the work environment such as poor staffing ratios, lack of communication between physicians and nurses, and lack of organisational leadership were known to be associated with burnout in nurses. 

Have either of you experienced burnout? 
Rindt: I have experienced burnout as an RN. I was constantly fatigued,  never felt like I was off work, and would frequently dream I was still at work taking care of patients. In my particular situation, I needed to take a step back and restructure my work schedule to allow for more time off. After doing this, I was able to reduce burnout by deciding to work two shifts back-to-back and then have 2-3 days off.

Haywood: I definitely experienced constant anxiety related to work - so much so it would impact the days I wasn’t at work. At one point, I was even on medication to help combat the anxiety and stress I was facing on the job. 

I had heart palpitations, chest pain, and wouldn’t be able to sleep before working the next day, which slowly started to impact other aspects of my life. I knew I couldn’t continue to live this way, it wasn’t sustainable. Because of this, I began to focus on my needs and prioritising self-care, especially during the beginning of the pandemic. Putting my needs first and not feeling guilty were necessary for me to overcome burnout.

What impact is COVID-19 having on nurses' wellbeing? 
Some nurses have suffered devastating health consequences. Many nurses have dealt with excessive on-the-job stress, fears of becoming infected, and grief over seeing patients succumb to COVID-19 while isolated from their families.

New evidence gathered by the International Council of Nurses (ICN) suggests COVID-19 is causing mass trauma among the world’s nurses. The number of confirmed nurse deaths now exceeds 2,200, and with high levels of infections in the nursing workforce continuing, overstretched staff are experiencing increasing psychological distress in the face of ever-increasing workloads, continued abuse and protests by anti-vaccinators. 

However, other small silver linings that came from the pandemic include increased professional autonomy, leadership opportunities and career growth potential.

How much of the cause of burnout is due to the hospitals or healthcare providers, and what can they do to address it?

Nurse fatigue poses serious problems for healthcare organisations, and a recent survey from Kronos found 63% of nurses say their job has caused burnout. The survey also found that more than 4 out of 5 nurses think hospitals today are losing good staff because other employers offer a better work/life balance.

Nurse burnout  not only contributes to staff turnover, but it can impact the facility’s quality of care, patient satisfaction, and even medical outcomes. 

Strategies to address burnout include training improving  nurse-to-patient ratios, include nurses in policy discussions, and prioritise fostering a healthy work culture in hospitals. 

What does your role mentoring nurses on the Incredible Health platform involve?
Rindt: My role can vary based on the needs of the nurses. The nurses love knowing they have someone in their corner who can give interview preparation advice or provide suggestions on how to improve their resume. Knowing that there is someone who is well-versed in the job process and can help set expectations on what to anticipate, really helps to remove a layer of uncertainty.

Haywood: When screening nurses, it is customised to what their individual RN or nurse practitioner needs, and at a time that is most convenient for them. Nurses are busy and often aren’t thought of first. Being able to provide support from the very beginning of their career advancement journey helps tremendously.  We also provide resources such as resume templates and tips that can help nurses be successful and feel supported.

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