INTERNATIONAL YEAR OF THE NURSE AND MIDWIFE - Royal College of Nursing
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INTERNATIONAL
YEAR OF THE
NURSE AND MIDWIFE
NORTHERN IRELAND ‘I’M CAUGHT IN THE REDUCING KNIFE FIND YOUR NEXT
NURSES POISED FOR MIDDLE OF STUDENT CRIME: HOW NURSING NURSING JOB
MORE STRIKE ACTION FUNDING MISTAKE’ CAN HELP
P3 NEWS P7 OPINION P10 FEATURE P17 CAREERS
ISSUE NO. 383 JANUARY 2020 RCN.ORG.UK/BULLETIN
2 NEWS
We’ll hold new
The RCN represents nurses
and nursing, promotes government to account
excellence in practice and over pre-election
shapes health policies.
health pledges
Editor: Kim Scott
Email: bulletin@rcn.org.uk The RCN has written to MPs elected in
Web: rcn.org.uk/bulletin December’s general election, stressing the
Address: 20 Cavendish Square, urgency of the nurse staffing crisis and
London W1G 0RN reiterating what needs to happen to support
Nurse recruitment advertising the future of the profession.
Tel: 020 8423 1333
Email: advertising@rcni.com Safe staffing makes history Responding to the election outcome, RCN
Acceptance of an advertisement Chief Executive & General Secretary Dame
does not constitute an We’re looking for volunteers to help interview Donna Kinnair said: “The prime minister must
endorsement of a product, and record members involved in our safe remember that the government’s new mandate
service or company, either by staffing campaign to create oral histories for was secured on the back of health and care
the RCN or RCN Publishing. the RCN archive. It’s part of a project led by pledges over which we will hold them to account.
RCN President Professor Anne Marie Rafferty,
For RCN country and regional the History of Nursing Forum and the archive “Nursing cannot afford any more piecemeal
contact details visit team to capture campaign activity. You’ll workforce planning, nor underfunding and
rcn.org.uk or call RCN Direct working conditions that both put off new
receive training and have expenses covered as
on 0345 772 6100.
you travel to speak to inspirational members recruits and cause experienced nurses to leave
© Copyright 2020. RCN who’ve been fighting to secure safe staffing the profession they love. Much was said about
Publishing Company Limited and across the UK. You’ll also gain active listening nursing during the election campaign, and
The Royal College of Nursing. and interviewing skills as you play a part in now the profession must be at the heart of the
Printed on 100% recycled paper preserving the RCN’s rich history. To find out debate. Any attempts to row back from what
manufactured in the UK. more, visit tinyurl.com/rcn-make-history patients need will be met with short shrift from
the nurses who serve them.”
Nominate now to recognise
Bill busting deals! advanced practice
This year’s RCNi Nurse Awards feature
a new category for advanced nurse
practitioners. Nominating yourself or
a colleague is a chance to recognise the
impact advanced nurse practitioners make
as individuals, in teams, on patient care
and nursing practice in all settings.
Nominations are also open for nurses,
students and nursing support workers to
share their innovations and expertise in
nine other categories. Is nursing work damaging
your hands?
Don’t let the cold snap Members of the public are invited to
break the bank nominate a nurse or health care assistant If so, we want to hear from you. We’ve
who has changed their life for the Patient’s launched a survey to find out about your
Visit RCNXtra for the best deal on Choice award as well. experiences of caring for your hands at work
your gas and electricity when you and what support you’ve been offered if you’ve
switch supplier and earn loyalty The overall winner of the awards is developed a skin issue. We want to know how
points to redeem on future purchases. crowned RCN Nurse of the Year. poor skin health affects you doing your job and
what steps are taken to reduce the risk of you
Xtra benefits. Xtra easy. The deadline for entries is 17 January. developing work-related dermatitis.
Register now at rcn.org.uk/xtra Visit rcni.com/nurse-awards to nominate. Complete the survey before 12 January at
tinyurl.com/rcn-skin-health-survey
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 2020
3
£5k student grants
welcome, but tuition fees NI members poised to
must be scrapped too
Nursing students in England will receive
strike again
at least £5,000 a year to help with living
costs from September, the government has
said. This will be supplemented by up to
£3,000 for students entering specialties
that struggle to recruit and for those
living in places where nursing degree
acceptances have fallen. An additional
child care allowance will also be available.
RCN student members have been
campaigning for more funding after
the bursary, which covered university
tuition fees and provided means-tested
maintenance support, was scrapped in
2016. Since then applications to study
nursing have dropped by 25% in England.
RCN Chief Executive & General Secretary
Dame Donna Kinnair said: “With tens of
thousands of vacant nurse jobs, serious
measures are needed. This grant is a first
victory for our campaign, but we will Nursing staff working in Health and Social Care (HSC)
continue to call for nursing students not
services will go on strike on 8 and 10 January, unless there’s
to pay tuition fees up-front. Any barriers
for people wanting to enter nursing must a last-minute breakthrough in pay negotiations
be removed.”
As RCN Bulletin went to press, members RCN Northern Ireland Director Pat Cullen
in Northern Ireland were preparing to said: “Members are angry that no-one
join picket lines after their pre-Christmas appears to be taking the crisis in our health
Wales safe staffing strike didn’t result in a pay offer that service seriously. We have written to the
law extended to would see them get paid the same as secretary of state to say we’re extremely
nursing staff in the rest of the UK. disappointed that talks with party leaders
children’s wards have failed to produce any resolution to
Last month, we celebrated another The strike on 18 December made the safe staffing and pay parity issues that
victory in our campaign for safe staffing headline news, with chronic nurse form the basis of our action. We’re also
in Wales. Following the implementation shortages highlighted in the national disappointed that attempts to negotiate an
of the Nurse Staffing Levels (Wales) Act media. But despite a joint letter from agreement leading to the restoration of the
on adult wards in April last year, further leaders of the five main political parties devolved institutions has failed.
campaigning led to the announcement in Northern Ireland urging Secretary
that legislation would be extended to of State Julian Smith to intervene to “Although we wish to see political leadership
include paediatric inpatient services by stop the strike, he refused, saying he and accountability in Northern Ireland
April 2021, subject to approval by the didn’t have the powers to promise a pay restored, nurses deeply resent the link that
National Assembly. rise. Subsequent talks didn’t deliver a is being made between this and resolving
resolution either. the crisis in health care. Sorting out this
While this is welcome progress, we’ll crisis is a priority regardless of our political
continue to fight for the law to cover The government in Northern Ireland situation, which has been in disarray for the
more health care settings. RCN Wales collapsed in January 2017 and has been past three years. We do not have another
Director Helen Whyley said: “This unproductive since, meaning health three years to wait. How much longer can
is an encouraging step, but it is still authorities have been unable to break this inaction continue before somebody,
disappointing that the act has not the deadlock over the pay dispute. somewhere, takes a decision to rectify the
been extended to other areas such as A breakthrough depends on parties problems we are facing?”
the community.” compromising to form a new government.
Talks are ongoing. Visit rcn.org.uk/northernireland
RCN BULLETIN JANUARY 2020 RCN.ORG.UK/BULLETIN
4 NEWS
Booking for RCN Congress now open
list, make sure you book your • Attend fringe events which
place at RCN Congress now. cover a broad range of
specialist areas of practice,
What can you do at Congress? workplace issues, careers
advice, health and wellbeing
• Take part in, or if you prefer and networking. It’s a great way
watch and listen to topical to develop your professional
discussions. The debates cover knowledge and can help with
a range of professional issues meeting your NMC revalidation
covering clinical, staffing, requirements too.
financial, social and political
matters. What we debate is • Look around the largest,
important – the issues are most comprehensive, nursing
often reported in the media exhibition of its type. If
direct from Congress, and they you want to, you can meet
lead to wide-ranging work employers, universities,
carried out by the RCN. recruitment agencies and
health care providers or see
• We’ve not yet announced many of the latest innovations
the keynote speakers but in relating to your work.
Secure your free place at the past years our speakers have
UK’s biggest nursing conference captivated audiences. For many So, what’s the catch? There really
in Liverpool this June the highlight of last year’s isn’t one.
event was hearing quadruple
It’s new year resolutions time. Book your place, amputee Tom Ray talk about It’s free to attend and runs from
If developing your professional submit an idea for an the impact sepsis had on Sunday 7 to Thursday 11 June.
knowledge, jump-starting your emergency debate, him and how he developed Even if you only come for the
career, or doing more interesting and find out more at resilience to overcome its day, you’re sure to get a lot out
things are high on your must-do rcn.org.uk/congress devastating effects. of it.
Dee determined to make nursing voice heard
Nurses top trust
survey again Dee Sissons has been elected to
Nursing has been revealed lead the RCN’s governing Council
as the UK’s most trusted from this month. She’ll chair the
profession by an annual group of 17 members, elected by
survey. Nurses have topped you, to provide direction for the
the list four years in a row organisation.
and are now more trusted
than ever, with 95% of British Dee has nursing experience
adults saying they trust spanning four decades and has
nurses to tell the truth, up recently taken up the position
from 93% in 2016. of Chief Executive Officer at
Rainbows Hospice for Children
Dame Donna Kinnair, RCN and Young People.
Chief Executive & General
Secretary, said: “Trust is an She said: “I am honoured to
essential part of a nurse’s be elected to this role by my
relationship with patients, and colleagues on RCN Council. I
nurses know not to take this am determined that the voice
privileged position lightly.” of nursing is heard at the very
highest level.”
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 2020
5
The big picture MEET THE
MEMBER
Each month RCN Bulletin asks a member
to share a little bit about themselves
Name: Sagila Thiruthanikasalan
Role: Nursing associate
From the heart Sum up what you do in a sentence:
Try to make patients’ and colleagues’
lives a bit easier.
John, from Birmingham, talks to RCN members and staff about our campaign in England to address chronic
nursing shortages. He was one of hundreds to sign our safe staffing petition at an event in the city’s Grand
Describe your job in three words:
Theatview
Central shopping centre last month. You can sign the petition from here
rcn.org.uk/peoplespeople-magazines
Fulfilling, busy, emotional.
How long have you been nursing?
13 years.
PATIENT PERSPECTIVE Feedback
How did you get to where you are
now? I started as a GP receptionist,
Thea has a rare genetic condition These days the condition affects
almost everything. which took me into administration in
called Ehlers-Danlos syndrome Call to action
the emergency department. In 2008,
(EDS). She talks about how I was encouraged to develop into
I spend a lot of time in hospital and my
important it is that nursing staff inpatient experiences have been mixed. an emergency team assistant. Nine
understand her needs AtWhat
their best, my care has been really well
I’m thinking
years later I became a trainee nursing
co-ordinated, driven by senior nurses who associate, on a surgical ward, dealing
As soon as I could talk, I complained understand that I have very unique needs with complex wounds. I qualified as a
about my knees hurting. My parents and must not be moved by untrained nursing associate in 2019.
kept taking me to the doctor, but for staff.
On When they’ve been bad it’s mainly
the web If you weren’t a nursing associate,
years my pain remained unexplained. because things have been rushed or there
what would you be? A life coach.
I was 10 before I was diagnosed. has been a lapse in communication. Shift
changes can feel particularly worrying.
What’s the best bit about your job?
EDS affects connective tissues that Staff
Theon one shift
month can totally nail it, but
ahead The sense of fulfilment I get from
provide support in skin, tendons, the next shift is a different story.
doing something worthwhile.
ligaments, blood vessels, internal
organs and bones. As a patient, you can really tell when And the worst? Politics.
nurses
In theare having a bad day. It’s
media
By my teenage years, my knees would usually because they’re short-staffed What helps you through a difficult
slide around my leg really easily and and stressed, but it does affect their day at work? There will always be one
dislocations became an issue. Then I levels of empathy. It makes a huge person or one situation that’ll provide
started to have autonomic problems, difference
In my day when
job you have a lovely something positive in the day.
so would keep passing out. At 19 I nurse, but it’s much easier to be lovely
was diagnosed with ulcerative colitis. when you’re not over-worked. rcn.org.uk/myrcn
The way things were
ARE YOUR MEMBERSHIP DETAILS UP TO DATE? CHECK ONLINE AT RCN.ORG.UK/MYRCN OR CALL 0345 7726 100.
6 OPINION
THE VIEW What you’ve been saying
FROM HERE
Solidarity with nurses in The nurses in Northern Ireland are
Northern Ireland facing a lot of the same issues we are on
the mainland, but it’s being exacerbated
I totally support our nursing staff in Northern by the complete lack of leadership from
Ireland. Understaffing and lack of investment the Stormont Assembly whose members
have removed goodwill, and nurses haven’t worked in over three years, and
themselves know it’s unsustainable due to still get paid.
patient safety. The UK government needs to
implement parity of pay and properly fund Darren on Facebook
our education and NHS after a lot of reform.
Helen on Facebook Sort out student funding
I feel for the Northern Ireland nurses who No-one becomes a nurse to get rich, at
Nicola Moore have struggled on for so long without the least not financially, but it is the most
Nutritional therapist government ensuring that the carers are wonderful, rewarding job. When I trained
cared for. Breaking point has determined as a nurse 40 years ago, we got paid while
If 2020 is the year you want to improve
their actions. They are chronically studying and were provided with affordable
your diet and overall wellbeing, it might
understaffed and paid less than nurses in accommodation. It breaks my heart that
be best to start with small changes.
the rest of the UK. Are we not one nation people really have to struggle if they enter
Firstly, focus on getting more protein in after all? How can this be acceptable? the nursing profession nowadays.
your meals to fill you up for longer and
help stop those snacking temptations. Tina on Facebook June by email
This will help you keep going when
you’re on your feet throughout your shift
and improve your mental health and
energy levels.
QUOTE OF THE MONTH
Think about the protein you have in your The new government must take decisive and
regular meals. Any fish, eggs, meat, nuts
or seeds? There’s protein in vegetable urgent action to address the growing shortage
sources like quinoa and frozen peas too. of nurses and fix the crisis in social care
Just focus on one meal to start with. If
you’re grabbing a croissant and a coffee Dame Donna Kinnair, RCN Chief Executive & General Secretary, on what needs to
for breakfast, perhaps it’s time for a happen now to secure the future of the nursing profession
change. The protein in boiled eggs would
be a great way to keep your energy levels
up throughout the day.
FOUR THINGS TO DO IN JANUARY
Finally, try to have three meals a day.
Challenging when you’re working shifts, 1. Celebrate nursing by entering 3. Start your professional development
I know. But, having a proper meal before yourself or a colleague for the RCNi this year by finding the right RCN
you start a night shift will help your body Nurse Awards 2020: event for you:
adapt and support your long-term health. rcni.com/nurse-awards rcn.org.uk/events
2. Complete our skin health survey 4. Visit the new RCN Library and Archive
There’s a direct link between how we before it closes on 12 January and tell exhibition exploring the cultural
feel and the food we put into our bodies. us your experience of work-related context of emotions in nursing:
Remember that changing your diet hand dermatitis: tiny.cc/ctkmhz rcn.org.uk/emotions-exhibition
doesn’t need to be something you dread.
It’s something that could make you feel
so much better.
GOT SOMETHING TO SAY?
The RCN Magazines team is always looking for members to contribute to the
@nicolamoorenutrition opinion pages. If you’re keen to share your views, email bulletin@rcn.org.uk
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 2020
7
Share your thoughts on nursing issues.
Email bulletin@rcn.org.uk
MESSAGE
TO MEMBERS
Dame Donna Kinnair
RCN Chief Executive &
General Secretary
2020 is a momentous year for nursing.
Designated the International Year of the
‘I’m caught in the middle of student Nurse and Midwife by the World Health
Organization, it’s an opportunity to
funding mistake’ showcase what nursing is, and the difference
it makes, today. Too often nursing is still
perceived to be a role by the bedside,
degree that I’m proud of, but I’m also
holding patients’ hands, and providing basic
going to leave with £50,000 worth of
care. While our compassion is what we’ve
debt despite working 40-hour weeks in
become famed for, our profession is so much
the NHS while on placements.
more these days. We are leaders, innovators,
problem solvers, advocates. We prescribe,
I’m going to leave an exhausted, utterly
we perform procedures and we push the
drained and completely different person to
boundaries of what is possible. We are
the one I was just over two years ago.
nursing staff and we are amazing.
So why do I continue to do it? I have a That’s why we must be valued and
love, and genuine passion for what I do. invested in. Many promises were made
This photo sums up how I’m feeling. I’m I’m in a position to make a difference to ahead of the general election and some,
smiling on the outside, but inside I’m the lives of sick and vulnerable children such as student funding in England, are
struggling to keep my cool. I am in fact, and there’s not much more rewarding starting to come to fruition. We now need
pretty furious. This here is an exhausted, than that. But I feel the government has nursing student tuition fees to be scrapped
physically and emotionally drained student taken advantage of student nurses like me, in full and for there to be more incentives
paediatric nurse, desperate for recognition thrown us into the deep end knowing our for nurses to want to stay in the profession.
of the effort she puts into our NHS. drive will see us swim without support.
Unsafe staffing levels are threatening
When I began my course in September 2017, I’m swimming and I won’t give up, but I’m our ability to provide quality care. We’ll
I was one of the first cohorts to miss out crying out for help. I keep going because I not stand for this. Before Christmas I
on the bursary and course fee exemption. have no choice, but that doesn’t make my joined our members on the picket lines in
However, I wanted to do it. I desperately struggles right, fair or necessary. Northern Ireland. For the first time in the
wanted to make a difference, so I applied in RCN’s history, they felt compelled to strike.
the hope that when uptake started to fall, the This is an extract from Jess’s student I was so proud to be among them, fighting
situation may be rectified. nurse mummy blog on Facebook. for safe staffing and fair pay. Please, this
The RCN is seeking further detail year, be part of our campaign to secure safe
As it happens, I’m probably one of a few on whether maintenance loan debt nurse staffing levels across the UK.
thousand student nurses caught in the incurred by nursing students between
middle of a huge government mistake. 2017-2020 will be written off. rcn.org.uk/safestaffing
I’m going to leave university with a See tinyurl.com/tdq2pl2 for more.
RCN BULLETIN JANUARY 2020 RCN.ORG.UK/BULLETIN
8 FEATURES
10 tips for job searching
Will 2020 be the year you make a fresh start in your career?
Julie Watkins, RCN careers coach, shares her top tips for
looking for a new role
1 5 8
Feel inspired Save time by setting Get a LinkedIn account
If you’re not sure what kind up job alerts Use this online
of role you’re after, Register your job professional network to
take a look at the RCN’s preferences with a job search join relevant discussion forums
online careers pages for website by submitting or contact people that you might
inspiration: tinyurl. information like job title, not otherwise have access to.
com/rcn-career- field, pay, or location. The jobs Make sure your profile is up-to-
crossroads website will notify you by email date so potential networks get
or text when jobs that match an insight into your professional
your description come up. qualities, skills and experience:
2
Know uk.linkedin.com
the job
market TOP TIP
9
and opportunities If you’re a Be proactive
out there registered nurse, Don’t wait until you
Consider where you’ll always make sure you’re see a vacancy. Contact
search for jobs. Start by visiting acting within the NMC employers and attend job fairs.
tinyurl.com/rcn-job-search, Code when using social media Build your network and enquire
where you’ll find links to help you. about potential vacancies. RCNi
Nursing Careers and Jobs Fairs are
6
held in different cities throughout
3
Twitter time
Use this copy of Follow an the year and are free to attend.
RCN Bulletin organisation The first is in Manchester
Turn to page 17 to see job that advertises jobs on on 6 February. Visit
ads for different nursing specialties Twitter. Follow the careersandjobsfair.
or visit rcnbulletinjobs.co.uk RCN too and you might com. Read more about
see useful courses networking at tinyurl.
com/rcn-networking
4
running in your local
Get smart about how RCN office to help you
you browse for jobs get your dream job:
10
online @theRCN Try before
Use inverted commas if you want you buy
to search for a specific phrase, Arrange an
7
or a specific order of words. For Don’t forget informal visit or shadowing.
example, if you type “practice traditional It’s so important to see if the
nurse”, you should get results that adverts role is one that will suit you, your
contain this specific term, instead Many jobs are still printed in values and strengths. Visit tinyurl.
of results that contain the word journals, newspapers and in the com/rcn-informal-visits for
“practice” and the word “nurse”. local press. advice on how to go about it.
rcn.org.uk/careers
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 2020
READ
MORE
ONLINE
FEATURES 9
rcn.org.uk/
bulletin
Torn but determined
For the first time in the 103-year history of the RCN, members have been on strike.
Nursing staff in Northern Ireland talk about how it felt to be on the picket line last month
“It’s cold, wet and windy, but we’re
determined to see this to the bitter end.
The public support has been amazing.
It’s humbling to know how much support
we have. Nursing staff in Northern This is the
Ireland have had enough of being saddest day of
treated differently from our colleagues my career
in the rest of the UK. Ministers in
Northern Ireland need to get back into
government and sort this mess out.”
Dennis Greer
“As I listened to the six o’clock news
on my drive to work on the day of the
strike, I cried. I never thought we’d
get to this point. I felt devastated, but
we’ve been left with no other choice.
“Unsafe staffing levels are having
such a detrimental impact on patient
care and nursing staff. We feel totally
disheartened and it’s getting worse.
“We know staffing issues can’t be solved overnight – but there’s nothing happening about
“After almost 30 years in nursing I the concerns we’ve raised. We all just want to provide quality care for our patients.”
have seen some of the most heart-
Lyndsay Thomson
breaking things you could imagine and
cried many tears. I can honestly say
this is the saddest day of my career.”
It’s just unbearable to
“I haven’t slept, I feel sick, but we are
Roisin Devlin work in these conditions doing this for our patients. We have
to be heard – nobody’s listening to us.
This has been going on for years now
and I just can’t tolerate it.
“After 41 years of nursing, at the top
of band 5, I’m worth £14.99 an hour.
We are prepared to take further action
if we need to. It’s just unbearable to
work in these conditions.
“Please, please, politicians, listen to us
as nurses. We can’t go on like this.”
Eleanor McWilliams
RCN BULLETIN JANUARY 2020 RCN.ORG.UK/BULLETIN
10 FEATURES
Knife crime: how nursing can
help stop the cycle of violence
Specialist nurse Dorcas Gwata explains the potential for nurses to prevent stabbings and
help turn young lives around
“We know young people affected
by knife crime suffer from post-
traumatic stress disorder,” she
says. “They’re anxious and more
likely to use drugs. If their mental
health trauma is not addressed,
they’re also more likely to
continue carrying knives and be
involved in further violence.
“News also travels fast online. If
you’re angry with somebody and
want to humiliate them, you can do
that very quickly on social media.
For someone with no emotional
buffer, a social media post can
be an invitation to war. Combine
Stock image fast information with impulsive
behaviours, and life becomes very
dangerous for these young people.”
This time last year, on 8 January, Ayoub was officially designated
14-year-old Jaden Moodie was a “modern slave” by the National Dorcas is speaking from
knocked off his moped in East Crime Agency in 2018 amid experience. As a specialist mental
London, set upon by four youths concerns he was being groomed by health nurse in Westminster’s
A post on social
and stabbed nine times. The fatal more sophisticated adult offenders. Integrated Gangs Unit, she
attack lasted seven seconds. His father, also a drug dealer, died media can be an works alongside the police, social
in 2015 after being stabbed in his invitation to war services, youth workers and
Known to police, Jaden had flat, which was then set on fire. former gang members to reach
been dealing drugs for a gang out to young people affected by
called the Beaumont Crew. His Jaden was vulnerable too. knife crime.
convicted killer, 19-year-old Excluded from school multiple
Ayoub Majdouline, had been times, he was moved from Her aim is to create a safe
acting for a rival gang. Nottingham to London in an space for young people to talk,
attempt by his family to get him encourage them out of drug
The story is tragic but all too away from trouble. These factors, dealing and into employment. In
common. Latest stats show knife RCN member Dorcas Gwata the face of austerity, however, the
crime offences are at a record high, believes, play into the cycle of unit is facing an uphill struggle.
up 7% to just over 44,000 in the 12 violence which is devastating
months to the end of June 2019. thousands of families. “There’s a direct link between
service cuts, social inequality and
Though Jaden’s murder was When asked what she feels violent crime,” says Dorcas. “Many
senseless, a deeper look into his is responsible for the spike young people I work with come
and his attacker’s backgrounds in stabbings, she lists school from refugee families who have
shows they were arguably failed exclusions, lack of mental fled Syria, Somalia, Congo or Iraq
by a society not set up to support health support and social media to seek safety in the UK. Their
them when they needed help most. as key issues. parents are often dealing with
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 2020FEATURES 11
pre-migratory trauma, while trying the service is stretched, and her and confidence to enrol in college
to adjust to life here in the UK. role is unique. There needs to be when they had previously been
Tough choices have to be made and more multi-agency units across housebound for four months
children can be left to find their own the UK, making the most of mental crippled with fear, that’s the
path. When there’s hard austerity, health nurses who can bring I sleep better difference you’re making. That’s
the vulnerable suffer most.” specialist skills to help prevent knowing that I’m what I do the job for.”
violent crime, Dorcas insists. part of change
For every young person involved Dorcas is a Mary Seacole
in knife crime, there’s a story that “We have a lot of work to do to award scholar who has
explains their situation, Dorcas scale-up these services,” she says. recently completed research
believes. Turning lives around “I believe I’m the only nurse in the into improving mental health
is about understanding the full country doing this sort of work. interventions for young people
spectrum of their experience and It’s not enough. We need to keep from black and minority ethnic
adapting support to them. young people safe in other cities backgrounds affected by gang
too. I want what works for London culture. She is due to publish a
“Mainstream services aren’t to work for every child in the UK.” report of her findings soon.
designed for these young people,”
says Dorcas. “Safety is a real Having said that, Dorcas admits Dorcas leaves her current role
concern for them so going from her role requires a sophisticated this month but will continue
postcode A to postcode B to attend understanding of cultural issues to work with the RCN to help
an appointment, or go to school, and can be difficult to deal with. identify solutions to how nursing
can be an issue. We must mould can help stop the cycle of violent
ourselves around them and be “There’s some graphic and youth crime. She is one of 17 case
innovative to reach out. unsettling stuff that you witness,” studies in an RCN report which
she says. “Seeing a young person demonstrates how nursing helps
Adapting services with a stab or gunshot wound can to achieve the United Nations
feel uncomfortable. Supporting sustainable development goals.
“For me, it means adjusting my someone paralysed by fear, Words by Kim Scott. This is being published as part
working hours, meeting them equally so. And being with a Picture of Dorcas by of celebrations for International
where they want and using mother, who is relieved one son Gareth Harmer Year of the Nurse and Midwife.
WhatsApp to set things up. I is still alive but worried about the
align my interventions to what next, can rock you to the core.
Dorcas Gwata
they respond to, so just talking a
lot of the time, as many of these “That’s why it’s so important for
kids can’t read or write well. staff working with violence and
trauma to have close clinical
“My questions cover what you’d supervision, reflective practice
usually expect in clinic. The and opportunities to step away
conversation goes something like from the frontline. They must have
this: How are you sleeping? I’m not chance to focus on their personal
sleeping. Why are you not sleeping? and professional development
Because I’m scared. Why are you as well as get support to process
scared? Because my mate was what they’ve been through. Team
stabbed last week, and they posted development is also crucial, so
on social media to say I’m next. I’m very grateful to my manager
who understands the strength and
“So, these young people are very importance of teamwork, as well
open, when we are open. They’re as my clinical supervisor who is
Could you be part of the conversation?
just children looking for you to always looking out for me.
understand them. They want We’re keen to hear from members involved in work to
to be able to trust you and get “I’m grateful too for the young prevent youth violence and knife crime. It’s to help us
reassurance that they’re going to people I work with. Their get a better understanding of the issues in different parts
be OK.” vulnerability and resilience push of the UK so we can lobby the government to invest
me on. And I sleep better knowing in preventative services. This follows an emergency
Dorcas’s unit has had success, that I’m part of change, that I’m resolution at RCN Congress last year, in which members
providing interventions at the doing something about it. When voted in favour of campaigning on the issue. To get
right time, and steering young finally, you give a young person involved email wendy.irwin@rcn.org.uk
people onto a different track. But enough encouragement, support
RCN BULLETIN JANUARY 2020 RCN.ORG.UK/BULLETIN12 FEATURES
Inspiring the next generation
Six months since the official launch of the RCN Prince of Wales nursing cadet scheme, we speak
to Luke, a nursing cadet who has his sights firmly set on a career in mental health nursing
like the fact that the younger
generation is interested in this
kind of work.
My clinical What’s the main thing
placements have you’ve learned?
shown me the
importance of I’ve developed a respect for
everyone working in health care.
being friendly
I can see how hard they all work.
but professional
Would you recommend the
course to other cadets?
Absolutely. The RCN provides
such a welcoming environment
Luke’s nursing cadet cohort. He is and you’re treated with respect. I
pictured on the back row, right
tell others to give it a go because
it’s an opportunity to develop
Why this scheme? handling, infection control, Find out more at your knowledge and find out
communications, leadership rcn.org.uk/nursing- which way you want to take your
I entered a first aid competition skills and teamworking. My cadets career in health care.
in army cadets which got me clinical placements have shown
interested in health care, nursing, me the importance of being
and patient care. I thought this friendly but professional.
How does the scheme work?
was a great opportunity to find out
more and get practical experience. How has the course helped The RCN and army cadet instructors work together
you make career choices? to give young members of uniformed organisations
Is being a nursing cadet a an introduction to potential careers in nursing and
full-time role? I had to read about roles as other health care professions. Supported by HRH
part of my coursework so that’s The Prince of Wales, the scheme aims to develop and
No. I still go to school. I’m in my helped me understand what’s prepare cadets for life and to support them towards
final year (upper sixth) and am out there and the kind of role I employment in nursing.
studying health and social care, want. Next year I want to go to
3D design and drama – through Cardiff University to train to be a The scheme involves 105 hours of guided experiential
the Welsh Baccalaureate scheme. mental health nurse. I really like learning. This includes learning modules and a
I also still attend cadet meetings the idea of working with patients clinical observational placement. At the end of the
twice a week where, as a member to help them overcome their scheme cadets submit a portfolio of reflection and
of the senior section, holding the mental health problems. I feel are awarded a completion certificate. They’re then
rank of sergeant major, I lead this course has given me a really supported to take decisions on next steps, which can
meetings and help younger cadets good foundation for the rest of my include a level 2 or 3 related diploma.
develop their skills. nursing studies and career.
The pilot is currently running in Wales in conjunction
What have you learned about What kind of reaction have with the Army Cadet Force Wales. As part of this pilot,
on the nursing cadet scheme you had from nursing staff army cadets in Wales are offered the guarantee of an
so far? and patients? interview to be a bank health care support worker. A
second pilot has now started in Wales and discussions
Since last March, when I started, Very positive. They see the red are underway for a wider UK rollout.
I’ve learned about manual branded T-shirt I wear and
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 2020I N S U R A N C E from the heart
E XCLUSIVE
RCN member discounts
CAR INSURANCE
From
10% of new RCN Car Insurance customers
paid £195 or less Jun ’19 – Nov ’19.
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paid £105 or less Jun ’19 – Nov ’19.
0800 756 8312
And we’re covering the future too
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• Recovery if you run out of charge in the UK*
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*To the nearest charge point. For Text Phone: first dial 18001. Mon–Fri 8am–8pm, Sat 9am–5pm, Sun 10am–4pm. Calls will be recorded. 31132-201914 FORUM FOCUS
Social solution
General practice nurse manager Joyce Pickering has created a new model for social
prescribing that encourages patients with long-term conditions to improve their wellbeing
are booked in for half an hour,
Stock image
giving them a chance to open up.
Each person is offered 12 weekly
appointments.
Patients feel
in control and So far, Joyce and the team have
motivated focused on people experiencing
low mood. Some were anxious,
feeling overwhelmed after cancer
treatment, or struggling to
manage their weight or diabetes.
Other cases forced them to
think outside the box: “We had
somebody absolutely distraught
that her pet had died. She was
an elderly lady, her husband had
died a few years before and when
“Patients have said they feel changes are unlikely to attend their pet died, that was a massive
positive, they’re more motivated external appointments. “For thing for her. Sharon found pet
and have more energy,” says some patients it’s fear of the bereavement counselling for her.”
Joyce Pickering, nurse manager at unknown,” she explains. “They
Cricketfield Surgery in Devon. get anxious if they’ve got to meet Exercise has also helped many
other people, or they don’t have people – one woman in her 70s
Following an RCN leadership transport to get there.” started ballet classes, others began
course in 2018, Joyce, a member swimming for the first time, while
of the General Practice Nursing Joyce decided to create a walking football is very popular.
Forum, created a programme practice-based model of social
for her patients that’s had prescribing, where health care Find the GP Joyce has big ambitions. “We’re
spectacular results. Alongside assistant Sharon Allison leads Nursing Forum and looking at group consultations,” she
improved wellbeing, there sessions at the GP surgery one start conversations says. “For example, we’ve got a high
have been reductions in blood day a week. Joyce and Sharon about best practice at percentage of single, young mums,
pressure, blood glucose levels, both completed health coaching rcn.org.uk/forums and some become isolated as our
weight and alcohol consumption. and created a “de-medicalised” area is quite rural. We’ll be looking
space for appointments, with Words by Rachael at them and other groups that may
What’s the secret behind the sofas, cushions and pictures. Healy benefit from social prescribing.”
results? Social prescribing.
“We weren’t asking patients to
It’s a holistic approach, addressing go to a strange place with people
What does the future hold?
mental and social needs that they hadn’t met before,” says
can have an impact on physical Joyce. “That’s one of the reasons The UK government says 60% of clinical
ailments, particularly for people why this has been successful. Our commissioning groups currently use social prescribing
with long-term conditions. DNA (did not attend) rate is very to help tackle anxiety, mental health problems and
Social prescribing often involves low and in the first three months dementia. Last year health secretary Matt Hancock
referring a patient to a link worker, we saw 48 patients, many of them promised to recruit 1,000 social prescribing link
who then connects them to groups, multiple times.” workers and pledged £5m for a new National Academy
services and information. But for Social Prescribing. The aim is to give 900,000 more
in Joyce’s experience, people Rather than the standard patients access to social prescribing by 2021.
already struggling to make lifestyle 10-minute appointment, patients
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 202015
Highlighting the work of the
RCN’s specialist forums and networks
IN THE SPOTLIGHT WHAT I’M
THINKING
Women’s Health Forum
into one. They will continue to work
Who’s the Chair? with the Royal College of GPs to help
Debby Holloway, a nurse consultant promote women’s health in general
in gynaecology, has been Chair of the practice, and aim to keep lobbying
forum for nine years. government to act on issues around
menopause and menstruation.
Recent highlights?
The forum has produced publications Why join?
on menopause, termination of “Women’s health spans so much –
pregnancy, menstrual wellbeing, from cancer to neuro-gynae, primary
female genital mutilation (see below) and secondary care – so it can be
and more. “Our pocket guides are hard to keep up,” Debby says. “The
particularly popular,” says Debby. “I forum helps give you a good overview
also loved helping to develop the RCN of everything happening in women’s Clare Mechan
Wandering Womb exhibition, where health. We now have more than 1,000 General Practice Nursing Forum
we had a chance to highlight women’s members of our Facebook group and
health to other nursing staff and to there’s always someone to help when Nearly 4.5 million women are invited for
the public, showing the progress that’s you need advice on job descriptions, cervical screening every year, but around
been made since the 19th century.” setting up clinics, best practice or 18% won’t attend. That’s why Cervical
anything else.” Cancer Prevention Week (20-26 January) is
What’s coming up? still so important.
Following a successful and over- Join the Women’s Health Forum at
subscribed women’s health conference rcn.org.uk/forums At my practice, we have our nursing staff
in 2019, the forum is planning trained in cervical smear testing, and
another for this year. They’re also Find them at facebook.com/groups/ display information in waiting rooms. Yet
looking to update and combine their RCNWomensHealthForum and on our attendance data for cervical smears was
three women’s health pocket guides Twitter @RCNWomensHealth below the national target.
We decided to try something new – an
evening focused on women’s health. The
Updated FGM guidance night was run by women, for women.
Around 18 women attended the first night,
We’ve recently published updated guidance including four who said they wouldn’t have
on female genital mutilation (FGM) with usually made an appointment.
help from experts from the Women’s
Health Forum. The clinical professional After the success of the first event, we made
resource aims to raise awareness of FGM it monthly. We’ve held a women’s health
among nursing staff so victims living in the evening in each of the past five months and
UK can be better supported. plan to do so for at least a year.
It stresses that FGM is an illegal form of One woman in her mid-30s had never
child abuse and that the hidden nature of attended a smear before. She sat in her
the crime raises serious concerns around car outside the surgery for a long time, but
safeguarding. It says it’s vital that nursing understanding of the socio-cultural, when she was ready, she was able to walk
staff who come into contact with women, historical, legal and health issues straight in and had a cervical screening
children and families from communities surrounding the practice,” she says. “We done for the first time.
that practise FGM have adequate also outline the legal and professional
knowledge and understanding of the role of nurses and midwives, not least We now see between 18 and 22 women
issues in order to respond appropriately the mandatory duty to report. Raising each month in this dedicated clinic, and
and act within legal frameworks. awareness is primarily about protecting have already seen an increase in our
and supporting girls and women.” overall cervical screening numbers.
Ruth Bailey from the forum supported
this fourth edition of the guidance. Download the resource at rcn.org.uk/ tinyurl.com/smear-for-smear
“We wanted to provide insight and publications (007 833)
RCN BULLETIN JANUARY 2020 RCN.ORG.UK/BULLETIN16 EVENTS For details of more events visit the
region and country pages of the RCN
website or go to rcn.org.uk/events
London
Managing pain in older people
the impact of unrelieved pain on older
26 February people. It will provide those attending
RCN HQ with an understanding of the physiology,
20 Cavendish Square expression and assessment of pain; and
the importance of documenting the effect
London W1G 0RN
of any interventions within care records.
It will also showcase non-pharmacological
If you’re a nursing professional and pharmacological treatments and
responsible for identifying, assessing and look at evidence on the use of validated
managing the pain of older people with assessment tools for specific patient
complex medical needs, this workshop is populations. This event is particularly
for you. useful for nursing professionals working
in primary care, residential and nursing
Delivered by the RCN Pain and Palliative home settings.”
Care Forum, this informative event
will explore common causes of pain in The workshop will be led by experts in the
older people and give practical advice field of pain management in older people
and guidance. including Dr Julie Gregory, a former
nurse educator who has developed a pain
Forum Chair Felicia Cox says: “This assessment tool for older people with To book visit tinyurl.com/rcn-pain-
workshop aims to raise awareness of cognitive impairment. workshop or call 02920 546 460.
Wales Warrington
Learning about Tackling
leadership workplace bullying
30 January 30 January
National Botanic Garden of Wales The Engine Rooms
Llanarthne Birchwood Park
Carmarthenshire SA32 8HN Warrington WA3 6YN
Aimed at nursing staff and students
Bullying and harassment in the workplace
working in any sector, this afternoon
is a growing issue in health and social
seminar aims to raise awareness of
care with a record number of incidents
leadership in health care and highlight
reported in the NHS in recent times.
opportunities to make a difference in
With advice and information from a range
the workplace. Discussions will explore
of health care practitioners, academics
what leadership is, what sort of leader
and legal experts, this free conference will
you are, the different types of leadership
explore how bullying affects both staff
style, and the importance of resilience in
and patients; ways to create a healthy,
health care leadership.
inclusive and compassionate culture;
The closing date for applications is how to manage and work with difficult
Thursday 16 January. behaviours; and provide legal updates.
Visit tinyurl.com/rcn-wales- To book visit rcn.org.uk/
leadership or call 02920 546 460 to book. bullying-2020 or call 02920 546 460.
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 2020CAREERS
RCNi, THE HEIGHTS,
59-65 LOWLANDS ROAD,
HARROW-ON-THE-HILL, HA1 3AW
to advertise call 020 8423 1333
or email advertising@rcni.com
www.rcnbulletinjobs.co.uk
general 17 & 19-21 & 23 rcni learning 28
conference save the date 22 register for the latest news 29
nursing older people 23 rcn bulletin jobs 30
management 23 publish with nursing standard 31
training 24-25 nurse awards 32
jobs fair manchester 26-27
RCNi IS A BRAND OF RCN PUBLISHING COMPANY LTD
ACCEPTANCE OF AN ADVERTISEMENT DOES NOT CONSTITUTE A RECOMMENDATION OR ENDORSEMENT OF A PRODUCT, SERVICE, OR COMPANY, EITHER BY THE RCN OR RCN
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MANNER, STYLE, FORMAT OR DESIGN ANY OF THE ADVERTISEMENTS FEATURED IN THE RCN BULLETIN/NURSING STANDARD LEGAL ACTION MAY BE TAKEN AGAINST THEM.
Your New Nursing Job in Alderney
Alderney is a unique location and is the northernmost of the inhabited Channel Islands.
It is part of the Bailiwick of Guernsey, a British Crown dependency.
The Mignot Memorial Hospital If you have excellent clincial CONTACT:
(MMH) is based in Alderney skills, effective leadership and Jessica Masters, Ward Manager
in the Channel Islands which motivational skills and can work on tel. 01481 822822
comprises of 8 acute care beds, both independently and as part
14 elderly care, and minor injuries of a team we would like to hear To find out more, visit
room. The Hospital provides from you. www.gov.gg/alderneynursing
‘community style’ care for
residents of Alderney. We offer a full relocation package
which includes interview and
MMH is seeking Band 5 Staff relocation travel, this is in
Nurses to join their team with addition to our competitive pay,
post registration experience. annual bonus and our additional
The expectation is that Staff Nurses bonus scheme of £3,000,
appointed would be expected, payable after two and four years.
after training, to participate in Furthermore we offer subsidised
the supervision and professional accommodation for those
development of qualified and travelling to the Island alone.
unqualified nursing staff.
States of “Guernsey works for me”
Guernsey
*Terms and conditions apply to all bonuses, relocation payment, accommodation and Employment Permits.18 CAREERS
Treating young hearts
Meet Cath Renwick, the UK’s first consultant nurse in paediatric electrophysiology and
inherited cardiac conditions
When asked what advice she her interest in arrhythmias and
would give to nurses starting becoming the link for arrhythmias
out, without hesitation Cath in the cardiac nurse specialist team.
Renwick says it is important to
seize every chance to boost your “I worked closely with Dr Till
skills through further study. in clinics, learning as much as I
possibly could.”
Cath has become the UK’s first
consultant nurse in paediatric A dedicated nurse post
electrophysiology and
inherited cardiac conditions, Then in 2008, The Ben Williams
a post funded by The Ben Trust offered to fund the post of
Williams Trust. a nurse dedicated to children’s
arrhythmias. “Ben Williams
She has worked at the Royal sadly died from an inherited heart
Brompton and Harefield NHS condition in 2006 and his parents
Foundation Trust for 20 years, wanted to do something in his
where she has led the paediatric memory,” says Cath. “The charity
inherited cardiac conditions raised the funds to support a
and electrophysiology service dedicated nurse.”
for the past four years.
Cath has run a nurse-led
Not a natural academic clinic and been a nurse prescriber
for the past 10 years. In her new
Yet Cath didn’t always consider She then joined the Royal role she will lead new research
herself student material. “I did Brompton Hospital, where her and educate other staff in this
Project 2000 training instead interest in arrythmias began relatively new field.
of doing a degree,” she says. while she was working on the
“Back then, I didn’t think I was intensive care unit. While there, There are so “We’re hoping we’ll be able to
academically good enough to she met consultant paediatric many interesting develop a science programme
get through a degree.” electrophysiologist and divisional areas to research supporting nurses through any
director of children’s cardiac research they are doing and
At school, Cath knew she wanted services Jan Till, an international assisting any who want to have
to work with children, so she did expert in this field. an academic clinical career in the
a work experience placement in longer term,” she says.
a nursery. “I enjoyed it but felt I “I was in awe of Dr Till,” The Ben Williams
wouldn’t be able to progress far says Cath. “She was a female Trust supports Once she can settle on a research
with it,” she says. cardiologist among a lot of men children with topic, Cath plans to apply to
working in this highly specialist arrhythmias and do a PhD. “I have a different
Aged 21, she decided to train as a area and that was amazing. She their families. Visit idea every week. It may be
children’s nurse, securing a place has been a fantastic role model.” benwilliamstrust. something around quality of
at Thames Valley University org.uk life for teenagers with inherited
(now the University of West In 2004, Cath became a cardiac conditions. There are so many
London), based in Ealing. liaison nurse, further developing Words by Anne Horner interesting areas I could choose.”
This article first appeared in Nursing Children and Young People, a journal produced by RCNi.
For more go to journals.rcni.com/nursing-children-and-young-people
RCN.ORG.UK/BULLETIN RCN BULLETIN JANUARY 2020APPOINTMENTS: GENERAL 19
Nursing and
Theatre Practitioner
opportunities
nationwide
A career at Spire Healthcare offers excellent education and
career development, with protected training and investment in
our staff. Our nationwide hospitals cover a variety of specialties
including Orthopaedics, ENT, Gynae, Cardiac, General Surgery
and Ophthalmics, amongst many others.
You will have the opportunity to work in state-of-the-art
surroundings utilising some of the latest technology and
working with leading Consultants from across the UK.
We are keen to promote from within, so if you are
looking for a long-term career with advancement
opportunities you will find them at Spire.
There has never been a better time to join us.
2020 promises to be an exciting year of growth
for Spire Healthcare. Get in touch to find out
how we can support your career choices
For more information contact our
recruitment team at:
recruitment@spirehealthcare.com
www.spirelookingafteryou.co.uk
TO ADVERTISE CALL 020 8423 1333 RCNBULLETINJOBS.CO.UK20 APPOINTMENTS: GENERAL
THIS IS
WALTER.
NOW PICTURE HIM LOST AND CONFUSED.
It’s what you have to be able to do here to really help our patients. You have to,
from the other end of the phone, visualise the situations our patients are in.
Nurses and paramedics to be
Senior Clinical Advisors (Band 6)
Full and part-time roles in Wakefield and Rotherham
You’ll assess urgent and emergency care needs. Using specialist triage software to support clinical
decisions, you’ll use your professional clinical judgement to get patients the right care and quickly.
We offer an attractive pay and benefits package including unsocial hours’ payments,
support to maintain NMC revalidation and HCPC re-accreditation, free car parking and more.
Visit yas.nhs.uk/recruitment/senior-clinical-advisor
or scan the QR code to find out more and apply.
Nationwide Mobile
Screening Nurses
✓ Do you want to increase your income with complete flexibility
over how & when you work with a role that works perfectly
alongside any current employment or other commitments?
✓ Do you want excellent rates of pay?
✓ Do you want great job satisfaction?
Due to signifi cant growth and new contracts we are now recruiting more
registered nurses UK wide including England, Scotland, Wales, Northern
Ireland, Southern Ireland and the Channel Islands to further enhance our
self-employed nurse network. You will be responsible for undertaking
ad-hoc domiciliary insurance medicals & pathology tests for applicants of
Life Insurance at a scheduled appointment that is mutually convenient to
Due to new investment we are expanding our mental health you and the applicant. Each visit takes between 15-40 minutes depending
urgent care services in Oxfordshire which has resulted in the upon the requirements of the case. MSS will provide full operational
following opportunities becoming available: training as well as any ongoing assistance required through our friendly
and dedicated nurse support team.
• Crisis Clinicians, Band 6 You will be instrumental in
establishing our new Crisis Resolution Home Treatment service Interested applicants will need to:
and delivering intensive treatments, alongside senior support • have an active Registration and Indemnity
workers, to service users in their own place of residence. • have experience in phlebotomy (desirable, but not essential)
• have transport and sufficient flexibility to conduct regular
• Psychiatric Liaison Nurse, Band 7 You will work closely appointments at your convenience
with colleagues in Oxford University Hospitals NHS
Foundation Trust to support and manage the acutely unwell You will be paid monthly for all completed cases.
patient with mental health needs attending the Emergency For an information pack please e-mail Julie Collett including a current
Departments of the John Radcliffe and Horton hospitals. CV if available.
For further information and to apply please visit: Email: recruitment@trustmss.co.uk Tel: 0118 467 0555
www.careers.oxfordhealth.nhs.uk/vacancies/ www.trustmss.co.uk
Closing Date: 30 January 2020
RCNBULLETINJOBS.CO.UK TO ADVERTISE CALL 020 8423 1333You can also read
