NHS care: David Cameron says nurses must be told to ‘talk to patients’ on hospital wards

  • Nurses should check whether patients need help at least once an hour
  • David Cameron says quality of care has been hit by the stifling bureaucracy

By
Daniel Martin

Last updated at 8:06 AM on 6th January 2012


Focus on care: David Cameron will say nurses need to check up on patients at least every hour

Focus on care: David Cameron will say nurses need to check up on patients at least every hour

David Cameron is urging nurses to speak to patients at least once an hour.

As he pledges to reverse the declining standard of NHS care in a major speech today, the Prime Minister will say too few nurses understand that caring is their main job, and that everything else comes second. He will proclaim: ‘Nursing needs to be about patients, not paperwork.’

Health service campaigners said the fact that Mr Cameron felt it necessary to remind nurses to talk to patients was an indictment of the ‘dreadful’ standard of care in many hospitals.

Mr Cameron’s intervention follows growing concerns about frail and vulnerable patients, particularly the elderly, being left hungry and thirsty in soiled bedclothes because some nurses no longer see their profession as a vocation.

The Daily Mail has highlighted the failure of many nurses to care for patients effectively as part of its Dignity for the Elderly campaign.

On a visit to an NHS hospital, Mr Cameron will say he wants to see the whole approach to caring reset.

He will tell nurses that at least every hour they should check whether patients need help with eating and drinking, being taken to the lavatory, or whether they need to be moved to make them more comfortable. Then they should ask: ‘Is there anything more I can do for you now?’

The Prime Minister will say: ‘There’s something really fundamental that needs to be put right fast. We need an NHS which ensures that every patient is cared for with compassion and dignity in a clean environment.

‘We know the vast majority of patients are very happy with the care provided by the NHS. I’ve seen the NHS at its very best – the incredible people for whom nursing is a true vocation, who go beyond the call of duty and combine great medical knowledge with great care.

Care: A nurse talks to a patient in a wheelchair. Today Mr Cameron will say NHS workers spend too little time on the needs of patients because they face a mountain of paperwork

Care: A nurse talks to a patient in a wheelchair. Today Mr Cameron will say NHS workers spend too little time on the needs of patients because they face a mountain of paperwork

Good old-fashioned care: An NHS nurse feeds a patient in 1983. Mr Cameron will say proper care has become lost in bureaucracy

Good old-fashioned care: An NHS nurse feeds a patient in 1983. Mr Cameron will say proper care has become lost in bureaucracy

‘But I also know we’ve got a real problem in some of our hospitals with patients not being fed and watered regularly or treated with the respect they deserve. I am absolutely appalled by this, and we are going to put this right.’

He will add: ‘If we want dignity and respect, we need to focus on nurses and the care they deliver. Somewhere in the last decade the health system has conspired to undermine one of this country’s greatest professions.

‘It’s not one problem in particular. It’s the stifling bureaucracy. The lack of consequence for failing to treat people with dignity. Even, at times . . . the pursuit of cost-cutting or management targets without sufficient regard for quality of care.’

Bureaucracy: Mr Cameron, pictured yesterday, will blame paperwork for nurses not paying enough attention to patients' four basic needs

Bureaucracy: Mr Cameron, pictured yesterday, will blame paperwork for nurses not paying enough attention to patients’ four basic needs

Mr Cameron plans to get rid of paperwork which keeps nurses from spending time with patients and establish a national forum to spread best practice across the NHS. Hospitals which perform well on providing the ‘four basics of care’ – preventing bedsores, falls, blood clots and hospital-acquired infections – will receive financial bonuses.

Doctors may vote on strike

And a new ‘friends and family’ test will ask patients, carers and staff whether they would recommend the hospital to their loved ones.

Joyce Robins, from Patient Concern, said: ‘It is dreadful that the Prime Minister is having to remind members of the caring profession to talk to patients.’

Katherine Murphy of the Patients Association said: ‘Something has gone wrong in the NHS.

‘It’s all been about targets and saving money.’

Peter
Carter, general secretary of the Royal College of Nursing, said: ‘The
profession will welcome the moves to free nurses to put care first, and
to focus all their energies on the needs of their patients.’

Shadow
Health Secretary Andy Burnham said: ‘If the Prime Minister really wants
to help nurses focus on patient care, he should listen to what they are
saying and drop his unnecessary Health Bill.

‘His
reckless decision to reorganise the NHS at this time of financial
challenge threatens to throw the entire system into chaos.’

Here’s what other readers have said. Why not add your thoughts,
or debate this issue live on our message boards.

The comments below have not been moderated.

Anita, Hull, Humberside, 6/1/2012 11:30
Anita. I am appalled at your account of the trainer-wearing nurse sneezing into her hand, and then dishing out tablets!!! Did you not complain at the time?? IF people took action immediately, things might get better. It’s no good waitng ages, and then moaning on a newspaper forum. I do hopef that nurse washes her hands after going to the ‘bathroom’?? Obviously, things do need improving, but until they do, then moan like hell at the time!!!!

I’m a healthcare assistant, and I think the problem is due to staffing levels, not lack of caring. I frequently do night shifts in which from 8.30pm until 7.30 am, there is only me and 2 nurses to look after the 29 patients on the ward. How on earth are we meant to find time to speak to every patient every hour on top of everything else we need to get done?!

Roger Poole, Dorset. What would you have done if you had needed medical attention once you were back home? Hopped on the first plane back to Cape Town, if not, then you are a hypocrite. Why should nurses stay extra once their shift has finished? Shock, horror, nurses have homes and families these days, do you not think they want to get home to see them. Nursing is no longer a vocation, it’s a job, nothing more, nothing less. It’s not the 1960’s any more. I ‘m not oing to moan about low pay, I’m quite satisfied with my wages thanks very much, and I have a good lifestyle, but that doesn’t mean I don’t care. I do, very much, we just do not have the staffing levels to spend enough time with all our patients.

The good nurses need better pay and the bad ones need the sack.

Cameron now wants nurses to talk to patients .. CAMERON …… Q U A N G O S !!!!! Why are you not doing something about these leaches. There is SO MUCH MORE TO DO Cameron than asking nurses to talk to patients . Start with the British Council and then carry on from there with an axe We are all fed up with we are all in this together but dont you see this does NOT include US Cameron

“If government wishes to alleviate, rather than aggravate, a depression, its only valid course is laissez-faire-to leave the economy alone. Only if there is no interference, direct or threatened, with prices, wage rates, and business liquidation will the necessary adjustment proceed with smooth dispatch. Any propping up of shaky positions postpones liquidation and aggravates unsound conditions. . Moreover, a drastic cut in the government budget – both in taxes and expenditures – will of itself speed adjustment by changing social choice toward more saving and investment relative to consumption. For government spending, whatever the label attached to it, is solely consumption; any cut in the budget therefore
raises the investment-consumption ratio in the economy and allows more rapid validation of originally wasteful and loss-yielding projects. Hence, the proper injunctio

One can only wonder why Mr Cameron has to pontificate on such a matter when millions of pounds are being spent on salaries for ‘managers’ to ‘manage’ the health service. The problem is that they are managing the economics and not the resources, the most important of which is the health care staff.staff.

It’s a smoke screen to hide his responsibility for £20 billion cuts to our N H S , the piece of lard should think hard about his lack of conscience .The nasty party is slowly getting nastier.

The day they got rid of S.E.N (State Enrolled Nurses) or (E.N) Enrolled Nurses (General) was the day a big mistake was made. They were known as the ‘practical Nurses’ and were a godsend when there was a shortage of S.R.N (State Registered Nurses) and could run a ward if need be as well as dealing with the practical side of nursing as well. Bring them back. They are well trained in the practicals of nursing and back-up if needed.

Putting aside that there are some good nurses, let’s take off the rose tinted spectacles about doctors and nurses and call as it is. I’ve recently had experience of visiting a dying relative who was in desperate need of rest and sleep, But the insensitive nurse insisted on speaking in a loud, jovial way which physically prevented from her getting the sleep she needed. Another time I was visiting my elderly father and whilst nurses congregated outside the ward bays, one sitting on one of the food trolleys, a man fell to the floor in my father’s ward. It was left to me to tell them what had happened. They were too busy talking or had their faces buried in computers or paperwork. Nurses sometimes appear as though it is beneath them to talk to patients. Wrong attitude, wrong job.

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