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What's happening to our NHS is awful 20:43 - Nov 18 with 1456 viewsladyjack


What's happening to our NHS is terrible, we should be paying a lot more in taxes to save the NHS [those of us that are not on the breadline that is].
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What's happening to our NHS is awful on 13:28 - Nov 19 with 379 viewsJoe_bradshaw

What's happening to our NHS is awful on 12:36 - Nov 19 by costalotta

“The rates of pay are very similar for the nurses but the agencies offer complete flexibility of shifts.”

This is true. But what you don’t say is important her in relation to money. The agency nurses are paid more than nursing staff. Then, there’s the agency cut.

Why not just pay the nurses more?


Undoubtedly. The agency "cut" can double the cost to the NHS of the shift. Some agency nurses earn less than the NHS staff for some shifts. The attraction is you can pick and choose your shifts to suit your lifestyle, have weeks off at random etc. Paying NHS nurses significantly more would undoubtedly help and together with mobilising the army of non practicing nurses may help to reduce the role of the agencies.

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What's happening to our NHS is awful on 10:02 - Nov 21 with 307 viewscontroversial_jack

What's happening to our NHS is awful on 13:28 - Nov 19 by Joe_bradshaw

Undoubtedly. The agency "cut" can double the cost to the NHS of the shift. Some agency nurses earn less than the NHS staff for some shifts. The attraction is you can pick and choose your shifts to suit your lifestyle, have weeks off at random etc. Paying NHS nurses significantly more would undoubtedly help and together with mobilising the army of non practicing nurses may help to reduce the role of the agencies.


Agency nurses get paid significantly more than NHS staff and they aren't always reliable
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What's happening to our NHS is awful on 10:49 - Nov 21 with 297 viewsCatullus

What's happening to our NHS is awful on 22:13 - Nov 18 by Lohengrin

There are some twenty million more people on these islands today than there were in 1948 when the NHS was inaugurated.

If you want to look somewhere that’s the place to start.


I mostly agree Loh but they also need to look deep and hard into the massive waste that costs millions every day. They can start with looking at who signs the supply contracts with corporate pharma and start getting better deals. Usually you get a better price when you buy in bulk yet the NHS pays more (for pretty much everything) than you'd think, it was a heavily reported scandal a few years back. A pack of Paracetamol is less than 40p in a supermarket but the NHS pays much more. There should be a centralised NHS acquisitions dept for the whole of the UK, buy it all in a massive bulk deal and maybe it'll save billions.
They also need to stop giving prescriptions out for things available over the counter, you shouldn't be able to get Aspirin/Paracetamol etc on prescription.

Just my opinion, but WTF do I know anyway?
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What's happening to our NHS is awful on 11:06 - Nov 21 with 280 viewsZaxx

What's happening to our NHS is awful on 10:02 - Nov 21 by controversial_jack

Agency nurses get paid significantly more than NHS staff and they aren't always reliable


I'm not sure if reliable is the right word.
Competent would be more relevant.

Agency nurses may not have the skills, necessary training, knowledge or experience to be effective in certain environments.
For example, a nurse who's spent 15 years working in surgical specialities may not be the ideal replacement on a clinical decisions unit or a medical ward. Mix and match doesn't work well and the possibilities are endless.
Agency workers will almost always take some time to get up to speed and become efficient and competent members of staff.

It's like asking an auto-electrician to work as a diesel fitter one day and work in the body-shop the next.
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What's happening to our NHS is awful on 11:16 - Nov 21 with 269 viewscontroversial_jack

What's happening to our NHS is awful on 11:06 - Nov 21 by Zaxx

I'm not sure if reliable is the right word.
Competent would be more relevant.

Agency nurses may not have the skills, necessary training, knowledge or experience to be effective in certain environments.
For example, a nurse who's spent 15 years working in surgical specialities may not be the ideal replacement on a clinical decisions unit or a medical ward. Mix and match doesn't work well and the possibilities are endless.
Agency workers will almost always take some time to get up to speed and become efficient and competent members of staff.

It's like asking an auto-electrician to work as a diesel fitter one day and work in the body-shop the next.


They do have the same skills and training as NHS staff. The only difference being, they may be put onto different wards or specialities They are not used to, so you are correct there.

It's the same with the care workers. They can cover shifts on any ward as their skills are generic and not as high as nurses, but they effectively do the actual care. Care workers can do what's called bank shifts, but they come from the pool of NHS workers and not outside agencies.
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What's happening to our NHS is awful on 11:21 - Nov 21 with 266 viewsCatullus

What's happening to our NHS is awful on 11:06 - Nov 21 by Zaxx

I'm not sure if reliable is the right word.
Competent would be more relevant.

Agency nurses may not have the skills, necessary training, knowledge or experience to be effective in certain environments.
For example, a nurse who's spent 15 years working in surgical specialities may not be the ideal replacement on a clinical decisions unit or a medical ward. Mix and match doesn't work well and the possibilities are endless.
Agency workers will almost always take some time to get up to speed and become efficient and competent members of staff.

It's like asking an auto-electrician to work as a diesel fitter one day and work in the body-shop the next.


All of that is true. Agency staff can cause as many problems as they cure and they do cost a fortune.

https://www.bbc.co.uk/news/uk-wales-46949253

I think the English NHS spent close on 500 million on agency staff last year. This article https://www.theguardian.com/society/2018/sep/11/nhs-suffering-worst-ever-staff-c is over a yar old but things have probably worsened. If there is a 4.3 billion English deficit then UK wide we need to find maybe 6 billion ion extra cash and savings. That's the so called brexit bonus mostly gone, if it ever really existed. The austerity years have done so much damage to schools, the police and NHS that it'll cost a lot more to put right than they saved by making the cuts.

Just my opinion, but WTF do I know anyway?
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What's happening to our NHS is awful on 18:03 - Nov 21 with 224 viewsZaxx

What's happening to our NHS is awful on 11:16 - Nov 21 by controversial_jack

They do have the same skills and training as NHS staff. The only difference being, they may be put onto different wards or specialities They are not used to, so you are correct there.

It's the same with the care workers. They can cover shifts on any ward as their skills are generic and not as high as nurses, but they effectively do the actual care. Care workers can do what's called bank shifts, but they come from the pool of NHS workers and not outside agencies.


Many of them are ex NHS nurses who've achieved their nursing degrees etc.

In no way does that mean that they have the transferable skills, experience or knowledge to work in the areas which they are often placed in.
A lot of people believe that if someone qualifies as a nurse they can perform admirably in any situation, if anyone honestly believes that then they are showing huge disrespect to those who have dedicated themselves to certain areas of care.
Health care is as much, if not more so a career of specialisms than many other generic titles or jobs.
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What's happening to our NHS is awful on 19:15 - Nov 21 with 193 viewscontroversial_jack

What's happening to our NHS is awful on 18:03 - Nov 21 by Zaxx

Many of them are ex NHS nurses who've achieved their nursing degrees etc.

In no way does that mean that they have the transferable skills, experience or knowledge to work in the areas which they are often placed in.
A lot of people believe that if someone qualifies as a nurse they can perform admirably in any situation, if anyone honestly believes that then they are showing huge disrespect to those who have dedicated themselves to certain areas of care.
Health care is as much, if not more so a career of specialisms than many other generic titles or jobs.


Wouldn't that be the same for any profession or job?
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What's happening to our NHS is awful on 19:21 - Nov 21 with 183 viewsZaxx

What's happening to our NHS is awful on 19:15 - Nov 21 by controversial_jack

Wouldn't that be the same for any profession or job?


In most instances, absolutely.
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