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4th June 2024

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News and comment from

Roy Lilley



Goose bump good...

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If you’ve never experienced it, you’ll never know and…


… you’ll never know if you’ve never experienced it.


You don’t hear it, you feel it.


Mellifluous, euphonious.


Goose-bump good…


… the sound of a Welsh, male-voice choir. Powerful, indestructible. All enveloping.


Along with a lady and a harp, how else would you open a conference in Wales?


Particularly if it’s the first time you had such a conference in Wales and there are nearly 4,000 people taking part.


The RCN Congress 2024 has arrived in Newport, Celtic Manor, the home of the Ryder Cup. 


Wow, they do do things well. There’s even a crèche for delegate’s youngsters… it’s a pity more hosptials don’t have them.


If it’s possible to ‘judge-the-mood’ of a conference of that many people; as diverse as it gets, from the four corners of the nation, at the opening of proceedings, I think it was ‘nonplussed’. 


Battered by Covid and drained by industrial action…


... there’s unfinished business following the strikes. 


Uncertain of what a future government might make of that… and without their Boudicca who led them to the picket lines but has since gone to fight another battle, as a Sinn Féin candidate in the upcoming elections in Northern Ireland.


The judgement changed as proceedings developed. As the congress gained momentum and the delegates found their feet. It was Defiant.


A manifesto of twelve priorities. Spelled out; ‘we want’. There are real problems 25,000 people left the nursing register last year

and 2,470 fewer people applied for a nursing degree course.


Those numbers add up... to trouble.


Professor Nichola Ranger, in the role of interim chief executive and general secretary delivered the keynote speech that brought delegates to their feet.


A warm speech, delivered in the language of nurses. Challenges and a to-do list, spelled out quietly with the power and authority that only comes from someone who has ‘been there, seen it’, ‘done it’. No need to shout.


Delivered in a way that says; I am confident and that means you can have confidence in me.


Earlier in the day the RCN released the findings of a devastating survey of 1,100 nurses. 


One-in-three had witnessed patients being cared for in inappropriate places during their most recent shift. This figure on the rise over the past two years.


This kind of survey cannot be ignored. It’s not the construct of a Mickey-Mouse polling organisation with algorithms and proxies. This is raw data from real people.


The RCN declared ‘corridor-care’ a national emergency and captured the early morning headlines. There was a buzz about the place.


It seemed to me the nurses had done more than grabbed a headline. Without knowing it they had thrown a whizz-bang into a lack lustre election.


It’s a fair question to ask; if the DH+ had stumped up the cash for 5,000 more beds (and they have) why are people being cared for in corridors and utility rooms?


The answer is Flo… not Flo’ as in Florence Nightingale… Flo’ as in the sense of ‘flow’ through the hospital. 


Trusts are sophisticated production lines; sick-n-poorly people go in one end and happy-n-fixed-up people come out the other. If Flo’ can’t flow, the system gets silted-up and people end up, parked in the broom cupboard.


Generally, the hold-up is medically-fit people can’t get home safely, because they’re frail and need the help of a care package. 


Social care can’t manage the assessments for the packages and domiciliary care providers aren’t paid enough to recruit the staff and can’t do the business.


The awkward question the RCN is asking of the political parties is the issue the Tories are ducking. Labour are running away from and the Lib-Dems are too busy throwing their leader into river.


(See the R/H I'm hearing section for more on this)


The killer question is;


'what are you going to do

about social care?' 


The NHS can’t make progress until this problem is fixed. It’s the only question to ask and the one question politicians would rather stick needles in their eyes, than give you a straight answer.


Yes, there are plenty of issues to worry the politicians but we know the NHS is the top of the voter's worry-list. 


The RCN have amplified that call. Politicians must provide a cogent, plausible and effective answer…


… thanks to the RCN, the politicians are cornered. 


Now, every journalist has a killer question. Every person on their doorstep, talking to a wanna-be, with a rosette, knows what to ask.


Don’t mess with the nurses. The RCN are as in-tune as a male-voice-choir and goose-bump good.

Want to contact Roy Lilley?

Please use this e-address

roy.lilley@nhsmanagers.net 

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Disclaimer

Dr Paul Lambden


Rights and Responsibilities


A comprehensive look at this tricky topic from the clinician and patient's point of view, raising some difficult questions for both sides.

News and Other Stuff

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>> Cash strapped trusts and commissioners face new demand - to make cuts.

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>> CQC orders improvements to overcrowded A&E - oh well, that'll fix it.

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#ReconditionTheNation


'... The campaign aims to raise the profile of deconditioning and create a social movement that inspires individuals and teams across the country to develop initiatives that reduce functional and cognitive decline among patients, associated with deconditioning

The programme encourages all sectors in the health and social care settings to design innovative and fun ways to promote physical activity, and functional and emotional well-being.

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New and updated content.


Learn how to navigate the bullies, manipulators and complainers who drive you mad. With example dialogue and techniques, it will help you navigate tricky situations and keep your cool.

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This is what I'm hearing, unless you know different. In which case, tell me, in confidence.

__________


>> I'm hearing - an upcoming internal report is very critical of the CQC senior management.

>> I'm hearing - Liberal Democrats will announce today they will reform social care by introducing free personal care. As usual the devil is in the detail. Is this whole of social care or just adult care and what is the level of funding. If it matched current spend, it won't touch the edges.

More News

_____

>> NHSE appoints ex-college president - to new director role.

>> Battle brews over nursing home staffing requirements - US story.

>> Care home staff set for pay boost as new employer commits to ‘real living wage’ - amazing, isn't it, when decent wages make the headlines.

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