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Carillion collapse could leave hospitals without essential services

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Carillion, one of the NHS’s biggest contractors, has fallen into administration this morning after ongoing financial struggles.

Following several days of negotiations, the board of the NHS’s largest external contractor, Carillion, has said that it had “no choice but to take steps to enter into compulsory liquidation with immediate effect’’.

Carillion employs around 20,000 people in the UK with around 8,000 of these working as subcontractors for the NHS. The group also holds contracts for HS2, prisons and the armed forces.

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Amid a winter crisis, the news could not have come at a worse time for the NHS.

Health bosses have raised concerns about how NHS organisation will continue to provide some critical services for patients if contracts collapse. NHS organisations are said to be developing contingency plans.

The Carillion website claims they are responsible for;

  • The employment of around 8,000 dedicated people.
  • 200,000 planned and reactive maintenance tasks to maintain approximately 1 million square metres of space.
  • 200 operating theatres, 300 critical care beds and just under 11,500 in-patient beds
  • Hygiene, cleaning services and the supply of patient meals.
  • Portering services.
  • Digital and telephone helpdesk services for NHS staff.

Jonathan Ashworth, Shadow Health Minister, said;

“I think we do need that clarity from the Government.

“But certainly as soon as possible, because the NHS is in a state – we’re in a huge winter crisis.

“I’ve been on Sky umpteen times in recent days, talking about the scale of the crisis in the NHS with people in corridors on trolleys and so on.

“This would be the last thing we need in the NHS if Carillion went under and it impacted on patient care.”

Paul Nowak, TUC Deputy General Secretary, said vital public services were at risk.

“Workers, taxpayers and public service users could well be left to carry the can,” he said, warning against a Government bailout.

“Carillion is a textbook example of the failures of privatisation and outsourcing.

“The Government needs to step in, guarantee jobs and services, and explain how they let this mess happen in the first place.”

Jeremy Hunt is expected to discuss the potential implications on the NHS in Parliment today.

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Nursing vacancies hit record high leaving patient care at risk

It can be “dangerous” when there aren’t enough nurses to provide care.

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Patient Falls Risk with IV

There are now a record 43,671 empty nursing posts in the NHS in England alone.

NHS figures show that there are now a record 43,671 empty nursing posts in the NHS in England alone, according to the Royal College of Nursing (RCN).

The College says a global shortage of nurses alongside the removal of the nursing bursary has compounded this figure which now sees 12% of posts through the NHS in England without a full-time Registered Nurse.

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Figures from the University and College Admissions Service (UCAS) show a 29% overall decline in applications to undergraduate courses since 2015, when the bursary was cut by the Government.

In a report released today titled ‘Standing up for patient and public safety’, the Royal College of Nursing outlines the evidence of the need for a new law that allocates specific legal responsibilities for workforce planning and supply.

A new law is needed.

The report states that in order to address the record number of vacancies, and the gap between the numbers of health and care staff needed to deliver patient care vs. how many are in the system.

Figures included in the report reveal that the number of nursing staff has consistently failed to keep up with the dramatic rise in demand for services and the number of emergency admissions.

The report finally makes a further call for legal clarity on the roles, responsibilities, as well as accountabilities, for workforce planning and supply.

In September, after pressure from RCN members, NHS England and NHS Improvement asked the Government for clarity over who is accountable for the nursing workforce.

‘Nurses are working harder than ever’.

Dame Donna Kinnair, Chief Executive and General Secretary of the Royal College of Nursing said: “Nurses are working harder than ever to deliver safe patient care but are being held back by a system that is legally lacking teeth. Despite the public, patients and nurses all agreeing that clarity is needed on responsibilities for delivering enough nurses, we have yet to see any government pledge anything of the like, and as a result are staring down the barrel at a record 43k empty nursing posts.

“We know how dangerous it can be when there aren’t enough nurses to provide care, but at present, almost all accountability rests with the frontline nurse working on the understaffed ward, rather than those responsible for the system they work in.

“We believe the time has come for change and that patient care was future-proofed by law, and that from the government down, decision makers are held to account.

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NHS calls for clarity on who is accountable for the nursing workforce

Figures suggest there are around 40,000 unfilled nursing vacancies throughout the NHS in England.

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Working nurses in the CCU

Healthcare leaders are calling for legislation to be included in the forthcoming Queen’s Speech.

NHS England and NHS Improvement have called on the Government to clarify who is accountable for the nursing workforce and the chronic problems it’s currently facing.

Following ongoing pressure from nursing unions, the two organisations met today and recommend that the government should “revisit with partners whether national responsibilities and duties in relation to workforce functions are sufficiently clear.”

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With around 40,000 unfilled nursing vacancies in the NHS in England and thousands more throughout social care, the Royal College of Nursing (RCN) believes the Secretary of State for Health and Social Care should be legally accountable for the workforce.

Along with other health care leaders, Dame Donna Kinnair, Chief Executive & General Secretary of the RCN, written to the Government calling for the legislation proposed by NHS England and NHS Improvement to be included in the forthcoming Queen’s Speech.

Staff shortages have reached ‘alarming levels’.

Responding to the news, Dame Donna Kinnair said: “We are pleased that NHS England and NHS Improvement has recognised the concerns of RCN members and the public and has stated that the issue of accountability for workforce planning and supply remains an area that needs be resolved.”

“In the week after we have launched a major public facing campaign calling for investment in the nursing workforce as well as for accountability to be clarified in the law, yet again, the case is made for this to be taken seriously.

“We are clear that government is well placed to determine how accountability can be clarified in law.

Adding; “Staff shortages have reached alarming levels with at least 40,000 vacant registered nurse posts in the NHS in England alone with thousands more vacancies in public health and social care.

“We now hope government will listen to this message, as well as the voices of the thousands of members that responded to the NHS England engagement process, and bring forward this legislation, taking the opportunity to include accountability in government and throughout the health and care system, for workforce planning and supply.”

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