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Educational changes could results in only 1150 hours of placement for Students Nurses

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Controversial new educational guidelines reveal that students could only complete 1150 hours of clinical placement before qualifying.

The Nursing and Midwifery Council (NMC) has launched a formal consultation process on a proposed new set of educational standards. Part of the new educational standards state that students could complete up to 50% of the required 2300 hours of clinical practice using simulation.

These changes could results in a dramatic fall in the number of clinical placement hours student nurses complete during their training. If implemented, the proposal would mean that only 1150 hours of clinical placement would be mandatory.

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Currently students must complete 2300 hours of their training within a clinical setting – working directly with patients and other healthcare professionals.

The NMC has not stipulated how universities would decide which skills should be taught clinically and which should be taught as part of simulated practice.

The changes come alongside an extensive list of clinical skills such as; NG tube insertion, IV drug administration, catheterisation, ECGs, venepuncture, and blood transfusion administration.

The plans have come under heavy criticism from both student and qualified nurses with many saying more hours of placement are needed, not less.

The NMC’s consultation on pre-registration education standards will now run until 12 September. They are expected to open a second consultation on proposed new standards for medicines management and prescribing on Thursday.

You can take part in any consultation on the NMC website.

Education

£200 million NHS training budget could be lost to the private sector

Around a third of NHS trusts are paying apprentices just £3.90 per hour – the statutory minimum rate.

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NHS hospital corridor

Money paid by NHS trusts is now being “clawed back by the government”.

More than £200m is lying unused by cash-strapped health trusts in England because of restrictions in the Government’s apprenticeship levy scheme.

The restrictions mean that money from the levy can only be used to fund training costs and not salaries – meaning already cash-strapped organisations are unable to recruit additional staff.

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Around a third of NHS trusts are paying apprentices just £3.90 per hour – the statutory minimum rate.

According to the UNISON report, It Doesn’t Add Up, 79% of the levy money is yet to be used and warns that if this trend continues substantial NHS funding will be lost.

Levy money not spent after two years is reallocated to a central Government pot and used to subsidise apprenticeships for smaller employers – who don’t have to pay into the levy. This means cash from NHS budgets being diverted into the private sector.

Millions sat idle while there are 100,000 vacancies.

UNISON is now calling for the Government to change the rules so levy funding can also be spent on apprentice salaries and the wages of staff employed to cover for apprentices when they are training.

They have also suggested that the money could be used to fund a new extensive apprenticeship programme across the entire NHS for nursing and all the other health professions experiencing shortages.

Sara Gorton, Head of Health at UNISON, said; “Hundreds of millions of pounds are sitting idle at a time when budgets are stretched and there are 100,000 vacancies across the NHS,”.

“There are real concerns about the standard of training apprentices receive, with many carrying out administrative and clinical support roles for peanuts. Ministers must reform the system to ensure money allocated to the health service stays within the NHS and invest properly to ensure apprenticeships play a full role in solving the growing staffing crisis.”

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Education

One in six nursing associates drop out before qualifying, finds report

Despite this trainees showed “high levels of enthusiasm and commitment to the programme”.

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Group of nurses in meeting

Only 65% of trainee nursing associates said they planned to work as a nursing associate once qualified.

An independent evaluation of the nursing associate role commissioned by Health Education England (HEE) has found that while there are “high levels of enthusiasm and commitment to the programme”, one in six nursing associates are dropping out before completing the course.

Attrition rates for trainee nursing associates fell slightly below that of student nurses, with 18% leaving before completing the course.

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While ill health and personal issues were some of the most common reasons for leaving the programme, nearly a quarter (23%) withdrew because they failed to meet the academic requirements of the programme – with numeracy skills cited as a key issue.

One trainee said they found the “attitudes towards the role and the negative feedback about Nursing Associates” challenging.

Only 65% of trainees said they intend to continue working as a nursing associate once qualified as the programme is often seen as a stepping stone to becoming a registered nursing.

Highlighting challenges.

Mark Radford, Chief Nursing Officer, Health Education England said the report “highlights some challenges that we must address to ensure that students such as ensuring the quality and oversight of placements, attrition and numeracy support.”

“We also recognise that further work and research is required to ensure that the profession is supported and utilised in the workforce of health and social care as part of the MDT. I am pleased to be able to report that we are in the process of identifying candidates to be considered as NA ambassadors across England.

Commenting on the report, Andrea Sutcliffe, Chief Executive and Registrar for the Nursing and Midwifery Council (NMC), said; “Having had the pleasure of meeting many nursing associates across the country, I am continually inspired by their enthusiasm and dedication for providing care and they should be very proud of the difference they make for the people they support.”

“I look forward to seeing how nursing associates continue to develop and be supported in their work, long into the future.”

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