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Patients to self-fund ‘low clinical priority’ NHS procedures

The trust’s website notes that patients will be treated like ‘regular NHS patients’.



Surgical Patient

Patients will not ‘queue jump’, have access to private rooms or facilities.

Warrington and Halton Hospitals NHS Foundation Trust is offering patients the opportunity to self-fund procedures that have been classified as Procedures of Low Clinical Priority (PLCP) by Commissioners.

Procedures of Low Clinical Priority are treatments that are of value, but only in the right clinical circumstances and are usually subject to strict eligibility criteria for NHS funding.


Under the MyChoice scheme patients will be charged up to £8,500 for revision of knee replacement surgery, £7,000 for hip replacement surgery, and around £2,500 for a hernia repair. A full list of services and prices can be found here.

Despite paying thousands for a procedure that was previously provided by the NHS, patients will not ‘queue jump’, have access to private rooms or facilities.

The trust’s website notes that patients will be treated like ‘regular NHS patients’.

Critics have warned that the move could leave hundreds of thousands of patients suffering simply because they cannot afford the fees.

‘Affordable and convenient’.

Mel Pickup, Chief Executive of Warrington and Halton Hospitals NHS Foundation Trust, said; “The Trust does not charge NHS patients for NHS funded procedures.

“Not all healthcare services are funded by the NHS. These services are referred to as Criteria Based Clinical Treatments (previously called Procedures of Low Clinical Priority).”

“The Trust launched the My Choice service in September 2018, a self-pay service to enable access for our patients for these services. Also included on the list are procedures which are available on the NHS with strict criteria set by the commissioners. By offering them via our My Choice service it makes them more accessible for patients who otherwise would not qualify for them under commissioner guidelines.

“My Choice enables patients to pay (self-fund) to have these procedures undertaken at our hospitals based on the national NHS price. As well as enabling affordable, convenient access for patients, this will enable the Trust to generate additional income to support our other NHS services.

“My Choice is by the NHS, for the NHS. My Choice patients are treated as part of the Trust’s normal elective programme, there are no special privileges and they simply occupy a slot on a scheduled list. There are no private rooms and they will join the same waiting list as other NHS patients.”



Safe staffing and equality have been an issue since the start

Parliament passed the Nurses Registration Act in 1919.



State registered nurse

A new exhibition charts the history of nursing from the Nurses Registration Act to modern-day.

In the centenary year of nurse registration, a new exhibition charts the history of the journey from the Nurses Registration Act in 1919 through to the modern-day.

Called ‘Wake up Slackers! The great nursing registration controversy’ the exhibition looks at the heated arguments around the official registration of nurses through the first registration of men, overseas nurses and one of the first nurses to be struck off.


The Royal College of Nursing (RCN) was just three years old when registration first happened and securing this had been part of its founding ambitions.

The exhibition shows how many of the discussions and controversies of the past, including safe staffing, continue today and influence many of the discussions around modern nursing.

The Nurses Registration Act.

The exhibit contains artefacts from the RCN archive including invites to member meetings to discuss the College’s proposals for state registration, House of Commons Parliamentary debates during the year the Nurses Registration Act was passed in 1919, as well as drafts of legislation.

Opening during Black History Month, the exhibition also showcases the story of Eva Lowe, one of the first known black nurses on the register. Research shows how, despite being well qualified she was rejected many times before finding employment. It shows how she received vague and unsatisfactory excuses for her rejection, some based on false concern for her welfare.

As well as letters and documents from the RCN’s own archive, the exhibition will also feature items loaned from other collections such as that of the regulator the Nursing and Midwifery Council.

Are nurses born or made?

Frances Reed, Events and Exhibitions Co-ordinator at the Royal College of Nursing said: “It is incredible today to think that 100 years ago there were arguments about whether or not nurses should be registered.

“Today it seems unthinkable for somebody with such responsibility for the welfare of patients not to be registered and yet there were strident clashes over it, despite other health professions securing regulation well before nursing.

“The story of the first black nurse on the register, Eva Lowe is important to highlight too. There is little known about black nurses whose names are on the very early 1920s registers.  It is essential we recognise that their contribution to health care existed well before Windrush.

“It’s also particularly striking to see how hard Eva Lowe had to fight to become the first black nurse on the register, and how 100 years later racial inequalities still exist in the health and care system.

The exhibition runs at RCN HQ in Cavendish Square, London 17 October – 20 March 2020

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

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



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.


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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