Nurses have to be told talk to patients: In a damning indictment of care on our wards, an order from Cameron

  • Nurses should check whether patients need help at least once an hour
  • David Cameron says quality of care has been hit by the stifling bureaucracy

By
Daniel Martin

Last updated at 12:53 AM on 6th January 2012


Focus on care: David Cameron will say nurses need to check up on patients at least every hour

Focus on care: David Cameron will say nurses need to check up on patients at least every hour

David Cameron is urging nurses to speak to patients at least once an hour.

As he pledges to reverse the declining standard of NHS care in a major speech today, the Prime Minister will say too few nurses understand that caring is their main job, and that everything else comes second. He will proclaim: ‘Nursing needs to be about patients, not paperwork.’

Health service campaigners said the fact that Mr Cameron felt it necessary to remind nurses to talk to patients was an indictment of the ‘dreadful’ standard of care in many hospitals.

Mr Cameron’s intervention follows growing concerns about frail and vulnerable patients, particularly the elderly, being left hungry and thirsty in soiled bedclothes because some nurses no longer see their profession as a vocation.

The Daily Mail has highlighted the failure of many nurses to care for patients effectively as part of its Dignity for the Elderly campaign.

On a visit to an NHS hospital, Mr Cameron will say he wants to see the whole approach to caring reset.

He will tell nurses that at least every hour they should check whether patients need help with eating and drinking, being taken to the lavatory, or whether they need to be moved to make them more comfortable. Then they should ask: ‘Is there anything more I can do for you now?’

The Prime Minister will say: ‘There’s something really fundamental that needs to be put right fast. We need an NHS which ensures that every patient is cared for with compassion and dignity in a clean environment.

‘We know the vast majority of patients are very happy with the care provided by the NHS. I’ve seen the NHS at its very best – the incredible people for whom nursing is a true vocation, who go beyond the call of duty and combine great medical knowledge with great care.

Care: A nurse talks to a patient in a wheelchair. Today Mr Cameron will say NHS workers spend too little time on the needs of patients because they face a mountain of paperwork

Care: A nurse talks to a patient in a wheelchair. Today Mr Cameron will say NHS workers spend too little time on the needs of patients because they face a mountain of paperwork

Good old-fashioned care: An NHS nurse feeds a patient in 1983. Mr Cameron will say proper care has become lost in bureaucracy

Good old-fashioned care: An NHS nurse feeds a patient in 1983. Mr Cameron will say proper care has become lost in bureaucracy

‘But I also know we’ve got a real problem in some of our hospitals with patients not being fed and watered regularly or treated with the respect they deserve. I am absolutely appalled by this, and we are going to put this right.’

He will add: ‘If we want dignity and respect, we need to focus on nurses and the care they deliver. Somewhere in the last decade the health system has conspired to undermine one of this country’s greatest professions.

‘It’s not one problem in particular. It’s the stifling bureaucracy. The lack of consequence for failing to treat people with dignity. Even, at times . . . the pursuit of cost-cutting or management targets without sufficient regard for quality of care.’

Bureaucracy: Mr Cameron, pictured yesterday, will blame paperwork for nurses not paying enough attention to patients' four basic needs

Bureaucracy: Mr Cameron, pictured yesterday, will blame paperwork for nurses not paying enough attention to patients’ four basic needs

Mr Cameron plans to get rid of paperwork which keeps nurses from spending time with patients and establish a national forum to spread best practice across the NHS. Hospitals which perform well on providing the ‘four basics of care’ – preventing bedsores, falls, blood clots and hospital-acquired infections – will receive financial bonuses.

Doctors may vote on strike

And a new ‘friends and family’ test will ask patients, carers and staff whether they would recommend the hospital to their loved ones.

Joyce Robins, from Patient Concern, said: ‘It is dreadful that the Prime Minister is having to remind members of the caring profession to talk to patients.’

Katherine Murphy of the Patients Association said: ‘Something has gone wrong in the NHS.

‘It’s all been about targets and saving money.’

Peter
Carter, general secretary of the Royal College of Nursing, said: ‘The
profession will welcome the moves to free nurses to put care first, and
to focus all their energies on the needs of their patients.’

Shadow
Health Secretary Andy Burnham said: ‘If the Prime Minister really wants
to help nurses focus on patient care, he should listen to what they are
saying and drop his unnecessary Health Bill.

‘His
reckless decision to reorganise the NHS at this time of financial
challenge threatens to throw the entire system into chaos.’

Here’s what other readers have said. Why not add your thoughts,
or debate this issue live on our message boards.

The comments below have not been moderated.

My bone of contention has been for so long that nurses can walk into a ward and say nothing to patients of their families, I always spoke on entering a ward no matter how brief it was. To ignore anyone in a hospital bed is a sin !!

Oh dear his intentions may be good, but all he and his ministers seem to do is make things worse.
– Pat, Telford,England, 06/1/2012 05:19—————A leader? Or the instincts of a PR man? Many will have held positions where leadership is required. Higher levels have the luxury of picking a team. Most have to steer a path where you mould the team to work and think like you. If a person is responsible for a given task, the one way to destroy the confidence first and then you will soon have a festering thorn is to take over the running of that persons tasks- fine to advise and steer but when that person is seen as a placeman with no authority it will cause problems. Cameron yesterday, the Waitrose jobs his doing – a minister? Nurses told ………….a minister? Lansley a millionaire appendage following the ‘leader’ around the -NHS pet poodle. Ministers always put up with it until the first reshuffle, then all the long held grievances come to the surface. Ego – gets them all!

As my son who is a nurse will no doubt comment……..Mr.Cameron, give us the time and resources to spend time talking to patients and we will do it, how the hell can we work any harder?

It’s no use moralising now, the proverbial horse has bolted. It won’t take fine sentiments to fix the damage, the damage needs to be unwound to such a time and circumstances that worked. It’s not about spending more money either, the Health budget is much too much big already. It’s about spending the money in the right way.

“Talk to patients”, please let it be in English.

David Cameron was talking to a group of businessmen about paying the right level of tax yesterday. He is now saying that nurses should talk to patients. I may be wrong but I thought we had both a Chancellor of the Exchequer and Secretary of State for Health………either Cameron should sack these ministers and become a one man band or he should get out of the limelight and spend time working with ministers on plans to get the economy going rather than constant sound bites.

In most hospitals there is a Nurses Station. What that means is that this is where you will find Stationary Nurses.

Gee, thats pretty rich, coming from a guy on 1000 times more money, who spends tax payers money on travels, holidays,, probably hasn’t paid an electricity bill in years and gets driven around everyday, sells out his country to the banks and doesn’t bother with the everyday person on the street. Cameron wouldn’t know anything about the stress Hospitals and Nurses are under.. Welcome to 2012

ooh you really don’t know how overworked and underemployed the nurses are, do you, the MP?? do something about the bureaucracy, don’t put all the blame on the nurses, they’ve suffered enough.

I get sick of reading these comments about bringing back matrons. We already have modern matrons anyway. How does having these well paid managers help when there are so few staff for so many patients? I’ve worked on elderly care wards where there have been two staff for 15 elderly, confused, incontinent patients – what would the matron do to help?

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