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Reform of nursing bursary scheme

13/12/2001

An overhaul of the bursary system for pre-registration nursing and midwifery students across Scotland was announced today.

The move follows a Scottish Executive Health Department review of the support for student nurses and midwives, and subsequent discussions with the Royal College of Nursing, Royal College of Midwives and Unison on how these can be improved.

From August 2002, the reforms will ensure that pre-registration nurses and midwives are supported under the Nursing and Midwifery Student Bursary Scheme (NMBS) instead of the current dual bursary system which is seen to be unfair and complex.

They will increase the grant support available to lone parents and dependants and create a fairer system for covering student travel costs by improving the arrangements for paying students' travel costs while they are on placements, giving greater support to students who live a distance from their institution. UK residence criteria will be introduced for bursary applicants, thereby ending an anomaly which pays for some overseas students to train in Scotland but does not guarantee that they will then work in the NHS in Scotland or rest of the UK.

Announcing details of the changes Health Minister Malcolm Chisholm said:

"Student nurses and midwives will have a vital role to play in ensuring NHSScotland meets the future health needs of Scotland's people. They will help us drive forward our efforts to improve health and health services throughout the country. They will also help tackle the health inequalities which blight our more deprived communities. It is therefore vital that we continue to have sufficient student nurses - 3,000 a year - entering Scottish universities and colleges.

"In reviewing the support available to nursing students, we concluded that their programmes are sufficiently different from other higher education courses to justify a continuing separate student support scheme. For example, there are 45 weeks in each year of their course, with around 50 per cent of their time spent on clinical placements, often undertaken during unsociable hours and inconvenient locations.

"However, we also concluded that there was no justification for continuing to provide different support for students on the various pre-registration nursing programmes. That is why from August 2002, all new diploma/ordinary and honours degrees nursing students will receive support under the same NMSB scheme. Honours degree students who began their courses in autumn 2001 will also get support from the scheme from 2002.

"After gathering further evidence on the best way forward, we also plan to introduce changes to the travel allowances to overcome the disadvantages which are currently faced by students who live far away from their college or university. And from August we will increase the allowances for lone parents' and dependants' to bring them into line with the general student support system - a move which will effectively providing additional help of around £300 a year for the first child or dependent adult.

"These improvements - together with my announcement last week that all newly qualified nurses and midwives will be guaranteed at least one year's employment in NHSScotland - will help encourage more school leavers to enter nursing and midwifery training. By improving financial support for students with families, the changes will also help reduce drop-out rates and ensure as many of our gifted students as possible complete their training and go on to work in NHSscotland."

There are currently two support systems packages for students undertaking pre-registration nursing education - the NMSB scheme for three-year courses leading to a diploma or an ordinary degree and a separate system or those on four-year BA/BSc honours degree courses.

Support through the NMSB scheme currently includes:

  • tuition fees paid on students' behalf
  • a personal allowance, which is not means-tested
  • depdendents' allowance which is means-tested
  • for eligible students, help towards extra costs of travel to their practical placements

Support for BA/BSc honours nursing students includes:

  • tuition fees
  • a living cost support package made up of a means-tested Health Department bursary and a non means-tested loan in roughly equal amounts (similar to the amount of support available students in the general support system)
  • supplementary allowances available to students in the general support system

The review aimed to create a single, integrated package of support for students on all pre-registration courses. This meant incorporating the honours degree students into the main NMSB scheme. Under the new arrangements honours degree students will be eligible for NMSB support for the first three years of their course, with a lower rate of bursary for the fourth year, to reflect the shorter length of their final year.

The Executive announced a 10.4 per cent increase in nursing bursaries earlier this year. Following today's announcement, there will be additional investment in the NMSB allowances for lone parents and dependants to bring them into line with the general system, which are currently 18 per cent higher. This would represent additional support of around £300 a year for the first child or dependent adult.

NMSB Students pay for their daily travel to their institution from the personal allowance of their bursary. They can also apply for help towards travel to clinical placements but have to deduct daily costs from their placement travel claim. This means they only get further support if their placement travel is more expensive than normal travel. Therefore some students who have high daily travelling costs may live closer to a placement and get no support for that travel, while others who live near their institution and have low daily travel costs, may get support for placement travel. The Executive is keen to make this system fairer by capping the deduction from placement travel and will gather evidence to ensure that the cap is set at the appropriate level.

Students, including honours nursing students, who undertake higher education in the UK have to show that they have been ordinarily resident in the UK for the past three years, before they can qualify for public funding. Until now there has been no such restrictions on overseas students applying for NHS bursaries for nursing diploma courses in the UK. This allows students to come to the UK to train as nurses but does not guaranteed that all of them will go on to work in the NHS. In line with changes being introduced in England, students from overseas will get no support from the NMSB scheme.

Page updated: Friday, August 27, 2004