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Nurse recruitment and retention

26/02/2002

The Executive today launched a 'national year of recruitment and retention' to ensure the NHS in Scotland can employs more nurses to support planned improvements in health services.

At the first of six local nursing and midwifery conventions in Glasgow, Health Minister Malcolm Chisholm announced that he was more than trebling to £5 million the investment in nurse recruitment and retention initiatives this year.

The initiatives including:

  • an expanded Return to Practice programme to encourage up to 150 experienced nurses to retrain and rejoin the NHS, to be implemented in 6 areas of the country
  • 250 more student nurse places in Scotland for the coming academic year backed by £1.5 million of extra investment
  • a guaranteed minimum of one year's employment in the NHS for the 1,500 newly qualified nurses and midwives graduating by October this year

Today's announcements come as a direct result of the Facing the Future Nursing and Midwifery Convention held in November.

Mr Chisholm said:

"Nurses and midwives are the heart of the NHS. To the public they are the visible symbol of the health service and they play an increasingly valuable role in delivering changes and improvements in more person-centred care services.

"No one denies that there are real issues around nurse and midwife recruitment and retention in the NHS in Scotland. We need to do more to support the nurses we have - and we need to match that with a concerted drive to encourage people into nursing, into midwifery, and into the NHS.

"Progress has been made in reversing the picture of falling nurse numbers and reducing student nurse intakes that were inherited five years ago.

"We have increased the numbers of qualified nurses employed in Scotland and targeted funding at increasing specialist nurse posts. We have announced 80 extra nursing posts, including 35 more at the Beatson, as a result of investment in our national cancer strategy. As investment increases there will be more to come.

"We have also driven up student intakes. 10,000 more nurses and midwives will qualify in Scotland by 2005, 1,500 more than previously planned.

"But we recognise that there is much more still to do. At the national convention in November we announced funding of £1.5million for a range of recruitment and retention activity. I can announce today that we are making an additional £3.5million available - a total of £5m now to expand our plans yet further.

"My first priority is to find more nurses to make an immediate impact on nursing capacity. Clearly, the best potential source of extra nurses that we know could boost our capacity immediately are nurse returners.

"I am today pleased to announce that we are going to set up 6 fully-funded Return to Practice programmes across Scotland as soon as possible. The first of these will be here in Glasgow. 40 nurses or health visitors whose registration has lapsed will receive funding to cover the cost of their course, travel expenses, books, and in recognition of the family responsibilities many of these returners are likely to have, childcare costs. But perhaps most importantly, they will then be employed for up to 3 months by local NHS Trusts to complete their required period of practice.

"The six programme sites are spread across the country, targeted at areas of greatest need. They will cover acute and primary care settings and the aim will be to achieve at least 150 returning nurses this year.

"This approach will allow us to ensure that the majority of these returning nurses and health visitors do actually end up in employment in NHSScotland - that the investment makes a difference and represents good value for money.

"Second, we need to get more nurses into training. We have already increased student nurse intakes. But I believe we can do more. I have asked the Chief Nursing Officer to increase intakes by a further 250 for the coming academic year and I can announce that the Executive has made an additional £1.5 million from within today's £5 million available to fund that.

"We also need to look closely at how we maximise value of this extra intake by minimising the number of students who, for one reason or another, drop out. The Chief Nursing Officer Anne Jarvie will make this a central part of her contract talks with education providers to ensure they target effective action in this area.

"Finally, we need to make sure that extra student nurses are translated into more nurses and midwives working within the NHS. Increasing the number of students and widening access to pre-registration training through, for example, cadet schemes are good news in themselves but we want to go further - to see all those who qualify securing employment within NHSScotland if they wish.

"We have already announced that we want to guarantee a year's employment on qualification from Autumn 2002. Further work is ongoing about the detail of how the guarantee will work in practice. Our education partners tell us that there are potentially 1,500 newly qualified nurses and midwives graduating across Scotland by October. I want to see the new guarantee applying to them.

"Nursing represents the frontline of patient care. Nurses care for nearly everyone who uses NHS services. I have therefore also decided that there should be a nurse director appointed to the 15 NHS Boards.

"We know that there is more to do. We need more nurses - both now and in the future. And we need to establish a clearer picture of nurse workloads through better research. Increasing the capacity of the NHS is central to our efforts to improve and modernise services. That is why I believe we need to see 2002 as a 'national year of recruitment and retention' for nurses. The year in which we make a step change in our action. It is a change I want to achieve in partnership with nurses, midwives, their representatives, and with education providers."

UNISON Health spokesman Bridget Hunter said:

"We welcome today's initiative, particularly around the expansion of Return to Practice programmes. We know that there are a lot of experienced nurses out there who want to return both to nursing and to the NHS. However, for too long there have been too many obstacles in their way. Today's announcement will remove those obstacles and represents a major step forward in helping nurses return to the NHS."

The six local conventions are scheduled for Glasgow, Lothian, Forth Valley, Tayside, Grampian and Borders.

The six Return to Practice pilots will be carried out in: Glasgow, Lothian, Ayrshire & Arran, Forth Valley, Fife, and Grampian.

Page updated: Thursday, July 22, 2004