Editorial - Why a radical review of the nursing workforce?

Journal article


Brimblecombe, N. (2022). Editorial - Why a radical review of the nursing workforce? Mental Health Practice.
AuthorsBrimblecombe, N.
Abstract

The more things change the more they stay the same? Staffing in mental health services
Mental health nursing staff shortages have been recognised for a very long time. However, despite recent increases in student numbers and an increase in 3000 nurses employed in England’s NHS since the low point of 2017, the numbers of mental health nurses only now almost reach the level of 10 years ago, with vacancy levels varying vary from 11.4% in North-East and Yorkshire, to an eye watering 20.3% in the South-East. Some new roles have been introduced, such as the nursing associate, although are not yet robustly evaluated. Trusts have been exhorted to offer flexibility and reduce early retirement. These interventions are probably helpful, but insufficient in the context of national plans for increased nursing numbers.
It is a truism that for every complex human problem there is a solution that is simple, plausible and wrong and staffing issues are certainly affected by a myriad social, professional, financial, demographic, political and psychological factors. If, as seems likely, the numbers of new nurses being sought for ambitious workforce plans may never be met in the context of an ever-increasing demands on mental health services, then what can be done?
Firstly, the political and professional pressure for growth in mental health services to provide individual interventions to ever larger parts of the population should be recognized, at least partially, as being a result of societal factors. As such greater emphasis should be given to addressing attitudes and culture in society that feeds distress, combined with public health level interventions, backed up by rigorous programmes of research.
Secondly, a more radical review of the future of the workforce is needed. Surely it is time for all professions, including nursing, with the critical engagement of service users, to review their roles and challenge profession-centric ideas as to what might constitute their unique contributions. Plainly we cannot continue doing what we have always done in a world that is constantly changing and creating new demands.

Keywordsworkforce, mental health nursing, nursing shortages
Year2022
JournalMental Health Practice
PublisherRCN Publishing (RCNi)
ISSN1465-8720
Web address (URL)https://rcni.com/mental-health-practice/opinion/editorial/mental-health-nursing-radical-workforce-review-needed-182406
Publication dates
Print11 Feb 2022
Publication process dates
Accepted09 Feb 2022
Deposited25 Feb 2022
Accepted author manuscript
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/8z487

Download files


Accepted author manuscript
Editorial Mar 2022 staffing.docx
License: CC BY 4.0
File access level: Open

  • 53
    total views
  • 17
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Methodological procedures for priority setting mental health research: a systematic review summarising the methods, designs and frameworks involved with priority setting
Deering, K., Brimblecombe, N., Matonhodze, J.C., Nolan, D.A., Collins, D.A. and Renwick, L. (2023). Methodological procedures for priority setting mental health research: a systematic review summarising the methods, designs and frameworks involved with priority setting. Health Research Policy and Systems. 21 (64), pp. 3-21. https://doi.org/10.1186/s12961-023-01003-8
Analysis of changes in the national mental health nursing workforce in England, 2011-2021
Brimblecombe, N. (2023). Analysis of changes in the national mental health nursing workforce in England, 2011-2021. Journal of psychiatric and mental health nursing. 30 (5), pp. 994-1004. https://doi.org/10.1111/jpm.12922
The development of nurse prescribing in mental health services: Outcomes from five national surveys 2004–2019
Brimblecombe, N. and Dobel‐Ober, D. (2022). The development of nurse prescribing in mental health services: Outcomes from five national surveys 2004–2019. Journal of Nursing Management. pp. 1-9. https://doi.org/10.1111/jonm.13588
Qualitative study of perceptions of senior health service staff as to factors influencing the development of Advanced Clinical Practice roles in mental health services
Brimblecombe, N. and Nolan, F. (2021). Qualitative study of perceptions of senior health service staff as to factors influencing the development of Advanced Clinical Practice roles in mental health services. Journal of psychiatric and mental health nursing. 28 (5), pp. 829-837. https://doi.org/10.1111/jpm.12792
Editorial - What is the role of a nursing associate in mental health?
Brimblecombe, N. (2021). Editorial - What is the role of a nursing associate in mental health? Mental Health Practice. 24 (4).
Qualitative study of factors perceived by senior health service staff as influencing the development of Advanced Clinical Practice roles in mental health services
Brimblecombe, N. and Nolan, F. (2021). Qualitative study of factors perceived by senior health service staff as influencing the development of Advanced Clinical Practice roles in mental health services. Journal of psychiatric and mental health nursing. https://doi.org/10.1111/JPM.12792
Advanced clinical practice roles in the National Health Service, England: a remedy for workforce problems? A qualitative study of senior staff perspectives.
Drennan, V., Collins, L,, Allen H,, Brimblecombe, N., Halter M, and Taylor F. (2021). Advanced clinical practice roles in the National Health Service, England: a remedy for workforce problems? A qualitative study of senior staff perspectives. Journal of Health Services Research & Policy. https://doi.org/10.1177/13558196211036727
Mental Health Nurse Academics can help attain Goals for Mental Health Research and influence Policy
Brimblecombe, N., Simpson, A., Hannigan, B. and Turner, J. (2021). Mental Health Nurse Academics can help attain Goals for Mental Health Research and influence Policy. Journal of Mental Health. 32 (6), pp. 1026-1027. https://doi.org/10.1080/09638237.2021.1898568
Editorial - Have your say on Mental Health Act reforms
Brimblecombe, N. (2021). Editorial - Have your say on Mental Health Act reforms. Mental Health Practice. 24 (2), pp. 5-5. https://doi.org/10.7748/mhp.24.2.5.s1
Editorial COVID-19: will you as a mental health nurse get vaccinated?
Brimblecombe, N. (2021). Editorial COVID-19: will you as a mental health nurse get vaccinated? Mental Health Practice. 24, p. 3. https://doi.org/10.7748/mhp.24.1.5.s1
Advanced Clinical Practitioners in London NHS Trusts 2020 HEE
Allan, H.T, Brimblecombe, N., Collin, L., Drennan, V., Halter, M. and Taylor, F. (2021). Advanced Clinical Practitioners in London NHS Trusts 2020 HEE. Health Education England.
Editorial - Mental health nurses should influence what data are gathered for service users
Brimblecombe, N. (2020). Editorial - Mental health nurses should influence what data are gathered for service users. Mental Health Practice. 23 (5), pp. 5-5. https://doi.org/10.7748/mhp.23.5.5.s1
COVID-19 and mental health nursing: what's next?
Brimblecombe, Neil (2020). COVID-19 and mental health nursing: what's next? Mental Health Practice. 23 (4), pp. 5-5.
The nurse consultant in mental health services: A national, mixed methods study of an advanced practice role
Brimblecombe, N., Nolan, F., Khoo, Mary‐Ellen, Culloty, Leon, O'Connor, Kate and McGregor‐Johnson, Lindsay (2019). The nurse consultant in mental health services: A national, mixed methods study of an advanced practice role. Journal of psychiatric and mental health nursing. 26 (5-6), pp. 117-130. https://doi.org/10.1111/jpm.12533
A mixed‐methods survey to explore views of staff and patients from mental health wards prior to introduction of a digital early warning system for physical deterioration
Brimblecombe, N., Quist, Haddy and Nolan, F. (2019). A mixed‐methods survey to explore views of staff and patients from mental health wards prior to introduction of a digital early warning system for physical deterioration. Journal of psychiatric and mental health nursing. 26 (3-4), pp. 65-76. https://doi.org/10.1111/jpm.12511
Community Psychiatric/Mental Health Nursing: Contexts and Challenges—The Case of Nurse Prescribing and Recovery-Focused Interventions
Hemingway, S and Brimblecombe, N (2018). Community Psychiatric/Mental Health Nursing: Contexts and Challenges—The Case of Nurse Prescribing and Recovery-Focused Interventions. in: Santos, JC and Cutcliffe, JR (ed.) European Psychiatric/Mental Health Nursing in the 21st Century: A Person-Centred Evidence-Based Approach Heidelberg, Germany Springer. pp. 183-193
National survey of nurse prescribing in mental health services; a follow-up 6 years on
Dobel-Ober, D and Brimblecombe, N (2016). National survey of nurse prescribing in mental health services; a follow-up 6 years on. Journal of psychiatric and mental health nursing. 23 (6-7), pp. 378-386. https://doi.org/10.1111/jpm.12329
Using workload measurement tools in diverse care contexts: The experience of staff in mental health and learning disability inpatient settings
Fanneran, T, Brimblecombe, N, Bradley, E and Gregory, S (2015). Using workload measurement tools in diverse care contexts: The experience of staff in mental health and learning disability inpatient settings. Journal of psychiatric and mental health nursing. 22 (10), pp. 764-772. https://doi.org/10.1111/jpm.12263