Analysis of changes in the national mental health nursing workforce in England, 2011-2021

Journal article


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
AuthorsBrimblecombe, N.
Abstract

Data regarding changes in characteristics of the MHN workforce is commonly cited in governmental publications, but is rarely analysed in peer reviewed journals, despite ongoing concerns regarding high vacancy rates within mental health services.

Aims To characterise changes in the MHN workforce, implementation of new nursing roles/skills and alignment with national policy

Method
Analysis of nationally published workforce data, peer reviewed publications and governmental policy/planning documents.

Results
Nurse numbers declined from 2011 to 2017, subsequently returning to near 2011 levels, but remaining below national targets. Nurses in community settings increased to constitute more than half of all nurses, whilst inpatient numbers declined, although more slowly than bed numbers. The ratio between nurses and support workers changed due to more support workers in inpatient settings. New advanced skills and roles for nurses have increased, but are unevenly distributed, constituting a small proportion of the total workforce.

Implications for practice
This paper provides a case study against which comparisons may be made with the nursing workforce in other countries and specialities. Even clear policy commitment to nursing growth may not deliver planned changes in numbers and introducing new roles may have uneven impact, especially in the absence of a robust evidence base.

Keywordshealth services delivery, management issues, nurse prescribing, service management and planning, staffing/resources
Year2023
JournalJournal of psychiatric and mental health nursing
Journal citation30 (5), pp. 994-1004
PublisherWiley
ISSN1365-2850
Digital Object Identifier (DOI)https://doi.org/10.1111/jpm.12922
Web address (URL)https://doi.org/10.1111/jpm.12922
Publication dates
Online31 Mar 2023
Publication process dates
Accepted08 Mar 2023
Deposited04 Apr 2023
Publisher's version
License
File Access Level
Open
Accepted author manuscript
License
File Access Level
Controlled
Additional information

-

Permalink -

https://openresearch.lsbu.ac.uk/item/93953

Download files


Publisher's version
Psychiatric Ment Health Nurs - 2023 - Brimblecombe.pdf
License: CC BY 4.0
File access level: Open

  • 35
    total views
  • 16
    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
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
Editorial - Why a radical review of the nursing workforce?
Brimblecombe, N. (2022). Editorial - Why a radical review of the nursing workforce? Mental Health Practice.
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