Dying patients go without care as community nurses ‘on their knees'

Asia's Tech News Daily

Community nursing care is highly specialist work but is under increasing pressure with fewer staff available (Getty)

Dying patients are going without care in their own homes because of a collapse in community nursing services, new data shared with The Independent reveals.

Across England a third of district nurses say they are now being forced to delay visits to end of life care patients because of surging demand and a lack of staff. This is up from just 2 per cent in 2015.

The situation means some patients may have to wait for essential care and pain medication to keep them comfortable.

Other care being delayed includes patients with pressure ulcers, wounds which need treating and patients needing blocked catheters replaced.

In an investigation into the service, more than half of district nurses said they no longer have the capacity to do patient assessments and psychological care.

Professor Alison Leary, director of the International Community Nursing Observatory, said her study showed the country was “sleepwalking into a disaster”.

She said the situation was now so bad that nurses were being driven out of their jobs by what she called the “moral distress” they were suffering at not being able to provide the care they knew they should.

“People are at the end of their tether. District nurses are reporting having to defer work much more often than they did two years ago. What they are telling us is that the workload is too high. This is care that people don’t have time to do.”

The findings come as community nursing is being leaned on by other parts of the NHS to keep patients out of hospital. This is happening alongside a 36 per cent rise in patients dying at home during the pandemic, and tens of thousands of Covid survivors being discharged from hospital with long-term needs.

The numbers of district nurses working in England have halved in the past decade and while England is training around 700 a year, the Queen’s Nursing Institute has said the numbers need to double to at least 1,400 a year.

In the study of activity carried out in 26 areas across England as well as data from more than 922 district nurses, Prof Leary found a significantly worsening picture. In 2019, more than 60 per cent of district nurses said they did not defer visits to patients. In 2021, less than five per cent said they never delayed visits. A total of 15 per cent said they always had to delay visits, while 30 per cent said this was usual most days.

Nine out of 10 district nurses say they are working unpaid overtime, with more than a third working up to three hours extra a week. Another 30 per cent said they are working between four and six hours unpaid while more than 15 per cent said they were working between seven to 10 hours a week extra without pay.

Prof Leary, chair of healthcare and workforce modelling at London South Bank University, told The Independent: “The risks are catastrophic. If patients’ needs are not being assessed, there is no way you can meet them. The numbers of nurses have gone down but the complexity of the work and demand for their service has gone up.”

She said the care by district nurses was among the most specialist and skilled she had ever seen, adding: “There is no difference between acute care in the community and acute care in a hospital but district nurses have no ability to say no and they are picking up work from other services.”

One district nurse from the northeast of England, who had worked in the community for more than five years, told The Independent she had sleepless nights over the care she was unable to give.

“It is just horrendous. The workload is just unrelenting, there are too many patients and no one stands up for district nurses. We just have to keep saying yes.”

She added the teams often had crisis calls come in at the end of the day with a two-hour response time: “We have to put everything on hold including things like palliative care. We don’t have the capacity so these calls come in at 4pm and we have to leave some things.

“Some people are going without care.”

The nurse, who asked to be anonymous amid fears for her job, said her team already had five vacancies and two more staff preparing to leave.

She said she often lies awake at night worrying about the patients who she was unable to see.

“My daughter turned to me recently and said ‘I hate your job. You are never at home and we never do anything because you are always working.’ This was gut-wrenching to hear.”

The Queen’s Nursing Institute, the world’s oldest nursing charity, which champions community nurses, is pushing for a proper workforce plan to try and reverse the crisis in care and is also consulting on new workforce standards.

Its chief executive Crystal Oldman told The Independent the state of services were a “high-risk situation” adding: “We know these problems are happening and we are not addressing it. I don’t understand why we are not paying more attention to this and learning from those areas that are getting it right.

“A clear and detailed workforce plan for community nursing is essential.”

She added the problems with care being delayed meant there had to be a risk to patients’ health: “There is a great risk of harm if we are deferring care.”

She said staff were exhausted and were burning out: “We are seeing people who have been doing this job at relentless pace for years and are now on their knees and saying they can’t do the job they trained to.”

Internet Explorer Channel Network
Asia's Tech News Daily
News Related

OTHER NEWS

Chief Medical Officer urges pregnant women to get vaccinated

© PA Wire Sir Michael McBride, Chief Medical Officer for Northern Ireland (Peter Morrison/PA) – PA Wire The Chief Medical Officer has issued a fresh call for pregnant women to ... Read more »

UK households facing ‘fuel stress' will treble to 6.3m – thinktank

© Provided by The Guardian Photograph: Danny Lawson/PA The number of households suffering from “fuel stress” – those spending at least 10% of their family budgets on energy bills – ... Read more »

Burns was advised not to write in Scots as London readers ‘wouldn't understand'

Robert Burns was advised not to write in Scots by a correspondent who thought it would limit his audience, according to new research. A project by academics at the University ... Read more »

Number of families spending 10% of budgets on energy bills ‘set to triple'

© PA Archive Fuel bills The number of families spending at least 10% of their budgets on energy bills is set to triple after the new energy price cap comes ... Read more »

How delivery apps created a 'Netflix of food ordering'

Husband and wife, Emre Uzundag and Yonca Cubuk, say they are now “living their small dream”, all thanks to a food delivery app. The Turkish couple moved to New York ... Read more »

One in five try dentistry at home including pulling out their TEETH

Patients are resorting to ‘DIY dentistry’ and pulling out their own teeth because they cannot get to see an NHS dentist, a report reveals today. More than half of Britons ... Read more »

Earnings bounce can offset Covid gloom

Mumbai: India’s stock indices are likely to head higher in the coming days as investors focus on corporate earnings and the upcoming Union Budget amid continued concerns around rising cases ... Read more »

Australia news live update: reports of new eruption at Tonga volcano; rapid test price gouging to be referred to police; Covid hospital cases rise

LIVE – Updated at 00:33 Follow all the day’s news.   00:33 Back to Sims, and, asked specifically about the reports the federal government is taking rapid antigen test supply, ... Read more »

At-risk 12 to 15-years-olds eligible for booster doses from Monday

Clinically vulnerable 12 to 15-years-olds who are most at risk from coronavirus will be able to get their Covid booster jab from Monday. © PA Wire Boosters Around 500 children ... Read more »

Manchester United midfielder Nemanja Matic calls out Australian authorities for their 'SHAMEFUL' treatment of Novak Djokovic and sends support to his Serbian compatriot

Matic criticised the Australian authorities for their treatment of Novak DjokovicHe was deported from Australia on Sunday night after 11 days of legal battling The Federal Court siding with Minister Hawke's decision to cancel Djokovic's visaThe United star described the authorities' treatment of Djokovic as 'shameful'His comments came after Aleksandar Vucic referred to the legal battle as torture Read more »

Chelsea 'in talks over loan deal for PSG left back Layvin Kurzawa' as Thomas Tuchel seeks to bolster his defensive options with Ben Chilwell out for the rest of the season

Layvin Kurzawa has played 153 games since joining from Monaco in 2015 But 29-year-old has fallen out of favour at PSG under Mauricio PochettinoChelsea turned to Kurzawa after failing to recall Emerson Palmieri from Lyon  Read more »

U.S. FAA clears 45% of commercial plane fleet after 5G deployed

By David Shepardson © Reuters/SAM WOLFE FILE PHOTO: 5G technology may conflict with commercial aviation WASHINGTON (Reuters) -The U.S. Federal Aviation Administration (FAA) said Sunday it had cleared an estimated ... Read more »

Stylish Kate Moss arrives at top Mayfair restaurant to celebrate 48th birthday

STYLISH Kate Moss looked to be in a ­uniform mood as she arrived at a top restaurant to mark her 48th birthday. The supermodel wore all black for the occasion ... Read more »

North Korea fires ‘ballistic missile' towards Japan in fourth ‘provocative' launch of 2022 by Kim Jong-un

NORTH Korea fired has fired what could be a ballistic missile towards Japan – in its fourth launch of 2022. South Korea's military and Japan's coast guard reported that the ... Read more »

Wealth of 10 richest men 'doubled in pandemic'

© Getty Images Jeff Bezos has spent much of his wealth on his space travel project Blue Origin The pandemic has made the world’s wealthiest richer but led to more ... Read more »

NY middle school is forced to issue apology over 'racist' Spanish homework which saw children ordered to translate sentences saying 'You are Mexican and ugly' and 'You are pretty and American'

An Upstate New York school district has come under fire after students at one school received offensive Spanish homeworkWilliamsville Central School District issued an apology to sixth graders at Mill Middle School, after receiving backlash from their parents on social mediaThe students received an assignment which required them to translate sentences from English into Spanish 'You (friendly) are Mexican and ugly,' one of the sentences on the worksheet read. 'You (politely) are pretty and American,' another readMeanwhile, administrators within the district released a statement shortly after the online backlash, and offered an apology for the offensive assignment 'As a Latina whose children attend Mill and Williamsville I am in complete shock,' one mother wrote 'This is completely unacceptable,' another Hispanic mother said while she criticized the assignment  Read more »

'I had a contract put on me to kill me!' Robbie Williams details how he was wanted by a hitman but had 'friends' who were able to make it go away

The singer said a contract was put on his head when he was 'ridiculously famous'Robbie explained how friends of his were able to make the contract 'go away' The 47-year-old did not specifically explain when the hit was put outRobbie also discussed how he struggles with the attention that comes with being a superstar Read more »

EXCLUSIVE: The eye-watering price tag of Tegan Kynaston's diamond engagement ring... after Kyle Sandilands proposed on holiday in Port Douglas

Kyle Sandilands surprised his partner Tegan Kynaston with an extravagant marriage proposal earlier this month, hiring a venue and arranging for fireworks, candles and a lavish meal before popping the ... Read more »

Video: Dramatic moment Kiwis perform a HAKA to stop cops taking away the anti-vaxxer head of NZ megachurch - after he was arrested over protests against lockdowns

Read more »

Naomi Campbell, 51, cuts a stylish figure in a black jumpsuit and faux fur coat as she steps out in Los Angeles

Naomi Campbell cut a stylish figure in a black jumpsuit as she stepped out in Los Angeles on Sunday.  The supermodel, 51, paired the quirky all-in-one with a black fur ... Read more »

'I wouldn't be where I am without therapy': Nicola Roberts urges people to 'reach out' as she joins Craig David and Max George in powerful NHS mental health campaign

Nicola Roberts has spoken candidly about her mental health, admitting: ‘I wouldn’t be where I am now without therapy.’ The Girls Aloud star, 36, urged anyone struggling to ‘reach out’ ... Read more »

'We were always going to have Kate as a middle name': Helen Skelton reveals newborn daughter Elsie is named after her 'crazy and cool' cousin who tragically died in her 20s

Countryfile host Helen Skelton has revealed her baby’s middle name is a tribute to a cousin who died in her 20s. The former Blue Peter presenter gave birth to a ... Read more »

'I couldn't be happier!' Jessica Wright reveals she's expecting a baby BOY with husband William Lee-Kemp but admits she thought their first child would be a girl

Reality star Jessica Wright has revealed she is expecting a baby boy with husband William Lee-Kemp.  The former The Only Way Is Essex cast member, 36, announced she was pregnant ... Read more »

US faces ‘tough' weeks ahead; South Africa registers 4,597 new cases

South Africa registered 4,597 new Covid-19 cases, bringing the cumulative total to 3,559,230. A further 86 Covid-19-related deaths were reported, taking total official deaths to 93,364. A total of 28,903,010 ... Read more »

Country singer Sara Evans' estranged husband Jay Barker arrested for allegedly trying to run her over with his car

The estranged husband of country singer Sara Evans, Harry ‘Jay’ Barker, was arrested in Nashville Saturday in connection with allegations he tried to strike her with his vehicle. Barker, 49, ... Read more »

TOWIE star Abi Clarke claims 'secret fling' Zayn Malik 'compared her to his ex fiancée Perrie Edwards' and was 'really upset' when his romance with the singer ended

Zayn Malik allegedly compared his secret fling Abi Clarke to his ex Perrie Edwards, according to The Sun.   The singer, 29, reportedly had a romantic fling with the TOWIE star, ... Read more »

Rose Ayling-Ellis says it would be 'so emotional' for the deaf community if sign language was given legal status - as she fronts The Big Issue with her campaign

Latest Strictly Come Dancing 2021 news on Series 30 judges, dancers and contestants here Read more »

First migrant caravan of 2022 with 300 people traveling from Honduras to the US is STOPPED by cops in Guatemala with just TEN people allowed to continue on their way

Hundreds of Hondurans and Nicaraguans reached the Guatemalan border but were prevented from crossing by Guatemalan security forces First such U.S.-bound migrant caravan to be formed this year in Central AmericaSome migrants at the Izabel border crossing in Guatemala threw objects at Guatemalan security forces, who pushed them back with riot shieldsCaravan set off days before leftist President-elect Xiomara Castro takes office in Honduras on January 27The migrants appeared to be mostly young people carrying backpacks on their shoulders and women with children with some pushing baby carriagesGuatemalan authorities said about 300 people crossed into the countryGuatemalan security forces clashed with migrant groups when they tried to force their way across without documents  Read more »

Dancing On Ice 2022: Oti Mabuse looks incredible in leggy red Chanel ballgown with dramatic train as she makes judging debut

Oti Mabuse looked incredible in a ruffled red Chanel dress as she made her Dancing On Ice judging panel debut on Sunday. The Strictly star, 31, who has replaced axed ... Read more »

Mindanao to have scattered rain showers due to shear line

Rain storm weather disturbance umbrellas sickness disease flu prevention disaster announcement monsoon thumbnail generic 178122558 weather-storm weather-rain news-weather rain thumb weather thumbnail The shear line continues to affect the eastern ... Read more »

Man arrested over death of five-month-old girl at house in Sheffield

A man has been arrested following the death of a five-year-old girl who was found in cardiac arrest. South Yorkshire police were called to a house in the Intake area of ... Read more »

Shorter isolation period comes into effect as minister offers hopeful outlook

People in England can end their coronavirus isolation after five full days in a move hailed as restoring “extra freedoms”. It comes as a Cabinet minister struck an optimistic note ... Read more »

Saving Britney review – a Spears superfan breaks the ice

Oops she did it again. Britney mania has got another millennial teenager obsessed. Still, Jean is a superfan with a difference. With 172 similarities to the popstar, and the ability ... Read more »

Levelling-up betrayal as North gets one job for every three in the South East

Nearly three jobs are created in London and the South East for every one in the North, a report reveals today. Boris Johnson has failed to deliver on his “levelling-up” ... Read more »

I'm so addicted to winning the lottery I've just scooped my FOURTH jackpot – taking my total winnings to $4.6million

A MAN has scooped $1million this month in his FOURTH lottery win since 1999 – scoring a whopping $4.6million in total. Mike “Lucky” Luciano won his latest prize from a ... Read more »

2022 Porsche Cayenne gets Platinum Edition and updated multimedia tech

Porsche announced a few updates for its Cayenne SUV on Sunday, including better infotainment tech and a new Platinum Edition trim. These changes are similar to what the company introduced ... Read more »

World's 10 richest men doubled wealth during Covid: report

The world’s 10 wealthiest men doubled their fortunes during the first two years of the coronavirus pandemic as poverty and inequality soared, a report said on Monday. © Ozan KOSE ... Read more »

Oxfam: Billionaires added $5 trillion to their fortunes during the pandemic

© Getty Images Left to right, from top: Warren Buffett, Mark Zuckerberg, Bill Gates, Elon Musk, Jeff Bezos, Steve Ballmer, Larry Ellison, Bernard Arnault, Sergey Brin, Larry Page. Billionaires added ... Read more »

Florida tornadoes destroy dozens of homes, leave 7,000 customers without power

Two tornadoes struck southwest Florida Sunday morning, destroying at least 28 homes and damaging others in Lee County, while leaving about 7,000 houses there without power, officials said. © Andrew ... Read more »

Hotel that houses Channel migrants costing taxpayers £1.5m is EMPTY after being block-booked by Home Office

A HOTEL for Channel migrants is empty — after taxpayers forked out £1.5million to rent it. The 162-room Holiday Inn Express was block-booked by the Home Office for five months, ... Read more »
On free-english-test.com you will find lots of free English exam practice materials to help you improve your English skills: grammar, listening, reading, writing, ielts, toeic