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Aug 26, 2021 · Another boost for nursing in 1998 was the creation of NHS Direct – the nurse-led advice service that put nurses as the first point of contact for patients. Nurses were the gatekeepers for the first time.
- Nursing in the 1990s
The decade began with one of the most controversial changes...
- Nursing and the NHS: A brief history of the key events
The new NHS took control of 480,000 hospital beds in England...
- Nursing in the 1990s
May 12, 2008 · The decade began with one of the most controversial changes to nursing ever – the introduction of clinical grading in 1988. The system moved all nurses on to grades such as D, E and F and worked on the basic idea that pay should be dictated by tasks performed rather than rigid job titles.
- Changes in British Society
- Health Service Policy
- Finance
- Medical Progress
- General Practice and Primary Health Care
- Hospital and Specialist Services
- Medical Education and Staffing
- Nursing
- The Condition of The NHS
The decade opened and closed with Labour in power and the NHS in financial crisis, in spite of the greatest increase in expenditure the NHS had ever seen. The economy was sound for most of the decade. The UK, as many other countries, experienced terrorism, often fuelled by radical Islamic influences. The devastation in New York (9/11), atrocities i...
The decade saw an unparalleled level of change, organisational, clinical and financial. The ‘New Labour’ model of the internal market saw Primary Care Trusts (PCTs) selectively contracting with providers. There were several ‘reviews of the NHS’ and the succession of ‘reforms’, ‘modernisation’ and ‘reorganisation’ hardly bears repeating but included...
Parliamentary briefing – NHS Funding and Expenditure Financial problems became a central issue and theprime ministers, Tony Blair and his successor Gordon Brown, were deeply involved. How much money should come to the NHS and how was it best distributed? A more commercial framework was introduced, particularly in the case of Foundation Trusts. Fina...
Advice to government had traditionally come from the Standing Medical and Nursing Advisory Committees, but these were abolished in 2005. The new mechanism to produce national strategies was National Service Frameworks (NSFs). NSFs were issued in 1999 for mental health, and for coronary heart disease in 2000. Experienced and senior clinicians who pr...
The workload of primary health care was rising. Between 1995 and 2008, the number of patient consultations in practices rose by 75 per cent, from 171 million to more than 300 million. GP consultations rose by 11 per cent (3.0 consultations per patient-year in 1995 and 3.4 in 2008), and nurse consultations by nearly 150 per cent (0.8 consultations p...
During the decade there were: 1. staffing increases 2. substantial reconfiguration of hospitals 3. increased workload but falling waiting times of outpatients and admissions 4. introduction of systems to assess quality 5. a major hospital building programme funded by Private Finance Initiative (PFI).
Medical staffing
The sixth decade saw revolutionary changes in medical education, staffing and the roles of doctors, the establishment of new and expansion of established medical schools. There was a major increase in the number of medical students, exponential growth in medical knowledge, with reshaping of the undergraduate syllabus, and attempts to improve postgraduate education with a new pattern – Modernising Medical Careers (MMC). New contracts with hospital consultants and general practitioners aimed to...
Medical schools and medical education
During the decade, the numbers of students starting studies rose by two-thirds. Doctors number some 100,000 out of more than a million workers in the NHS; government is responsible for the costs of medical education and is the main employer of doctors. The 1968 Royal Commission on Medical Education (Todd)undefinedrecommended a doubling of medical school intake to 4,230 by 1980, numbers not achieved until 1992. Planning was often based on pessimistic assumptions about growth in health expendit...
Changes to the curriculum
The guidance from the GMC in 1993 (Tomorrow’s Doctors)undefinedmodified the curriculum. The vast increase in medical knowledge meant that swathes had to be moved into the period of postgraduate training. Emphasis moved from gaining knowledge to a learning process that included the ability to evaluate data as well as to develop skills to interact with patients and colleagues. Medical students in some schools might now qualify without having delivered a baby or repaired a tear. The stress on fa...
Nursing education and staffing
Traditional nurse education had tended to be task-based, with an accent on the safe performance of routine duties, often by rote, and sometimes without explanation of the reasons why. In spite of some relaxation of discipline, the student nurse’s life was often still not his or her own. Hospital demands came first. In many ways, life had changed. Patient care had become immensely more complicated with high-technology health care and a myriad of new preparations on the drugs trolley, many with...
Staffing
Nurse shortage was a global challenge. Demand continued to grow but, in many developed countries, the supply was falling. An ageing nursing workforce was caring for increasing numbers of elderly people. Low levels of trained nursing staff could lead to poor care, to low morale and loss of staff. A landmark study of the effect of nurse/patient ratios in acute surgical units in Pennsylvania hospitals showed that the chance of patients dying within 30 days of admission increased by 7 per cent fo...
Nursing practice
Hospital nursing had changed radically as patients were admitted and discharged more rapidly and treatment was of a complexity undreamt of by the founders of the NHS. Nurses were pursuing new pathways and nursing was far less homogenous with multiple clinical specialties; some were managers, undertaking triage, canulating and administering intravenous fluids or diagnosing illness. Developments such as NHS Direct and walk-in centres were based on nurses rather than doctors as the first point o...
For ten years Labour had set the agenda and, paradoxically, the private sector became involved in NHS provision as never before. The problem of long waiting times for treatment was largely solved, public satisfaction with the NHS increased, but there was now a perception that there was poor access to the family doctor service, and that hospital inf...
this publication with interest and see how nursing has evolved and how we have overcome the considerable challenges our profession faces . In our publication, we are proud to showcase the work of the nursing workforce, spanning a century, covering specialisms such as dementia, acute, military and education .
May 7, 2021 · Retired nurse, Lynn, looks at the changes to nurse training over the last 50 years & evaluates whether the move toward theory and qualifications has diminished the concept of nursing as a vocation.
Jul 5, 2018 · The new NHS took control of 480,000 hospital beds in England and Wales, while an estimated 125,000 nurses and 5,000 consultants were available to care for hospital patients. However, there was also an estimated shortage of 48,000 nurses.
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May 5, 2023 · A Nursing Times bulletin published days before the NHS started shows nursing pay was a big issue then as now. There were concerns about the low pay of senior nurses on the new NHS regional boards (£635 to £710 annually, around £16,000 to £19,000 today) and pay for part-time nurses.
