Duly noted - I hunched over the keyboard well into the evening on Wednesday writing an Individual Submission to the Committee.
* 2015 NHS pension changes (from 'highest salary' to 'career average') led directly to the en-masse retirement of our most experienced staff - this was widely predicted and could easily have been avoided if the pension changes had been rolled out progressively.
*The discontinuation of the bursary for nursing students makes it financially advantageous to choose almost any other career path in preference to nursing - the timing of this measure means that even if it were reversed immediately, we have already sufferred one vastly reduced intake of students, and will likely have another short intake before any remedial measure takes effect. This will result in a catastrophic shortage of RNs circa 2020/21.
*The NMCs OSCE fees are prohibitively high and a deterrent to overseas-qualified RNs. (I compared and contrasted with other nation's fee structures, including the USA's CGFNS & NCLEX fees, to illustrate that other nations are now far more attractive prospects for overseas-qualified RNs)
I pointed out that, unlike the previous system (Overseas-qualified RNs worked in a reduced capacity, at a reduced rate-of-pay, with support & supervision, for a probationary period, on completion of which their overseas licence was recognised) the NHS workforce gains no benefit from the OSCE system.
*Concern about the deterrent effect of uncertainty about the post-Brexit status of EU-qualified RNs working in Britain is a problem without any possible solution, insofar as a degree of uncertainty is bound to persist until after the post-Brexit situation solidifies, and no amount of Pre-Brexit reassurance will change that.
The Brexit timeline means that EU-qualified nurses seeking to work in the UK is likely to reach a low point at the same time as the numbers of UK-qualified RNs reaches its low point.
*Para-nursing disciplines such as Nursing assistants, Operating Department Practitioners and Assistant Practitioners will play a far larger part in hands-on clinical care, and because said disciplines are not registered, 'sign-off' accountability for their practice will devolve to nurses whose role will change to accomodate this. RNs are likely to become managers for teams of para-nursing carers who will perform the actual hands-on care.
I pointed out that the former system of two-tier nursing - State Enrolled Nurses and Registered Nurses - was superior to this, because it provided two tiers of registered, licenced practitioners, whist reflecting the reality that not all nursing care tasks require an RN to perform.
(I also pointed out that this efficient and serviceable system was dismantled by the unjustified and needless drive to academicize British Nursing.)
*Agency staff should be recognised for their contribution and not used as scapegoats for NHS Trust's failure to recruit and retain staff. At a time when zero-hours contract workers are being portrayed as exploited and deserving of protection, zero-hours contract workers in the health sector are portrayed as parasites.
Disingenuous hospital management bemoan the higher hourly rates of agency staff, while failing to mention the saving they make in not having to pay for holidays, maternity, study leave, sickness, benefits and pension contributions.
*The future of UK nursing is Scottish. The absence of tuition fees for Scottish students means that nursing remains a vastly more attractive career option in Scotland than it does in the rest of the UK.
The implications are that well-staffed Scots hospitals will find it easier than their staffing-crisis English, Welsh & Northern Irish counterparts to acheive high CQC ratings, meet targets (and secure the funding which accompanies that) attract top clinicians, research projects and to acheive 'Centre of Excellence' status.
That - in seven assorted nutshells - is what I submitted to the Enquiry Committee.
If anybody's got any petitions they want signing now's the time to ask, because it appears I'm in concientious mood and that won't last.