‘Nurse’ Dale 10 years out of date
Just a quickie, but I have to.
Unlike Iain Dale, I am a trained nurse (registration now lapsed). I trained at St George’s Hospital in Tooting in the 1980s, and worked in London, Switzerland, Bangladesh and (briefly) Lancashire, before moving on to the rest of my life.
I only raise this to establish some basic credibility, in order to then offier a corrective to Dale’s peddling of inaccurate crap on his website this morning. He says:
‘So when I heard this morning that the NHS was now going to insist on a degree before nurses could train, I was dumbfounded.’
Yes, almost unbelievably, he thinks the new proposals mean that all trainee nurses will have to have a degree in something else before they start training to be a nurse. It’s degrees IN nursing, we’re talking about, you ignorant, silly person [update: he’s now realised that bit and updated his own post.
Further, he has clearly never heard of Project2000, an initiative which started seven or eight years before the year 2000, with a view to moving nurse education into higher education by about 2000.
So when I say Dale’s a decade out of date, I’m being charitable. His understanding of what modern nursing is really about is probably about fifty years out of date.
He says he was a nurse when he was in his gap year. He might have been called an auxiliary nurse then, but now he’d almost certainly be called a Health Care Assistant (HCA) instead. The details about how HCAs relate to nursing (and how being an HCA can lead into nurse training), are not very hard to find.
The training and career path of nursing has changed, and in many ways the HCAs now do what Enrolled Nurses did a quarter of a century ago.
For Dale therefore to make out that the steps now proposed, which are to move the process towards the finalisation of a workforce strategy begun in the early 1990s under a Tory administration, are some kind of ridiculous overnight shift in policy thought up by Labour just for a laugh - a notion picked up eagerly by his trolls – is misleading at best, and damaging to the reputation of nursing profession at worst.
Nursing as a profession gets enough shite from people eager to hark back to a Carry On world of stern matrons, randy doctors and promiscuous ‘young things’, without Dale sticking his fact-free oar in.
He should be supporting the ‘modernisation’ of a workforce, not throwing around aspersions about what it does and doesn’t take to be a highly trained public servant.
I think there are issues with Project 2000 and what ensued, not least in relation to the terms and conditions of HCAs, but at least I know some of the facts, and how to use Google just to check them.
If you liked Iain Dale, you’ll love what the Spectator has to say on this subject:
http://www.spectator.co.uk/coffeehouse/5533468/nursing-is-the-new-media-studies.thtml
Woohoo! I know nothing about nursing and I still know more about nursing than Iain Dale!
Well I know plenty about Nursing, also a former RMN. I disagree totally.The elitist Royal “College” of Nursing , the management dominated club, loved project 2000 and the “higher standards” didnt they?, so much so that many of this greedy bunch left to be the heirarchy of our biggest HUGE earning Nursing agencies. Since the closing of the best Nurse Training Schools in the world,(British) the new “technical” Nurses have seen the standards of care drop to appallingly levels with dirty MRSA CDIFF plagued hospitals throughout the land. THE TRUTH of the “College” is that they always resented Doctors having the glory and made no secret of the fact that one day “super” Nurses will be both Doctor AND Nurse. The barmpots.
Gary
Thanks for this.
My point was not whether I think the expansion of nursing degrees is a good idea; it was the narrower one that Iain Dale couldn’t be bothered to look up basic facts about the extent to which they already exist and why (Project2000).
On the broader point, though, I actually agree with a good deal of what you say, and while it wasn’t the main focus of my article I as careful to point out that I had reservations, not least in respect of HCA terms and conditions.
I don’t think it’s the move to degree status in itself that is the cause of the problems you rightly identify, though that gets tangled up in it. I agree that the RCN has for ever wanted to ‘professionalise itself’ away from the nitty gritty of what we trained to do as nurses, and the way the degrees developed was far too closely modelled on the early degrees (Kings College, London and one or two other places) which were very clearly the preserve of a nursing elite of largely ruling class stock (I know this from experience as I worked with many as a student at a big south London teaching hospital in the 80s).
In fact the whole story of ‘nursing standards’ is irrevocably tied to class (and obviously gender)and probably deserves a longer analyis than I can do right now, touching on how the nursing elite after the war was drawn from the ruling class happy on the one hand to pander to a medical profession keen to keep its own power base in the new NHS and on the other to keep its workforce under control.
The development of degree nursing, and the subsequent development of a new exploitable workforce in the shape of HCAs (the new ENs, but without the pay or the staffing ratios) was a classic divide and rule managerialist tactic. I think it’s instructive to see what’s happened to nursing (as a broad care job, including HCAs) and compare it to the development of physiotherapy and occupational therapy, for example, where there’s been a real professional solidarity developed in the same way as in teaching through decent unionism/staff group work.
I may well tidy oup my thoughts on this into a full post as I think it’s a fascinating area of cross cutting issues of power and class, which I’ve not really considered for a while (though coincidentlly i was commenting on the early days of the NHS on another post a few days ago).
Many of us have pointed out to Iain that he doesn’t really understand what a nurse is…so far, he refuses to comment.
Anne
Thanks for leaving your comment. I wasn’t aware of your blog but I’ll certainly be making reference to it at my place.
I love the straightforward focus on your blog on a) the Daily Mail, Spectator etc know fuck all b) what counts is staff ratios, and they are wrong.
With ref to your comment at my place, I’d love to have more details on what you’ve sent to Iain Dale as a corrective, and what he’s ignored, as I think he really does need challenging and I’d be happy to help with that. He’s probably a more accessible target than, say Melanie Phillips or the Daily Mail (that’s not saying he’s worse), and it would be good to see if we could, with a bit of concerted blog coverage, get some support for a look at the realities of ward-based nursing.
I’ll carry on my history of the changes to nursing from a class/gender perspective as I get chance, and would value your comments.