Corridor care: Royal College of Nursing declares ‘national emergency’ and demands political action

Nursing staff are regularly forced to provide care to patients in chairs and corridors, compromising patient safety and dignity. RCN IS asking members to call it out and join their fight to eradicate the practice.

An RCN report reveals more than 1 in 3 (37%) nursing staff working in typical hospital settings delivered care in inappropriate settings, such as corridors, on their last shift. Our survey of almost 11,000 frontline nursing staff across the UK shows the extent to which corridor care has been normalised.

Patients are regularly treated on chairs in corridors for extended periods of time, sometimes days. We say that these instances must now be determined as ‘Never Events’ in NHS services, in the same way that having the wrong limb operated on or a foreign object being left inside a patients’ body already are. 

We’re asking for mandatory national reporting of patients being cared for in corridors, to reveal the extent of hospital overcrowding, as part of a plan to eradicate the practice. We also need members to raise concerns when care in inappropriate settings takes place. 

In a new RCN report, Corridor Care: Unsafe, Undignified, Unacceptable, our survey findings and member testimonies show the full grave picture of corridor care across the UK.

Of those forced to deliver care in inappropriate settings, over half (53%) say it left them without access to life-saving equipment including oxygen and suction. More than two-thirds (67%) said the care they delivered in public compromised patient privacy and dignity.

Thousands of nursing staff report how corridor care has become the norm in almost every corner of a typical hospital setting. Heavy patient flow and lack of capacity sees nursing staff left with no space to place patients. What would have been an emergency measure is now routine.

The report says corridor care is “a symptom of a system in crisis”, with patient demand in all settings, from primary to community and social care, outstripping workforce supply. The result is patients left unable to access care near their homes and instead being forced to turn to hospitals. Poor population health and a lack of investment in prevention is exacerbating the problem, the report says.

Professor Nicola Ranger, Acting RCN General Secretary and Chief Executive, said: “This is a tragedy for our profession. Our once world-leading services are treating patients in car parks and store cupboards.

“The elderly are languishing on chairs for hours and patients are dying in corridors. The horror of this situation cannot be understated. It is a national emergency for patient safety and today we are raising the alarm. 

“Treating patients in corridors used to be an exceptional circumstance. Now it is a regular occurrence and a symptom of a system in crisis. 

“Patients shouldn’t have to end up at the doors of our emergency departments because they can’t get a GP appointment, a visit from a district nurse or a social care package. But that is the reality. Corridor care is a scourge in our hospitals, but we know the solution is to invest in our entire health and care system – and its nursing workforce.”

Don’t allow corridor care to become normalised, call it out. Find out more about how to raise a concern

Nurses: Strikes on hold as new talks to open with Scottish government

Nursing trade union Royal College of Nursing (RCN) Scotland has paused a formal announcement of strike action in response to further talks with the Scottish government. 

The decision follows a meeting with the First Minister and RCN General Secretary and Chief Executive Pat Cullen today and talks this week between Scottish government, the RCN and the other trade unions currently in dispute regarding NHS pay (the GMB and Royal College of Midwives) to consider a roadmap to resolving the dispute. The Scottish government was fully aware that an announcement on RCN strike dates was imminent. 

The overwhelming mandate for strike action from RCN members in Scotland has been instrumental in securing these further negotiations. 

The proposal from Scottish government includes:

  • Negotiations for the 2023/24 NHS Agenda for Change pay offer to commence on an accelerated timetable starting next week with an aim of concluding by the end of February
  • A commitment to an additional payment equivalent to three calendar months value of the difference between the 2022/23 and the agreed 2023/24 pay rates
  • A firm commitment from Scottish government to a full review of the Agenda for Change framework in Scotland to ensure nursing is recognised and rewarded with a clear route for career progression 
  • A commitment to match any NHS pay increase in England for 2023/24 if it is higher than that agreed in Scotland
  • A commitment to invest any additional consequentials for NHS pay in England for 2022/23 in NHS pay in Scotland for 2022/23.

Scottish government would also support NHS employers to agree an extension of the RCN’s ballot mandate for strike action beyond early May if required.

Pat Cullen, RCN General Secretary and Chief Executive said: “The Scottish government has shown a willingness to return to the negotiating table and to act to address the nursing workforce crisis. The pressure from you, our members, has been key to these negotiations moving forward. We need to see this process through in good faith. 
 
“Our members in Scotland are being listened to and the First Minister is in no doubt that we will take strike action if the proposals being outlined do not deliver a significant improvement by the end of February.” 
 
Colin Poolman, RCN Scotland Director told union members: “You have said enough is enough and that was before the current pressures trying to care for patients and keep services running. 
 
“We know it is frustrating that things are not moving more quickly but things are moving. While the Scottish government repeated their assertion that there is no more money for NHS pay in 2022/23, it was my strong mandate from you that led to the positive discussions this week and the commitment to keep negotiating.

“The Scottish government needs to do more and to take this opportunity to do the right thing, for nursing and for patients. These new pay negotiations must acknowledge the safety critical role of nursing.”

Staff ‘deeply worried’ about Urgent and Emergency Care crisis

Scotland records worst A&E performance once again

Responding to the latest Emergency Department performance figures for Scotland for September 2022 Dr John-Paul Loughrey, Vice President of the Royal College of Emergency Medicine Scotland, said: “The situation as we enter winter is dire. Month-on-month, more and more patients face longer and longer waits – that we know are associated with patient harm and even death.

“Emergency Medicine staff and our paramedic colleagues are doing all they can to ensure the urgent and emergency care system continues to function and patients continue to receive care. We want to thank health care workers for their hard-work and diligence at this incredibly challenging time.

“We know that patients are deeply worried about the crisis. Emergency Medicine staff are worried too, distressed that they are unable to move patients through the hospital or take in patients from ambulances to the Emergency Departments.

“The difficulty in discharging patients from hospital when they are medically fit to be discharged is causing exit block in hospitals. The lack of social care is preventing these patients from being discharged.

“This is leading to a lack of flow throughout the hospital and leading to long waits in Emergency Departments, long waits in ambulances outside Emergency Departments, and long waits for an ambulance in the community.

“The Scottish Government must get a grip of this crisis and urgently boost the social care workforce, only then will we be able to discharge patients, free up beds and reduce these long waits throughout the system.”

The latest performance figures for September 2022 for Emergency Departments across Scotland show:

  • There were 113,522 attendances at major Emergency Departments
  • 65.6% of patients were seen within four-hours
    • This is the lowest four-hour performance since records began and is 8.2 percentage points lower than September 2021.
  • 13,506 patients waited more than eight-hours before being seen, admitted, discharged, or transferred
    • This is the highest number of eight-hour waits since records began
    • It means that more than one in 10 patients were waiting eight-hours or more in a major Emergency Department.
    • Double the number of patients have waited eight hours or more in 2022 so far (January – September) than in all of 2021.
  • 5,296 patients waited more than 12-hours before being seen, admitted, discharged, or transferred
    • This is the highest number of 12-hour waits since records began
    • This is an increase of 172% compared to September 2021.

New Year A&E record reveals Scotland’s GP crisis

A record-breaking number of people attending accident and emergency in the first week of January is a symptom of the country’s GP crisis, the Scottish Conservatives have said. Continue reading New Year A&E record reveals Scotland’s GP crisis