pulling_your_strings_sherlock_by_clockwork_fox-d4m9tl8THE NMC AND RCN DANCING TOGETHER

That great double-act of nursing, the NMC and the RCN, who strut the nursing stage as Tweedle Dee and Tweedle Dumber, are nothing more than fee-sucking parasites, which, more worryingly, are selling the interets of nurses to employers; in return for being the sole arbiters of what is right and wrong; the judge, jury, and executioners of nurses.

They are puppets who want to dine with government, and allow their masters and its media machine to set the nursing agenda. Nurses need to be evaluated regularly, they agree, so let us give a big say in this ‘revalidation process’ to their employers; (quasi-privatised) hospital managers, and their nursing home equivalents, who work for debt-ridden private equity trusts, and are hell bent on cutting costs, so increasing their bonuses.

The Morcambe and Wise of UK nursing have readily followed the same government-led initiatives adopted by that other dictatorship, the GMC, whose own proposals for appraisal and revalidation state that ‘the balanced scorecard will be the key method of assessing performance and monitoring it over the year’ and that ‘practices that fail to achieve targets set within 1 year will rapidly be receiving remedial notices’; that is, there will be two stages to termination of contracts. In the same vein, nurses who do not lick their master’s boots will have a dossier compiled on them, which will be used as a basis for reporting them to the NMC.

From the mouth of the RCN: “Nurses risk falling foul of revalidation requirements unless their employers carry out regular and effective appraisals, senior nurses have warned’. A far cry from what should be said: “Stuff the NMC and its employer’s charter of revalidation”. “Stop them keeping a scorecard on nurses”.

Consider a hypothetical case. Nurse Mary Poppins is working in a nursing owned by a private equity trust. She has finished a drugs round, and has taken the drugs trolley into the treatment room. She opens a cupboard and commences to re-stock her trolley. As her back is turned, a patient with an history of theft, sneaks in the treatment room and steals several tablets (benzodiazapines), and swallows them. The nurse realises what has happened, and informs management. She is reported to the NMC, and faces a disciplinary hearing. The nursing home adds a number of other ‘issues’ surrounding this very experienced and well-regarded nurse, and also reports these to the NMC. These issues are subsequently deemed not worthy of follow up. The dossier begins to unravel.

To me, this would sound like a company wanting to get rid of a ‘stone in its shoe’, someone who does not chime merrily with company cut-to-the-bone policies, perhaps.

What of the main complaint?. Has every nurse who dispenses drugs always locked themselves in the treatment room when putting their trolley away? In the UK, the stolen tablets are a Class C, Schedule 4 Controlled Drug under the Misuse of Drugs Regulations 2001, but, as given by such as Ian Peate, Karen Wild, Muralitharan Nair, ‘Nursing Practice: Knowledge and Care’ (2014), there is no requirement to keep a benzodiazapine in a controlled drugs cupboard, or for them to be recorded in a drugs register – see their table 19.2).

The NMC would save time, and nurses’ and taxpayers’ money, if they stopped tap-dancing to the tune of employers and government.

Stop judging nurses as if they are Mary (perfect) Poppins.

Get real. Stop investigating (t)issues of lies.

When we stop being human, we become absurd.

Give nursing to nurses, not employers, and their double-act stooges.
lenin nightingale 2015