Monday, 19 August 2019
A new report has found that since the EU referendum in 2016 overseas nurses are experiencing higher levels of discrimination and are more likely to consider leaving the NHS.
This is one of the main findings of a report written by 糖心原创 academics, Dr Georgia Spiliopoulos and Professor Stephen Timmons, who conducted in-depth interviews with both EU and non-EU nursing staff. Their report focuses on the problems confronting migrant nurses during the ongoing Brexit negotiations and makes policy recommendations.
One of the most frequent complaints was the increase in racist incidents, since Brexit, from colleagues in the NHS and their local communities. The nurses said they felt supported by hospital senior staff with appropriate regulations in place. However, there were differences in practice between NHS Trusts and hospital wards.
The referendum result has been interpreted, by the EU and non-EU NHS nurses interviewed, as a signal that migrants are not welcome in the UK and they were considering migrating elsewhere. Our findings have serious implications for patient care. There is already a shortage of nurses with an estimated 36,000 nursing vacancies.
Theodora*, is a Greek nurse who works in a hospital in the south-west of England. She told the researchers: “After the referendum the situation has changed. I don’t quite feel settled. I had racist attitudes from a patient’s husband. When I was giving his wife her medication he told me to go back to the country I came from. I said to him: 'I can’t go because I have to take care of patients in the NHS'. He calmed down. The hospital has written to us to say if anything happens we must report it. We feel protected in theory but there is still an attitude. You can still feel something wrong in the air.”
Limited career opportunities and bias, from senior staff and management towards promotion, was another obstacle faced by non-British nurses. Delays in recognising their overseas qualifications or experience and inconsistencies between NHS Trusts, in the length of contracts and benefits offered to non-British nurses, were also cited as reasons not to stay.
The departure of EU nurses has had a impact on the daily lives of the migrant nurses who felt they had less emotional support. Theresa*, a Spanish nurse working in the NHS, said she was considering migrating again: “If I am not happy with the job, with no supportive circle of friends, I have no reason to stay here. At this point I am also thinking of migrating to other countries.”
Nurses also reported having to work harder and taking on additional responsibilities with no extra pay. Low staffing levels have been linked to poorer outcomes for patient care and a higher risk of hospital deaths.
Drawing upon their findings, the report has made a number of recommendations to support the NHS in keeping migrant nurses and recruiting more to make up for the shortfall. They include:
- NHS needs to continue to protect staff from discrimination not only from their co-workers and the public but from management
- NHS Trusts need to increase their collaboration to support newly hired staff and improve consistency between trusts in offering visas for more than two years
- Hospital management needs to value previous nursing experience of nursing staff
Dr Spiliopoulus added: “Pastoral care and support for career development are important. If these measures are not implemented we will see even fewer nurses in our hospitals. NHS Trusts need to do more to tackle these issues by working more closely and sharing best practice."
The findings will be discussed by Dr Spiliopoulos at the European Sociological Association conference on 21 August.
The full report can be found here
*Names have been changed
Story credits
For more information please contact Dr Joy Spiliopoulos, Joy.Spiliopoulos@nottingham.edu.cn
Nasreen Suleman - Media Relations Manager, Faculty of Social Sciences
Email: nasreen.suleman@nottingham.ac.uk
Phone: 0115 951 5793
Location: C4, Pope Building, University Park, Nottingham,NG7 2RD
Notes to editors:
About the 糖心原创
Ranked among the world's top 100 universities , the 糖心原创 delivers an exceptional research-led education and an outstanding student experience. From the pioneering vision of our founder, Sir Jesse Boot, to groundbreaking achievements such as the development of MRI technology and becoming the first UK university to establish international campuses, we have a proud history of shaping the way people live, work and understand the world. We continue to build on that legacy, empowering our students, staff and partners to change what鈥檚 next and create positive impact locally and globally.
The strength of our research places us among the UK's leading universities, ranked 7th for research power in REF 2021. The discovery of MRI and ibuprofen was just the beginning. Today, our world-leading research is developing breakthrough ideas that shape the future of healthcare, technology and society.
Recognised as the UK's third most targeted university by leading employers , we are proud to produce graduates who are consistently in demand for their skills, confidence and industry-ready experience.
As a major employer and industry partner, locally and globally, the 糖心原创 invests in the city of Nottingham and in future generations of talent. Alongside Nottingham Trent University, we lead the initiative, a pioneering collaboration to improve levels of prosperity, opportunity, sustainability, health and wellbeing across the city and region. Together with our students, staff, alumni and partners, we鈥檙e creating knowledge, opportunity and solutions that help change what's next.