UK CNOs and NMC issue joint message of support amid ‘demanding’ winter

The chief nursing officers (CNOs) for England, Wales and Northern Ireland and the chief executive of the Nursing and Midwifery Council (NMC) have written jointly to registered professionals to offer reassurance and appreciation ahead of what is expected to be an especially challenging winter period.

In the joint letter, Duncan Burton (CNO England), Sue Tranka (CNO Wales), Maria McIlgorm (CNO Northern Ireland) and Paul Rees (NMC chief executive) acknowledged the rising pressures across health and social care and emphasised that the regulator would continue to consider the full context in which nurses and midwives are working.

‘Winter traditionally places considerable strain on the health and social care system, and this year will be no exception,’ they wrote. ‘The flu season has begun early, demand across services remains high and is expected to rise further.’

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They said staff absences and caring responsibilities were also expected to increase, and recognised the concerns that this may raise among clinicians trying to deliver safe and effective care.

The letter acknowledged that pressures might force professionals to adapt their practice when established procedures cannot be followed exactly.

‘We recognise that this may cause concern about regulatory referral,’ the signatories wrote. ‘We want to reassure you that when assessing any referrals we are always careful to understand the full context of care delivery.’

The NMC will continue to take account of staffing levels, resources and relevant guidance when considering any concerns raised about an individual’s practice, the letter stated.

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‘We have full confidence that clinicians will continue to act in accordance with the values and expectations embedded within our professional standards,’ the signatories assured.

Employers and leaders of NHS-commissioned providers were reminded of their responsibility to support staff and maintain effective channels for raising concerns. The joint letter also called on organisations to show flexibility and responsiveness in light of ongoing pressures.

In addition, the message encouraged nurses and midwives to draw on peer support and raise issues where needed.

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‘Working under sustained strain can take a considerable toll, and relying on colleagues – both for practical help and emotional support – is good professional practice,’ the letter said.

The communication ends by expressing appreciation for the continued work of the nursing and midwifery workforce, emphasising that their ‘contribution continues to be essential to the wellbeing of the communities we serve’.