Nurses shared their experiences of overcrowded hospitals ahead of the RCN's annual conference. PA
Nurses shared their experiences of overcrowded hospitals ahead of the RCN's annual conference. PA
Nurses shared their experiences of overcrowded hospitals ahead of the RCN's annual conference. PA
Nurses shared their experiences of overcrowded hospitals ahead of the RCN's annual conference. PA

Nurses fear legal action over care in corridors, RCN warns


Soraya Ebrahimi
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Nurses working in UK hospitals fear being taken to court over the level of care they give to patients, the Royal College of Nursing (RCN) has revealed.

Nurses are concerned about patient safety and even fear court cases being brought against them for treating patients in corridors, the RCN said.

With its annual conference beginning on Monday, more than 500 specialist A&E nurses in the RCN’s emergency care association shared their experiences of overcrowded hospitals.

It says more than nine in 10 raised concerns that patients may be receiving unsafe care and that patient dignity, privacy and confidentiality is being compromised.

The RCN says six in 10 fear they will be struck off the nursing register or have a court case brought against them as a result of patient harm due to their working conditions.

Some nurses described themselves as “broken” and feeling “suicidal”, with corridor treatment being deemed “degrading for patients”.

Before the congress, one emergency care nurse said: “Caring for patients in corridors is destroying staff morale.

UK nurses strike again as patients warned of 'inevitable' impact - in pictures

“When you walk into the department and see 15-20 people in the queue day in, day out, you lose any hope it’s going to be a good shift," they said.

“We care for patients the best we can, but something happens every day. I’ve dealt with almost every situation I can imagine in the queue.

“We’ve had to fit call bells and crash buzzers after people have had cardiac arrests in a corridor. Patients who are incontinent need pads changing but there’s no space or privacy to change them.

“Patients and their relatives can sometimes be physically or verbally aggressive towards us because they are rightly scared and horrified about the setting they are being treated in — some are then arrested or removed by security. There are delays to medication. The list goes on.

“Having to care for patients in this way makes you feel you are a terrible nurse. Sadly I have become desensitised to it as I’ve been dealing with it for so long.

“But unless something is done we will continue to lose brilliant nurses who are getting to breaking point.”

Nurses and doctors find themselves unable to discharge patients due to the lack of community care in place, the RCN says.

Bed capacity is also deemed to be at a dangerous level.

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“This bleak picture comes from right across the NHS," RCN general secretary and chief executive Pat Cullen said.

“Patients backed-up through emergency departments is a stark sign of a health and care system grinding to a halt. A corridor is no place to die and no place to work either.

“Governments must urgently plan and invest to reverse this new trend.

“Our members have told us they’re so concerned about patient safety being compromised that they are fearing court cases against them.

“While any decision around a court case would take into context the particular pressures that a nurse is working within, these fears are evidence of just how unsafe conditions have become.”

A Department of Health and Social Care representative said: “Everyone deserves access to the right care in the right place.

“That is why we are taking action to cut waiting lists, making it easier for patients to access a GP, and have almost reached our target of delivering 26,000 additional primary care staff.

“Our Urgent and Emergency Care Recovery Plan will also mean people are seen quicker as we scale up community teams, expand virtual wards, and put 800 new ambulances on the road.

“We know that if we are to build a stronger NHS it is vital to have the workforce to support it — and their health and well-being is of paramount importance. To ease the pressures on healthcare staff, the NHS will soon publish a long-term plan to support and grow the workforce.”

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

Labour dispute

The insured employee may still file an ILOE claim even if a labour dispute is ongoing post termination, but the insurer may suspend or reject payment, until the courts resolve the dispute, especially if the reason for termination is contested. The outcome of the labour court proceedings can directly affect eligibility.


- Abdullah Ishnaneh, Partner, BSA Law 

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Gifts exchanged
  • King Charles - replica of President Eisenhower Sword
  • Queen Camilla -  Tiffany & Co vintage 18-carat gold, diamond and ruby flower brooch
  • Donald Trump - hand-bound leather book with Declaration of Independence
  • Melania Trump - personalised Anya Hindmarch handbag
Updated: May 14, 2023, 11:01 PM