LSBU study highlights 'fake' nursing job titles concern
London South Bank University study of NHS nursing job titles across UK highlights need for greater regulation of professional standards and qualifications
‘Variation in job titles within the nursing workforce’, a recent study published (7 September 2017) in The Journal of Clinical Nursing, warns of a significant risk to patient safety that threatens to undermine public confidence in the nursing profession and highlights the need for greater regulation of standards and qualifications within the sector.
The report is produced by researchers at London South Bank University (LSBU) who analysed in detail a cohort of around 18,000 (17,960) specialist nursing posts over a ten-year period (2006-2016) within NHS trusts across the UK.
Results of their analysis show that just under 600 (595) different specialist job titles are currently in use, a practice that is not only confusing for the public, medical professionals and commissioners of healthcare services, but is arguably posing a serious risk to patient safety.
The International Council of Nurses recommends that advanced level nurses who often prescribe drugs and manage a caseload have at least a Masters degree level qualification but of 8064 posts looked at, for which educational data was obtained, 323 (4%) were recorded as holding titles such as ‘Advanced Nurse Practitioner’ and ‘Specialist Nurse’ while having no formal first level nursing qualification registered with the Nursing & Midwifery Council (NMC).
This four per cent group of unregistered nursing support workers employed by NHS trusts in England are most prevalent in London and the North East of England.
In the group that were not registered with the NMC all of the low paid workers featured in this sample (100 per cent) were women earning in the region of £17-22k (Pay band 3 and 4). Of these, the majority use the term ‘Advanced Nurse’ or both ‘Advanced’ and ‘Nurse’ in their job title. Examples include, ‘Advanced Practitioner’ which was the most common (83) followed by ‘Specialist Practitioners (69) and ‘Advanced Nurse Practitioner’ (52). They primarily worked in emergency care, pre-assessment, theatres and cancer.
These job titles were cross-checked further on the NHS Jobs website during April-May 2017 using the search terms ‘advanced’ and ‘nurse’ (and applying a pay band 1-4 filter) revealed advertised posts for which registration with the NMC as a registered nurse was not required.
Those who were registered nurses using the title specialist or advanced had a variety of qualifications which ranged from none to Masters and PhDs.
As there is currently no regulation of specialist advanced nursing practice in the UK employers and post holders drive the labelling of posts. The report recommends that harmonisation would help to curb the unnecessary proliferation of nursing job titles, introduce much needed clarity and possibly enhance patient safety.
The report also suggests that regulation of protected job titles is particularly important for the international community in countries outside of the UK that are developing these roles.
Alison Leary, LSBU Professor and Chair of Healthcare and Workforce Modelling, one of three LSBU research staff who co-authored this report said: “What the results of this study clearly show is that advanced nursing practice needs regulation to help protect the public. Lack of consistency has implications for the wider perception of advanced specialist practice in the worldwide community and the workforce more generally.
“If the current system is allowed to continue unhindered, then there is a real risk posed to patient safety. Public trust also risks being undermined by NHS trusts applying professional job titles to low-paid carers who are not fully qualified nurses.
“In some instances, there is evidence that these post holders are being expected to treat members of the public and are missing diagnoses altogether, which could lead to patients becoming seriously ill or worse.
“This study also demonstrates that previous assumptions by the Council for Healthcare Regulatory Excellence that advanced practice labels are associated with career progression are unsound and should be addressed by the regulator.
"The lack of a common framework across England is an issue. Future role development and education from a common framework should be considered.”
Read the report ‘Variation in job titles within the nursing workforce'
Two student teams reach Engineering Design Challenge National Final
9 July 2018
LSBU academic chosen as one of the top figures in NHS history
3 July 2018
Academic wins award for pioneering research on kidney care
29 June 2018
Ex-smokers might be better off with high rather than low nicotine e-cigs
18 June 2018
LSBU students provide solutions for the local business community
14 June 2018
Ground-breaking report shows gangs are more money than territory-orientated
5 June 2018
Another solid rise for LSBU in league tables
1 June 2018
LSBU wins Partnership of the Year with St Mungo’s at the Student Nursing Times Award 2018
21 May 2018
How black nurses were vital to our health service even before Windrush, a talk by Stephen Bourne
17 May 2018
24 July 2018Undergraduate – How to Apply Evening
24 July 2018CIPD courses at LSBU information evening
1 August 2018Undergraduate – How to Apply Evening
9 August 2018Undergraduate – How to Apply Evening
27 September 2018Dr Rami Ranger CBE Annual Enterprise Lecture
1 October 2018Graduation Ceremony - School of The Built Environment and Architecture; School of Engineering
6 October 2018University Open Day
15 October 2018Graduation Ceremony - School of Arts and Creative Industries; School of Applied Sciences; School of Law and Social Sciences
19 October 2018A season of Shakespeare: A Midsummer Night’s Dream
20 October 2018A season of Shakespeare: A Midsummer Night’s Dream