On Monday, the Royal College of Nursing Congress
voted, by an overwhelming majority, to keep its dual status – as both a
Royal College, selflessly promoting excellent practice with a focus on welfare
of patients, and at the same time as a Union, promoting and
protecting the welfare and interest of its members.
Not all Royal Colleges are like this. The Royal College
of Surgeons and of Physicians, for example, are adamant that they should never
take on any Union role, and keep interests of the practitioners completely
separate from the function of the Royal College, which, they argue, should
have a single, and relentless focus on quality of practice, of care, and
patients. The intention is that the voice of a Royal College to the
public is simply: “It’s all about you”.
The Francis Report, looking into how up to 1200 excess
deaths occurred at Mid Staffs, had recommended that the Royal College of
Nursing break off this dual function, to become solely focused on excellent
nursing and care standards, with a relentless patient, not practitioner
focus. The Royal College of Nursing (RCN) has just rejected this.
Of course, every institution has an inbuilt reluctance
for change, and it is easy to see how and why the Royal College of Nursing would
be resistant to altering its role. But I fear that this decision has missed a
valuable opportunity for nurses and the nursing profession as a whole.
Nursing has traditionally been a highly respected
vocation, and nurses are valued and indeed loved by the general public. In recent
years, however, this long-held respect for this invaluable profession has begun
to erode. The reasons for this may be complex, but certainly many older
nurses, or retired nurses, say that current nursing is very different from the
profession in their day, (and I have yet to meet any former nurse who says it
has changed for the better – particularly if you are a patient.)
theme from older nurses is that the priority put on human compassion and care
has become somehow lost in a more academicised idea of what ‘modern’ nursing
should be. Indeed, I have met many who have left nursing because they did
not feel they could work in this incoming culture. But whatever the
reasons for this erosion of the status of nursing, it would be sad if it were
to continue, for both nurses and their patients who need trust and respect for
those caring for them.
So how stop this erosion of the status of nursing?
Many former nurses would say that we need a good hard look at what we are now
expecting from nursing, and the kinds of skills we think nursing now
requires. That’s a project in its own right, which the Secretary of State
has rightly embarked upon, and an article for another day. But if we just look
at the structure of a Royal College, the RCN could possibly take some tips from
the Unions in Teaching.
For over a year, I have been working with the teaching
profession and the Princes Teaching Institute to look at the creation of a
Royal College of Teaching. Although teaching is surely one of the most valuable
professions to society, it has sadly fallen far behind other professions in
respect and status. The idea is that a professional body, such as a Royal College
of Teaching, would raise the status of teaching by providing a single body
solely focussed on excellent teaching practice. The important element the
majority of the teaching unions recognise is that the very merit of a Royal
College is in the fact it does not have a union function, but compliments the
function of other unions.
Unions have a very valid role in protecting their members
from unfair employment practice, and in promoting their case for pay and
conditions. In supporting the creation of a Royal College of Teaching, many
teaching unions are rightly recognising that their role is actually facilitated
by a separate professional body which is able to demonstrate to the general
public that it is solely focussed on excellent teaching practice, and the pupil
– without the complicating factors of members’ own interests.
The teaching profession is building momentum in its bid
to raise the status of teaching, by working together to relentlessly improve
standards and the professional ethos of teachers through a Royal College. In
the future, I hope that with the help of a Royal College of Teaching, teachers
will be held in the esteem they deserve. It would be a tragedy if at the same
time the professional status of teaching has risen, that of nursing had fallen
and eroded. Perhaps the Royal College of Nursing could look at what teachers
and their unions are doing for their profession in order to ensure that nursing
and nurses remain publically respected and loved as the trusted, caring
professionals we would all want to see – and reconsider its decision to hang
onto a union function at all costs.