This winter, for the first time in five years, Joan Pons Laplana, an NHS project manager and transformation nurse from Norfolk, “went back to working the front line” because his hospital “had no nurses”. As was the case in many other NHS hospitals nationwide, wards were closed, non-urgent appointments and operations cancelled, and their resources focused on A&E.
“We managed to put a plaster to stop the crisis, but now we need to catch up with the patients and operations and everything,” he says. “And that's like a catch-22.” NHS England recommends a working capacity of around 85 per cent in hospitals to absorb the winter’s patients rise, but Pons Laplana’s hospital is “constantly” working at 90 per cent, he says. “It’s a high stress environment, constantly low on resources and doctors. And now we don't have enough staff.” He sighs: “It’s getting more and more difficult to deliver safe care. At the moment, we’re playing Russian roulette.”
Originally from Barcelona, Pons Laplana has lived and worked in the UK for 17 years. He is one of around 62,000 EU citizens who currently work for the National Health Service, according to House of Commons statistics. Amid the winter crisis and severe financial pressure, the NHS’s next big problem is already unfolding: the prospect of Brexit is driving European NHS workers away. Within England’s NHS services, EU nationals make up almost 10 per cent of doctors, more than 7 per cent of nurses and 5 per cent of scientific, therapeutic and technical staff. Almost 10,000 EU workers had already left the NHS when NHS Digital released its 2017 data last autumn.
“If none of the EU citizens were [in my hospital], I can say without any exaggeration: you could absolutely close tomorrow”, Dr Peter Bauer, 47, a consultant anaesthetist in a Brighton hospital who has worked in the NHS since 1999, tells the New Statesman. In his hospital, he says, the proportion of EU staff is “phenomenal”: “Well over 50 per cent of senior staff is European, it’s about three quarters of the people. It would be disaster.” Mary, a 37-year-old British nurse from London, says her clinic, which employs many Europeans, is struggling to find a cover for her colleague on maternity leave: “Recruitment has fallen massively since Brexit.” With the British government still unclear on citizens’ rights, it is unlikely to stop there.
The ability of competent, skilled European staff to move seamlessly to the UK from the continent, thanks to the EU's freedom of movement, has been “a boom for the NHS”, Bauer says. Recruiting elsewhere (something the NHS has already started doing) will bring additional costs, visa requirements and various other complications that freedom of movement was designed to avoid. “You need these people! If you can't recruit Europeans, you then have to go out of the EU, and it's much more costly and difficult. It's a house of cards, and we're getting closer and closer to the point where it's all going to collapse.”
www.newstatesman.com/politics/health/2018/02/they-are-leaving-alarming-rate-european-nhs-workers-winter-crisis-austerity
Of course these EU citizens, many of whom had worked in the NHS for ten, twenty years or more, paying taxes to the UK government, were not allowed to vote in the EU referendum. - Utterly shameful and irresponsible!