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The Audio Long Read

‘We can’t even get basic care done’: what it’s like doing 12-hour shifts on an understaffed NHS ward

The Audio Long Read

The Guardian

Society & Culture

4.32.4K Ratings

🗓️ 27 January 2023

⏱️ 26 minutes

🧾️ Download transcript

Summary

The NHS saved my life once, and inspired me to change career. But when I started as a healthcare assistant on a hospital ward for older patients, it was clear how bad things had got. This is the story of a typical shift. Help support our independent journalism at theguardian.com/longreadpod

Transcript

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0:00.0

This is The Guardian.

0:30.0

I'm down for a 12 and a half hour shift and I have slept poorly. I get dressed and

0:53.7

drive to work. I don't have time for breakfast. It's still dark and there is no traffic to

1:01.1

contend with, but I feel as if I could not offer any moment. I arrive at the hospital,

1:08.9

a large regional hospital in the east of England and put on my uniform, a shapeless blue

1:15.1

polycotton tunic with ill-fitting trousers and a pair of old running shoes. I walk onto

1:24.3

the ward at 7am to find the night team still busily rushing around. The night has been terrible,

1:30.4

they say. Patients have been up and down constantly. I glance at the staffing board. The

1:37.5

ortho-juriatric ward for elderly people with fractures has a capacity of 28 patients spread

1:44.2

across bays and side rooms. For staffing purposes, the ward is split into two roughly equal

1:50.5

halves. On my half of the ward there is a nurse and two healthcare assistants. I'm one

1:56.4

of them, to help with basic patient care. I feel the tension in my shoulders dissipates

2:01.8

slightly as I see that I'm due to work with a friendly and capable colleague. And I feel

2:07.5

today might not be as bad as yesterday. No sooner has this thought formed, however, than

2:14.0

her name is crossed off the board. She's being moved to another ward, which is even more

2:18.9

short staff than ours. We take hand over from the exhausted night team,

2:24.3

jotting down basic information about each patient and begin our shift. The ward I'm on

2:30.0

is supposed to be for people with broken bones, but we have had to take several neurological

2:34.7

patients after one of the neuro wards was closed due to a COVID outbreak. Several of these

2:40.7

patients have survived brain hemorrhages, but sustained damage to the part of the brain

2:44.7

responsible for motor coordination. This means that they are prone to losing their balance

2:49.7

and falling. Another of these patients has dementia, and wonders around the ward, talking

...

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