ISBN 1-85765-570-2

Table of Contents

Executive Summary

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TABLE OF CONTENTS

Executive Summary

Market Definition

INTRODUCTION

MARKET SECTORS

MARKET POSITION

MARKET TRENDS

Table 1: National Health Service Expenditure in England (£m), 1992/1993 and 1994/1995

Table 2: Analysis of Employment Among NHS Hospital and Community Health Services Staff in England ( percent), 1994

Market Size

THE TOTAL MARKET

MARKET SECTORS

Table 3: Supply of Nursing and Midwifery Staff Segmented Between NHS and Private Sector Hospitals, Homes and Clinics in England (number of whole-time equivalent staff), 1989 and 1994

Table 4: NHS Hospital and Community Health Service Nursing and Midwifery Staff by Qualification in England (number of whole-time equivalent staff excluding agency), 1989 and 1994

Table 5: NHS Nursing and Midwifery Staff Segmented Between Hospital and Community Health Service Staff and General Medical Services Staff in England (number of whole-time equivalent staff), 1989 and 1994

Table 6: NHS Expenditure on Nursing Care in England (£000), 1989/1990 and 1994/1995

Table 7: Nursing and Midwifery Staff in Private Sector Hospitals, Homes and Clinics in England (number of whole-time equivalent staff), 1989 and 1994

Table 8: Registered/Enrolled Private Sector Nursing and Midwifery Staff Segmented Between Place of Employment in England (number of whole-time equivalent staff and percent of total), 1994/1995

Table 9: Nursing and Midwifery Staff in Private Hospitals/Clinics and Homes by Grade in England (number of whole-time equivalent staff), 1994/1995

Figure 1: Breakdown of Usage of Nursing Agency Staff by Hours Worked, 1996

Table 10: Users of Nursing Agency Staff - Number of Hours Worked by Nurses Employed by the BNA Nursing Agency (000 hours and percent of total), January 1996

Industry Background

NURSING EDUCATION

NURSES PAY

NURSING AGENCIES ACT AND HOME CARE (DOMICILIARY CARE) AGENCIES

TRADE ASSOCIATIONS AND UNIONS

Table 11: Nurses' Pay Scales (£), 1996/1997

Competitor Analysis

KEY USERS AND PROVIDERS OF NURSING CARE

ADVERTISING AND PROMOTION

Table 12: Provision of Palliative Nursing Care in the UK and Eire (estimated number), 1996

Table 13: Nestor-BNA PLC Financial Results (£m), 1994 and 1995

Table 14: Main Media Advertising Expenditure Relating to Nursing Care in the Charitable Sector (£000), 1994 and 1995

Strengths, Weaknesses, Opportunities and Threats (SWOT)

STRENGTHS

WEAKNESSES

OPPORTUNITIES

THREATS

Buying Behaviour

ROYAL COLLEGE OF NURSING SURVEY

PUBLIC'S ATTITUDE TO HOURS WORKED BY HOSPITAL STAFF

Table 15: Nurses' Attitudes Towards Their Level of Pay and Their Work ( percent agreeing/disagreeing), 1995

Table 16: 'I Am Concerned About the Number of Hours Worked by Hospital Staff' ( percent agreeing), 1995

Outside Suppliers to the Industry

Current Issues

ROYAL COLLEGE OF NURSING'S 1995 ANNUAL CONGRESS

NURSING AGENCIES ACT AND DOMICILIARY CARE AGENCIES

NATIONAL GROUP FOR PRACTICE NURSES

BMJ SURVEYS ON PRACTICE NURSES

SKILLS SHORTAGES

NURSE APPOINTED TO RUN GP PRACTICE

Forecasts

FORECAST OF QUALIFIED REGISTERED NURSES

FUNDING OF NURSING EDUCATION

NURSE TRAINING IN THE PRIVATE HEALTHCARE SECTOR

LOSS OF NHS NURSES TO THE PRIVATE SECTOR

PUBLIC SECTOR USE OF NURSING AGENCY STAFF

LEGISLATION REGARDING DOMICILIARY CARE AGENCIES

OVERSEAS RECRUITMENT

DEMOGRAPHIC INFLUENCES

FUTURE OF NURSING CARE FOR THE ELDERLY

Table 17: Number of Nurses Completing Their Qualifications to Work as Registered Nurses, 1982/1983-1997/1998

Table 18: Projected UK Population and Age Structure (million and percent), 1991-2021

Company Profiles

INTRODUCTION

DEFINITIONS

FURTHER INFORMATION

Further Sources

ASSOCIATIONS

PERIODICALS

DIRECTORIES

GENERAL SOURCES

HBI UK INFORMATION SOURCES

GOVERNMENT PUBLICATIONS

OTHER SOURCES

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EXECUTIVE SUMMARY

Nursing care is a vital service in both the public and private healthcare markets. Within the National Health Service (NHS), the majority of nurses are employed in directly-managed and NHS trust hospitals or in the primary healthcare sector. The NHS's Hospital and Community Health Services (HCHS) division spent £6.18bn on employing NHS nurses in England in 1994/1995 and a further £132m on agency nurses. As such, nursing care accounted for 29.8 percent of total HCHS current expenditure.

Nursing and midwifery is the largest staff group in the NHS, with nurses delivering 80 percent of direct patient care. On a whole-time equivalent basis, the NHS employed 247,880 qualified nurses and midwives in 1994 and an estimated 248,000 such staff in 1995. In addition, the NHS employed a further 92,550 unqualified nursing staff of nursing auxiliary/assistant status.

Within the private healthcare market, the main call for nursing staff is within nursing homes. The recent significant increase in the demand for nursing care by this sector is largely as a result of government policy, which has turned to privately-run homes for its provision of care. Of the total supply of qualified nursing care in privately-operated hospitals and nursing homes, 84 percent of staff were employed by private nursing homes.

In addition to the nursing care needed in private sector establishments, which are operated on a `for-profit' basis, nursing skills are also required by charitable organisations, such as hospices or charity-status nursing homes and hospitals.

Both the public and private healthcare sectors utilise nursing agencies to provide supplementary nursing care requirements. The largest player in the nursing agencies market in the UK is BNA owned by Nestor-BNA PLC.

Of major current importance to the nursing care service is the issue of skills shortages. Both the NHS and private sector employers have experienced difficulties in recruiting qualified nurses due, largely, to a cutback in the number of student nurse places. Nurses' education has undergone a number of reforms in recent years, including a revised form of preregistration nurse education and training.

Current indications suggest that the supply of newly-qualified nursing staff will continue to decline in the forseeable future. Only 9,000 qualified nurses are expected to complete their training in 1997/1998, compared with 14,000 in 1995/1996 and 37,000 in 1983.

Text © 1996 Key Note

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