John MacDonald: Under-staffed departments in overrun hospitals

The news today that half of the departments at Christchurch Hospital are operating below full staffing levels doesn’t surprise me. In some departments, they are less than 80 percent of what they should be. So, if I’m not surprised, does that mean my expectations of the hospital system are pretty low? The answer to that is “yes”. I expect that the basics are covered and that’s about it. That our hospitals are full of brilliant people doing their best, stretched to the limit, covering the basics.     The nurses union is describing the staffing situation as “alarming”. One of its delegates has told our newsroom that it constantly feels like they don't have enough staff. And it would be great if they didn’t have to move staff around departments to try and cover everything. Health NZ says it gets that. But it’s dealing with increased demand (more patients) and it’s struggling to hire people. Here are some numbers for you. Child health, oncology and intensive care unit nursing have around 30 full-time equivalent vacancies. With two of those departments having roles vacant for more than a year. But none of that surprises me anymore.   Just like I’m not all that surprised by the news that Christchurch Hospital is getting relatives of patients to go in and sit with them and help out where they can. Again - is that because of my low expectations? That I’ve come to expect that the basics will be covered and that’s about it? But here’s where Health NZ’s sob story about not being able to hire staff starts to wear a bit thin. There are a whole bunch of nursing graduates ready to work, who haven’t been hired to work in our hospitals. Fifty-five percent of graduate nurses looking for graduate roles in a hospital have received rejection letters. Many of them for the second time. The mid-year intake has just been finalised - with 722 applying but only 323 getting placements. One of the ones who have received a rejection letter is Melanie McIntyre, of Christchurch. She came back here from Australia in 2019 to begin nursing training. She did a pre-health course in 2021 and started her degree in 2022. She says she thought nursing was a safe career but, three years down the track, she is disheartened and unemployed. After her first rejection, she spent eight months sitting in what they call the national talent pool. Which is, effectively, a waiting list for employers across the health sector looking for  entry-level nurses. But that’s been a no-goer for Melanie and, since February, she’s been volunteering at a charity hospital. She is so disheartened, that she would like to move back to Australia.   But she’s in her 40s and her kids aren’t keen on going back to Australia. So here she is in Christchurch, with a nursing degree, can’t get work in a hospital, and is doing volunteer work instead. She says: “It’s just so disheartening. I actually struggle to get out of bed because I’m not sure what else to do.” I bet. But I suspect that, what we’re seeing here, is the impact of hospitals not having enough senior people to supervise the new nurses on the wards. And, if that’s the case, then I don’t see things changing anytime soon. If at all. Which is why my expectations of the hospital system are, what you could describe, as pretty low. That it’s brilliant for the basics - but that’s about it. And only as long as the people doing the doing are prepared to keep going. But how do you rate your expectations of the hospital system?  LISTEN ABOVESee omnystudio.com/listener for privacy information.