The traditional role of ward sister/charge nurse has been redefined as ward manager with the devolving of many new responsibilities, including acting as ‘on site’ manager out of hours. Using a self-report questionnaire, the study explored the experiences of all ward managers performing hospital cover within one hospital (n=18). Common problems encountered included arranging cover for staff absence at short notice and bed management. The sample group viewed the addition of hospital cover as an appropriate development in the role of ward manager. However, few gained any job satisfaction from the role, citing growing time commitment, increasing absence from clinical areas and feelings of stress as possible causes. In addition, the study highlighted the lack of preparation ward managers had received before involvement with hospital cover.