Dear diary, it’s been another demanding day

Three nurses’ accounts of a shift offer a moving insight into daily pressures in the NHS
Bethany Burgin and Lucy Kennen

Three nurses’ accounts of a shift offer a moving insight into daily pressures in the NHS

NHS pressures used to be called 'winter pressures', but it is now widely accepted they carry on all year round.

And where once the pinch points were at their tightest in emergency care, spiralling demand and a capacity gap are now system-wide, according to NHS Providers organisation.

Efforts have been made to ensure pressures do not turn into crises. Examples include a £240 million investment in social care in England, announced in October 2018, to reduce delayed discharge.

But here, three nurses in different settings share diary accounts from January and February that show they are working in a service where the pressures are unremitting.

The emergency department charge nurse Emergency

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