Racist attacks on nurses travelling to work during the recent riots have prompted the Royal College of Nursing to update its guidance on when nurses can refuse to treat a patient.
In response to comments from the Health Secretary, Wes Streeting, who said that any abuse of nursing staff or health workers was grounds for turning patients away, the RCN has shared updated guidance on withdrawing care.
RCN General Secretary and Chief Executive Professor Nicola Ranger said: ‘I’m sure like all of you, I’ve been horrified to see the appalling scenes across the country.
‘Today, the Health Secretary has talked about his commitment to tackling any abuse of nursing staff and all health workers. Wes Streeting said that for him that this is grounds for turning away patients.
‘We have updated the RCN’s guidance when and how our members can refuse to treat a patient in their care. This is the most difficult decision, and every situation and patient interaction is unique.
‘I am demanding that government ensures anybody targeting our members pays a very heavy price. Hearing that nurses going to work in Sunderland came under attack is unforgivable.
‘Migrant nursing staff are precious members of our communities, hardwired into the very DNA of our health and care services. Our international colleagues are welcome, valued and owed a debt of gratitude.
'These scenes around the country are nothing short of despicable racism - they have no place in our society. [They] are even more outrageous and disgusting when some of you are still involved in caring for the children and adults involved in the Southport tragic incident – taking away from where our thoughts should be.
'Nursing staff of every nationality and ethnic heritage are holding the health and social care system together. You are a credit to our profession and a powerful reminder of the strength we find in diversity and unity.'
The guidance coves the following possible justifications for refusal to treat, withdrawal of care or finding of an alternative:
- Where there exists, or there is fear of, physical violence
- Where there is discriminatory behaviour, including racism
- Where there are health and safety hazards e.g. lack of appropriate equipment
- Where the care required is outside the scope of competence or training
- Where there is a conscientious objection
- Where the client/patient is known to you in a personal capacity
- Where you are asked to do something unlawful or in breach of the NMC code.
Before you refuse care, you should consult with your manager and make your concerns known verbally and in writing as soon as possible, and make an accurate record of the decision to refuse to treat, to include the reasons for the decision so that you are able to justify your actions later.
