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Updated: Mar 2, 2026

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Nurses' goodwill keeping NHS afloat, RCN warns.

Stephanie Jones-Berry

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |May 18, 2017
    PubMed
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    Four in five UK National Health Service (NHS) nursing directors fear hospital services depend on staff goodwill. This research highlights concerns about workforce reliance and service sustainability in the UK.

    Area of Science:

    • Healthcare Management
    • Nursing Workforce Studies
    • Health Services Research

    Background:

    • The National Health Service (NHS) in the UK faces persistent challenges in maintaining service delivery.
    • Workforce well-being and retention are critical factors influencing operational capacity within healthcare settings.

    Purpose of the Study:

    • To investigate the extent to which NHS nursing directors perceive hospital services as reliant on the "goodwill" of nursing staff.
    • To understand the implications of this reliance for service sustainability and staff well-being.

    Main Methods:

    • Survey research conducted among NHS nursing directors across the United Kingdom.
    • Data collection focused on perceptions of workforce reliance and operational pressures.

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    Main Results:

    • A significant majority (four in five) of surveyed NHS nursing directors expressed concern over service dependency on staff goodwill.
    • This reliance indicates potential underlying issues with staffing levels, resources, or working conditions.

    Conclusions:

    • The findings suggest a critical vulnerability in NHS service provision, with a heavy reliance on unpaid or unacknowledged extra effort from nursing staff.
    • Urgent attention is needed to address systemic issues contributing to this reliance to ensure sustainable healthcare services and prevent staff burnout.