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Blue and pink banner featuring a smiling nurse and a logo that reads 'Nursing Workforce Academy'.

The nursing workforce

Our Nursing Workforce Academy provides the evidence to back meaningful change

Welcome to the RCN Nursing Workforce Academy

Our aim is to use robust evidence as the catalyst for combatting the nursing workforce crisis. We're focused on the systemic causes of trends that are driving up mental ill health and attrition among nursing staff and driving down the quality of patient care.

Nursing is the largest safety-critical profession in health care. It's vital that the right staff, with the right skills are in the right place, at the right time. Use these pages to make sense of what you're seeing in your workplace, understand what safe should look like and feel confident making the case for more nurses where you work.

How we work

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We set the standard of exceptional care through our Nursing Workforce Standards

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We commission and produce research that guides our campaigns and changes policy

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We offer wellbeing resources to help you and your team navigate the tough times

What we’re working on and how it benefits you

Our work encompasses three areas: the value of safe nurse staffing, work lives and wellbeing, and professional practice.

Registered nurse to patient ratios

A nurse looking at the camera

Every day, nursing staff are forced to care for too many patients by a system that undervalues and underfunds nursing.  

Research shows that this puts patients at risk. More patients die when there are too few nurses. 

That’s why we commissioned the internationally leading Health Workforce and Systems Research Group at the University of Southampton University to conduct independent analysis of existing international research, on the impact of mandatory minimum nurse-to-patient ratios and safe staffing legislation. 

The conclusions drawn are inescapable. If you have concerns about understaffing where you work, get informed and get ready to feed into our campaign.

This is part of our value of safe nurse staffing work.

See our calls for ratios

Nurse substitution

Raising concerns

The replacement of a registered nurse with the nursing support workforce or a member of another health profession is a risk to patient safety.

That’s why we’ve set out our position clearly among health care providers: a registered nurse must never be substituted with any other health care professionals, including nursing support workers.

We’ve developed guidance to help employers avoid this blurring of roles and the consequent safety risks – and help you identify when this is happening where you work.  

This is part of our value of safe nurse staffing work.

See our position

Nursing Workforce Standards

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Get the blueprint for safe, effective nursing. 

Our Nursing Workforce Standards set the benchmark for a safe and effective nursing workforce. 

They can be used in all settings, in all UK countries.  

Once you’ve mastered the standards, you can apply to become a Nursing Workforce Champion. Receive tools and checklists to help you identify where issues lie and raise them with management.

This is part of our work lives and wellbeing work.

Go to the standards

Ending corridor care

Image of exhausted nurse sitting in the corridor

Corridor care is bad for patients and bad for health care staff. 

Treating people in inappropriate spaces like car parks and waiting rooms has become increasingly common. It's unsafe, undignified and unacceptable. 

Our work to end corridor care has led to the Health Services Safety Investigations Body launching a formal investigation into its shocking scale and impact. But there's a long way to go before it's outlawed for good.  

If you see corridor care where you work, our guidance can help. We’ve developed resources that help you identify and report corridor care.

This is part of our professional practice work.

Join our campaign

This is nursing

NSW assisting patient

Nursing is the largest safety critical profession in health and social care. But misinformation about nursing can mean our profession is undervalued. Through our work as an academy, we aim to set the record straight by:

  • defining what nursing is today
  • setting out eight principles that set out what everyone – from nursing staff to patients – can expect from nursing
  • setting standards for the different levels of nursing: Assistive, Supportive, Advanced, Enhanced and Consultant

These definitions, principles and standards can help set expectations of nursing among patients, families and staff where you work. They can also help you to identify where high standards of nursing are being met and where things could be improved.

This is part of our professional practice work.

Go to nursing definitions and principles

Career frameworks

A person in blue scrubs sits at a desk, writing in a notebook next to an open laptop.

Our collection of career frameworks can help you navigate and progress your professional journey.  

Each framework, developed or endorsed by leading health care bodies, offers structured guidance and development pathways tailored to various nursing specialisms and career aspirations.  

These resources align with recognised standards, making them invaluable for planning career growth, enhancing competencies and meeting your CPD requirements.

This is part of our professional practice work.

Get ahead with the framework

Your nursing workforce team


Headshot of Dr Kate Kirk

Dr Kate Kirk

Associate Director of Nursing Workforce

Kate is a Clinical Academic Nurse with a PhD in Healthcare Management and an MA in Research Methods. Kate has expertise in nurses work lives and wellbeing as a mechanism for improving staff and patient experience of care and organisational efficiency. Throughout her 20-year career, she has worked to empower nurses through research and is delighted by the opportunities presented in the Academy to create lasting impact for the workforce.

Headshot of Professor Jane Ball

Professor Jane Ball

Director of the RCN Institute for Nursing Excellence

Jane is director of the RCN Institute of Nursing Excellence. Over the past 30 plus years her research has focused on nursing employment and deployment, looking at how features of nurse staffing affect care quality, patient outcomes and nurses themselves. The unifying aim of the work has been to identify conditions needed to allow nurses to deliver excellent care and have satisfying and sustainable careers.

Headshot of Wendy Preston

Wendy Preston

Head of Nursing Workforce

With over 35 years’ experience, Wendy specialises in advancing nursing practice across diverse roles. She holds an MSc in respiratory care and independent nurse prescribing, plus a PG Cert in higher education, and she’s now pursuing a PhD in nursing research with an international focus. After a decade in ward management, she moved to clinical academia, combining advanced nurse practitioner and senior lecturer roles before becoming a consultant nurse. She advocates for legislative change to empower nurses in delivering safe, effective care.

Headshot of Professor Amanda Adegboye

Professor Amanda Adegboye

Head of Workforce Research

Amanda is a Professor of Public Health with an MSc and PhD in Epidemiology and a PgDip in Business Administration. She brings over 20 years of experience in health research, teaching and consultancy, underpinned by a strong portfolio of practice-based research and more than 100 publications. Her work focuses on evidence-based, equitable and sustainable interventions, co-designed solutions, workforce development and service evaluation. Amanda is passionate about using research to inform policy and practice, creating conditions for a diverse and inclusive healthcare workforce that is empowered to deliver high-quality, safe and effective care.

Headshot of Lena Johnson

Lena Johnson

Professional Lead for Nursing Workforce

While studying Biomedical Science, Lena worked part-time as a nursing support worker. Inspired by brilliant nurses including her parents, she completed a Post Graduate Diploma in Adult Nursing. In 2020, she managed 50 nursing staff on a respiratory ward, supporting COVID-19 patients throughout the pandemic. In 2022, she joined the RCN to focus on safer staffing, our Nursing Workforce Standards, nurse-to-patient ratios and eradicating corridor care. She prioritises patient safety and dignity, and staff education and wellbeing.

Headshot of Dr Alison James

Dr Alison James

Professional Lead for Workforce Research

Alison is an experienced nurse academic and researcher with expertise in leadership, organisation culture, nurse education and change management and is widely published in international peer reviewed journals and books. With a Doctorate in Advanced Healthcare Practice, PGCHE and MA in Healthcare Law and Ethics, she is a Senior Fellow of the HEA, with previous senior positions held at Cardiff University and Oxford Brookes University.

Headshot of Claire Powell

Claire Powell

Nursing Workforce Academy Coordinator

Claire joined the RCN in 2017 as an Adviser with RCN Direct. Since then, she’s also worked as Coordinator on the Staffing for Safe and Effective Care Programme. Before joining us, Claire worked mostly in the Mental Health voluntary sector. She’s a qualified FE Teacher, Independent Mental Health Advocate, Independent Mental Capacity Advocate, City & Guilds Assessor and she has a Drama degree, which never fails to come in useful.

Seen the evidence? Now join the campaign

Our 'Safely staffed by law' campaign demands safe and dignified care for every patient. And that starts with a properly staffed and supported workforce.

Picture of a smiling nurse in a hospital environment