Registered Nurse-to-Patient Ratios: A synthesis of current guidance in the UK
Nursing is a safety critical profession. The work of registered nurses consists of many specialised and complex interventions, interwoven skilful expertise and surveillance. The RCN endorses enforceable minimum registered nurse-to-patient ratios, ensuring staffing levels do not fall to dangerously low levels and helping protect patients and nursing staff from avoidable harm. Across diverse settings, nursing presence and vigilance is critical to the safety of people, the prevention of avoidable harm and the management of risks.
This resource makes explicit the information that is available (and not available) on registered nurse-to-patient ratios identified in staffing guidelines for different specialties. Where a ratio has been identified in published guidance, it may be valuable for staff and managers to refer to as part of discussions on what nurse staffing levels should be, in a meaningful way. It accompanies Why Registered Nurse-to-Patient Ratios are Needed: The rationale and evidence base (publication code: 012 610)
Some of our publications are also available in hard copy, but this may entail a small charge. For more information and to order a hard copy please call 0345 772 6100 and select option five. The line is open Monday-Friday (excluding bank holidays) between 10am-4pm.
You can download all electronic publications from the RCN free of charge.
Published by the Royal College of Nursing, 20 Cavendish Square, London, W1G 0RN.
© 2016 Royal College of Nursing. This publication in hard copy format may not be lent, resold, hired out or otherwise disposed of by way of trade in any form of binding or cover other than that in which it is published, without the prior consent of the publishers.
For permission to reproduce RCN copyrighted text, please complete our copyright request form.
Page last updated - 09/09/2026
Share on LinkedIn