Dear [send to line manager and their manager or Director of Nursing],
As a Registered Nurse, I have an obligation under the Nursing and Midwifery Council code to raise and escalate any concerns about issues that will impact patient care or safety.
As my employer, under health and safety legislation, you have a duty of care towards your staff and the patients they care for and should take all reasonable steps to address these concerns.
With both of these points in mind, I am writing to raise the following concerns.
[Add detail as appropriate. You may wish to mention: On (X shift on X day) there were not enough nursing staff to deliver safe care; staff:patient ratio; staffing levels and the skill mix; number of patients and their acuity; availability of appropriate PPE; clear leadership or management; adverse events; and other ways you have tried to raise this concern].
As a Registered Nurse, I act at all times to deliver safe and effective care to patients and uphold the highest professional standards. I have done all I can but care is currently being compromised. Given the nature of my concerns, I am formally asking you to intervene in the interests of safe care.
I intend to share a copy of this letter with my professional body and trade union, the Royal College of Nursing.