Information for student nurses in Scotland

In response to the ongoing COVID-19 pandemic, the Nursing and Midwifery Council (NMC) has announced emergency education standards to allow universities to implement paid placements for final-year nursing students where this is required locally. While the standards are UK wide, only England has agreed to activate the option for offering final-year student paid placements currently and this is only being implemented in certain locations depending on local circumstances and decisions.

Scotland’s Chief Nursing Officer has written an open letter to all nursing and midwifery students in Scotland making clear that full-time student deployment is not considered appropriate in Scotland at this point in time. The Scottish Government has confirmed that the option of part time paid employment is to be available to healthcare students through NHS staff banks. This is separate from programmes of study or placement.

The Scottish Government has committed to students retaining their supernumerary status and their position in the clinical area as learners. Priority will be given to ensuring the timely graduation of final-year students.

We remain clear that during the COVID-19 pandemic no student must be disadvantaged financially or suffer delays to their continuing education.

With feedback on nursing student members’ experiences of studying during the pandemic, RCN Scotland has raised key issues with the Scottish Government - a summary of responses is available here.

The questions and answers below provide information for nursing students in Scotland. We will continue to update our student members as further information becomes available.

You can also find more more information and about studying and working during the pandemic on our separate COVID-19 advice for students and our COVID-19 advice pages.

We are working hard in these challenging times to keep you updated and if you can't find what you are looking for please see our Get help page or contact us and we will get back to you as soon as we can.

Please take a few minutes to share your experience of studying during the pandemic with the RCN Scotland easy to use SenseMaker tool. Share your story and help inform our work to support students.

Keep in touch via our RCN Scotland Student Facebook group for student members – search 'RCN Scotland Students' on Facebook and request to join.

What part-time employment is being offered?

The Scottish Government has confirmed that NHS Boards can recruit nursing and midwifery students as bank workers on part-time fixed term contracts through staff banks.
This option of part-time paid employment for all healthcare students is separate from programmes of study or placement experience.
RCN Scotland secured that the Scottish Terms and Conditions Committee (STAC) would address contractual issues regarding this option of part-time paid employment. This action has informed a further Scottish Government letter to healthcare students providing additional details including frequently asked questions.
Scottish Government has confirmed that opportunities will vary depending on local requirements.
NHS Boards can offer nursing and midwifery students who are currently on the staff bank or who join the bank as a result of this Scottish Government announcement, part-time fixed term contracts through staff banks at a maximum of 15 hours per week. There is to be flexibility to enable students to work when is appropriate for your own circumstances, including working fewer hours or not at all some weeks.
Roles will have clear job descriptions and you will be paid at the Agenda for Change band for the specific role.
Further details are available here in the Scottish Government FAQs on this option of part-time employment via staff banks.

What guidance is available about placements?

Nursing, Midwifery and Allied Health Professions Students’ Return to Supernumerary Practice Learning Experiences – applying the COVID-19 Occupational Risk Assessment Guidance (September 2020) provides guidance on how education providers in Scotland, in partnership with practice learning providers, may mitigate the potential risk of return to supernumerary practice learning experiences.
Updated guidance on return to practice learning & resources for supervisors and assessors is available from this website - NHS Education for Scotland: COVID-19 supervision and assessment resources.

What if I need a low risk placement?

If you have questions about your health or circumstances or for example have further medical advice about the management of your condition, – your university should discuss this with you and assist you by working with their practice learning partners to place you appropriately.
Students have previously advised of instances where their university and practice learning partners are struggling to find a shielded or low risk placement for them. Flexibility should be offered, and every effort made to ensure that no student is disadvantaged. Universities and practice learning partners must therefore continue to work together to place students appropriately.

What if I have a concern about my placement?

The Scottish Government has committed to students retaining their supernumerary status and their position in the clinical area as learners.
The Council of Deans of Health UK position on student placements has confirmed their priority to ensure students progress through their courses and qualify on time as competent professionals.
If you have concerns regarding your placement experience, you should initially raise your concern with your practice supervisor/practice assessor, or the clinical manager of the practice learning environment. If for any reason you are reluctant to raise a concern with clinical staff you should follow your university or college guidance on raising concerns, seek support from the RCN and raise your concern with the academic lecturer designated to your practice learning experience.
If you have a clinical concern please see the Raising concerns guidance for RCN members which answers the questions you might have about raising a concern, including the support you will receive. This resource, aimed at NHS and independent sector nursing staff and student nurses, will support you to raise concerns. It includes a decision-making flowchart to help staff and students decide whether to raise a concern and when to escalate a concern.
At any stage, whether you are following your university or collage guidance, or the steps outlined here, you can contact the RCN for support and advice. Call the RCN on 0345 772 6100.

What information is available on vaccinations for nursing students?

Our conversations with Scottish Government confirm there is a national commitment that vaccinations are for all frontline staff including nursing students and bank nursing staff. This is applicable across all health and care settings. Nursing students are to receive the same access to vaccinations as any other health and social care staff in your placement locations.
Health care staff are second tier in the vaccination programme and vaccinations are currently being rolled out.
Vaccinations are to be offered to all nursing students however the timing of your vaccine may vary depending on local rollout.
If you are not currently on placement, do speak to your university about the plans for vaccination and your own programme of study and future placements.
For further information on vaccinations see our COVID-19 and vaccination FAQs.

What about changes to my course?

Your education and career are important, and it is vital you are supported in your learning. The RCN is committed to ensuring that students must be fully supported and we have presented student views to Scottish Government and influenced the guidance on changes required to the course requirements due to the COVID-19 pandemic Both the Scottish Government and NMC have been clear that current programmes had to be adapted.
The Scottish Government guidance in 2020 clearly stated for nursing and midwifery students not in first year, and not in the final six months of their pre-registration programme at the time of paid placements/theory route choices, should be supported to meet the academic course requirements.
The NMC, Council of Deans of Health and universities are to work together to assess how students can be supported to achieve course requirements across the remaining period of their studies, and within original degree timeframes. Where ongoing programme structure changes are needed NHS Education for Scotland is to monitor the impact at universities and for students.
As programmes are different across universities, arrangements will differ - however your university should support you and answer your questions on adaptions to course requirements within the timeframe of your degree.

How do I look after myself during this emergency period?

During these challenging times, for tips and resources on self-care and looking after your mental health during the COVID-19 outbreak see COVID-19 and your mental wellbeing for more details.
To minimise the risk of onward transmission of COVID-19 compliance with standard infection control and transmission-based measures is vital. This includes: Personal protective equipment (PPE): see RCN guidance and Health Protection Scotland guidance; laundering of uniforms: see RCN guidance and NHS Scotland guidance.

What are the arrangements around death in service?

The Scottish Government confirmed that it will provide a temporary COVID-19 related death in service scheme to students on supernumerary placement. Pre-registration nursing students have access to a death in service benefit in the same way and on the same terms as registered staff. Their families will receive a lump sum of £60,000 if they die as a result of contracting Covid-19 at work, whether that is in an NHS setting or in a care home.
RCN Scotland lobbied Scottish Government for this provision to be extended to students who are studying via a further education route. The Scottish Government confirmed in November 2020 that the temporary COVID-19 related death in service scheme provision applies to all students undertaking an HNC in Care and Administrative Practice and an HNC in Healthcare Practice who undertake placements in health and social care settings. This is the same cover in place for students from higher education.

What if I am a student currently studying at a Further Education (FE) college?

Over the summer in 2020 the RCN was successful in influencing equitable pay bands for college students who were on placement, and during the autumn the RCN was successful in influencing the extension of the temporary COVID-19 related death in service scheme. We continue to influence on issues for further education college students.
We are aware that some FE college students were being prevented from taking up placements due to concerns regarding the provision of death in service benefits. The RCN lobbied the Scottish Government to extend the temporary COVID-19 related death in service scheme provision and from November 2020 this applies to all students undertaking an HNC in Care and Administrative Practice and an HNC in Healthcare Practice who undertake placements in health and social care settings.
Scottish Government expect universities to be flexible when considering the number of practice hours students have achieved whilst at college, given the hours obtained may be less than those usually completed out-with these circumstances under COVID-19. Year 1 university students who have now started Year 2 on the pre-registration programme may also be short on hours, and Year 1 university students and NHS supported HNC students who have now articulated into year 2 are to be supported to achieve the required number of practice hours across the remainder of their course.