Today is Florence Nightingale’s birthday. Born on 12 May 1820, she became famous for her work in the military hospitals of the Crimea. Her birthday is celebrated across the world and marked by International Nurses’ Day.
I wonder what she would have had to say about the NHS Reforms? I’m not sure she would have been overly impressed. Florence Nightingale campaigned to establish nursing as a respectable profession for women. Ok so maybe I’m stretching things a bit to compare her struggle for acceptance with that faced by many of our small health & social care providers battling to be heard by local Clinical Commissioning Groups; but both face the challenge of proving themselves in the face of apathy and reticence from the establishment.
For Florence things changed when Sidney Herbert, the war minister, asked her to oversee a team of nurses in the military hospitals in Turkey in 1954. Herbert had seen first hand the difference Florence Nightingale made in her time working as a superintendent of a hospital for gentlewomen in Harley Street. Using today’s jargon, he seized the opportunity to improve “quality, innovation, productivity and prevention” for wounded British soldiers at the Front. With her nurses, Florence Nightingale greatly improved conditions and substantially reduced the mortality rate.
I’d be prepared to bet that Mr Herbert had a dose more foresight than our current Secretary of State for Health, Andrew Lansley. And he didn’t have access to Twitter, e-mail or News International.
Interestingly, much of what is at the heart of the present government’s NHS reforms echo the central tenants of Nightingale’s own theories, published in ‘Notes on Nursing’ in 1860. Her work was hugely influential in the early development of health & social care, and her concerns for sanitation, military health and hospital planning established practices, which are still in existence and highly resonant today. Somewhat disappointingly reviewers on Google Books only give her 3 stars. She fairs better on Amazon where her 24 reviewers all give 5 stars, and her book qualifies for free super saver delivery.
The Government has recently issued a revised version of the NHS Constitution and Andrew Lansley has asked the NHS Future Forum group to advise him whether there is any scope for strengthening the NHS Constitution to support high quality services for patients. A public consultation later this year will give patients and staff the opportunity to have their say about what can be done to improve and reinforce the Constitution.
It’s one for the diary – along with a note to celebrate Florence’s birthday next year.


