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I think there is concern that some students may see nursing as a 'free' degree and have little intention of practising once qualified. Particularly students who enter training via clearing.

Employers have a nettle to grasp here too if they are serious about investing in the future workforce.

Finally anonymous 8.47 I too used to work as an HCA - from that perspective it was easy to picture managers swilling tea in the office and driving off to meetings that in all probability would have little to do with the coal face. Yet almost without exception these were qualified staff with many years of experience, no doubt once 'full of enthusiasm and compassion'. How does this gap develop ?