District nursing: Understanding the decline and mapping the future

District Nursing: A Declining Profession

District nurses play a crucial role in providing care to people in their homes across the country, operating around the clock. However, the profession is facing a decline, with an estimated one in four district nurses leaving the profession and a 43% decline in overall numbers since 2009.

District nursing services offer universal care, covering every community in England, and provide support for patients and their families in various settings, including homes, clinical settings, and care homes. Typical nursing care includes wound management, diabetes management, and end-of-life care.

The government's plans to shift more care from hospitals to the community are unlikely to be achievable unless action is taken to address the state of the district nursing profession.

Author's summary: District nursing faces decline despite rising demand.

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Nuffield Trust Nuffield Trust — 2025-10-31

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