Mental health patients in the UK are routinely coming to harm because of high caseloads, understaffing and overwhelming administrative work, according to a poll that found only a fifth of specialist nurses felt their workload was manageable.
Prof Nicola Ranger, the general secretary of the Royal College of Nursing (RCN), said mental health nurses were caught in a “perfect storm” and unable to keep up with rising demand, with patients paying the price by missing out on crucial care.
Half of the specialist nurses who responded to the RCN union’s UK-wide survey said mental health patients “frequently come to harm” because caseloads are too high, with a quarter feeling that time pressures lead to daily issues with patient deterioration, relapse or self-harm.
Nearly two-thirds said their caseloads had risen “a lot” in the past three years, while excessive admin and a “tick box” culture were blamed for taking away valuable time for patient care. The poll also suggests that demand for services has grown more than twice as fast as the number of nurses in the field.
Source: The Guardian, 27 April 2026
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