Grenfell Tower let down by local newspapers – leaving only tenants’ blog to report the problems

“Decline of advertising revenue and changing perceptions of ‘quality journalism’ have left no room for much needed local reporting

A day after the Grenfell Tower fire in West London, a Sky News camera crew is talking to writer, film-maker and local resident Ishmahil Blagrove as he delivers a polished exposition on the failings of the media as playing a part in the disaster.

“This is not just a story – this situation has been brewing for years … You the media, you are the mouthpiece of this government and you make it possible.” Later Blagrove describes the mainstream media as “a bunch of motherfuckers” to a small crowd surrounding him who break into polite applause. Channel 4’s Jon Snow faced an angry group outside Grenfell the same day, asking him where the press was when the fire safety concerns were first raised.

Among the many elements of failure which lead to the unacceptable and avoidable, the failure of accountability reporting on local communities is obvious to anyone who cares to scour the archives. The Grenfell Action Group blog carefully documented their repeated complaints to the council. Other reporting is scarce, and where it exists, hard to find.

Grenfell Action Group blogposts form the most reliable archive of concerns about the area’s social housing, and yet they were unable to make the council act on their behalf. Even in the aftermath of what the group describes as “social murder”, it continues to publish posts on other housing tenants and issues in the area. Inside Housing, the trade publication, has been full of good reporting on safety issues but it has a different constituency and no leverage over local officials.

The causes of the failure of local journalism are well known: commercialism, consolidation, the internet, poor management. The fixes for that, though, cannot be found in an environment which is commercially hostile to small scale accountability journalism, and for that we are all to blame.

The decline of in-depth reporting about London’s richest borough is a microcosm of what has happened to local journalism in the UK and beyond – the pattern is the same from Kensington to Kentucky.

A few minutes on Google will give you a snapshot of how local media has become a hollowed-out, commercial shell for an important civic function. In 2010 the Fulham and Hammersmith Chronicle launched a Proper Papers Not Propaganda campaign against H&F News, the Hammersmith and Fulham freesheet published by the local council at a cost of £175,000 of taxpayers’ money. Councils using advances in printing technology to cheaply produce professional-looking papers was the second part of a pincer movement on the local press, the first being the loss of advertising to Google’s search advertising.

In 2014, Trinity Mirror closed seven local papers and consolidated three West London titles, including the Fulham and Hammersmith Chronicle, and relaunched one Gazette to cover the territory of three defunct papers.

In truth the detailed coverage of local stories was already difficult for news organisations to maintain, and in some cases the idea of high-quality local reporting had always been a myth. But the evisceration of any sustainable professional journalism at the local level creates both an accountability vacuum and a distance between media and the communities it reports on.

As well as council-owned outlets, a plethora of glossy lifestyle and housing media mop up the advertising revenue not ingested by Facebook or Google. The local publication Kensington, Chelsea & Westminster Today – listed as the only free newspaper in the borough – has no local reporting at all.

The “news” site contains no information about its ownership or staff. However, in company filings its editor is listed as Kate Hawthorne, who is also the director of public relations company Hatricks.

The revolution in ground-level local media has never taken off in the way it was meant to. The local blogs run by tenants, activists and other citizens, find themselves isolated and crowded out in clogged social streams, short on attention, funding and traction. Often they rely on the tenacity and unpaid labour of their founders for survival.

As scale has become the sine qua non, choosing between the world and the local street has become the bargain for editors. The Guardian closed its own local city reporting experiment in 2011. The Daily Mail and General Trust sold its local newspapers to expand its global news and entertainment website. New players like Huffington Post and BuzzFeed are globalists not localists. The New York Times is putting more reporters into Europe than onto the local beat. The Washington Post was freed from a local remit and has soared since.

Senior editors are much more likely to be spending time in a departure lounge than a council chamber. Many have never held a reporting job that required them to sit in local courts or civic meetings.

Covering local housing meetings is an unglamorous beat for any journalist; hardly anyone reads your work, almost nobody cares what happens in the meetings, and the pay is extremely low. Yet it is hard to argue there are more civically important jobs for journalism than reporting the daily machinations of local power.

Local reporting serves another function which is seldom discussed. Local journalism should be a pipeline which takes young people from very different backgrounds into the profession of reporting; it ought to provide an access point for people to get to know and understand the importance of accountability coverage by participating in it.

The shallow wisdom of digital editors is often that when nobody reads your story, you are doing it wrong. But the stories worth covering that nobody reads are the fabric of the public record.

The immediate reach of a single story is only half the story. The record of what happens for instance at Kensington and Chelsea committee meetings is for the most part available in PDFs on the council’s website. There is no corresponding public record kept by independent reporters and without the Grenfell Action Group we would know almost nothing of the warning signs that were repeatedly pushed in front of the council.

The rise of vast advertising platforms has sucked money from the market, and the efficiencies have been good for business and bad for journalism. National and international media, who were numerous on the ground after the Grenfell fire, have conspired in creating an attention economy which leaves no room for the unread story.

Coverage of the “quality” of a media outlet often starts with a “how many….” metric about views and shares. There is decreasing correlation between high numbers and quality journalism; when it is set in a social environment, where gimmicks and outrage cause social “sharing”, the opposite is often true.

John Ness, who has been editor in chief of two US-based ventures to make hyperlocal journalism work on the web, Patch and DNAInfo, sees the difficulty of establishing and maintaining independent journalism at local level as feeding into issues of trust and transparency which blight all media.

I think people increasingly understand that our news ecosystem is broken, to the point where we can’t agree with our neighbours about what news events actually happened the day before. And I think people increasingly understand that the base of that ecosystem, local news, has to be fixed if we’re going to get back to a place where we share the same reality with our neighbours.,” he says.

There is decreasing correlation between high numbers and quality journalism
Ness thinks the route to sustainability resides primarily with people paying more for local media. In the US, communities with high-density populations and engaged citizens have had some success at creating not-for-profit local outlets, like the investigative outlet The Lens in New Orleans, and the veteran Voice of San Diego, or the much larger Texas Tribune in Austin. These remain the exceptions rather than the rule.

The BBC is increasingly the best hope of a route to building sustainable local reporting, but the costs of broadcasting are even less compatible with the scale issues of local stories, and the political penalties for rooting out corruption at council level mitigate the appetite for the mission.

As national and global news outlets in all their many forms continue to flood into the Grenfell story, they will I am sure, unearth and report on the root causes. But the stories which expose the causes of the fire, however they emerge, will not make up for the lack of the stories that might have stopped it in the first place.

The bitter irony of course is that a story read by a thousand people might have had more impact than one seen by 10 million. It is with deep regret and shame that we will never know if that could have been the case. Like Blagrove says, it is not just a story, it has been coming for a long time.”

https://www.theguardian.com/media/media-blog/2017/jun/25/grenfell-reflects-the-accountability-vacuum-left-by-crumbling-local-press

Kensington and Chelsea Housing councillor had been complained about by estate residents prior to fire

The councillor referred to – Rock Fielding-Mellor, the Deputy leader of the Council and Cabinet Member for Housing Property and Regeneration, has apparently fled his home

“We recently lodged a formal complaint with LeVerne Parker, the Chief Solicitor and Monitoring Officer of RBKC, in hope that it would lead to some scrutiny by the Standards Committee of the property holdings and business interests of Rock Feilding-Mellen, the Deputy leader of the Council and Cabinet Member for Housing Property and Regeneration.

We subsequently received a formal response from the Monitoring Officer in which she dismissed our complaint and declined to refer the matters we raised to the Standards Committee. We then prepared a rebuttal of the arguments she used to justify her dismissal of our complaint which we sent back to her, asking that it be escalated for the attention of the Town Clerk. We strongly recommend that you read her response via the link here:

Click to access decision-letter-cllr-feilding-mellen.pdf

in tandem with our rebuttal below [read further on at this link for more information here]:

https://grenfellactiongroup.wordpress.com/2016/05/16/rbkc-declines-to-investigate-rock-feilding-mellen/

Was “smug” Swire responsible for the Seaton/Sidmouth switch?

Owl says: we all know he is a pal of Jeremy Hunt.

Seaton County Councillor Martin Shaw (Independent East Devon Alliance) Facebook page:

“Was Hugo Swire behind the Seaton-Sidmouth switch? A smug Swire told BBC’s Sunday Politics this morning that East Devon had more community hospitals than western Devon and than the national average. He failed to mention that it has many more over-85s too. He backed the NEW Devon CCG’s plans to replace community hospital beds with care at home, and said we must ’embrace change’.

Swire knows that beds in Exmouth and Sidmouth, in his constituency, are safe from closure. So he is happy to write off Seaton (which he no longer represents after boundary changes a few years back) and Honiton.
Swire’s self-satisfied comments raise the question of whether he played any role in the CCG’s bizarre, unexplained, last-minute switch of 24 beds from Seaton to Sidmouth. Clearly had the CCG stuck with its original preferred option of closing beds in Sidmouth, they would have given Claire Wright a huge issue – which might well have seen her taking Swire’s seat in the general election.

Readers will recall that during the consultation, Swire was already saying that if beds had to go, they should stay in Sidmouth. Did Sir Hugo, or Tories acting on his behalf, lobby the CCG? How did the CCG respond?
Swire’s colleague Neil Parish MP told me and other Seaton councillors that the decision ‘smells’. Whose smell was it?

I appeared on the same edition of Sunday Politics as Swire, but was not in the studio to respond to him. Here I am being interviewed! (YOU WILL BE ABLE WATCH THE FULL PROGRAMME ON BBC iPLAYER SOON.)”

Tory MPs ordered not to take holidays abroad – poor old Swire

… in case the loss of a vote bringing down the government.

Oh dear, that’s Swire’s stranded!

(Source: Sunday Times – paywall)

Exmouth – the next Porthlevan, where posh tourist money doesn’t trickle down

” … As with many rural and coastal communities, Porthleven is struggling to adapt to the challenges posed by a booming tourist sector: money comes in from outside, pushing prices up, forcing the locals out, second homes proliferate and the traditional activities that define a place become little more than window-dressing. Meanwhile that tourist money doesn’t filter down to the local community. “That’s the downfall of Cornwall,” says Gary Eastwell, emerging from one of the other fishing boats.

“I was born here, but I can’t afford to live here. It would make our lives a lot better if they would buy our fish from us, but none of them do. The people who come here think they’re eating fish caught here, but they’re not. Why would you put road miles on a lobster?”

The tensions are not unique to Porthleven. Around the country fishing communities are facing the pressures of adapting to a new economy. In Worthing in West Sussex, which has one remaining fisher, a social enterprise has set up the Last Fisherman Standing project to celebrate and protect the heritage of the industry in the town. It has also started a project, Catchbox, to help fishers sell their fish locally. The Northumberland seafood centre in Amble is another project that aims to boost tourism and support the fishing industry. Similar initiatives have taken place from Fleetwood in Lancashire to Sidmouth in Devon, where commercial fishing has ceased.

“Heritage has been commodified,” says Chris Balch, professor of planning at Plymouth University. “We go to mining communities that don’t mine. We go for the nostalgia – a nostalgia for these places that haven’t really existed for a very long time. It’s the nature of the changing economic base of the rural economy. Global forces push these places to the edge even more.

“The truly rural place hardly exists any longer. It’s all connected to an urban base, and that’s the change these rural economies are confronting. The raison d’être and the demographics have changed. It’s very difficult to cope with. Every place is managing that change, but it becomes much more obvious in a small rural community.”

In many coastal communities, locals have been encouraged to take matters into their own hands, developing economic plans and deciding for themselves how they want a community to develop. Tim Acott of the Greenwich Maritime Centre points to the example of Hastings, where the Fishermen’s Protection Society has drawn attention to the work of fishers in the town and their cultural and economic contribution. “Hastings has the largest beach-landed fleet in Britain,” he says, “and the community has pushed above its weight in protecting fishing as part of its cultural heritage. There are places where the fisher communities are still thriving, but there are also places in the UK where you could call it a besieged industry.”

Last year the New Economics Foundation launched its Blue New Deal, aiming to identify and address the problems afflicting coastal communities. “We need a new approach to the development of coastal areas,” says the foundation’s Fernanda Balata. “One that puts local people in control. We need to think about places in the round and consider how all the different parts of a town’s coastal economy can work together. If nothing is done, the small-scale fishing industry will die out. We can see the impact of that in inequality and how these communities come to feel left behind, and the social and political problems that follow from that.”

Manda Brookman of the Cornwall-based pressure group Coast sees the same problems.

“We need to ask if tourism is there for the destination or if the destination is there for tourism,” she says. “Tourism should be irrigating the community, not extracting from it. Some of these places have ended up becoming a pastiche – it’s the prostitution of place. Good tourism should be making sure that there are social, environmental and economic benefits. If not, then you need to be asking if you should be doing tourism at all.”

Rick Stein’s spokesman has told the Guardian that his fish came from the area, and that customers received the same quality fish whether they were in Padstow, Porthleven or Barnes in London. He added that this model meant the business could be sure the fish it was serving came from sustainable sources.”

https://www.theguardian.com/environment/2017/jun/24/criris-in-britains-coastal-villages-as-fishing-communities-fight-for-survival

New York Times explains the Grenfell Tower fire

“… The facade, installed last year at Grenfell Tower, in panels known as cladding and sold as Reynobond PE, consisted of two sheets of aluminum that sandwich a combustible core of polyethylene. It was produced by the American manufacturing giant Alcoa, which was renamed Arconic after a reorganization last year.

Arconic has marketed the flammable facades in Britain for years, even as it has adjusted its pitch elsewhere. In other European countries, Arconic’s sales materials explicitly instructed that “as soon as the building is higher than the firefighters’ ladders, it has to be conceived with an incombustible material.” An Arconic website for British customers said only that such use “depends on local building codes.”

For years, members of Parliament had written letters requesting new restrictions on cladding, especially as the same flammable facades were blamed for fires in Britain, France, the United Arab Emirates, Australia and elsewhere. Yet British authorities resisted new rules. A top building regulator explained to a coroner in 2013 that requiring only noncombustible exteriors in residential towers “limits your choice of materials quite significantly.”

Fire safety experts said the blaze at Grenfell Tower was a catastrophe that could have been avoided, if warnings had been heeded.

… But by 1998, regulators in the United States — where deaths from fires are historically more common than in Britain or Western Europe — began requiring real-world simulations to test any materials to be used in buildings taller than a firefighter’s two-story ladder. “The U.S. codes say you have to test your assembly exactly the way you install it in a building,” said Robert Solomon, an engineer at the National Fire Protection Association, which is funded in part by insurance companies and drafts model codes followed in the United States and around the world.

No aluminum cladding made with pure polyethylene — the type used at Grenfell Tower — has ever passed the test, experts in the United States say. The aluminum sandwiching always failed in the heat of a fire, exposing the flammable filling. And the air gap between the cladding and the insulation could act as a chimney, intensifying the fire and sucking flames up the side of a building. Attempts to install nonflammable barriers at vertical and horizontal intervals were ineffective in practice.

As a result, American building codes have effectively banned flammable cladding in high-rises for nearly two decades. The codes also require many additional safeguards, especially in new buildings or major renovations: automatic sprinkler systems, fire alarms, loudspeakers to provide emergency instructions, pressurized stairways designed to keep smoke out and multiple stairways or fire escapes.

And partly because of the influence of American architects, many territories around the world follow the American example. But not Britain.

… “If the cladding cannot resist the spread of flame across the surface, then it will vertically envelop the building,” Mr. Evans warned, in testimony that now seems prophetic. “In other words, the fire will spread to the outside of the building, and it will go vertically.” Many other fire safety experts would repeat those concerns in the following years.

But manufacturers argued against new tests or rules. Using fire-resistant materials was more expensive, a cost that industry advocates opposed.

“Any changes to the facade to satisfy a single requirement such as fire performance will impinge on all other aspects of the wall’s performance as well as its cost,” Stephen Ledbetter, the director of the Centre for Window and Cladding Technology, an industry group, wrote in testimony to Parliament.

“Fire resistant walls,” he added, “are not economically viable for the prevention of fire spread from floor to floor of a building,” and “we run the risk of using a test method because it exists, not because it delivers real benefits to building owners or users.” (In an interview last week, Mr. Ledbetter said his group had updated its position earlier this year to warn against the type of cladding used at Grenfell Tower.)

Business-friendly governments in Britain — first under Labour and then under the Conservatives — campaigned to pare back regulations. A 2005 law known as the Regulatory Reform (Fire Safety) Order ended a requirement for government inspectors to certify that buildings had met fire codes, and shifted instead to a system of self-policing. Governments adopted slogans calling for the elimination of at least one regulation for each new one that was imposed, and the authorities in charge of fire safety took this to heart.

“If you think more fire protection would be good for U.K. business, then you should be making the case to the business community, not the government,” Brian Martin, the top civil servant in charge of drafting building-safety guidelines, told an industry conference in 2011, quoting the fire minister then, Bob Neill. (“Should we be looking to regulate further? ‘No’ would be my answer,’” Mr. Neill added.)

Mr. Martin, a former surveyor for large-scale commercial projects like the Canary Wharf, told his audience to expect few new regulations because the prime minister at the time, David Cameron, wanted to greatly reduce the burden on industry, according to a report by the conference organizers.

Two years later, in 2013, a coroner questioned Mr. Martin about the application of building regulations in the case of another London fire, which killed six people and injured 15 others at a public housing complex called Lakanal House. Mr. Martin defended the existing regulations, including the lack of a requirement for meaningful fire resistance in the paneling on the outside of an apartment tower.

A questioner told him that the public might be “horrified” to learn that the rules permitted the use of paneling that could spread flames up the side of a building in as little as four-and-a-half minutes. “I can’t predict what the public would think,” Mr. Martin replied, “but that is the situation.”

Moving to a requirement that the exterior of a building be “noncombustible,” Mr. Martin said, “limits your choice of materials quite significantly.”

After the coroner’s report, a cross-party coalition of members of Parliament petitioned government ministers to reform the regulations, including adding automatic sprinklers and revisiting the standards for cladding. “Today’s buildings have a much higher content of readily available combustible material,” the group wrote in a letter sent in December 2015 that specifically cited the risk of chemicals in “cladding.”

“This fire hazard results in many fires because adequate recommendations to developers simply do not exist. There is little or no requirement to mitigate external fire spread,” added the letter, which was first reported last week by the BBC.

But in Britain, still no changes were made. “The construction industry appears to be stronger and more powerful than the safety lobby,” said Ronnie King, a former fire chief who advises the parliamentary fire safety group. “Their voice is louder.”

… As recently as March, a tenant blogger, writing on behalf of what he called the Grenfell Action Group, predicted a “serious and catastrophic incident,” adding, “The phrase ‘an accident waiting to happen’ springs readily to mind.”

… For many tenants, an object of scorn was Grenfell Tower’s quasi-governmental owner, the Kensington and Chelsea Tenant Management Organization. It was created under legislation seeking to give public housing residents more say in running their buildings, and its board is made up of a mix of tenants, representatives of local government and independent directors. But Kensington and Chelsea is the largest tenant management organization in England, a sprawling anomaly supervising roughly 10,000 properties, more than 30 times the average for such entities. Tenants came to see it as just another landlord.

The organization had promised residents of Grenfell Tower that the renovation last year would improve both insulation and fire safety. Board minutes indicate that it worked closely with the London Fire Brigade throughout the process, and local firefighters attended a briefing afterward “where the contractor demonstrated the fire safety features.” During a board meeting last year, the organization even said it would “extend fire safety approach adopted at Grenfell Tower to all major works projects.”

… The cladding itself was produced by Arconic, an industry titan whose chief executive recently stepped down after an unusual public battle with an activist shareholder. Arconic sells a flammable polyethylene version of its Reynobond cladding and a more expensive, fire-resistant version.

In a brochure aimed at customers in other European countries, the company cautions that the polyethylene Reynobond should not be used in buildings taller than 10 meters, or about 33 feet, consistent with regulations in the United States and elsewhere. “Fire is a key issue when it comes to buildings,” the brochure explains. “Especially when it comes to facades and roofs, the fire can spread extremely rapidly.”

A diagram shows flames leaping up the side of a building. “As soon as the building is higher than the firefighters’ ladders, it has to be conceived with an incombustible material,” a caption says.

But the marketing materials on Arconic’s British website are opaque on the issue.

“Q: When do I need Fire Retardant (FR) versus Polyethylene (PR) Reynobond? The answer to this, in part, depends on local building codes. Please contact your Area Sales Manager for more information,” reads a question-and-answer section.

For more than a week after the fire, Arconic declined repeated requests for comment. Then, on Thursday, the company confirmed that its flammable polyethylene panels had been used on the building. “The loss of lives, injuries and destruction following the Grenfell Tower fire are devastating, and we would like to express our deepest sympathies,” the company said. Asked about its varying product guidelines, the company added, “While we publish general usage guidelines, regulations and codes vary by country and need to be determined by the local building code experts.”

https://mobile.nytimes.com/2017/06/24/world/europe/grenfell-tower-london-fire.html

“Staffing crisis leaves NHS on brink of another Mid Staffs disaster, nurses warn”

“Nurses are warning Theresa May that dire staffing shortages have left the NHS on the brink of another Mid Staffs hospital scandal, putting hundreds of lives at risk.

Royal College of Nursing chief executive Janet Davies said the Government has failed to respond to clear and alarming signals that the tragedy she called “inevitable” is about to happen again.

In an exclusive interview with The Independent, Ms Davies pointed to a perfect storm of collapsing foreign arrivals in the profession due to Brexit, plummeting domestic applications, and chronic low pay and high stress pushing people out.

NHS leak reveals ‘shocking’ secret plans for cuts in London hospitals
She said the RCN’s national day of action this week, kicking off a summer of lobbying, is a “final warning” to ministers to take action or face its nurses striking for the first time ever.

The Independent also revealed on Saturday how the number of GPs seeking specialist help for substance abuse and mental health problems is “increasing day on day”, amid fears the NHS is coming apart at the seams.

In the wake of the Conservatives’ failure to win a Commons majority in the election, even Tory backbenchers have been calling for a new approach to a public sector strangled by cuts.

Ms Davies said the long warned-of crisis in nursing, exacerbated by the Government’s approach, has now become so acute that the NHS is in grave danger of suffering another catastrophe on the scale of Mid Staffs.

She went on: “They are risking it again. They are aware of the problem, but their solutions are not working.”

A Government failure to properly heed warnings is already in the spotlight following the Grenfell Tower fire, with ministers having neglected to implement a long called-for safety review that experts say could have helped prevent the blaze that has so far claimed 79 lives.

The RCN reports that there should be 340,000 nurses in the system to make sure patients are safe according to official standards, but one in nine posts – some 40,000 – are unfilled. In some areas of the country it is one in three.

The shortage is likely to worsen as the foreign staffing the NHS depends on has fallen off a cliff since the country’s referendum to quit the European Union.

Official data shows an enormous 95 per cent drop in EU nurses registering since the vote. In July last year 1,304 came – in April this year, just 46.

Ms Davies said: “All around the country we have been very dependent on recruiting people from Europe, but also from the wider world. The NHS has never been without international recruitment.”

She points to the uncertainty created by Brexit and the poor conditions for nurses in the UK contributing to the collapse in numbers.

“We do know that people aren’t applying, the figures just aren’t there. There has been a 95 per cent reduction,” she said.

“People are not applying to come to the UK, because when they did apply they were not coming just for a job, they were coming for a career.

“Nursing is not just a fill-in job.”

The other source of new talent, people coming through UK nursing courses, has also been hit as 2017 marks the first year undergraduates will have to pay tuition fees rising to £9,000.

Official figures are yet to confirm the exact number of would-be nurses starting in September, but data from UCAS points to a 23 per cent reduction on last year.

In new applicants above the age of 25, who bring vital life experience and more often work in the community, where ministers want more care to take place, it is a 26 per cent drop.

Ms Davies said: “My conversation with some universities show a significant drop in applications in some areas.

“I’ve heard from individual universities that in some places they have as few as three people applying. It is pretty dramatic.”

With a tightening on the number of new nurses ahead, it is vital to hold on to those already in a system that Ms Davies says is at breaking point.

Nurses have not seen any sort of pay rise for the best part of a decade, with wages first frozen and then capped at a below-inflation 1 per cent. This year the cap will mean nurses losing £3,000 in real terms, she says.

The RCN reports its members taking on second jobs to make ends meet, including a window-cleaning round and working shifts in a supermarket.

Those who continue are on understaffed shifts, tired, facing more work than they can handle, and with their mental health under pressure, Ms Davies explains.

The strain is showing elsewhere in the NHS too, with referrals to the GP Health Service surpassing expectations since its launch in late January, while medics in all fields are seeking help “in escalating numbers” according to Clare Gerada, former chair of the Royal College of GPs.

Dr Gerada told The Independent stress and burn-out faced by family doctors with increasingly heavy workloads means GPs developing severe depression and anxiety, with some turning to alcohol and substance misuse to cope with the pressure.

The BMA warned earlier this year that two in every five GPs are planning to quit the NHS amid a crisis of “perilously” low morale.

Ms Davies went on: “It’s not being able to do the things that they know they would want to do in their heart, that makes nurses go off their shift crying.

“Lifting a cap on pay and paying people a living pay rise, would make a huge difference.”

In criticism aimed directly at the Prime Minister, she said a “shockwave” had coursed through the profession when Ms May responded to a nurse worried about making ends meet, not with a thought-out answer, but with a campaign slogan, telling her there is “no magic money tree”.

She said: “It was the most insulting thing I have heard for a long time – the idea that the nurse doesn’t understand economics.

She added: “We understand the problem. The question that has to be asked is how much do we want to fund our health service?”

The day of action will see protests across the country on Tuesday aimed at raising awareness of the crisis, with the specific message to Ms May’s government that it is a “final warning”.

Ms Davies said: “This is nurses saying I’m going to leave this profession if nothing changes. This is a last chance. No matter what we’ve been saying, no matter what our organisation has been doing, it hasn’t made any difference.

“We are really going to try and get this cap lifted and try get them to see the effect this is having. If they don’t then that is when we have said we will go to a ballot.

“It’s the last thing that nurses want to do – go on strike. Our members have never been on strike, but they are stuck for what more they can do.”

She explained that a strike would not mean a mass walkout and that the RCN’s constitution does not allow the body to do anything that would harm patients.

It is more likely that action would target specific settings and could cause delays in non-emergency care. When junior doctors first went on strike they continued to provide cover in settings that provide life or death care, such as A&E, intensive care, maternity services, acute medicine and emergency surgery.

A Department of Health spokesperson said: “NHS nurses do a fantastic job in delivering world class patient care and their welfare is a top priority for this Government.

“That’s why we have 12,100 more on our wards since 2010 and 52,000 in training. The Prime Minister also said last week that we want to give EU nationals the same rights as British citizens going forward.”

http://www.independent.co.uk/news/uk/politics/nhs-crisis-cuts-royal-college-nursing-brexit-theresa-may-janet-davies-mid-staffs-strike-a7806656.html