Recruiting Registered Nurses in Canada, the United States, the United Kingdom and Ireland

Transcription

1 Recruiting Registered Nurses in Canada, the United States, the United Kingdom and Ireland Demand for Registered Nurses in Calgary Registered Nurses (RNs) have been identified as a high-demand occupation in Calgary, based on the Calgary Labour Demand Forecast In 2010, there were an estimated 13,800 registered nurses in the Calgary region labour force. Between 2010 and 2020, demand for these workers is expected to increase by almost 5 per cent annually, resulting in a total labour demand for almost 22,200 workers in Employers will likely face difficulties recruiting qualified workers for both newly-created jobs and existing positions that become vacant. During the global economic slowdown of , 65 per cent of Calgary s healthcare employers recruited registered nurses for vacant positions. Of those employers, 73 per cent reported experiencing hiring difficulties. 2 The combination of growing demand and limited supply are likely to result in shortages of nurses in Calgary over the next decade. In order to meet high demand for nurses, Calgary healthcare employers may need to access labour markets outside of Calgary, including international labour markets, to meet a portion of their hiring needs. To facilitate targeted recruiting efforts, Calgary Economic Development (CED) has created this guide to identify the best cities and regions for recruiting registered nurses in Canada, the United States, the United Kingdom and Ireland. Top cities and regions for recruiting are recommended based on the size of the nursing labour force and the likelihood that workers will migrate out of the area. 3 Top Locations for Recruiting in Canada Canadian cities that are recommended for recruiting registered nurses include Toronto, Vancouver, and Montréal, each of which has a nursing labour force that exceeds 20,000 workers. Most cities in Canada have a similar probability that nurses will migrate out of the area, based on analysis of historical out-migration trends of registered nurses, and therefore the largest markets are most recommended. Younger workers under age 35 have a higher probability of inter-provincial migration and nurses in the top 3 cities all have a relatively high percentage of nurses under age 35, compared 1 See Calgary Labour Demand Forecast See Alberta Wage and Salary Survey An out-migration probability index of workers is estimated based on a set of factors that are indicators of future migration. Factors include historical migration patterns, demographics of the occupational labour force, local economic conditions, median income, and the presence of foreign workers in the labour force. 1

2 to other Canadian cities. under age 35 comprise about 23 per cent of Toronto s nursing labour force, 29 per cent of the RN labour force in Montréal, and 26 per cent in Vancouver. Immigrants and past inter-provincial migrants have a higher probability of making an interprovincial move. As of 2006, Toronto had the highest percentage of RNs who were recent immigrants 4 at about 8 per cent of the labour force. Recent immigrants made up about 5 per cent of the labour force in Vancouver and a smaller percentage of the labour force in Montreal (2 per cent). Halifax had the highest percentage of nurses who have made either an international or inter-provincial move, at 11 per cent of the RN labour force; about 8 percent of nurses in Toronto, Vancouver, Edmonton and Ottawa have made either an international or inter-provincial move. Average hourly wages in Calgary are slightly higher than in most of the top-recommended cities in Canada, at $36.35 per hour. 5 Nurses in Montréal have average hourly wages of $27.75 and could potentially experience the greatest increase in earnings by relocating to Calgary, although language considerations may play a role in decisions to relocate. Information describing the nursing labour force in the top-recommended Canadian cities is presented in Table 1. See Table 2 for additional wage information in the top recommended cities. Table 1 Recruiting Indicators for Registered Nurses in Canada, in Canada, by CMA Rank Census Metro Area Estimated Employment (2010) Average Wage Per Hour Emigration Probability Index* Under Age 35 (2010) Percent of RN Labour Force International or Immigrants Inter-Provincial to Canada Migrants (5 Year Period) Non- Permanent Residents (2006) 1 Toronto 30,938 $ % 8% 8% 1% 2 Montréal 27, % 3% 2% 0% 3 Vancouver 20, % 8% 5% 1% 4 Edmonton 14, % 8% 3% 1% 5 Ottawa 8, % 8% 2% 0% 6 Québec 7,914 n.a % 1% 0% 0% 7 Hamilton 7, % 4% 2% 0% 8 Halifax 5, % 11% 0% 0% 9 St. John's, NL 3,000 n.a % 4% 0% 0% 10 London 6, % 3% 0% 0% Calgary CMA 13, % 14% 3% 0% *See footnote 3 for additional information about the Emigration Probability Index. Note: Data is measured for Census Metropolitan Areas unless otherwise noted. Sources: Labour Force Survey, 2006 Census of Canada, RDA Global, Labour Market Information - HRSDC WorkingInCanada.gc.ca 4 Nurses that immigrated between 2001 and Source: HRSDC. According to the 2009 Alberta Wage and Salary Survey, Nurses in Calgary had an average annual base pay of $72, International and inter-provincial migration statistics are analyzed based on data collected in the 2001 and 2006 Census. Official statistics on migration patterns for the most recent 5 year period ( ) are not available at the time of this analysis. The Emigration probability index is based on analysis of more recent labour force survey micro data. 2

3 Table 2 Wages for Registered Nurses in Canada, by CMA Census Metro Area Recent Hourly Wage Range 7 Salary by Province for a General Duty RN Average Reference Low Wage High Wage Min Max Wage Year Toronto $ $ $ * $ 57,252 $ 81,315 Montréal ,276 62,965 Vancouver * 57,864 81,315 Edmonton ,147 82,881 Ottawa ,252 81,315 Québec n.a. n.a. n.a. 42,276 62,965 Hamilton ,252 81,315 Halifax ,164 76,972 St. John's, NL n.a. n.a. n.a. 60,001 74,295 London ,252 81,315 Calgary ,147 82,881 Note: Data is measured for Census Metropolitan Areas unless otherwise noted. *Wage data reflects provincial average. **Figures represent Minimum and Maximum for Registered General Duty Nurses in Alberta, as reported in the Canadian Federation of Nurse Unions Overview of Key Nursing Contract Provisions, Sources: 2006 Census, Labour Market Information - HRSDC WorkingInCanada.gc.ca Top Locations for Recruiting in the United States In the United States, the occupation most closely aligned with is: SOC : Registered Nurses. Similar to many countries, there is a nursing shortage in the US and healthcare employers compete to recruit and retain the nursing staff. There are indications that demand for nurses is increasing, despite high unemployment in the US. Employers and staffing agencies in the US posted more than 121,000 new job ads for RNs in May 2011, up 46% from May Wages paid to RNs in many US cities are lower than the wages earned by RNs in Calgary, which could assist employers in successfully recruiting RNs in the US. Top-recommended cities for recruiting RNs in the US include Los Angeles (L.A.), Chicago, Dallas- Fort Worth, Houston, and Atlanta. L.A. has the highest number of nurses among the recommended cities, with over 87,000 workers. Unemployment is currently high in L.A., at 10.7 per cent which may push some families to seek work outside of the L.A. area. Non-US citizens have a higher-than-average probability of making a long-distance move and they comprise 13 per cent of the registered nurse population in L.A. The mean annual salary for nurses in L.A. in 2010 was about USD $81,000, which is slightly lower than that of registered nurses in Calgary with average annual base pay of nearly CAD $83,000 in Source: HRSDC 8 Source: CFNU Overview of Key Contract Provisions Figures are for Salary for Current Increment Term. 9 Source: American College of Associations of Nursing, Wanted Analytics, June See Bureau of Labor Statistics Occupational Employment Database and Alberta Wage and Salary Survey

4 Chicago also has a high unemployment rate, at 9.6 per cent, as well as a large nursing labour force, although nurses in Chicago are slightly less likely than average to make a long-distance move than are nurses in other US cities. Dallas-Fort Worth, Houston, and Atlanta all have moderately-large sized nursing labour forces, each with over 30,000 registered nurses, and have above-average scores on an out-migration probability index. 11 Nurses in Dallas-Fort Worth, Houston and Atlanta have mean annual salaries well below that of Calgary. The top 10 cities recommended for recruiting are listed in Table 3. See Table 4 for additional wage information in the top recommended cities. Table 3 Out-Migration Indicators of Registered Nurses in Top 10 US Cities, 2010 Rank Metro Area Number of Pct. of who are Non- US Citizens Age Pct. Of Under Age 35 Out- Migration Probability Index* Unemployment Rate 1 Los Angeles-Long Beach, CA 87,470 13% 47 19% Chicago, IL 76,600 5% 46 20% Dallas-Fort Worth, TX 47,840 6% 45 24% Boston, MA-NH 64,460 3% 47 19% Houston-Brazoria, TX 42,220 9% 45 23% Atlanta, GA 33,790 5% 45 20% Washington, DC/MD/VA 39,140 8% 47 18% St. Louis, MO-IL 35,270 1% 45 22% Phoenix, AZ 26,610 5% 46 21% Philadelphia, PA/NJ 44,720 3% 46 19% United States 2,655,020 4% 46 21% *The Out-Migration Probability Index gives an indication of the number of workers in the target occupation in each metropolitan area that have made an interregional move in the past 5 years. The index also reflects factors that may affect worker migration, such as historical migration patterns, demographics of the occupational labour force, local economic conditions, median income, and the presence of foreign workers in the labour force. US Average Out-Migration Probability = 100 (for all US workers in all occupations). 11 The out-migration probability index is based on analysis of data from the American Community Survey (ASC) which is the largest survey in the US that collects data on workers migration histories. 4

5 Table 4 Wages of Registered Nurses in Top Ranked Cities for Recruiting in the United States, 2010 Hourly Wage** (USD) Salary** (USD) Salary by Quartile (USD) Metropolitan Statistical Area Los Angeles-Long Beach, CA 87, ,250 57,800 67,760 80,620 94, ,740 Chicago, IL 76, ,010 49,580 59,090 69,850 83,060 93,890 Dallas-Fort Worth, TX 47, ,030 47,390 55,920 66,360 77,130 89,000 Boston, MA-NH 64, ,630 55,390 66,100 82, , ,640 Houston-Brazoria, TX 42, ,700 51,260 60,420 70,300 82,380 93,330 Atlanta, GA 33, ,090 47,480 54,880 64,100 72,710 82,420 Washington, DC/MD/VA 39, ,090 50,740 62,190 74,590 89, ,920 St. Louis, MO-IL 35, ,300 41,210 47,240 57,800 71,380 83,640 Phoenix, AZ 26, ,130 47,050 57,990 70,890 84,270 94,730 Philadelphia, PA/NJ 44, ,100 47,800 58,830 71,210 85,310 95,990 United States 2,655, ,720 44,190 52,980 64,690 79,020 95,130 Calgary (in $ CAD) 13,756 $36.35 $82,881 n.a. **Source for Calgary wage and salary figures is the 2009 Alberta Wage and Salary Survey. Results are updated every 2 years. At the time of this analysis 2011 figures were not yet published. US Data Sources: Bureau of Labour Statistics Occupational Employment Database, American Community Survey, US Census Analysis by RDA Global. Lower 10% Lower 25% Top Locations for Recruiting in the United Kingdom and Ireland In the United Kingdom and Ireland, the occupation most closely related to registered nurses is: UK/IE SOC 3211: Nurses In 2010, there were approximately 637,000 nurses in the UK labour force and approximately 57,400 nurses in the Irish labour force. Average annual income for nurses in the UK was 30,500 in 2010 (approximately CAD $48,600). 12 Negotiated salary for a staff nurse in Ireland ranges from a low of 30,234 to a high of 43,800 (CAD $39,873 - $57,763). In the UK, the top regions for recruiting are London, the surrounding South East Region (which includes Greater London, Brighton, Oxford, Portsmouth, and Southampton), and the North West Region (incl. Manchester and Liverpool). The highest level of historical out-migration is from London and London also has the greatest number of non-british citizens in the labour force. Since the beginning of the current recession, most Irish government departments have a hiring freeze in place. This includes the health service and as a result many Irish nurses are seeking work outside of Ireland. Upper 25% Upper 10% 12 Includes all levels of nurses ranging from the equivalent of registered nurses to licensed practical nurses. 5

6 Table 5 Recruiting Indicators for Registered Nurses - UK and Ireland, 2010 Rank Region/ Country Major Cities Number of Percentage of who are Non- National Citizens Percentage of who are Non-EU Citizens Age* Pct. Of Under Age 35 Out-Migration Probability Index** 2010 (GBP/EUR) 2010 (CAD) 2010 (GBP) 1 London Greater London 73,000 29% 24% 42 21% ,062 $ 55,779 34,895 $ 55,513 2 North West 3 South East 4 South West 5 Eastern 6 Scotland 7 8 West Midlands Yorkshire & Humberside 9 East Midlands 10 North East Manchester, Liverpool, Preston, Blackpool Brighton, Oxford, Portsmouth, Southampton Bristol, Bournemouth, Plymouth Greater London, Cambridge, Norwich, Peterborough, Ipswich Glasgow, Edinburgh, Aberdeen 2010 (CAD) 79,000 10% 7% 43 26% ,332 46,663 29,794 47,398 71,000 17% 13% 44 18% ,875 49,118 30,276 48,165 54,000 14% 8% 44 24% ,690 47,233 30,704 48,846 56,000 17% 12% 43 22% ,835 49,055 30,836 49,056 78,000 15% 6% 43 22% ,681 48,810 30,579 48,647 Birmingham, Coventry 50,000 13% 11% 41 25% ,527 45,383 28,234 44,917 Leeds, Sheffield, Bradford, Wakefield, Hull Nottingham-Derby, Leicester, Northampton Sunderland, Newcastle upon Tyne 49,000 8% 7% 41 25% ,737 47,308 30,750 48,919 34,000 10% 6% 43 17% ,020 46,167 29,071 46,248 28,000 10% 8% 41 30% ,103 47,890 29,902 47,570 Total UK 637,000 15% 11% 43 23% ,390 $48,346 30,544 $48,592 Total Ireland*** 57,400 2% 1% 50 15% 111 See Table 6 Calgary 13,756 n.a. 31% n.a. $ 82,881 *British data source reports median age figures, while Irish and US data sources report mean age figures. ** Out-Migration index scores for the UK are not directly comparable with those of cities in the US or Ireland. Sources: Quarterly British Labour Force Survey, Survey of Hours and Earnings (UK), Central Statistics Office Ireland, Analysis by RDA Global. ***Regional data is not available on the nursing labour force in Ireland but a national recruiting strategy in Ireland can be effective, due to the small geographic size of the country. Average month-end annual exchange rates: 1=$ CAD. 6

7 Table 6 Registered Nurse Collective Bargaining Wage Comparison, Ireland and Alberta, 2011 Range Staff Nurse, Ireland 2011 Registered Nurse Alberta 2011 Low 30,234 $ 39,873 $ 63,147 High 43,800 $ 57,763 $ 82,881 Sources: CFNU, 2010 Payscale Irish wage data reflect national minimum and maximum salaries (2011), reported by the Irish Nurses and Midwives Organisation. Average month-end annual exchange rates: 1=$ CAD. Euro $ CAD Foreign Credential Recognition When recruiting registered nurses in the UK and Ireland, Alberta employers are advised to consult the College & Association of Registered Nurses of Alberta (CARNA) to determine which workers are most likely to meet regulatory requirements to work in Alberta. Alberta s Department of Human Services may also be of assistance in helping employers navigate the potential difficulties associated with recruiting workers from abroad. For more information, please visit their website at: 7