Josie Rudman is an executive nurse with 35 years in the NHS. She served 15 years as chief nurse, 14 of them at Royal Papworth, helping deliver a new hospital and securing an Outstanding CQC rating. She holds an MBE for patient experience and safety. During COVID-19 Josie led the ICU surge, then joined the New Hospital Programme. She has a BSc in oncology nursing, an MSc in advanced nursing practice and a PGDip in research studies. She is a registered nurse tutor and executive coach.
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Director of Nursing – Professional and System Leadership NHS England
The NHS faces escalating workforce pressures intensified by generational change, burnout and rising tech demands. The essay analyses tensions between Millennial/Gen Z staff and traditional culture, showing how misaligned expectations, limited flexibility and outdated systems fuel dissatisfaction and attrition. It highlights burnout from understaffing, emotional load and admin burden, and assess1
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