The NHS in England is barely lacking the nurses it needs, with 40,000 positions not filled, the numbers suggest.
The total is double what it was in 2013 - and means one out of nine posts is now vacant, according to the analysis of the Royal College of Nursing
The Union said the situation was unsafe, stressing the stress of working in the NHS and the ceiling of wage increases for the problem.
But the Conservatives said that plans were in place to tackle the problem.
The party said that additional money invested - an average of 1% per year between 2010 and 2020 - allows ministers to ensure patient safety is a priority and despite the posts Vacancies, the number of nurses employed increases further.
Between 2010 and 2016, the number of employed persons increased by 2% to just over 300,000 full-time nurses.
The magnitude of the problem
The RCN, which holds its annu In Liverpool, does not dispute this, instead it examined how much trust the nurses of NHS need to use, but can not.
It relied on requests for freedom of information to obtain data from all types of NHS trusts for By the end of 2016 and received responses of three quarters.
They suggested that nurses employed an additional 40,000 positions in the overall health service.
This is equivalent to a vacancy rate of more than 11% and compares with a total of 20,000 when the NCR conducted similar research in 2013.
The rate was highest in mental health services, where more than 14% of positions were empty, compared with almost 8% in specialized services such as cancer and heart hospitals.
Official Figures in Scotland and Northern Ireland has a much lower vacancy rate at around 4% in each country. The figures were not available for Wales.
Comments from senior nurses show that four in five people felt that the NHS could only function because of the "goodwill" of the staff.
The NHS was increasingly turning to low-skilled personnel, such as health care assistants, as they struggled to recruit enough nurses.
The pay cap is charged
The NCR stated that the ceiling on wage increases, which continues until 2019, was a major factor. The results of a survey on the strike are expected on Sunday.
NCR Secretary General Janet Davies said the shortages were "dangerous" because they were now in danger of treating patients.
"A lethal cocktail of factors in the NHS has resulted in too few licensed nurses and patient care."
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She said the situation could be even worse in the years to come, as the NHS was so dependent on nurses in Europe and that the numbers could be affected by Brexit.
Ms. Davies said it was time to introduce Strict rules regarding security personnel, while raising the cap on pay. These are the two things that work has promised if this forms the next government.
It comes after NHS providers, who represent trusts, have warned last week that detention staff was a major concern for NHS bosses, with low pay reports. Staff left To work in supermarkets.
The story of a nurse: "I have to go out"
Sam (not her real name) worked only as a nurse for 18 months, Already She is trying to leave the trade.
"The salary is a problem, but that is the pressure that is key.I am working in an emergency department and we are constantly unaware. No more than four or five patients, but that is always more than that, and we rely heavily on the agency staff and exert more pressure - and I am newly qualified.
"That means I can not provide the safe care I want. I rush from patient to patient. We have to unload them before they are ready. This is really upsetting.
"The other week, an elderly patient came from a nursing home, but the doctors could not take care of her. (19459010)
This is a scandal, say politicians
The spokesman The health of Liberal Democrats, Norman Lamb, said that the number of unfilled positions was a "scandal."
"Conservatives are bleeding the NHS dry," he added.
Meanwhile, Secretary of Health Shadows of Labor, Jon Ashworth, called it "terrible news" for patients.
But the Conservatives have argued that the figures on wages ignore the fact that half the workforce receives annual increases in labor growth that bring the annual increases to three % On average for those who are with them.
A A spokesperson added that the introduction of security staffing levels could be detrimental to the "judgment" of doctors and senior nurses, but ministers remain committed to "ensuring that Safety standards continue to increase ".
He said that a labor government would put NHS services at risk due to its bad economic policies.
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