The Royal College of Nursing (RCN) is a registered trade union[2] in the United Kingdom for those in the profession of nursing. It was founded in 1916, receiving its royal charter in 1928. Queen Elizabeth II was the patron until her death in 2022. The majority of members are registered nurses; however student nurses and healthcare assistants are also members. There is also a category of membership, at a reduced cost, for retired people. The RCN describes its mission as representing nurses and nursing, promoting excellence in practice and shaping health policies. It has a network of stewards, safety representatives and union learning representatives as well as advice services for members. Services include a main library in London, and regional libraries. The RCN Institute provides courses for nurses. History The College of Nursing Ltd was founded on 27 March 1916, with 34 members, as a professional organisation for trained nurses In 2018, after a pay agreement was not clearly explained to the membership, the Chief Executive and General Secretary Janet Davies resigned and Dame Donna Kinnair was appointed in an acting capacity. She was confirmed in the role in April 2019. A motion of no confidence in the RCN Council was called shortly afterwards and passed in September 2018 with 78% of votes, but on a turnout when only 3.7% of the membership voted. As well as the Chief Executive and General Secretary, the Director of Member Relations had previously resigned. Twelve of the 17 council members resigned, 10 of them standing for re-election in the subsequent election. In 2019, the RCN's first strike — limited to Northern Ireland, over staffing and pay issues—took place In 2022, the RCN held a strike ballot over pay, held separately across NHS trusts and boards. Its members went on strike as part of the 2022–2023 National Health Service strikes. The RCN commented that from 2010 (the start of the government's austerity programme) to 2022, pay for nurses had fallen by 20%