Revised Workforce Plan to be unveiled in summer, ensuring we train necessary staff and provide the NHS with stability and certainty to plan into the future
The Government and NHS will unveil a refreshed Workforce Plan in the summer with a laser-focus on shifting care from hospitals and into the community, as we work to get the NHS back on its feet and fit for the future.
Lord Darzi’s shocking report laid bare the systemic issues which have gripped the NHS for years and led to poorer experiences for patients and staff. Too much care is being delivered in hospitals because of historic underinvestment in the community.
Recent data shows that:
The original workforce plan would increase hospital consultants by 49%, but the equivalent rise in fully qualified GPs would have been just 4% between 2021/22 and 2036/37.
Through a refreshed workforce plan, alongside reform and investment, the Government is taking the decisive action needed to ensure it has the right workforce in the right place at the right time to deliver its 10 Year Health Plan and get the NHS back on its feet to deliver world-class care.
Health and Social Care Secretary Wes Streeting said:
Through the Government’s Plan for Change, an unrelenting approach is being taken to deliver an NHS fit for the future as part of a decade of national renewal. The Chancellor’s first Budget invested almost £26 billion of funding this year and next for the health system to address critical shortages and cut waiting lists, including delivering an extra 40,000 appointments.
Since July, significant progress has already been made by the Government on its Mission to deliver an NHS fit for the future and to support the workforce, putting funding in place to employ more GPs, ending devastating resident doctor strikes within its first few months, and sending crack teams of top clinicians into hospitals with high waiting lists.
Amanda Pritchard, chief executive of NHS England, said
Delivering three big shifts in health care will be at the core of the government’s wider 10 Year Health Plan, from hospital to the community, analogue to digital, and sickness to prevention. The workforce will form a central part of this plan.
Lord Darzi’s report made clear the NHS has suffered from years of underinvestment and a lack of effective reform, with far too many patients ending up in hospital. As part of our 10 Year Health Plan, care will be shifted from hospital to the community to support the NHS to free up hospital appointments, tackling waiting lists and easing the strain on the health service.
The expansion of the hospital workforce has come at the expense of other care settings and the proportion of the total NHS budget dedicated to acute hospitals has continued to rise, while the proportion of the NHS budget going to primary care has fallen by a quarter in just over a decade – from 24% in 2009 to just 18% by 2021. Despite this significant flow of resources into hospitals, output has not risen at nearly the same rate and NHS productivity has still not recovered to pre-pandemic levels.
Because patients can’t get the care they need in the community, like GP appointments, they end up in A&E, which is worse for them and more expensive for taxpayers. At a typical A&E on a typical evening in 2009, there would have been just under 40 people waiting in the queue. By 2024, that had swelled to more than 100 people.
The ten-year plan is due out next Spring. Following that, the workforce plan, which is due to be revised every two years, will be refreshed next summer.