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The Future Medical Workforce: How do we get the balance right?

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 The NHS is the world’s largest employer of skilled health professionals. We offer careers – not jobs – to people who are passionate about making a difference. The NHS Long Term Plan describes a future where more professionals work together across disciplines, sites and specialties to deliver world-class outcomes for patients and their families.

To get there we need to tackle head-on the barriers to progress. In some places this may mean a fundamental change to the way in which doctors and dentists work.

The Future Medical Workforce workstream of the workforce implementation plan, headed by Professor Stephen Powis, National Medical Director for England, would like your views on the areas we should prioritise to realise our ambitions. We want to know: 

 

1. What can we do in medical training and careers to value and retain the workforce?

2. How do we plan for effective multi-professional delivery of care?

3. How can we meet the challenges of providing a medical workforce able to deliver care closer to home?

4. How do we encourage people to work in hard-to-recruit areas?

5. What needs to be in place locally to improve access to NHS dentistry and oral healthcare advice?

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The report from the RCoA in 2017 has a number of suggestions to address this point. Subsequent work has shown the issues are not exclusive to Anaesthesia.  The culture shift and work to improve conditions is complex and requires engagement at every level, including at the shop floor. Unfortunately there are some consultants who seem to have not yet embraced or appreciated their personal role in this- every individual needs to play a part in this. I believe in many cases this is a...

Bernadette Lomas
by Bernadette Lomas
1 Votes
Comments 1
Bernadette Lomas

The dental profession like many other vital components of the NHS workforce feels that opportunity to have a rewarding career is slipping farther and farther out of their grasp. The BDA’s response to the NHS Long Term plan outlined many different ways in which we believe there are real opportunities to make a difference to the lives of patients and to ensure that the workforce feels valued and is therefore retained. In the midst of the childhood obesity crisis, seldom do dentists receive a...

Henrik Overgaard Nielsen
by Henrik Overgaard Nielsen
0 Votes
Comments 1
Henrik Overgaard Nielsen

GP training hubs bring together NHS organisations, community providers and local      authorities to provide a much broader education than the traditional single-professional approach. Training hubs will be an essential vehicle of workforce transformation, as they will be able to engage multiple general practice organisations and provide consistent education and workforce planning support. How might GP training hubs, which are designed to meet the educational needs of the multi-disciplinary...

Silvia Machaqueiro
by Silvia Machaqueiro
0 Votes
Comments 3
Silvia Machaqueiro

Staff who retire under nhs pension scheme can only return be work if they meet strict criteria such as not earning more than their pre retirement salary with their total pension and post retirement salary. THIs is stopping skilled staff returning.  They can take up agency work without restrictions.  Changing the rules would bring thousands of retirees back to the service. 

Richard McLean-Thompson
by Richard McLean-Thompson
0 Votes
Comments 1
Richard McLean-Thompson

We need to get the work/ life balance correct. There is so much stress and expectation on people to work beyond their means. I think we need to look after out staff better. Provide access to psychologist, where you don't have to go through occupational health. Encourage fun team building away from a hospital, provide spa days for stress reduction. Say thank you more frequently, promote staff who deserve it. When it comes to making change- don't allow the managers to make it so difficult....

Sarah Thomas
by Sarah Thomas
2 Votes
Comments 2
Sarah Thomas

How about PHE doing their job and providing the oral health needs assessments so that Commissioner’s can source the service with incentives for the clinicians. There are areas of the country where it is very difficult to access an NHS dentist but there are plenty of private practices in the area. They would not be there if it was not financially viable. So no shortage of dentists just a shortage of NHS dentists. 

Clair Morea
by Clair Morea
1 Votes
Comments 1
Clair Morea

There is a growing body of evidence that supports the benefits and returns on investment to be derived from integrating oral health into the wider health, educational and social care agendas, i.e.  “putting the mouth back in the body”.  This approach is essential if we are to address the enduring issue of health and oral health inequality in England.  To fully realise the potential of the dental workforce in delivering on this ambition and contributing to improving population health...

Chief Dental Officer
by Chief Dental Officer
7 Votes
Comments 27
Chief Dental Officer

Do we think it is time we dentists are no longer side-lined and actually thought of as healthcare professionals? I do not see any thing in this discussion directly linking us into the bigger picture. I couldn't see any thing in the drop downs that said dentist even to sign in to be able to post! I do not see any thing from CDO included in the blurbs...in fact, it's almost as if we do not exist. We are highly skilled primary care health professionals, working on the front line delivering...

Nishma Sharma
by Nishma Sharma
1 Votes
Comments 3
Nishma Sharma

There is a great need for high quality administration staff to be able to free up medics and other clinical staff, over the last few years there have been increases to paperwork across the whole of the NHS system and this is taking vital medical and clinical staff away from the jobs they are trained to do.  There needs to be a real change in how and what information is required and who can give that information, stop putting pressure on the medical and clinical staff to have to complete...

Ruth Grant
by Ruth Grant
3 Votes
Comments 2
Ruth Grant

How can we best support staff, associate specialist and specialty (SAS) doctors as valued members of the clinical team?

Silvia Machaqueiro
by Silvia Machaqueiro
0 Votes
Comments 4
Silvia Machaqueiro
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