A think-tank paper examined the challenges of ensuring that the health and social care workforce was prepared for the needs of the future. It outlined examples of these challenges, including: training and development needs; the mismatch between the location of the existing workforce and where care was needed; and the demand for multi-skilled staff to work across boundaries.
Source: Candace Imison and Richard Bohmer, NHS and Social Care Workforce: Meeting Our Needs Now and in the Future?, Kings Fund
An independent review (led by Camilla Cavendish) said that all healthcare assistants and social care support workers should undergo the same basic training, based on the best practice that already existed in the system; and that they should get a standard 'certificate of fundamental care' before they could care for people unsupervised.
Source: The Cavendish Review: An independent review into healthcare assistants and support workers in the NHS and social care settings, Department of Health
A report by a committee of MPs said that a new contract that had increased hospital consultants' pay by up to 28 per cent had failed to halt a continuing decline in productivity. A proper culture of performance management was needed to avoid incidents of poor performance.
Source: Managing NHS Hospital Consultants, Eleventh Report (Session 2013-14), HC 358, House of Commons Public Accounts Select Committee, TSO
An article examined the potential of staff satisfaction as an indicator of institutional performance across acute National Health Service hospitals in England. Only a weak correlation was found between staff satisfaction and hospital death rates.
Source: Richard Pinder, Felix Greaves, Paul Aylin, Brian Jarman, and Alex Bottle, 'Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England', BMJ Quality & Safety, Volume 22 Issue 7
An article said that a new employment contract for National Health Service consultants introduced in 2003, which had included a 27 per cent pay rise over three years, had failed to increase productivity.
Source: Karen Bloor, Nick Freemantle, and Alan Maynard, 'Trends in consultant clinical activity and the effect of the 2003 contract change: retrospective analysis of secondary data', Journal of the Royal Society of Medicine, Volume 105 Issue 11
A report said that the heavy workload for medical registrars, compounded by limited training opportunities and an unequal distribution of senior specialist doctors across the country, was posing a major threat to high-quality hospital care.
Source: Hospital Workforce: Fit for the Future, Royal College of Physicians
A report said that the healthcare system and those working within it had an important and often under-utilized role in reducing health inequalities through action on the social determinants of health.
Source: Matilda Allen, Jessica Allen, and Sue Hogarth (with Michael Marmot), Working for Health Equity: The role of health professionals, Institute of Health Equity (University College, London)
An audit report said that a new contract for hospital consultants, introduced in 2003, had delivered many of the expected benefits, in exchange for a significant increase in consultants' pay. But there was still significant room for improvement in how trusts managed their consultants.
Source: Managing NHS Hospital Consultants, HC 885 (Session 201213), National Audit Office, TSO
A report examined the major challenges facing the health and social care system in England that had implications for educating, training, and developing the workforce.
Source: Big Picture Challenges for Health and Social Care: Implications for workforce planning, education, training and development, Centre for Workforce Intelligence
An article said that there was clear evidence of a statistically significant wage penalty associated with working in some caring occupations. Those occupations requiring lower levels of educational qualification, such as nursing assistants and auxiliaries, were particularly hard hit by the wage penalty. On the other hand, some occupations, such as medicine and teaching, had fared better than comparable non-caring occupations over the same period. The authors discussed the implications for the gender gap in pay, poverty, social inequality, and the future supply of caring workers.
Source: David Barron and Elizabeth West, 'The financial costs of caring in the British labour market: is there a wage penalty for workers in caring occupations?', British Journal of Industrial Relations, Volume 51 Issue 1
A collection of essays examined the future of nursing. It called for better practical clinical training for nurses. But it also said that families and friends should expect to be needed in hospitals and play an active role in the care of older people.
Source: Gail Beer (ed.), Too Posh To Wash? Reflections on the future of nursing', 2020health