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  • Health & Social Care

NHS Staff: Skills, Retention and Recruitment

  • Thursday, 17 May 2018
  • The Bridgewater Hall, Manchester
  • 08:30 - 15:30
  • Overview

The NHS is battling a spell of ill-health. Suffering from a chronic shortage of nurses, doctors, midwives and general practitioners; as well as developing a dependency on costly agency workers. The NHS workforce crisis has been further compounded by recent figures from the Nursing and Midwifery Council and British Medical Association indicating that the number of EU healthcare professionals coming to work in the UK is depleting at an astonishing rate; as the number of medics from the European Economic Area leaving the UK is rising at a ratio of almost one in every five.        

The widely maligned public sector pay cap, uncertainty created by Brexit, staff shortages and under funding are creating an environment that has led to:

  • NHS vacancies rising by more than 15% in the last year.
  • More than 10,000 EU staff leaving the NHS since the Brexit vote.
  • Projections of £15bn financial shortfalls by 2020.
  • The number of nurses and midwives coming to work in Britain from the EU plunging by 89%.
  • 22% of junior doctors feeling deprived of sleep whilst on duty.
  • Missed A&E treatment targets for consecutive years.
  • 54% of junior doctors working beyond their scheduled hours on a daily or weekly basis. 
  • An influx of private healthcare providers competing for NHS contracts.   

Additionally, in the chancellor's November budget statement, Phillip Hammond pledged £2.8bn (£350m immediate investment, £1.6b in 2018-19 and £850m in 2019-20) to the NHS. Despite the chancellor labelling the commitment an 'exceptional' measure, it is still a far cry from the £4bn requested by NHS bosses to fill the funding gap for the coming year alone. The health budget has traditionally received an additional 4% a year above inflation in order to cope with an ageing population, increasing long-term health conditions and the rising cost of medicines. However, since 2010, this figure has dropped close to 1%.     

Budget cuts, sweeping healthcare reforms and austerity have pushed the NHS workforce to breaking point. NHS Staff: Skills, Retention and Recruitment will bring together health and social care leaders, economists, policy makers and frontline staff to collaborate in pursuit of an actionable strategy for supporting, recruiting, retaining and upskilling NHS staff.

In November 2017, the General Medical Council released a report that indicated, despite industrial action from junior doctors in 2016, trainee medics are working in conditions that are far from suited to delivering the high standard of patient care the NHS has built a global reputation on. The report noted that: 'A worrying number of doctors in training continue to raise concerns about heavy workloads and shortness of sleep while on duty, with some missing educational opportunities because of these pressures.’ As well as the health risks posed to NHS staff by the increasing strain of workloads, patient health has been risked by junior doctors forced to act beyond their medical competence and run hospital units due to understaffing. Charley Massey, chief executive of the GMC stated:

"In some cases trainees are being left to fend for themselves when they clearly don't have the competence to make the decisions about patients' treatment that are being asked of them. That's a real concern. Significant proportions of trainees, especially those early in their careers, feel very exposed in terms of what they are being asked to do."

What changes need to occur in order to ensure the current generation of junior NHS workers, and those that will follow, are entering into a safe, sustainable career in public service?   

According to official figures, in March 2017 there were 30,613 vacant full-time positions within the NHS; a 15.8% increase on the previous year. Overall, in the first quarter of 2017, 86,035 positions were advertised; many of which were looking for multiple new employees as part of recruitment programmes, meaning the true figure is likely even higher. Nearly 40% of the advertised vacancies were for nursing and midwifery roles, averaging a worryingly thin three applications per-role. This is a little less surprising when taken into account that nursing pay has fallen by 14% in real terms since 2010, equating to around £3,000 each year.

In April 2017, one month after the previous vacancy figures were taken, a further 1,274 nurses left the NHS.

Data analysis made available in January 2018 revealed that NHS staff are contributing an average of 204 hours of unpaid overtime a year due to under-staffing; equating to £1.6bn of work. The figures reflect that 45% of NHS staff are putting in up to five hours of unpaid work per week. A further 10% are putting in 10 hours a week and a particularly over-stretched 4% are totalling up to 11 hours of unpaid overtime.  

Figures released in November 2017 indicate that the ramifications of the UK's decision to leave the European Union are beginning to reverberate through the NHS; and not in the form of £350million a week...

In the last year 4,067 European medics have left the Nursing and Midwifery register, a 67% increase on the previous year. Looking further into the figures makes for increasingly grim reading. On average, 1,966 midwives and nurses from Spain joined the NMC's register between 2012 - 14; in 2016 - 17 that figure dropped to 104, a decline of 95%. Similar drop offs are reflected in midwives and nurses coming to the UK from:

  • Portugal - 1,127 to 73
  • Poland - 305 to 34
  • Italy - 1,325 to 187            

In an attempt to bolster workforce numbers, the Department for Health has pledged to train an extra 1,500 doctors per year by 2020 – boosting the current number of student doctors by 25%. Additionally, 10,000 extra places will be made available for trainee nurses, midwives and allied health professionals. A spokesperson from the Department of Health commented on the staffing issues within the NHS, purporting a drastically more optimistic outlook than that of frontline workers on the wards: “Staffing is a priority – that’s why we have invested in frontline staff and there are almost 32,000 more professionally qualified clinical staff including almost 11,800 more doctors and over 12,500 more nurses on our wards since 2010.”

Jeremy Hunt, Secretary of State for Health and Social Care has promised there will be 21,000 more nurses, therapists and consultants working in mental health services in England by 2021. However, medical professionals have expressed concern with the government’s training initiatives, as the new students benefiting from the training places could take up to ten years to study and become senior doctors; therefore this initiative will not address the immediate shortage of doctors.   

Additionally, the £1billion that will fund the 21,000 new positions is not new money from HM Treasury but is instead coming from existing NHS budgets. 

Recent figures from NHS Digital indicate that the number of practising GPs in England has dropped by 1,193; this, despite the government's commitment to increase the number of GPs by 5,000 in time for 2020. Opposition to the government have used these figures to demonstrate a failure to deliver on its promises to recruit more GPs by 2020 and those concerns are echoed by members of the medical community  Dr. Krishna Kasaraneni, GP workforce lead for the British Medical Association commented on the GP shortage: “The government needs a long-term plan that addresses the fundamental pressures on general practice from rising patient demand, stagnating budgets and widespread shortages. Even considering recent announcements, the government is still going to be well short of its target of recruiting 5,000 new GPs by 2020.”    

NHS services in the devolved nations are also under increased strain. According to a survey carried out in Scotland by The Royal College of Nursing, half of the 3,300 nurses surveyed reported that patient care was compromised on their most recent shift due to staffing shortages; one quarter of those polled believe there are not enough support workers, nearly half voiced concerns about the skills mix on wards and data suggests that one-in-eight nurses on the wards are not NHS staff but expensive, outsourced agency workers.

In collaboration with some of the leading minds in healthcare, policy making, health economics and clinical practice, Open Forum Events presents NHS Staff: Skills, Retention and Recruitment to develop an actionable strategy for supporting the NHS workforce.

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  • Confirmed Speakers

  • Benefits of attending

 

  • Identify solutions to the NHS' dependency on expensive locums and agency staff.
  • Network and knowledge share with delegates from across the NHS, service providers and policy makers; discussing potential solutions to shared challenges. 
  • Learn about the delivery of values based recruitment and values based interviewing.
  • Examine the workforce model and organisational development framework for implementation of seven day working.
  • Review how Brexit will affect the NHS workforce.
  • Learn from examples of collective action in pursuing a sustainable health and social care workforce. 
  • Help and guidance as it pertains to the implementation of the Department for Health’s pipeline strategies.
  • De-construct and discuss the redeployment of the NHS workforce as the service shifts to a more prevention based model of care.
  • Pose industry-specific questions to representatives from appropriate bodies such as the Department for Health, NHS England, NHS Employers and other relevant associations.
  • Explore the avenues to overcoming workforce related barriers to effective integrated care.
  • Understand the importance of the health and well being of NHS staff in providing the high-quality patient care they are expected to deliver.
  • Develop an understanding of the workforce issues facing each of the UK’s devolved health services.
  • Gain the maximum number of 6 CPD points.     

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  • Event Programme

08:30

Registration and Coffee in the Networking Area

09:25

Chairs Opening Address

09:30

Keynote Address

"Nurture the Public NHS Back to Health - Staff Motivation will Thrive"

Interminable top-down plans to transform NHS working practice have been the equivalent of fiddling while Rome burns. The prime driver has been to defund the NHS and to promote competition. This underlies the disastrous workforce planning of the last decade and an NHS in crisis. After many years of undermining of the idealism that made the NHS what it is – through under-funding, deskilling, outsourcing, competition and dis-integration – privatisation is steadily on the increase and the NHS is in disrepair. Let us reappraise how to restore the NHS to health and reassert its primary values. A strong public health service – alongside strong public social care and education – will ensure a healthy, well-educated population. A healthy population will deliver a healthy economy and society. If we respect, value and resource our NHS workforce, they will deliver an effective and safe NHS, and a healthy population.

09:50
"CapitalNurse: Securing Sustainable Nursing Workforce for London - The Story So Far"

The CapitalNurse Programme was established in July 2015 to secure a sustainable nursing workforce for London. It is a programme of collective action between Directors of Nursing and HR Directors from service providers, Health Education England, NHS England, NHS Improvement, education providers, STPs, trade unions and professional organisations. We have all agreed to collaborate to deliver the programme’s mission on behalf of the people of London and in doing so are creating a social movement to raise the vital role and profile of nursing for the health, well-being and care of the population. CapitalNurse is jointly sponsored by Health Education England (HEE), NHS England and NHS Improvement and is funded by HEE.

 

In this presentation, Chris Caldwell, the Programme Director will give an overview of the programme, its progressing impact to date and plans for next steps.

10:10
  • Jim Thomas, Programme Head for Workforce Innovation, Skills for Care (confirmed)
"Being Pushy Won’t improve your Workforce’s Productivity"

This presentation explores Skills for Cares programme on workforce productivity in adult social care. It looks at what the organisation has learnt so far, how they are putting that work into practice and why shouting at your team is likely to have the opposite effect to the one you desire.

10:30

Questions and Answers Session

11:00

Coffee in the Networking Area

11:45
  • Lucy Powell MP, Member of Parliament, Manchester Central (confirmed)

As the parliamentary representative for Manchester Central, Lucy Powell has been a driving force behind healthcare campaigns within the city; holding private contractors to account, standing-up for mistreated hospital staff and supporting young carers in the city.

12:05

Case Study

"Impact of Overseas Doctors Recruitment to the NHS"

In this talk Naveen will elaborate on the following aspects:

  • Naveen's personal journey as a doctor from India to the UK.
  • A&E and Urgent care service from a junior doctor's perspective.
  • Impact of overseas doctors recruitment to the NHS.
  • Doc2uk and how they do things differently for NHS recruitment.
12:25

The recruitment and retention of staff in social care is one of the biggest challenges which the Health and Care sector faces. Demographic change means there will be far more people who need care and support, but recruiting and retaining the workforce to deliver a variety of roles that support them is going to be more challenging.

 

Within social care there are particular challenges, especially when trying to recruit nurses and professions allied to medicine. In the face of these difficulties we need to look to new approaches and think about workforce development across both health and social care. We need to recruit on values, develop clear career pathways, remunerate appropriately and use training and development money across the entire system. There is much talk about integration, but it is unrealistic to expect integrated outcomes when we have fragmented approaches to workforce development.

12:45

Questions and Answers Session

13:00

Lunch in the Networking Area

14:00

Chair's Afternoon Address

14:05
  • Anita Charlesworth, Director of Research and Economics, The Health Foundation (confirmed)
"Rising Pressure: The NHS Workforce Challenge"

In her address to delegates, Professor Anita Charlesworth will set out the case for introducing new measures of funding the National Health Service, such as a hypothecated NHS tax and the establishment of a body similar to the Office for Budgetary Responsibility for the NHS; providing clarity and accountability for tax and spending decisions. Additionally, Anita will make the argument for a greater emphasis on, and increased inclusion of the workforce when crafting health and social care policy.

14:30

Since being elected to serve as Mayor of Greater Manchester in May 2017 with 63% of the vote and majorities in all ten boroughs, Andy Burnham has proposed to enact a number of innovative health and social care policies that would see the region's NHS organisations radically reform how they recruit and retain staff as well as the delivery of services.

 

In his address to delegates, Andy will outline some of the initiatives he has proposed to support Greater Manchester's NHS staff and the work they do, including:

 

  • Financial assistance towards paying health and social care student's university fees in return for a commitment to work in Greater Manchester NHS hospitals and services after graduating.   
  • Integration of healthcare and housing policy given the impact of poor housing regulation on residents; particularly in the growing private rented sector.
  • Creating more avenues into NHS employment through traditional degrees, apprenticeships and technical pathways. 
14:50
  • Sue Boran, Director of Nursing Programmes, The Queen's Nursing Institute (confirmed)

The QNI is the oldest professional organisation for nurses in the UK.  We are in touch with practice through our network of more than 1100 Queen’s Nurses working in a wide variety of roles, covering practice, policy, research and education, and our Community Nurse Executive Network of Chief Nurses of community provider organisations.

 

Through our QNI networks and direct contact with frontline practitioners, we have developed a good understanding of the key issues in recruitment and retention of the nursing workforce: our intelligence has provided us with both quantitative and qualitative information as well as case studies of what works well in the community and primary care.  The QNI perspective will be shared, along with the strategic recommendations for increasing recruitment and retention in the nursing workforce.

15:10

Questions and Answers Session

  • Anita Charlesworth, Director of Research and Economics, The Health Foundation (confirmed)
  • Sue Boran, Director of Nursing Programmes, The Queen's Nursing Institute (confirmed)
  • Andy Burnham, Mayor, Greater Manchester (confirmed)
15:30

Chair's Closing Remarks and Event Close

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  • Contact Details
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  • Venue
  • Featured Events
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Contact Details

News

  • NHS Workforce: Diagnosis

    • Posted on 08 September 2017
    • by Alex Jones-Casey
  • How will the NHS operate in the future?

    • Posted on 29 March 2017

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Venue

The Bridgewater Hall, Manchester

The Bridgewater Hall, Manchester

Construction of The Bridgewater Hall commenced on 22 March 1993, but the idea of a new concert hall for Manchester dates back to the reconstruction of the Free Trade Hall in the 1950s after wartime bomb damage. The Free Trade Hall was home to the city’s famous Hallé orchestra and also hosted rock and pop concerts. However, despite holding great public affection, the 1850s Free Trade Hall was ill-equipped to respond to the rising standards of service and acoustic excellence demanded by performers and audiences.

Featured Events

  • NHS Productivity: Weathering the Storm

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    • 08:30 - 16:30
    • Manchester Conference Centre
  • NHS Workforce Development: Meeting Health Needs

    • 28 June 2016
    • 08:30 - 16:00
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  • The NHS Five Year Plan: Managing the Demand

    • 30 June 2015
    • 08:30 - 17:00
    • The Royal National Hotel, London
  • NHS 5YFV Vanguard: New Care Models – Leading the Way

    • 09 December 2015
    • 08:30 - 16:00
    • Manchester Conference Centre
  • DigiHealth UK: Harnessing Technology and Innovation

    • 17 October 2017
    • 08:30 - 17:00
    • The Bridgewater Hall, Manchester

Downloads & Resources

  • Open Forum Events Sponsorship Brochure
    Open Forum Events offer a number of partnership, sponsorship and exhibition opportunities that can meet your marketing and business development needs.
  • NHS Staff - Skills, Retention and Recruitment Slides.zip (1)
    NHS Staff - Skills, Retention and Recruitment Slides.zip (1)
  • Who did attend

  • Acute Trusts
  • Adult Social Services
  • Clinical Commission Group Representatives
  • Directors of Finance
  • Directors of Public Health
  • Education and Training Providers
  • General Practitioners
  • Heads of Workforce Engagement
  • Heads of Equality and Diversity
  • Higher Education Institutes
  • Human Resources Directors
  • Innovation Leads
  • Local Authorities
  • Matrons
  • Medical Directors
  • Medical Professors
  • Medical Researchers
  • NHS Board Changes
  • NHS Employees 
  • NHS Stakeholders
  • NHS Trusts
  • Programme Managers
  • Recruitment Managers
  • Strategy, Transformation and Planning Teams
  • Union Representatives
  • Ward Managers