Reshaping the workforce to deliver the care patients need

Nuffield Trust
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This report, commissioned by NHS Employers, explores how NHS organisations can reshape their workforce to support new ways of delivering care to patients with increasingly complex needs. It provides practical guidance and identifies key enablers and obstacles to change. The report draws on a review of relevant literature, a survey of local Health Education England (HEE) leaders, interviews with a wide range of stakeholders and a number of short case studies. The report finds that equipping the existing non-medical workforce, such as NHS nursing, community and support workforce - with additional skills is the best way to develop the capacity of the health service workforce. Examples of developing the support workforce with additional skills include having care coordinators in the community and developing assistant practitioners to support the work of registered professionals. Key recommendations of the report include: utilising the support workforce; extending the skills of registered healthcare professionals such as nurses, pharmacists, physiotherapists and paramedics; and the creation of advanced practice roles for nurses. The report also identifies possible risks that could result in new roles creating an increase in demand and service costs. It then identifies 10 lessons for local leaders of organisations seeking to redesign their workforce and produce recommendations for national and local bodies about key actions to support change. (Edited publisher abstract)

Subject terms:
NHS, care workforce, staff development, service development, training, health professionals, health care, case studies, support workers, staff;
Content type:
United Kingdom
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