NHS Long Term Plan – Workforce development highlights
NHS England 7 January 2019
- The NHS Long Term Plan sets out a New Service Model for the NHS. Of note to HR is the move to integrated care systems (ICSs) across the whole country by April 2021, supported by primary care networks (PCNs), formed of GP practices typically covering 30-50,000 patients.
- Under this Long Term Plan, digital-first primary care will become a new option for every patient giving patients the right to access telephone of online consultations from their own practice or, if they prefer, from one of the new digital GP providers. NHS England will review
- current out-of-area arrangements and adjust the GP payment formulae to ensure fair funding without inequitably favouring one type of GP provider over another, and also
- GP regulation and terms and conditions to better support the return to practice and increased participation rates by GPs wanting to work in this way. (1.44)
- Chapter 4 describes a range of workforce development initiatives, notably a new Workforce Implementation Plan due to be published later in 2019 (4.10) supported by a national workforce group to endure the actions are delivered quickly. Themes of note in the implementation plan mentioned in the LTP include
- accelerate the shift from a dominance of highly specialised roles to a better balance with more generalist ones (4.24)
- increase the number of doctors and other healthcare professionals working in general practice (4.26)
- new national arrangements to support NHS organisations in recruiting overseas. (4.32)
- Enabling staff to work smarter and make the most of their skills and expertise, in particular how digital technology can support free up staff time. (4.47)
- A new deal for staff to address harassment, bullying or abuse from other staff. (4.40)
- Set out workforce specific requirements for individual specialisms eg mental health, stroke. (Box p90)
- Work of the new national workforce group will include commissioning a review of NHS workforce data, to ensure that the information available on the electronic staff record, NHS workforce data collections and other sources such as the Model Hospital databases, provide both local and national bodies with real time access to a single source of trusted information to guide and support both day-to-day and strategic workforce decision making.
- The LTP stresses the importance of workforce development and career progression to increase staff retention (4.37) in particular multi- professional credentialing to enable clinicians to develop new capabilities (4.38)
- Newly qualified doctors and nurses entering general practice will be offered a two-year fellowship offering a secure contract of employment alongside a portfolio role tailored, where possible, to the aims of the individual and the needs of the local primary care system. (4.27)