{"id":36062,"date":"2023-06-27T14:56:52","date_gmt":"2023-06-27T14:56:52","guid":{"rendered":"https:\/\/news.cancerresearchuk.org\/?p=26117"},"modified":"2024-11-03T15:12:27","modified_gmt":"2024-11-03T15:12:27","slug":"5-questions-the-nhs-workforce-plan-for-england-needs-to-answer","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/5-questions-the-nhs-workforce-plan-for-england-needs-to-answer\/","title":{"rendered":"5 questions the NHS Workforce Plan for England needs to answer"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/news.cancerresearchuk.org\/wp-content\/uploads\/2023\/06\/shutterstock_393927661-scaled.jpg\" class=\"ff-og-image-inserted\"><\/div>\n<p><span data-contrast=\"auto\">In the Autumn 2022 budget, UK Chancellor<\/span><span data-contrast=\"auto\"> Jeremy Hunt<\/span>&nbsp;<a href=\"https:\/\/news.cancerresearchuk.org\/2022\/11\/17\/scandinavian-quality-and-singaporean-efficiency-what-the-autumn-statement-means-for-cancer\/\"><span data-contrast=\"none\">committed<\/span><\/a><span data-contrast=\"auto\"> to publishing a Long Term Workforce Plan for the NHS in England, with independently verified workforce projections for the next 5, 10, and 15 years. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">This move has long been called for by healthcare and research charities \u2013 including <\/span><a href=\"https:\/\/www.cancerresearchuk.org\/sites\/default\/files\/building_a_cancer_workforce_that_delivers_for_patients_today_and_tomorrow.pdf\"><span data-contrast=\"none\">Cancer Research UK<\/span><\/a><span data-contrast=\"auto\"> \u2013 as well as numerous think tanks. In his previous role as Chair of the Health and Social Care Select Committee, Hunt himself even recommended it. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">So, we\u2019re all agreed that we need a plan. But what would a good one look like?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Here we lay out five key tests for the NHS Long Term Workforce Plan to ensure it delivers for people affected by cancer, and the staff that take care of them.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<h2><span data-contrast=\"none\">1. Has the UK Government committed to funding the delivery of the plan in England?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n<p><span data-contrast=\"auto\">Even a good workforce plan won\u2019t make a dent in the challenges facing the NHS if it isn\u2019t backed up with meaningful, long-term investment. That\u2019s about providing for the future of the NHS, helping to build a health service that can deliver the very best for people with cancer, today and tomorrow. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Prime Minister Rishi Sunak has <\/span><a href=\"https:\/\/www.bbc.co.uk\/iplayer\/episode\/m001n9pl\/sunday-with-laura-kuenssberg-rishi-sunak-on-nhs-inflation-and-russia\"><span data-contrast=\"none\">promised<\/span><\/a><span data-contrast=\"auto\"> that the plan will lead to the \u201clargest expansion in training and workforce\u201d in the NHS\u2019s history. Recent indications have suggested it will focus heavily on early-stage training, by, for instance, increasing the number of medical and nursing school places.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">That\u2019s really important, but, for people affected by cancer to benefit directly, we need to get the whole training pipeline right.<\/span><\/p>\n<p><span data-contrast=\"auto\">For doctors, that extends from the day a student enters medical school to the moment they become a fully fledged consultant oncologist, radiologist or surgeon. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p>And good cancer care depends on nurses and other healthcare professionals, too. We also need to see detail on funding for extra training places in those key cancer professions.<\/p>\n<p><span data-contrast=\"auto\">On top of that, the plan needs to be tied together with robust proposals for implementation, oversight and accountability \u2013 ways to make sure it can become a reality. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<h2><span data-contrast=\"none\">2. Does it take action on retention alongside recruitment<\/span><span data-contrast=\"none\">?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n<p><span data-contrast=\"auto\">It takes many years to train highly qualified staff, but the plan needs to start delivering now. <\/span><\/p>\n<p><span data-contrast=\"auto\">Now, when half of oncologists are <\/span><a href=\"https:\/\/www.rcr.ac.uk\/clinical-oncology\/rcr-clinical-oncology-workforce-census-2022\"><span data-contrast=\"none\">reporting<\/span><\/a><span data-contrast=\"auto\"> burnout, increasing numbers of junior doctors are looking to <\/span><a href=\"https:\/\/www.bmj.com\/content\/379\/bmj.o3066\"><span data-contrast=\"none\">leave<\/span><\/a><span data-contrast=\"auto\"> the NHS, and more and more experienced doctors are <\/span><a href=\"https:\/\/www.bma.org.uk\/advice-and-support\/nhs-delivery-and-workforce\/the-ageing-workforce\/supporting-an-ageing-medical-workforce\"><span data-contrast=\"auto\">approaching retirement<\/span><\/a><span data-contrast=\"auto\">. <\/span><\/p>\n<p><span data-contrast=\"auto\">Any plan for the future of the NHS has find a way to address this. The service needs to keep experienced staff and make sure they\u2019re in position to bring the most value to patients. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Without targeted action on retention, plans to train new staff would be like pouring water into a leaky bucket, especially when you account for the benefits experienced staff bring to the NHS.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Competitive pay, flexible working, improved wellbeing support, career progression, and opportunities to engage in professional development through training or <\/span><a href=\"https:\/\/www.cancerresearchuk.org\/sites\/default\/files\/creating_time_for_research_february_2021_-_full_report-v2.pdf\"><span data-contrast=\"none\">conducting clinical research<\/span><\/a><span data-contrast=\"auto\"> are all evidence-based ways to boost retention. The NHS Long Term Workforce Plan must provide funding to enable as many of these approaches as possible. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n<h2><span data-contrast=\"none\">3. Are projections included for the next 5, 10 and 15 years?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n<p><span data-contrast=\"auto\">Chronic workforce shortages are the biggest barrier to transforming cancer services and improving survival for people affected by cancer in the UK. The NHS workforce has been stretched to its limit, with record numbers of vacancies and shortages across key cancer professions.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">For the plan to begin to address these workforce shortages, we need to know exactly how many staff are needed in key NHS roles in the short, medium and long term.<\/span><\/p>\n<p><span data-contrast=\"auto\">The Chancellor promised he\u2019d tell us, and we\u2019re holding him to it. The plan must include projections for staffing needs for the next 5, 10 and 15 years. These projections should also be independently verified, and the Government needs to be transparent about how it has drawn its conclusions. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Without that, we cannot understand the full scale of the workforce crisis facing the NHS, or assess how far the Government\u2019s commitments go to meeting current and future patient needs. In short, until we know where the gaps are, we can\u2019t fill them. <\/span><\/p>\n<p><span data-contrast=\"auto\">And if we don\u2019t fill those gaps, we can\u2019t create a workforce capable of delivering world-leading services for people with cancer.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<h2><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">4. <\/span><span data-contrast=\"none\">Are the needs of cancer considered?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n<p><span data-contrast=\"auto\">It can be hard to say exactly who to include in any definition of the \u2018cancer workforce\u2019. Many different specialists play important roles in people\u2019s cancer journeys, which span screening, diagnosis, treatment and care.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">But a good place to start is the 2017 <\/span><a href=\"https:\/\/www.hee.nhs.uk\/our-work\/cancer-workforce-plan\"><span data-contrast=\"none\">Cancer Workforce Plan<\/span><\/a><span data-contrast=\"auto\">. That highlighted seven key specialisms across oncology, radiology, radiography, gastroenterology, pathology and specialist cancer nursing.&nbsp;&nbsp;&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Almost all these groups are facing acute shortages. The Long Term Workforce Plan must identify increases in staffing needed across these roles and put fully funded commitments in place to deliver them.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">It\u2019s not just clinical staff, either. Non-clinical staff \u2013 including admin, IT and managerial staff \u2013 play an essential role in every patient pathway. They will also be key to the digital transformations needed across cancer services. But, today, data on these groups is patchy. The UK Government must also consider non-clinical staff needs in workforce planning, making sure that staff are in place to deliver a truly patient focused, data-driven and digitally enabled NHS. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<h2><span data-contrast=\"none\">5. Is there a commitment to future workforce planning?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n<p><span data-contrast=\"auto\">We have seen over a decade of underinvestment and poor planning take its toll on workforce education, training, recruitment and retention. The inevitable consequence has been the NHS workforce crisis we face today, with the health service facing staff shortages across almost every profession relevant to cancer care. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">The Long Term Workforce Plan has the potential to begin reversing this trend. But it can\u2019t be seen as \u2018one and done\u2019.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">We know that the pressures on the NHS are only going to increase. Our <\/span><a href=\"http:\/\/www.cancerresearchuk.org\/sites\/default\/files\/cancer_in_the_uk_overview_2023.pdf\"><span data-contrast=\"none\">modelling<\/span><\/a> <span data-contrast=\"auto\">suggests<\/span><span data-contrast=\"auto\"> the UK will see <\/span><a href=\"https:\/\/news.cancerresearchuk.org\/2023\/02\/03\/world-cancer-day-2023\/\"><span data-contrast=\"none\">a third more cancer cases by 2040<\/span><\/a><span data-contrast=\"auto\">.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">But there\u2019ll be new opportunities alongside those challenges. Cancer research and innovation has the potential to radically change how we detect, diagnose and treat the disease. That means we\u2019ll need to see new and different skills within the cancer workforce. We need to plan for those positive changes, too. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">To deliver a real step-change in our approach to healthcare workforce planning, address future challenges, seize opportunities, and ultimately deliver the change people affected by cancer deserve, the upcoming NHS Long Term Workforce Plan must be just the first in a series of consistent and iterative workforce plans. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<h2><span data-contrast=\"none\">Beyond the plan<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n<p><span data-contrast=\"auto\">Taken together, these five questions are our litmus test for whether the Long Term Workforce Plan for England delivers for people affected by cancer. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">But the work doesn\u2019t end with a good plan. It needs to be continually monitored, with independent evaluation of performance and progress against recommendations.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">The UK Government, the NHS and the cancer community need to work together to ensure that the plan is implemented and updated to reflect changing patient needs.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">So, we\u2019re getting a head start. We\u2019ll be setting out how we think workforce planning needs to change in our <\/span><a href=\"https:\/\/www.cancerresearchuk.org\/about-us\/we-develop-policy\/manifesto-for-cancer-research-and-care\"><span data-contrast=\"none\">Manifesto for Cancer Research and Care<\/span><\/a><span data-contrast=\"auto\">, to be published at the end of the year.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><em>Naser Turabi is Director of Evidence and Implementation at Cancer Research UK.<\/em><\/p>\n<p> <a href=\"https:\/\/news.cancerresearchuk.org\/2023\/06\/27\/5-questions-nhs-long-term-workforce-plan\/\">Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>In the Autumn 2022 budget, UK Chancellor Jeremy Hunt&nbsp;committed to publishing a Long Term Workforce Plan for the NHS in England, with independently verified workforce projections for the next 5, 10, and 15 years. &nbsp; This move has long been called for by healthcare and research charities \u2013 including Cancer Research UK \u2013 as well [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[5137],"tags":[],"class_list":["post-36062","post","type-post","status-publish","format-standard","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/36062","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/comments?post=36062"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/36062\/revisions"}],"predecessor-version":[{"id":44626,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/36062\/revisions\/44626"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=36062"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=36062"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=36062"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}