Junior Doctors strike Live Updates
Junior doctors’ strike: Second all-out stoppage begins
Junior Dr on Morning TV putting Piers Morgan in hisplace
Other things I have read
National Audit Office February 2016
Managing the supply of NHS clinical staff in England
Note their Recommendations
a Health Education England should be more proactive in helping to address the variations in workforce pressures in different parts of the country. The Department has attributed the considerable geographic variation in vacancies partly to students taking up work close to the areas they trained in. Health Education England should help address these imbalances by gathering evidence on the movement of staff. It should use this information to inform its decisions on the distribution of training places which, to date, has changed relatively little.
b The Department, working with other bodies, should ensure that there are timely, comprehensive data to monitor the capacity of the NHS workforce. There are significant gaps in the data that are needed to make well-informed decisions. The Department should lead a project to ensure that Health Education England and other bodies have the data they need for forecasting and monitoring.
c All key health policies and guidance should explicitly consider the workforce implications. Past developments have not fully assessed how the necessary staff will be made available and funded. When major changes to services are proposed, such as the ‘7-day NHS’, the various national oversight bodies – including the Department, NHS England, NHS Improvement, the Care Quality Commission and the National Institute for Health and Care Excellence – need to work together to understand the staffing implications and financial impact.
d The Department and Health Education England should review the funding arrangements for training clinical staff. The review should involve evaluating the effect of current and planned funding arrangements for higher education institutions, clinical placements and students. Specifically, they should ensure that the right incentives, including financial reimbursements, are in place to supply sufficient staff with the right skills in the right locations.
e The Department, Health Education England and NHS Improvement should provide greater national leadership to support trusts in using the different ways of addressing shortfalls in staffing. Providers face a real challenge in providing safe staffing, meeting efficiency targets and reducing their reliance on temporary staff. However, there has been limited regional or national coordination of measures such as overseas recruitment or return-to-practice initiatives which could help to address shortfalls.
From NHS England
The co-founder of NHS Innovation Accelerator (NIA) looks at how technology is transforming the world and says the NHS, although thought by some to be slow at adopting innovation, is seeing progress.