3. NHS PLAN & REFORM (continued)
3.1.2 How many GPs (a) joined and (b)
left the NHS in each year since 1997? (Q23)
ANSWER
1. Information on the numbers of GPs that
joined and left the NHS in each year since 1997 is given in Table
23.
2. The number of joiners and leavers in
the GP workforce are tracked as part of the NHS workforce census.
3. In 2004 (the last year for which complete
figures are available), 1,649 Practitioners (excluding GP registrars
and GP retainers) left the NHS in England. This equated to 5.2%
of the Practitioner workforce. In the same year, 2,930 Practitioners
(excluding GP registrars and GP retainers) joined the workforce.
This equated to 9.3% of the workforce. The information collected
shows only the numbers and proportion of leavers and joiners,
it does not specify which of the leavers had to be replaced.
4. This information is not available for
other staff groups.
Table 23
ALL GENERAL MEDICAL PRACTITIONERS (EXCLUDING
REGISTRARS AND RETAINERS)(1), FOR ENGLAND, JOINERS AND LEAVERS,
1997-2005
|
| England | | |
| | |
| numbers (headcount)
|
|
| 1997
| 1998 | 1999
| 2000 | 2001
| 2002 | 2003
| 2004 | 2005
|
| England | | |
| | |
| | | |
| | |
| | | |
| | |
| All Practitioners (excluding registrars and retainers)(1)
| 28,046 | 28,251
| 28,467 | 28,593
| 28,802 | 29,202
| 30,358 | 31,523
| 32,738 |
| Joiners in this year | ..
| 1,536 | 1,484
| 1,408 | 1,737
| 2,112 | 2,647
| 2,930 | 2,864
|
| Leavers from this year | 1,331
| 1,268 | 1,282
| 1,528 | 1,712
| 1,491 | 1,765
| 1,649 | ..
|
|
Source: The Information Centre for health and social
care General and Personal Medical Services Statistics.
Footnotes:
1. General Medical Practitioners (excluding retainers and
registrars) includes Contracted GPs, GMS Others and PMS Others.
2. ".." denotes data not available.
3. The figures in the table above are arrived at by checking
if a Practitioners GMC number appears in consecutive years of
the census.
A joiner is a practitioner whose GMC number was present in
a census but not observed in the previous census a leaver's GMC
number was in 2003 but not 2004.
These figures are therefore snapshots from two specific points
in time and only represent the national position at these times.
They do not cover movement in and out of the NHS between
these two points, nor do they relate to the local level turnover
of staff between NHS Trusts.
3.1.3 How many (a) doctors (b) nurses (c) midwives
and (d) radiographers are projected to complete undergraduate
or pre-registration training in each of the next five years? How
many are projected to reach retirement age in each of the next
five years? Could the Department comment on relative trends? (Q24)
ANSWER
1. The information requested is given in Table 24a
and Table 24b.
2. We are now moving away from year-on-year growth in
the NHS workforce to more of a steady state where there is a closer
match between affordable demand and supply. We expect workforce
growth to stabilise over the next few years and the numbers of
nurses, midwives and radiographers projected to complete undergraduate
or pre-registration training over the next five years reflects
this closer match.
3. It is the responsibility of Health Authorities and
Primary Care Trusts to ensure that appropriate workforce is available
to meet the needs of the local health economy. The Workforce Review
Team works at national level on behalf of the NHS in England and
makes recommendations on the future workforce in the NHS to inform
decisions about investment in training to secure a workforce with
the right skills, in the right places and in the right numbers
to meet future staffing requirements. These recommendations take
into account the projected numbers of graduates and the forecast
retirements in the professions.
Table 24a
TOTAL PROJECTED NEW GRADUATES EACH YEAR
|
| | |
| | Numbers
|
| 2006-07
| 2007-08 | 2008-09
| 2009-10 | 2010-11
|
|
| Nurses(1) | 19,400
| 20,200 | 20,800
| 18,700 | 17,800
|
| Midwives(2) | 1,205
| 1,340 | 1,320
| 1,320 | 1,320
|
| Therapeutic Radiographers(3) | 225
| 248 | 255
| 255 | 255
|
| Diagnostic Radiographers(3) | 782
| 782 | 782
| 782 | 782
|
| Doctors(4) | 4,390
| 4,910 | 5,610
| 5,860 | 5,860
|
|
Source:
WRT Diagnostic Radiography proforma—N:wrtproformas2006AHPs060515-prf-diagnostic
radiography
WRT Therapeutic Radiography proforma—N:wrtproformas2006AHPs060515-prf-therapeutic
radiography
Information centre Census 2005
Footnotes:
1. The projections assumed that nursing commissions have peaked
and that there will be some reduction in attrition rates.
Course length has been assumed to be on average three years.
2. No future growth in commissions, attrition rate during
training is 18%, (does not include second registrations).
3. The 2006 modelling has been updated for information received
following the production of the 2005 proformas.
4. Data based on HEFCE actual intakes for England in years
2000-01 to 2005-06. Course duration is assumed to be five years.
Attrition rate is assumed to be 6.9%
5. Course length has been assumed to be on average three years.
Diagnostic Radiography graduate numbers are based on the Higher
Education Statistics Agency (HESA) data for 2004-05.
Therapeutic radiography graduate numbers are based on the declared
commssions for 2004-05.
6. All data rounded to three significant figures.
Table 24b
TOTAL PROJECTED NHS STAFF REACHING RETIREMENT AGE EACH
YEAR
|
| | |
| | Numbers
|
|
| 2006-07
| 2007-08 | 2008-09
| 2009-10 | 2010-11
|
| Nurses(1) | 5,210
| 5,570 | 5,940
| 6,380 | 6,700
|
| Midwives(1) | 459
| 461 | 474
| 497 | 521
|
| Radiographers(2) | 235
| 179 | 268
| 253 | 295
|
| GPs(3) | 836
| 853 | 867
| 882 | 903
|
| HCHS Doctors(4) | 795
| 837 | 901
| 938 | 923
|
|
Source:
WRT Diagnostic Radiography proforma—N:wrtproformas2006AHPs060515-prf-diagnostic
radiography
WRT Therapeutic Radiography proforma—N:wrtproformas2006AHPs060515-prf-therapeutic
radiography
These proformas will be available from the portal www.healthcareworkforce.nhs.uk
in Autumn 2006
Information centre Census 2005
Footnotes:
1. Based on a retirement profile, rather than a fixed retirement
age.
The retirement profile is arrived at by assessing past trends
in retirement and applying these trends for the future.
2. The 2006 modelling has been updated for information received
following the production of the 2005 proformas.
3. GP projections are based on numbers forecast to leave the
workforce aged 55 and over.
The figures assume the proportion of leavers in each age
group will remain the same as the average number of leavers over
the period 1999-2003.
The year 2006-07 is taken to run from 30 September 2005 to
30 September 2006.
4. Based on numbers of consultants aged 55 and over expected
to leave the profession. Retirements from the training workforce,
Associate Specialists and Staff Grades are not included.
Numbers represent the sum of the expected retirements in
each specialty.
Data source: WRT All specialties proforma 2005 (projection
from the 2004 DH Census)—N:WRTProformas2005060314-SPRE-All
Specialities 2005Proforma-V1-JPC.xls
5. Retirement age has been assumed to be 60. The 2006-07 predicted
retirement figure includes all staff aged 58 as of September 2005.
The model assumes that all staff aged 59 and over at september
2005 will have retired in the year 2005-06. Potentially there
may be 30 additional retirements per year on average from this
source.
6. All data rounded to three significant figures.
3.1.4 What was total expenditure on (a) agency nurses
and (b) other agency staff in each year since 1997-98? (Q25)
ANSWER
1. The information requested is given in Table 25.
2. Information is collected from all Strategic Health
Authorities, Primary Care Trusts and NHS Trusts in England on
expenditure on agency staff. The latest year for which this data
is available is 2004-05.
3. Foundation Trusts (FTs) came into existence for the
first time in 2004-05. Spend at FTs is not recorded on DH Trust
or PCT Financial Returns, but is published in Annual Reports Accounts
for each FT. FT Annual Reports do not report agency spend by staff
category and therefore this spending is not included in this answer.
4. For England the total expenditure in 2004-05 under
the heading of nursing, midwifery and health visiting agency staff
was about £400 million (excluding trusts which became Foundation
Trusts in 2004-05).
5. For England the total expenditure in 2004-05 on all
other agency staff was about £862 million (excluding trusts
which became Foundation Trusts in 2004-05).
6. The year on year trend in rising expenditure on all
agency staff has started to decline. In 2004-05, the spend showed
a decrease of £184 million over the previous year. For agency
nursing, midwifery and health visiting staff 2004-05 was the second
year in which spending has reduced, decreasing by £190 million
since 2002-03.
7. These reductions reflect the continuing impact of
targeted action by the NHS Purchasing and Supply Agency, Agency
Framework Agreements (AFA's), NHS Professionals and initiatives
such as the National Agency Staffing Project.
Table 25
SALARIES AND WAGES NON-NHS STAFF (AGENCY, ETC)
|
| Year | Nursing, midwifery and health visiting
(£)
| Other staff
(£)
|
|
| 1997-98 | 239,077,683
| 300,870,876 |
| 1998-99 | 292,200,951
| 348,922,299 |
| 1999-2000 | 380,197,259
| 404,434,567 |
| 2000-01 | 435,431,882
| 476,883,644 |
| 2001-02 | 554,323,821
| 634,749,545 |
| 2002-03 | 589,739,230
| 831,218,820 |
| 2003-04 | 524,675,129
| 921,455,247 |
| 2004-05(1) | 399,995,000
| 862,053,000 |
|
Source: Annual financial returns of NHS trusts, PCTs
and SHAs.
Footnotes:
1. 2004-05 does not include spend at trusts with foundation
status.
3.1.5 What was expenditure on (a) agency nurses and
(b) other agency staff in each NHS Trust, Primary Care Trust and
Strategic Health Authority in 2003-04 and 2004-05, in £s
and as a percentage of turnover? (Q26)
ANSWER
1. The information requested is given in Table 26a
to Table 26c.
2. Information is collected from all Strategic Health
Authorities, Primary Care Trusts and NHS Trusts in England on
expenditure on agency staff. The latest year for which this data
is available is 2004-05.
3. Foundation Trusts (FTs) came into existence for the
first time in 2004-05. Spend at FTs is not recorded on DH Trust
or PCT Financial Returns, but is published in Annual Reports Accounts
for each FT. FT Annual Reports do not report agency spend by staff
category and therefore this spending is not included in this answer.
4. For England the total expenditure in 2003-04 on nursing,
midwifery and health visiting agency staff was about £525
million. In 2004-05, total expenditure (excluding trusts which
became Foundation Trusts in 2004-05) was about £400 million,
a reduction of £125 million.
5. For England, the total expenditure in 2003-04 on all
other agency staff was about £921 million. In 2004-05, total
expenditure (excluding trusts which became Foundation Trusts in
2004-05) was about £862 million. This is a reduction of £59
million.
6. The year on year trend in rising expenditure on all
agency staff has started to decline. For agency nursing, midwifery
and health visiting staff this is the second year in which spending
has reduced.
7. These reductions reflect the continuing impact of
targeted action by the NHS Purchasing and Supply Agency, Agency
Framework Agreements (AFA's), NHS Professionals and initiatives
such as the National Agency Staffing Project.
| 
