Closing the gap: Key areas for action on the health and care workforce | Nuffield Trust | The King’s Fund | The Health Foundation
Staffing is the make-or-break issue for the NHS in England. Workforce shortages are already having a direct impact on patient care and staff experience. This report calls for urgent action to avoid a vicious cycle of growing shortages and declining quality. The workforce implementation plan to be published later this year presents a pivotal opportunity to do this.
In this report, experts from the Nuffield Trust, The King’s Fund and the Health Foundation set out a series of policy actions that, evidence suggests, should be at the heart of the workforce implementation plan. This report focuses on nursing and general practice, where the workforce problems are particularly severe. The authors suggest a number of high-impact policy actions which, if properly funded and well implemented across the NHS would over time create a sustainable model for general practice and help to eliminate nursing shortages. These will require investment of an extra £900 million per year by 2023/24 into the budget of Health Education England.
Since 1983, NatCen Social Research’s British Social Attitudes survey has asked members of the public in England, Scotland and Wales about their views on the NHS and health and care issues more generally. Alongside the Nuffield Trust, in this publication the King’s Fund explores the findings from the 2018 survey.
The BSA is a ‘gold standard’ survey and is conducted the same way every year, with the data provideing a rich time trend going back to 1983. This adds a depth and context to the findings that no other measure of NHS satisfaction provides. As a result, when satisfaction changes in the BSA, we are as confident as we can be that it reflects a genuine change in public attitudes.
Satisfaction with the NHS overall in 2018
Public satisfaction with the NHS overall continued to fall in 2018. Overall satisfaction was 53 per cent – a 3 percentage point drop from the previous year and the lowest level since 2007.
Older people were more satisfied than younger people: 61 per cent of those aged 65 and over were satisfied with the NHS compared to 51 per cent of those aged 18–64.
Satisfaction levels also differed between supporters of different political parties: 58 per cent of supporters of the Conservative party were satisfied compared to 51 per cent of supporters of the Labour party.
The four main reasons people gave for being satisfied with the NHS overall were: the quality of care; the fact that the NHS is free at the point of use; the range of services and treatments available; and the attitudes and behaviour of NHS staff.
The four main reasons people gave for being dissatisfied with the NHS overall were: long waiting times; staff shortages; a lack of funding; and money being wasted.
This podcast explores big ideas in health and care, and features experts from The King’s Fund and beyond discussing the NHS, social care, and all things health policy and leadership.
What can be done about race inequality in the NHS workforce? How can we ensure representative leadership happens? Helen McKenna talks with Yvonne Coghill, Director at NHS England Workforce Race Equality Standard (WRES); Dionne Daniel, Project Lead, Nursing Workforce Remodelling Research Project; and Ben Morrin, Director of Workforce at University College London Hospitals.
The King’s Fund | February 2019 | Working 9 to 5: Poppy Jaman on mental health and the work–life balance
Experts from The King’s Fund and beyond about the NHS, social care, and all things health policy and leadership. This episode features Poppy Jaman OBE, Chief Executive of City Mental Health Alliance, who chats with Helen McKenna about mental health in the workplace, and shares her advice for future leaders.
They consider: What should employers be doing to keep us well? And what language should we use when we talk about mental health?
The King’s Fund | December 2018 | Mental health funding squeeze has lengthened waiting times, say NHS finance leads
Eight out of ten NHS trust finance directors say that funding pressures have led to longer waiting times for people who need mental health treatment, according to The King’s Fund’s latest quarterly monitoring report.
New analysis for the report also shows that despite NHS England meeting its commitment to increase its investment in mental health, nearly a quarter of mental health trusts recorded a reduction in income between 2016/17 and 2017/18. An analysis of mental health trusts’ financial accounts carried out for the report found that, while mental health trusts as a whole reported an overall increase in funding, 21 per cent recorded a reduction in income last year, up from 13 per cent the previous year.
The report is published ahead of NHS England’s long-term plan, which was recently delayed amidst political turmoil over Brexit and is now expected early in the new year (Source: The King’s Fund).
The King’s Fund | November 2018 | A vision for population health:Towards a healthier future
A recent report from The King’s Fund looks at population health, an approach that aims to improve physical and mental health outcomes, promote wellbeing and reduce health inequalities across an entire population. A vision for population health:Towards a healthier future outlines The King’s Fund’s vision for population health, their reasoning for why such a vision is needed and the steps required to achieve it.
The report considers:
The case for change
What affects our health?
What is population health?
What needs to change?
The King’s Fund calls for action at national, regional and local levels. This should include: ambitious and binding national goals to drive progress; a cross-government strategy for reducing health inequalities; stronger political and system leadership; greater clarity on the roles and accountability of national bodies and local organisations; and increased investment in prevention, public health and spending that supports population health (Source: The King’s Fund).
The King’s Fund | December 2018 | Relentless staff shortage leaves home care sector struggling
Relentless staff shortage leaves home care sector struggling is a new report from The King’s Fund explores new approaches to care, for instance providing joined-up care closer to home and enabling people to remain independent and in their own homes. This report considers their potential to provide care that is more closely aligned with what people want (Source: The King’s Fund).