latest health care news


HEE draws up plan to create sustainable A&E workforce

Health Education England (HEE) has teamed up with NHS Improvement, the Royal College of Emergency Medicine (RCEM) and NHS England to meet the staffing needs of the country’s emergency departments.

Together, the four organisations have developed a plan, ‘Securing the future workforce for emergency departments in England,’ in an effort to achieve sustainable staffing in the departments.

Emergency medicine is a fast growing specialty, with the consultant body growing by 37% since 2012.

The plan aims to support this growth with the addition of four years of ‘expansion cohorts,’ with a minimum of 300 people starting on Acute Care Common Stem-Emergency Medicine (ACCS-EM) programmes each year for the next four years.

HEE and the RCEM will work to recruit an additional 100 doctors a year over the next four years.

Investment in advanced clinical practitioners (ACP) will see 14 trusts double the number of ACPs in emergency care.

Training for physician associates (PAs) will increase, and the plan says that by 2019 there will be 3,200 qualified PAs, compared to around 350 currently.

Around 30% of those currently employed work in emergency medicine.

The organisations also hope to improve retention of emergency medicine staff, and incorporated into the plan is dedicated HR support for the 20 trusts with the most challenging recruitment and retention problems.

Professor Wendy Reid, executive director of education and quality, and national medical director of HEE, said: “Health Education England has increased the number of training posts in this high priority area over the past four years.

“The medical consultant workforce has grown by nearly 40% in the last five years and EM will be the fastest growing specialty over the next five years.

“We will continue to add hundreds more medical and professional support posts in the years to come to ensure that all those people who turn to A&E for help continue to get safe, high quality care both now and in the future.

“As well as a number of initiatives to boost the future workforce, we will ensure that current staff receive additional help and support so that we can also keep more of the staff we are training.

“HEE looks forward to working closely with the RCEM, NHSI and NHSE to ensure support for these initiatives.”

Dr. Taj Hassan, president of the Royal College of Emergency Medicine, said: “We are delighted to be launching this vision for our Emergency Departments which sets out to tackle the clinical workforce challenges facing the service.
“We will increase our trainee numbers significantly, provide initiatives to expand the junior multidisciplinary workforce and share best practice on sustainability.

“The proposed additional resources are much needed and there are a large number of initiatives here which together will mean a comprehensive, coherent shared vision that Executive Boards in trusts can follow.

“Much work now is required to ensure an excellent implementation plan and we will follow progress together closely to ensure long term success.”

Jim Mackey, chief executive at NHS Improvement, added: "The commitment to train more emergency medics year on year and to develop the roles of advanced nurse practitioners and associate physicians further, while working to reduce the attrition rates of our current staff, provide a clear plan on how we and our partners will work together to tackle some of the staffing pressures facing emergency departments.

"These commitments will ensure that our A&Es are appropriately and sustainably staffed, with skill mixes that match the changing needs of our society, that provide a supportive environment in which to train emergency medicine trainees and establish these departments as attractive places to build a long and fulfilling career.”


There are no comments. Why not be the first?

Add your comment


national health executive tv

more videos >

featured articles

View all News

last word

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad, president of the Association of the British Pharmaceutical Industry (ABPI), sits down with National Health Executive as part of our Last Word Q&A series. Would you talk us throu more > more last word articles >

health service focus

View all News


NHS England dementia director prescribes rugby for mental health and dementia patients

23/09/2019NHS England dementia director prescribes rugby for mental health and dementia patients

Reason to celebrate as NHS says watching rugby can be good for your mental ... more >
Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Bei... more >


Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

24/10/2019Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

Today, speaking at the Royal College of General Practitioners (RCGP) annual... more >

the scalpel's daily blog

NHS at 72: Managing mental health services going forward

03/07/2020NHS at 72: Managing mental health services going forward

Sean Duggan, Chief Executive of the Mental Health Network Let’s take this opportunity to reflect on the amazing achievements of our health system over the past few ... more >
read more blog posts from 'the scalpel' >

editor's comment

26/06/2020Adapting and Innovating

Matt Roberts, National Health Executive Editorial Lead. NHE May/June 2020 Edition We’ve been through so much as a health sector and a society in recent months with coronavirus and nothing can take away from the loss and difficulties that we’ve faced but it vital we also don’t disregard the amazing efforts we’ve witnessed. Staff have gone above and beyond, whole hospitals and trusts have flexed virtually at will to meet demand and pressures and we’ve... read more >