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EM workforce- briefing for Workforce review 2008 (England)

EM workforce- briefing for Workforce review 2008 (England). College of Emergency Medicine. Summary. Principles Health Care Commission Survey MMC data Projections. Principles- Patient Care. NHS plan- care delivered by trained staff NCEPOD- acute admissions report NCEPOD- acute trauma.

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EM workforce- briefing for Workforce review 2008 (England)

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  1. EM workforce- briefing for Workforce review 2008 (England) College of Emergency Medicine The College of Emergency Medicine

  2. Summary • Principles • Health Care Commission Survey • MMC data • Projections The College of Emergency Medicine

  3. Principles- Patient Care • NHS plan- care delivered by trained staff • NCEPOD- acute admissions report • NCEPOD- acute trauma The College of Emergency Medicine

  4. NCEPOD Quality • Majority good • Significant minority could be better • Worrying 7% “less than satisfactory” The College of Emergency Medicine

  5. NCEPOD-patient care • 2.5 million attendances per year • 175,000 “less than satisfactory” The College of Emergency Medicine

  6. Previous workforce planning • Previously agreed targets based on level of service • CEM numbers for MMC- 125 per year • MMC need to create more posts • Result- 248 recruits to ST1 in 2007 The College of Emergency Medicine

  7. Health Care Commission Survey • Autumn 2007 • England • 189 EDs (5 refused CEM access to data) • 128 MIU + 77 WiC/other The College of Emergency Medicine

  8. Health Care Commission SurveyCareer posts • Consultant 738.6 • Associate Spec 101 • Staff Grade 535 • Clinical Assistant 68 • Trust Grade 426 • GP 52 The College of Emergency Medicine

  9. Health Care Commission Survey EM training posts • SpR 529 • FTSTA 194 • ST3 125 • ACCS 127 The College of Emergency Medicine

  10. MMC/CEM data • ST1 248 • ST2 214 • ST3 187 The College of Emergency Medicine

  11. Health Care Commission Survey Junior doctor posts • FY2 1007 • FY1 101 • VTS 503 The College of Emergency Medicine

  12. Health Care Commission Survey ENP • Total ENP in EDs 1248 • Single role 450 • Estimated WTE 850 The College of Emergency Medicine

  13. Health Care Commission Survey MIU ENP • 128 MIU • 800 wte nurses at Band 5/6/7 The College of Emergency Medicine

  14. Number new CCT holders The College of Emergency Medicine

  15. Number CCT holders(20 retirements per annum) The College of Emergency Medicine

  16. Service needs • Move to more trained staff • Projections indicate need for 1800 wte consultant staff The College of Emergency Medicine

  17. Health Care Commission SurveyCareer posts • Consultant 740 • Trust Grade 426 • Total 1166 The College of Emergency Medicine

  18. Conclusions • An urgent need to increase consultant posts in EM • Part of this could be achieved by transfer of Trust Grade posts to consultant posts • 2011 will be a time of peak output. The College of Emergency Medicine

  19. Conclusions • EM is currently training 1000 FY2 and 500VTS trainees. • Any major changes to postgraduate training need to be well managed or there will be service gaps. • Increased medical school output will result in demand for high quality training posts. The College of Emergency Medicine

  20. Conclusions • Numbers entering EM training do not need to increase. • Numbers may need to fall gradually over the next 5 years but this may result in a deficit of training opportunities for young doctors. The College of Emergency Medicine

  21. Conclusions • Over the next five years the numbers of fully trained EM specialists will double • There is a need to improve quality • Patients should be seen by trained staff • There remains a need to provide training in emergency care to non EM doctors The College of Emergency Medicine

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