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Reshaping the Medical Workforce in Scotland

Reshaping the Medical Workforce in Scotland . Update to NDPIG – July 2010 Alastair Cook Senior Medical Officer SGHD  . OUTLINE. CONTEXT – MEDICAL WORKFORCE CHANGE IN LAST DECADE PROJECTED MEDICAL SUPPLY AND DEMAND RESHAPING WORKFORCE IN SCOTLAND ISSUES FOR PAEDIATRICS.

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Reshaping the Medical Workforce in Scotland

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  1. Reshaping the Medical Workforce in Scotland Update to NDPIG – July 2010 Alastair Cook Senior Medical Officer SGHD  

  2. OUTLINE • CONTEXT – MEDICAL WORKFORCE CHANGE IN LAST DECADE • PROJECTED MEDICAL SUPPLY AND DEMAND • RESHAPING WORKFORCE IN SCOTLAND • ISSUES FOR PAEDIATRICS

  3. UK MEDICAL SCHOOL INTAKES

  4. Estimated annual retirements from NHS in Scotland and England2011-2036 6000 5000 4000 3000 2000 1000 0 2011 2016 2021 2026 2031 2036

  5. 1 0.9 Participation rate 0.8 0.7 1998 2000 2002 2004 2006 2008 total male female PARTICIPATION RATES BY CONSULTANTS 1998-2008 SHOWN BY GENDER

  6. SUPPLY Vs DEMAND (AS DETERMINED BY PAYBILL)

  7. RESHAPING MEDICAL WORKFORCE • IMPROVE PATIENT CARE BY INCREASING PROPORTION DELIVERED BY TRAINED DOCTORS • REDUCE RELIANCE ON DOCTORS IN TRAINING FOR SERVICE DELIVERY • DELIVER APPROPRIATE SKILL MIX ACROSS CLINICAL TEAMS • CAPITALISE ON THE “BULGE” OF TRAINEES POST MMC

  8. THE BULGE 2010-2014

  9. RESHAPING OBJECTIVES • WORK WITH BOARDS AND REGIONS ON MEDICAL WORKFORCE PROJECTIONS • CONSULT ON AND SET TRAINING INTAKE NUMBERS 2011-2015 • CO-ORDINATE BOARD AND REGIONAL PLANNING OF TRANSITION TO RESHAPED WORKFORCE

  10. PAEDIATRIC ISSUES • BULGE ? • NES FIGURES 142 CCTS TO FEB 2015 • TPD SURVEY WEST AND NORTH SHOWS ONLY 46 OF PREDICTED 59 (N & W) BY 2013 • COMMUNITY CHILD HEALTH • 178 (138WTE) SGAS DOCTORS AT 2009 • ATTRITION – LOSSES AFTER ST1/2 TO GP OR OTHER SPECIALTIES

  11. PAEDIATRIC ISSUES(LONGER TERM) • ATTRACTIVENESS OF SPECIALTY • RELATIONSHIP BETWEEN VERY SPECIALIST SERVICE, DGH SERVICES AND COMMUNITY • SUSTAINABLE WORKFORCE SOLUTIONS THAT ALLOW TRAINING QUALITY

  12. SOLUTIONS ? • NEW PATTERNS OF WORKING FOR CCT TRAINED DOCTORS • DECOUPLING TO ALLOW REPLACEMENT OF SGAS DOCS • TRAINING OF ACUTE PAEDIATRICIANS • TRAINING OF OTHER SPECIALTIES – GP, ACUTE PHYSICIANS, EM DOCTORS IN MANAGING PAEDS EMERGENCIES • MULTIDISCIPLINARY SOLUTIONS

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