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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

EM workforce- briefing for Workforce review 2008 (England)

College of Emergency Medicine

The College of Emergency Medicine


Summary
Summary

  • Principles

  • Health Care Commission Survey

  • MMC data

  • Projections

The College of Emergency Medicine


Principles patient care
Principles- Patient Care

  • NHS plan- care delivered by trained staff

  • NCEPOD- acute admissions report

  • NCEPOD- acute trauma

The College of Emergency Medicine


Ncepod quality
NCEPOD Quality

  • Majority good

  • Significant minority could be better

  • Worrying 7% “less than satisfactory”

The College of Emergency Medicine


Ncepod patient care
NCEPOD-patient care

  • 2.5 million attendances per year

  • 175,000 “less than satisfactory”

The College of Emergency Medicine


Previous workforce planning
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


Health care commission survey
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


Health care commission survey career posts
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


Health care commission survey em training posts
Health Care Commission Survey EM training posts

  • SpR 529

  • FTSTA 194

  • ST3 125

  • ACCS 127

The College of Emergency Medicine


Mmc cem data
MMC/CEM data

  • ST1 248

  • ST2 214

  • ST3 187

The College of Emergency Medicine


Health care commission survey junior doctor posts
Health Care Commission Survey Junior doctor posts

  • FY2 1007

  • FY1 101

  • VTS 503

The College of Emergency Medicine


Health care commission survey enp
Health Care Commission Survey ENP

  • Total ENP in EDs 1248

  • Single role 450

  • Estimated WTE 850

The College of Emergency Medicine


Health care commission survey miu enp
Health Care Commission Survey MIU ENP

  • 128 MIU

  • 800 wte nurses at Band 5/6/7

The College of Emergency Medicine


Number new cct holders
Number new CCT holders

The College of Emergency Medicine


Number cct holders 20 retirements per annum
Number CCT holders(20 retirements per annum)

The College of Emergency Medicine


Service needs
Service needs

  • Move to more trained staff

  • Projections indicate need for 1800 wte consultant staff

The College of Emergency Medicine


Health care commission survey career posts1
Health Care Commission SurveyCareer posts

  • Consultant 740

  • Trust Grade 426

  • Total 1166

The College of Emergency Medicine


Conclusions
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


Conclusions1
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


Conclusions2
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


Conclusions3
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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