South West Workforce Overview February Tony Overd Workforce Intelligence Manager HEE South

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1 South West Workforce Overview February 2017 Tony Overd Workforce Intelligence Manager HEE South

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3 ESR South West Staff in Post Headcount WTE Female % Male % Total Female % Male % Total All Staff 84, , ,789 70, , ,276 Total Medical 5, , ,445 4, , ,557 Consultants 1, , ,598 1, , ,357 Career Grades & Others 2, , ,644 1, , ,189 Trainee Doctors 1, ,203 1, ,011 Total Non-Medical 79, , ,344 65, , ,719 Total Clinical 67, , ,979 56, , ,633 Registered Nursing 26, , ,758 22, , ,424 Qualified S T & T 11, , ,581 9, , ,294 Qualified Ambulance Staff 1, , ,071 1, , ,835 Support to Clinical 28, , ,569 23, , ,081 Total Non-Clinical 11, , ,359 9, , ,080 Infrastructure 11, , ,080 9, , ,860 Gen Payments Turnover 13.4% RN Turnover 12.8% Retention 86.3% Sick/Abs 4.1% Vacancies? Av Ret Age 61 Source: ESR, Sept 2017

4 Since March 2014 & up to December 2017 Registered Nurses and Midwives overall have grown by 1,095 WTE Adult +460 Children's +185 Mental Health +30 LD (-10) Health Visitors (-65) Midwives +105 Source: ESR, Sept 2017

5 EU & Non-EU: Registered Nurses and Midwifes UK EU Non EU 19, , , , , , Apr May Jun Jul Aug Sept Apr May Jun Jul Aug Sept Apr May Jun Jul Aug Sept Source: ESR, Apr-Sep 2017

6 ESR SW STP Workforce (WTE) 26,009 18,854 15,915 11,329 9,180 8,127 3,859 Source: ESR, Sept 2017

7 ESR Age Profile 5,000 4,500 4,000 3,500 3,000 2,500 2,000 Total Medical Registered Nursing Qualified S T & T Qualified Ambulance Staff Support to Clinical Infrastructure 1,500 1, Under Over 60 Age Profile by Headcount Under Over 60 All Staff 572 5,800 12,707 13,147 12,635 12,794 14,415 15,737 12,478 8,503 Total Medical ,903 1,924 1,406 1,375 1,248 1, Consultants Career Grades & Others Trainee Doctors , Total Non-Medical 572 5,441 10,804 11,223 11,229 11,419 13,167 14,682 11,734 8,072 Total Clinical 410 4,663 9,431 9,518 9,376 9,601 10,788 11,930 9,240 6,022 Registered Nursing 0 1,308 3,525 3,516 3,430 3,882 4,276 4,948 3,293 1,580 Qualified S T & T ,810 2,193 2,264 1,850 1,835 1,824 1, Qualified Ambulance Staff Support to Clinical 419 2,445 3,739 3,412 3,232 3,344 4,190 4,770 4,395 3,632 Total Non-Clinical ,373 1,705 1,853 1,818 2,379 2,752 2,494 2,050 Infrastructure ,363 1,694 1,831 1,804 2,352 2,695 2,449 1,958 Source: ESR, Sept 2017 Gen Payments

8 Non-Medical Agenda for Change AfC Banding 's 9 Non AfC Total Non-medical Total Clinical Registered Nursing Qualified ST & T Qualified Ambulance Staff Support to Clinical Total Non-clinical Infrastructure Gen Payments 2, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Source: ESR, Sept 2017

9 General Practice Workforce STP All Practitioners GP Provider Salaried/Other GPs GP Retainers GP Registrars GP Locums HC WTE Part % HC WTE Part % HC WTE Part % HC WTE Part % HC WTE Part % HC WTE Part % Cornwall & Isles of Scilly Devon Somerset BNSSG BSW Gloucestershire Total 3,665 2, ,337 1, , STP All Practitioners (excluding Retainers, Registrars & Locums) Under Unknown % Under 30 % Under 35 % 55 and over Cornwall and the Isles of Scilly Devon Somerset BNSSG BSW Gloucestershire Total 2, Source: NHS Digital, General and Personal Medical Services. March 2017 Published: 22 nd August 2017

10 General Practice Workforce Total Age Band WTE Staff Group WTE HC Under Plus GP's (Excluding Retainers, Registrars & Locums) 2,631 3, Qualified Nurses 1,781 2, Direct Patient Care 1,663 1, Admin & Estates 5,743 8, Source: NHS Digital, General and Personal Medical Services. March 2017 Published: 22 nd August 2017

11 Adult Care Workforce Job groups Aug. 16 WTE Job roles (selected) All job roles Managerial Regulated profession Direct Care Other Senior Management Registered Manager Social Worker Occupational Therapist Registered Nurse Allied Health Professional Senior Care Worker Care Worker Support and Outreach England total 1,345, ,000 64, , ,000 16,000 22,500 17,000 3,000 43, , ,000 60,000 South West total 150,000 13,700 7, ,000 20,900 1,750 2,800 1, , ,000 87,750 5,200 Bath, Swindon & Wiltshire 20,500 1,700 1,100 14,500 3, ,400 12, NHS Bath & North East Somerset 3, , < < , NHS Swindon 3, , < < , NHS Wiltshire 12,800 1, ,050 2, < , Bristol, North Somerset & South Gloucestershire 23,000 2,100 1,400 16,000 3, <10 1,600 13, NHS Bristol 10, ,250 1, < , NHS North Somerset 6, ,500 1, < , NHS South Gloucestershire 6, , < , Cornwall & the Isles of Scilly 15,000 1, ,000 2, <10 1,000 9, NHS Kernow 15,000 1, ,000 2, <10 1,000 9, Devon 34,500 3,400 1,300 25,000 4, ,600 20,500 1,200 NHS North East West Devon 25,550 2,610 1,040 18,500 3, ,800 15, NHS South Devon & Torbay 8, ,450 1, < , Dorset 22,000 2,000 1,100 16,000 3, ,700 13, NHS Dorset 22,000 2,000 1,100 16,000 3, ,700 13, Gloucestershire 17,000 1, ,000 2, < <10 1,300 10, NHS Gloucestershire 17,000 1, ,000 2, < <10 1,300 10, Somerset 17,500 1, ,500 2, <10 1,400 9, NHS Somerset 17,500 1, ,500 2, <10 1,400 9, Coverage 59% CQC Reg 3,143 Turnover 32% Vacancy Rate 7% Sickness 5 Days Zero Hours 17%

12 Children s Services Key Workforce Indicators Table 2: Key statistics of children and family social workers 1 by region and local authority, based on full-time equivalents (FTEs) 2 Year ending 30 September 2016 Coverage: England Statistics: Children's social work workforce SFR 08/2017 Please note: These are experimental statistics Children's social workers Agency workers Vacancies Absence LA code Region/Local Authority FTE number of children's social workers 1 at 30 September 2016 FTE number of starters 3 during year ending 30 September 2016 FTE number of leavers 3 during year ending 30 September 2016 Turnover Rate 4 (%) during year ending 30 September 2016 FTE number of agency workers at 30 September 2016 Of which: number of agency workers covering vacancies at 30 September 2016 Agency worker rate 5 (%) at 30 September 2016 FTE Number of vacancies at 30 September Vacancy rate 7 (%) at 30 September 2016 Number of days of work missed due to sickness absence during year ending 30 September 2016 Absence Rate 8 (%) during year ending 30 September 2016 ENGLAND 9 27,700 4,720 4, ,330 3, , , SOUTH WEST 9 2, , Bath and North East Somerset x x x Bournemouth Bristol, City of , Cornwall , Devon , Dorset , Gloucestershire , Isles of Scilly x North Somerset Plymouth , Poole x , Somerset , South Gloucestershire Swindon Torbay , Wiltshire , Source: Children's Social Work Workforce Collection Childrens Social Workers 2,510 FTE Turnover 13.2% Vacancies 14.6% Absence 3.4% Source: Skills for Care. Adult social care analysis by Sustainability and Transformation Plan Geographical Footprints Published: August 2017

13 Workforce Information Future Information Sources are growing and from a HEE perspective we are looking to work at a National, Regional and Local level to; Improve data quality; Make data more accessible with the development of a HEE National Warehouse and a suite of Dashboards and reports; Develop our Planning, Scenario Modelling and Analytical Skills; Fill the gaps specifically around Private, Independent and Voluntary Sector Looking to increase our understanding of supply specifically Non Medical Looking at Population based demand modelling tools; Understanding through Demand and Supply Modelling the future workforce Gaps Developing our understanding of the whole workforce across our Key priority areas which include Mental Health, Cancer, Urgent and Emergency Care, Maternity and Primary

14 Summary Fantastic amount of workforce data now available specifically from the NHS, GP Practices and Social Care, but there are still some gaps to fill especially around the Private, Independent and Voluntary Sector; The workforce within the NHS continues to grow; Brexit is having an impact and we are starting to see a decline in the EU Registered Nurse workforce; Areas of concern will be our lack of data and knowledge with regards to Vacancies; Turnover and retention especially within Social Care is a concern; HEE will look to Improve data quality, make data more accessible, develop our capabilities around Planning, Scenario Modelling and our analytical skills; Work to further understand our supply and demand and develop some understanding of the future gaps; Continue to develop and support our colleagues in STP s/lwab s, CEPNs and

15 Contact Details Tony Overd HEE South Workforce Intelligence Manager

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