Workforce Planning for Psychology Services in NHS Scotland. Characteristics of the Workforce Supply in 2006

Transcription

1 Workforce Planning for Psychology Services in NHS Scotland Characteristics of the Workforce Supply in 2006 NHS Education for Scotland (NES) Information Services Division (ISD)

2 NHS National Services Scotland/Crown Copyright 2006 First published December 2006 Brief extracts from this publication may be reproduced provided the source is fully acknowledged. Proposals for reproduction of large extracts should be addressed to: ISD Scotland Publications Information Services Division NHS National Services Scotland Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB Tel: +44 (0) isdpublishing@isd.csa.scot.nhs.uk Designed and typeset by: ISD Scotland Publications

3 Contents Summary 1 The Workforce of and Applied in NHS Scotland: Skill-Mix in the Organisation of Psychology Services: Services to the Islands 12 Adult Mental Health Services 14 Service Role 16 Tier 19 The Characteristics of the Workforce: Staff 23 Acknowledgements 26 i

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5 Summary This is the fifth in a series of reports concerned with workforce planning for psychology services in NHS Scotland. The report presents data to describe the characteristics of the workforce engaged in the delivery of psychology services at 30th September In total there were 489 ( wte) and 47 Applied (41.63 wte) employed in NHS Scotland in September This represents a national staffing level of 1wte Psychologist per 11, 703 of the general population of Scotland. Mental Health is the principal area of work, employing wte and Applied. The rest of the workforce is distributed across services for people with learning disabilities, physical health, neuropsychology, forensic and other specialty services. Staffing of psychology services varies with the age of the target client population. The staffing ratio is 1 wte and Applied Psychologist per 10, 962 population for those aged under 20, 1 wte per 9, 974 for those aged yrs old, and 1 wte per 35, 376 for those aged 65 and over. There are significant differences in staffing levels in psychology services across Health Boards in NHS Scotland. Shetland is the only Island Health Board with a resident psychology service, and there is limited visiting provision for neuropsychology and services for children to Orkney and Shetland. In mainland services, the population served by 1wte and Applied Psychologist in the Health Board with the lowest staffing level is three times the population notionally served by 1wte in the area with the highest staffing levels. Psychology services increasingly employ a skill-mix of staff (including Associates, assistant psychologists, cognitive behavioural therapists, counsellors, other therapists and other clinical staff). Overall the ratio is approximately 3.0 wte and Applied Psychologist to 1wte Staff. A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. In 2006, and Applied spent 63% of their time in direct service provision, 13% of their time in the clinical training/supervision of others, 10% in management activities, 6% in research and audit, and the remaining time in their own professional development activities or other e.g. travel to clinics.

6 The Workforce of and Applied in NHS Scotland: The group is composed of staff whose professional group is Psychology, Health Psychology, Forensic Psychology or Neuropsychology, and whose grade is A or B. Applied comprises staff from professional groups Counselling Psychology, Health Psychology, Forensic Psychology and Neuropsychology, as well as staff from any of the Psychology groups whose grades are not A or B. All Applied refers to plus Applied. Table 1: and Applied (wte) employed in psychology services in NHS Scotland at 30th September 2001, 2002, 2003, 2004, 2005 and Year Applied Total *Population of Scotland Population per 1 wte Population per 1 wte of All Applied Grade B Grade A *Source: General Register Office for Scotland 2004 (GROS). Table 1a: and Applied (wte) employed in psychology services in NHS Scotland in Applied Psychologist Group Grade B wte Grade A wte NRO* Total wte Psychologist Counselling Psychologist Health Psychologist Health Psychologist Forensic Psychologist Forensic Psychologist Neuropsychologist Neuropsychologist Total * Grade not relevant to post. 2

7 Table 2: and Applied (wte) employed in psychology services in NHS Scotland in 2006, by Area of Work. Area of Work Percentage ratios Grade B Grade A of Grades B : A for Applied Total wte of All Applied Mental Health : Learning Disabilities : Physical Health : Neuropsychology : : Forensic : Total : Table 2a: and Applied (wte) employed in psychology services in NHS Scotland in 2006, by Area of Work: Physical Health. Physical Health Area wte Percentage of Total Physical Health wte Physical Health General % Coronary heart disease/cardiac rehabilitation % Sexual Health- HIV/AIDS % Cancer/Palliative Care % Stroke % Long Term Illnesses eg diabetes, renal % Pain % * % Total *includes sleep disorders, chronic fatigue syndrome, cystic fibrosis, and maternity & neonatal. Table 2b: and Applied (wte) employed in psychology services in NHS Scotland in 2006, by Area of Work:. Area wte Percentage of Total wte Academic % Alcohol and Substance Misuse % Dentistry % Healthcare for the Elderly and Dementia % Occupational Health % Promotion % Prevention % Prison Service - - Services to Cultural Minorities % Student Health - - Psychosexual % % Total

8 Table 2c: and Applied (wte) employed in psychology services in NHS Scotland in 2006, by Area of Work: Learning Disability. Learning Disability Area wte Percentage of Total Learning Disability wte General % Offenders % Mental Health % Challenging Behaviour % Autism % Attention Deficit Hyperactivity Disorder % Total Table 2d: and Applied (wte) employed in psychology services in NHS Scotland in 2006, by Area of Work: Forensic. Forensic Area wte Percentage of Total Forensic wte Offending Behaviours % Mental Health % % Total Table 2e: and Applied (wte) employed in psychology services in NHS Scotland in 2006, by Area of Work: Mental Health. Mental Health Area wte Percentage of Total Mental Health wte General Mental Health % Early Intervention % Mild To Moderate % Severe & Enduring % Eating Disorders % Total

9 Table 3: and Applied (wte) employed in psychology services in NHS Scotland in 2006, by Target Age of clients/patients served. Grade B Grade A Applied Total All Applied Population* Population per 1 wte of Child years Adults years Older Adults years Age Non specific# Child & Adult Total *Source: General Register Office for Scotland 2004 (GROS). #psychologists providing services across a wider age range than the categories listed. Populationper 1 wte of All Applied Table 3a: and Applied (wte) employed in psychology services in NHS Scotland in 2006, by Target Age of clients/patients served: child and adolescent. Grade B Grade A Applied Total All Applied Population* Population per 1 wte of Child 0-14 years Adolescent years Child & Adolescent *Source: General Register Office for Scotland 2004 (GROS). Population per 1 wte of All Applied 5

10 Table 4: All Applied (wte) employed in psychology services in NHS Scotland in 2006, by Area of Work and Target Age: all age groups. Area of Work Child0-19 yrs Adults20-64 yrs Older Adults65+ yrs Child & Adult Age Non- Specific# Total wte Mental Health Learning Disabilities Physical Health Forensic Total #psychologists providing services across a wider age range than the categories listed. Table 4a: All Applied (wte) employed in psychology services in NHS Scotland in 2006, by Area of Work and Target Age: child and adolescent. Area of Work Child0-14 yrs Adolescent yrs Child & Adolescent 0-19 yrs Total wte Mental Health Learning Disabilities Physical Health Neuropsychology Forensic Total

11 Table 5: Ratio of per capita population to 1 wte of All Applied in NHS Scotland in 2006, by Health Board area. < > Fife (6 559) 4. Borders (10 067) 9. Forth Valley (16 030) 12. Shetland (22 000) 2. Greater Glasgow & Clyde (8 466) 5. Lothian (10 336) 10. Lanarkshire (19 177) 3. Dumfries & Galloway (9 540) 6. Grampian (10 833) 11. Highland (19 706) 7. Tayside (14 275) 8. Ayrshire & Arran (14 472) Table 5a: by Grade and Applied (wte) in NHS Scotland 2006, by Health Board Area. Psychologist Grade B Psychologist Grade A Applied Psychologist Total wte of All Applied Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow & Clyde Highland Lanarkshire Lothian Shetland State Hospital Tayside Scotland *Source: General Register Office for Scotland 2004 (GROS). Note: There were no resident Psychology services on Orkney or Western Isles at 30th September Please see page 12 for details on visiting Psychology Services to Orkney and Shetland, and information on the Western Isles. Population*per 1 wte of All Applied 7

12 Table 6: All Applied (wte) in NHS Scotland in 2006 by Area of Work and Health Board Area. Mental Health Learning Disability Physical Health Neuro- Psychology Forensic Total wte of All Applied Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow & Clyde Highland Lanarkshire Lothian Shetland State Hospital Tayside Scotland Note: There were no resident Psychology services on Orkney or Western Isles at 30th September Please see page 12 for details on visiting Psychology Services to Orkney and Shetland, and information on the Western Isles. Table 7: All Applied (wte) in NHS Scotland in 2006, by Health Board Area and target age. Child 0-19 yrs Adult yrs Older Adult 65+ yrs Child & Adult Age Non Specific# Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow Clyde & Total wte of All Applied Highland Lanarkshire Lothian Shetland State Hospital Tayside Scotland Note: There were no resident Psychology services on Orkney or Western Isles at 30th September Please see page 12 for details on visiting Psychology Services to Orkney and Shetland, and information on the Western Isles. # psychologists providing services across a wider age range than the categories listed. 8

13 Table 7a: All Applied (wte) in NHS Scotland in 2006, by Health Board Area and target age : child and adolescent. Child 0-14 yrs Adolescents yrs Child & Adolescent Total wte Ayrshire & Arran Borders Dumfries & Galloway Fife Forth Valley Grampian Greater Glasgow & Clyde Highland Lanarkshire Lothian Shetland State Hospital.... Tayside Scotland Note: There were no resident Psychology services on Orkney or Western Isles at 30th September Please see page 12 for details on visiting Psychology Services to Orkney and Shetland, and information on the Western Isles. Table 8: Population estimates for Health Board areas, by target age (2005). Child (0-14yrs) Adolescent (15-19yrs) Adult (20-64 yrs) Older Adult (65 + yrs) Total population Ayrshire & Arran 62,303 23, ,294 65, ,010 Borders 18,890 6,152 63,507 21, ,730 Dumfries & Galloway 24,240 8,647 85,157 30, ,340 Fife 61,446 23, ,022 59, ,664 Forth Valley 50,825 18, ,928 44, ,379 Grampian 88,826 33, ,346 83, ,930 Greater Glasgow & Clyde 199,489 79, , ,277 1,190,939 Highland 51,743 17, ,311 55, ,460 Lanarkshire 100,854 36, ,939 84, ,088 Lothian 129,802 49, , , ,593 Orkney 3,352 1,215 11,486 3,537 19,590 Shetland 4,220 1,376 13,078 3,326 22,000 Tayside 64,710 24, ,286 72, ,707 Western Isles 4,391 1,570 15,059 5,350 26,370 Scotland 865, ,273 3,069, ,094 5,094,800 Source: General Register Office for Scotland 2005 (GROS). 9

14 Skill-Mix in the Organisation of Psychology Services: 2006 Table 9: Categories of clinical staff (wte) employed in psychology services in NHS Scotland in 2001, 2002, 2003, 2004, 2005 and 2006, expressed as a percentage of total workforce in service. All Applied % % % % % % Associates# Assistant % % % % % % % Cognitive Behavioural Therapists % % % % % % Counsellors % % % % % % Therapists* % % % % % % Staff## % % % % % % Total Ratio of All Applied : Staff (%) 80 : : : : : : 25 # A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. * includes group analytical therapists, creative therapists. ## includes nursery nurses, self-help workers, clinical scientists. 10

15 Table 10: Categories of clinical staff (wte) employed in psychology services in NHS Scotland in 2006, expressed as a percentage of the total workforce in service, by Health Board area. All Applied Ayrshire & Arran % Borders % Dumfries & Galloway % Fife % Forth Valley % Grampian % Greater Glasgow &Clyde % Highland % Lanarkshire % Lothian % Shetland % State Hospital % Tayside % Scotland % Associates# % Assistant % % % % % % % % % % % % % % Cognitive Behavioural Therapists % % % % Counsellors % Therapists* % Staff## Total wte % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % Note: There were no resident Psychology services on Orkney or Western Isles at 30th September Please see page 12 for details on visiting Psychology Services to Orkney and Shetland, and information on the Western Isles. # A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. * includes group analytical therapists, creative therapists. ## includes nursery nurses, self-help workers, clinical scientists. Table 11: Population per 1wte of all clinical staff in psychology services in NHS Scotland in 2006, by Health Board area. Population per 1wte < Fife (4 448) 5. Grampian (8 018) 9. Lanarkshire (13 388) 11. Highland (15 035) 2. Dumfries & Galloway (4 888) 6. Lothian (8 612) 10. Forth valley (14 191) 12. Shetland (22 000) 3. Ayrshire & Arran (7 239) 7. Tayside (8 699) 4. Greater Glasgow & Clyde (7 680) 8. Borders (9 106) 11

16 Services to the Islands: The NHS Shetland Psychology Service has begun to develop since March 2005 when a full-time Consultant (B Grade) was employed to provide a service for Children and Adoloscents. Please see Tables 5a, 6, 7 and 10 for data on Sheltand s resident Psychology Services. There were no resident Psychology services on Orkney or Western Isles at 30th September Grampian Health Board Psychology staff have contractual obligations to Orkney and Shetland in the following areas: Adult Neuropsychology in Orkney: 3 days every 3 months; in and out patients seen by 1 staff member, Grade A. Adult Neuropsychology in Shetland: 3 days every 3 months; in and out patients seen by 1 staff member, Grade A. Adult Learning Disabilties in Shetland: 2 days every 4 months; 1 staff member, Grade B. Adult Eating Disorders in Orkney and Shetland: 1 staff member, Grade B, sees on average 3 Shetland patients and 1-2 Orkney patients per week via videoconferencing. Child Psychology in Orkney: 3 days every 3 months, I staff member, Grade A. There are currently no psychology specific contracts between Yorkhill and the Western Isles, however, patients from the Western Isles may have input from psychologists as part of tertiary services. No Neuropsychology services from the Southern General in Glasgow are supplied at local level on the Western Isles. However, neuropsychologists at the Institute of Neuroscience and a psychologist from the Spinal Unit of Scotland may assess and treat patients from the Western Isles when they are in Glasgow for specialist treatments in eg Neurology and Neurosurgery. Table 12: Categories of clinical staff (wte) employed in psychology services in NHS Scotland in 2006, expressed as a percentage of total workforce in service, by Area of Work. Mental Health Learning Disabilities Physical Health Neuropsychology Areas of Work All Applied % % % % % Forensic % Staff Group Total % Associates# % Assistant % % % % % % % % % Cognitive Behavioural Therapists % % % Counsellors % % Therapists* % % Staff## % % Total staff wte (% of total) % % % % % % % % # A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. * includes group analytical therapists, creative therapists. ## includes nursery nurses, self-help workers, clinical scientists. 12

17 Table 13: Categories of clinical staff (wte) employed in psychology services in NHS Scotland in 2006, expressed as a percentage of total workforce in service, by Target Age: all ages. All Applied Child 0-19 yrs % Adult yrs % Older Adult 65+ years % Child & Adult % Age Non Specific~ Staff Group Total % % Associates# Assistant % % % Cognitive Behavioural Therapists Counsellors % % % Therapists* % % Staff## % % Total wte % % % % % % % ~clinical staff providing services across a wider age range than the categories listed % % % Table 13a: Categories of clinical staff (wte) employed in psychology services in NHS Scotland in 2006, expressed as a percentage of total workforce in service, by Target Age: child & adolescent. All Applied Child 0-14 yrs % Adolescent 15-19yrs Child & Adolescent Staff Group Total % % % Associates# Assistant % % % % Cognitive Behavioural Therapists Counsellors % Therapists* % Staff## % Total wte % % % # A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. * includes group analytical therapists, creative therapists. ## includes nursery nurses, self-help workers, clinical scientists. 13

18 Adult Mental Health Services Table 14: Categories of clinical staff (wte) employed in psychology services for Adult Mental Health in NHS Scotland in 2001, 2002, 2003, 2004, 2005 and 2006, and expressed as a percentage of the total workforce in psychology services for Adult Mental Health. Year All Applied % % % % % % Associates# % Assistant % % % % % % Cognitive Behavioural Therapists % % % % % % Counsellors % % % % % % Therapists* % % % % % % Staff## % % % % % % Total wte # A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. * includes group analytical therapists, creative therapists. ## includes nursery nurses, self-help workers, clinical scientists. 14

19 Table 15: Number (wte) of All Applied employed in psychology services for adult (20-64 years) and older adult (65+ years) Mental Health in NHS Scotland in Severe & Enduring Mental Illness Adult Ayrshire& Arran % Older Adult Mild to Moderate Mental Illness Adult % Borders % Dumfries & Galloway Fife % Forth Valley % Grampian % Greater Glasgow& Clyde Older Adult Early Intervention Adult Older Adult General Mental Health Adult % % % % Highland % Lanarkshire % Lothian % % % % % % % % % % % % % % % % % % Older Adult Eating Disorders Adult Older Adult % Total wte % % % % % Shetland State Hospital % Tayside % Scotland % % % % % % % % % Note: There were no resident psychology services on Orkney or Western Isles at 30th September % % % %

20 Service Role Service Role Table i: Services Roles (wte) undertaken by all clinical staff employed in psychology services in NHS Scotland in Service Role Client & carer service delivery All Applied Associates# Assistant Cognitive Behavioural Therapists Counsellors Therapists* Staff## Total wte Percentage % Management % Research & Audit Professional Development of Psychol trainees Professional Development of other clinical staff % % % Own CPD % % Total** # A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. * includes group analytical therapists, creative therapists. ## includes nursery nurses, self-help workers, clinical scientists. ** 2.50 wte of service role data was not provided. Thus the total figure shown above ( wte) is 2.50 wte lower than the actual total whole-time equivalent of these staff groups ( wte). Service Role Table ii: Services Roles undertaken (wte) by all and Applied psychologists employed in psychology services in NHS Scotland in Service Role Applied Grade B Grade A Client & carer service delivery Total All Applied wte Percentage % Management % Research & Audit % Professional Developmentof Psychol trainees Professional Development of other clinical staff % % Own CPD % % Total** ** 2.50 wte of service role data was not provided. Thus the total figure shown above ( wte) is 2.50 wte lower than the actual total whole-time equivalent of these staff groups ( wte). 16

21 Service Role Table iii: Services Roles undertaken (wte) by all and Applied psychologists employed in psychology services in NHS Scotland in 2006, by target age: all ages. The percentage of total wte by target age for each service role is shown in parentheses. Service Role Child 0-14 years Client & carer service delivery % Management % Research & Audit % Professional Development of Psychol trainees Professional Development of other clinical staff % % Own CPD % % Total wte by target age** Adult years % % % % % % % Older Adult 65+ years % % % % % % % Age nonspecific# % % % % % % % Child & Adult % % % % % % % 8.65 Child & Adolescent 0-19 years % % % % % % % Adolescent years % % % % % % % Total wte by service role % % % % % % % #psychologists providing services across a wider age range than the categories listed. ** 2.50 wte of service role data was not provided. Thus the total figure shown above ( wte) is 2.50 wte lower than the actual total whole-time equivalent of these staff groups ( wte). Service Role Table iv: Services Roles undertaken (wte) by all other clinical staff (Assistants, CBT therapists, Counsellors, therapists, clinical staff) employed in psychology services in NHS Scotland in 2006, by target age: all ages. The percentage of total wte by target age for each service role is shown in parentheses. Service Role Child 0-14 years Client & carer service delivery % Adult years % Management % Research & Audit % Professional Development of Psychol trainees Professional Development of other clinical staff % % Own CPD % % Total wte by target age** % % % % % Older Adults 65+ years Age nonspecific# % Child & Adult % Child & Adolescent 0-19 years % Adolescent years % Total wte by service role % % % % % % % % % % % % % % % % % % % % % #clinical staff providing services across a wider age range than the categories listed. ** 2.50 wte of service role data was not provided. Thus the total figure shown above ( wte) is 2.50 wte lower than the actual total whole-time equivalent of these staff groups ( wte). 17

22 Service Role Table v: Services Roles undertaken (wte) by all and Applied employed in psychology services in NHS Scotland in The percentage of total wte by age band for each service role is shown in parentheses. Service Role < Total wte by service role Client & carer service delivery % % Management % Research & Audit % Professional Development of Psychol trainees Professional Development of other clinical staff Own CPD % % Total wte by age band** % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % 9.20 ** 2.50 wte of service role data was not provided. Thus the total figure shown above ( wte) is 2.50 wte lower than the actual total whole-time equivalent of these staff groups ( wte) % % % % % % % Service Role Table vi: Services Roles undertaken (wte) by all and Applied employed in psychology services in NHS Scotland in 2006, expressed as percentage of total wte for each gender. Service Role Client & carer service delivery Psychologist Grade B Psychologist Grade A Applied Female Male Female Male Female Male Female Total wte % Total wte % % % Management % % Research & % % Audit Professional % % Development of Psychol trainees Professional % % Development of other clinical staff Own CPD % % % % Total** ** 2.50 wte of service role data was not provided. Thus the total figure shown above ( wte) is 2.50 wte lower than the actual total whole-time equivalent of these staff groups ( wte). Male 18

23 Tier Tier Table i Tiers operated in by all clinical staff employed in psychology services in NHS Scotland in 2006, expressed as a percentage of the total count. Tier Total count % of total count working in the corresponding Tier Community % Primary % Intermediate % Secondary % Tertiary % Total* 1529 *Staff could indicate operating in more than 1 tier. Tier Table ii Tiers operated in by and Applied psychologists employed in psychology services in NHS Scotland in 2006, expressed as a percentage of the total count. Tier Applied Grade B Grade A Total count All Applied Percentages Community % Primary % Intermediate % Secondary % Tertiary % Total* *Staff could indicate operating in more than 1 tier. 19

24 The Characteristics of the Workforce: 2006 The data presented in this section refer to the headcount of staff in psychology services. and Applied Table 16: and Applied : Years qualified and time in present post for all Applied in NHS Scotland in 2006 (headcount). Years qualified: RangeMedian Time in present post: RangeMedian Grade B N= Grade A N= Applied N= Total N= Table 16a: Age Distribution of All Applied in NHS Scotland 2006 by gender. Age Range % of total Male workforce(total headcount= 140) < % 4.29% % 25.51% % 24.24% % 16.41% % 10.35% % 10.10% % 5.56% % 3.54% Total % of total Female workforce(total headcount= 396) 20

25 Table 17: Grade and Gender of all in NHS Scotland in 2006 (headcount). No. of Grade B % No of Grade A % Women (N= 367) Men (N= 122) Total (N= 489) % % % % % % Table 17a: All Applied (headcount) at Grades B and A in NHS Scotland, 2006, by age and gender. Age Range Female Grade B Male Grade B Female Grade A Male Grade A Female Grade NRO* < Total * Grade not relevant to post. Male Grade NRO* 21

26 Table 18: and Applied in NHS Scotland in 2006: percentage with part-time and fixed-term contracts (headcount). Psychologist Grade B N= 189 Psychologist Grade A N= 300 Fixed-term (n) % Fixed-term 8.47% 16.00% 23.40% Full-time Part-time % part-time 39.68% 43.67% 44.68% Applied N= 47 Table 18a: Headcount of All Male Applied engaged in full-time and part-time working in NHS Scotland, 2006, by age, and expressed as a percentage of the total male headcount. Age Range Male WT Male % WT Male PT Male % PT < % % % % % % % % % % % % % % % Total Table 18b: Headcount of All Female Applied engaged in fulltime and part-time working in NHS Scotland, 2006, by age, and expressed as a percentage of the total female headcount. Age Range Female WT Female % WT Female PT Female % PT < % % % % % % % % % % % % % % % % Total %

27 Staff Table 19: Age and sex of other categories of clinical staff employed in psychology services in NHS Scotland in 2006 (headcount). Associates# N= 25 Assistant N= 71 Cognitive Behavioural Therapists N= 29 Counsellors N= 30 Therapists* N= 4 Staff## N= 18 Total N= 177 Men Age Range for men and women Median age range Table 20: Years since qualifying and years in present post for other categories of clinical staff in psychology services in NHS Scotland in 2006 (headcount). Years qualified: Range Median Years in present post: Range Median Associates# N= Assistant N= Cognitive Behavioural Therapists N= Counsellors N= Therapists* N= Staff## N= Total N= # A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. * includes group analytical therapists, creative therapists. ## includes nursery nurses, self-help workers, clinical scientists. 2 Table 21: Characteristics of the contracts of other categories of clinical staff in psychology services in NHS Scotland in 2006 (headcount). Associates# N= 25 Assistant N= 71 Cognitive Behavioural Therapists N= 29 Counsellors N= 30 Therapists* N= 4 Staff## N= 18 Total N= 177 Whitley contracts(n) %Whitley 96.00% 54.93% 96.00% 80.00% 75.00% % 75.14% Fixed- term %Fixed- term 20.00% 90.14% 20.69% 23.33% % 46.89% Part-time % Part-time 12.00% 15.49% 24.14% 73.33% 50.00% 50.00% 30.51% # A new 1 year Masters level training has been developed to equip graduate psychologists with the competencies required to deliver evidence based psychological interventions for common mental health problems presenting in adults in a primary care setting. The first cohort started in January 2005, and all 25 who passed took up employment in NHS Scotland psychology service during 2006 as Associates. * includes group analytical therapists, creative therapists. ## includes nursery nurses, self-help workers, clinical scientists. 23

28 Table 22: Characteristics of the workforce of all clinical staff in psychology services in NHS Scotland in 2006, by area of work. Area of Work (Total no. of clinical staff, headcount) Mental Health (n= 453) Learning Disabilities (n= 121) Physical Health (n= 123) Neuropsychology (n= 52) Forensic (n= 47) (n= 153) Total (N= 713)* *please note that staff could record up to 4 areas of work. % Female % part-time Age range of whole workforce Median 77.04% 37.97% % 28.93% % 44.72% % 40.38% % 48.94% % 47.71% % 39.41% % of workforce with MHO status 21.19% 19.01% 18.70% 23.08% 27.66% 24.18% 20.48% Table 23: Characteristics of the workforce of all clinical staff in psychology services in NHS Scotland in 2006, by target age of patients/clients served. Target Age (Total No. of Staff, headcount) % female % part-time Age range of whole workforce (Median) Child (n= 31) 77.42% 35.48% % Adult (n= 511) 73.19% 41.10% % Older Adults (n= 28) 78.57% 35.71% % Age non-specific# (n=41) 82.93% 43.90% % Adolescent (n=17) 88.24% 58.82% % Child & Adolescent (n= 97) 87.63% 31.96% % Child & Adult (N= 13) 84.62% 46.15% Total (N= 713) 76.30% 39.41% % #clinical staff providing services across a wider age range than the categories listed. % of workforce with MHO status 24

29 Table 24: Characteristics of the workforce of all clinical staff in psychology services in NHS Scotland in 2006, by Health Board area. Health Board Area (total number of Staff, headcount) Ayrshire & Arran (n=54) Borders (n=17) Dumfries & Galloway (n= 38) Fife (n= 92) Forth Valley (n= 31) Grampian (n= 72) Greater Glasgow & Clyde (n= 168) Highland (n=23) Lanarkshire (n=45) Lothian (n=110) Shetland (n=1) State Hospital (n=26 ) Tayside (n= 49) Total (n= 713 ) %female % part-time Age range of whole workforce (Median) 74.07% 22.22% % 76.47% 58.82% % 78.95% 57.89% % 76.09% 36.96% % 77.42% 70.97% % 81.94% 34.72% % 75.60% 30.95% % 78.26% 34.78% % 75.56% 33.33% % 71.82% 53.64% % % % 57.69% % 81.63% 32.65% % 76.30% 39.41% % There were no resident psychology services on Orkney or Western Isles at 30th September % of workforce with MHO status 25

30 Acknowledgements Dr Ann Smyth National Director of Training for Psychology Services, NHS Education for Scotland, Edinburgh EH2 2NN. Dr Alison Rowlands Associate Director of Training for Psychology Services, NHS Education for Scotland, Edinburgh EH2 2NN. Dr Liz Jamieson ISD, Gyle Square, 1 South Gyle Crescent, Edinburgh EH12 9EB. Ms Barbara Moore ISD, Gyle Square, 1 South Gyle Crescent, Edinburgh EH12 9EB. Ms Melanie Straiton ISD, Gyle Square, 1 South Gyle Crescent, Edinburgh EH12 9EB. We gratefully acknowledge the contribution of the following people: The Heads of Psychology Services in Scotland Group. All of our contacts in Psychology services throughout NHS Scotland for their time and assistance on the data collection. Helen Marshall Assistant Head of Healthcare Information Group, ISD, Gyle Square, 1 South Gyle Crescent, Edinburgh EH12 9EB. David Allan, Peter Wilson & David Greig. IT Department, ISD, Gyle Square, 1 South Gyle Crescent, Edinburgh EH12 9EB. For further information on the NES-ISD Psychology Workforce Project, please contact: Dr Liz Jamieson Psychology Workforce Project Manager ISD Healthcare Information Group Gyle Square 1 South Gyle Crescent Edinburgh EH12 9EB. Tel: Fax: elizabeth.jamieson@isd.csa.scot.nhs.uk 26