Future GP workforce plans for London
The Mayor of London, Sadiq Khan commissioned The King’s Fund and Nuffield Trust to undertake an independent analysis of sustainability and transformation plans (STP) in London.
The full 98 page document is availableonline. The most relevant section for London GPs is the section on workforce reproduced below (P73 in the report).
What might this mean for the workforce?
For NHS providers, staff pay costs make up around 65 per cent of operating expenses. It is therefore inevitable that a substantial element of the £3.4 billion savings plans for London will be found through a reduction in expenditure on staff, at least when set against the ‘do-nothing’ scenario.
STPs are in the early stages of working out the impact their savings plans will have on the shape andsize of their future workforce.
Analysts working on STPs in London indicated to us that the figures cited in their planning documents were highly tentative and in places incomplete.
One London STP–North West London–did not provide us with any workforce estimates as the figuresit had provided NHS England in October were being corrected as this report was being drafted.
Across the four STPs that were able to include some early estimates, the reported impact of their combined savings plans was to reduce, in absolute terms, whole-term equivalent staffing numbers between 2016/17 and 2020/21 by 1.4 per cent, or slightly more than 2,000 staff.
This included 3,800 fewer registered nurses, midwives and health visitors (a reduction of 7 per cent against the 2016/17 level) and 600 fewer hospital doctors and dentists (a reduction of 3 per cent).
These reductions would be partially off-set by a projected one-third increase in GP and GP support staff (3,670 extra WTEs). Some STPs are likely to seek to manage these reductions in qualified clinical staff byincreasing thenumbers of trained health care support staff working in the community.
In other workforce news NHS England has announced it intends to recruit 600 overseas GPs by April
2018 in eleven areas including South East and North East London.
Last updated : 19 Sep 2017
Covid-19 vaccination campaign – January update (27 Jan 2021)
Since our last newsletter there have been a number of developments with the Covid vaccination campaign, most notably: The approval of the Oxford/AstraZeneca vaccine, NHS England’s instruction to prioritise essential...Hesitancy around Covid vaccination (27 Jan 2021)
A poll carried out by the Royal Society for Public Health in December found that just 57% of respondents from black or ethnic minority backgrounds were likely to accept...Londonwide LMCs' January 2021 Newsletter (27 Jan 2021)
...Helping sessional GPs to match to practices in their area during the Covid-19 vaccination programme (06 Jan 2021)
During these difficult times we appreciate that general practice is under extreme workload pressures trying to meet numerous demands which they may be struggling to do so with existing staff...Londonwide LMCs' December 2020 Newsletter (16 Dec 2020)
...Integrated Care Systems legal structure proposals consultation (16 Dec 2020)
A new NHS England report seeking views on proposals to create a new legal structure for ICS was published recently, setting out plans to place ICS on a statutory footing...December 2020 workforce survey – thank you for responding (15 Dec 2020)
Our latest workforce survey officially closed on Monday 14 December, thank you to those who took the time to provide us with this valuable information, particularly at the moment when everyone working...New Covid-19 vaccination ES guidance (14 Dec 2020)
In the first two weeks of December 2020, we published three new documents to support practices who have signed-up to deliver the Covid-19 Vaccination Programme Enhanced Service (ES). Medicolegal matters...Guidance
We provide expert guidance for practices in our guidance section, as well as an archive of other materials you may find useful.
GP Support
Contact our GP Support team if you need help or advice.
The team provide professional and pastoral support to GPs and practice teams on a broad range of issues.
follow us on...
