Publications/Guidance

Training in care for the dying must improve, says GMC. More needs to be done to prepare medical students and newly qualified doctors to provide care for the dying, according to the General Medical Council's (GMC) Chief Executive Niall Dickson. The GMC has pledged to work with medical schools to improve the palliative care training available for medical students. 

Leading change, adding value: A framework for nursing, midwifery and care staff. NHS England has published a new national framework is aimed at all nursing, midwifery and care staff in England. It shows how nursing, midwifery and care staff can help close the three gaps identified in the Five Year Forward View – the health and wellbeing gap, the care and quality gap, and, the funding and efficiency gap - while retaining the well-recognised ‘6Cs’ as being central to all that they do.

NHS workforce race equality standard: 2015 data analysis report for NHS trusts. This report shows results of the experiences of BME and white staff from the staff survey 2015 at every NHS trust across England. It looked at four indicators across acute trusts, ambulance trusts, community provider trusts, and mental health and learning disability trusts. The results show a picture of variation across the health service with some trusts making progress, whilst others still have a considerable way to go. 

Achieving good medical practice: guidance for medical students. This guidance is directly addressed to medical students and outlines the standards expected of them both inside and outside medical school.

Professional behaviour and fitness to practise: guidance for medical schools and their students. This document gives high-level guidance to medical schools and educators on managing processes for professionalism concerns and fitness to practise. It aims to give a consistent framework that can be adapted to local processes. This guidance will also be useful for anyone involved in student fitness to practise investigations, hearings, and decision-making. Although this guidance is mainly aimed at medical schools and universities, medical students may also find it useful, to understand how their institution deals with these issues.

Managing the supply of NHS clinical staff in England. This report raises concerns about the current extent of staffing gaps in the NHS. The Public Accounts Committee are concerned that these gaps could inhibit trusts’ ability to provide services efficiently and effectively, and could lead to longer waiting times for treatment and shortcomings in the quality of care. They also recognise the tension between the drive to reduce staff in order to meet efficiency targets and efforts to increase numbers to ensure safe levels of staffing, following Robert Francis’ report into the Mid-Staffordshire scandal.

Reshaping the workforce to deliver the care patients need. This report, commissioned by NHS Employers, argues that equipping NHS nursing, community and support staff with additional skills to deliver care is the best way to develop the capacity of the health service workforce, and will be vital to enable the NHS to cope with changed patient demand in the future. However, expanding the skills of the non-medical workforce in this way also presents big organisational challenges for NHS trusts, and will not be easy to achieve in the current financial context. Despite this, changing staffing should be considered an urgent, ‘must-do’ priority for trusts.

News

NHS Improvement – examples of seven day services already up and running in the NHS   

The Guardian on the NHS deficit and staffing costs  

The Guardian's summary of the changes agreed to the junior doctors' contract  

NHS Employers' updated junior doctors' contract page (including FAQs from the BMA)  

Student bursary cut 'may worsen NHS staff shortages' 

Nuffield Trust report on how the NHS must re-shape its workforce – particularly focuses on use of support staff to fill 'medical gaps'