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NHS workforce issues: implications for future practice

Liz Stubbings (School of Health and Social Care, University of Greenwich, London, UK and Queen Mary's Hospital, Sidcup, UK)
Janet M. Scott (School of Health and Social Care, University of Greenwich, London, UK)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 1 June 2004

Abstract

This analysis of the literature examines the implications of the changes in the National Health Service workforce and the ramifications for multi‐professional working practices, patient care and delivery of health services. Changes in medical working practices and education, together with the increasing numbers of doctors, have resulted in proposals for nurses to extend their role and the removal of professional restrictions. Whilst the numbers of nurses in the workforce have marginally increased, the qualified nurse ratio has declined, as has the balance between medical and registered nurses. Few attempts have been made to evaluate these changes in relation to the quality of service and patient outcomes. The changing roles of nurses and their value need to be quantified. Demographic trends, together with international shortages and the lack of educational capacity have also been understated. Adequate and accurate workforce information should be regularly collated and analysed.

Keywords

Citation

Stubbings, L. and Scott, J.M. (2004), "NHS workforce issues: implications for future practice", Journal of Health Organization and Management, Vol. 18 No. 3, pp. 179-194. https://doi.org/10.1108/14777260410548428

Publisher

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Emerald Group Publishing Limited

Copyright © 2004, Emerald Group Publishing Limited