TY - JOUR AB - This analysis of the literature examines the implications of the changes in the National Health Service workforce and the ramifications for multiā€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. VL - 18 IS - 3 SN - 1477-7266 DO - 10.1108/14777260410548428 UR - https://doi.org/10.1108/14777260410548428 AU - Stubbings Liz AU - Scott Janet M. PY - 2004 Y1 - 2004/01/01 TI - NHS workforce issues: implications for future practice T2 - Journal of Health Organization and Management PB - Emerald Group Publishing Limited SP - 179 EP - 194 Y2 - 2024/09/23 ER -