Search results

The purpose of this paper is to describe a national framework for leadership and workforce development in public mental health, published by Public Health England in 2015.

It has been developed with national partners and the local public health workforce, responding to local need and national policy. It aims to build the capacity and capability of leaders and a workforce that is confident, competent and committed to: promoting good mental health across the population, preventing mental illness and suicide, and improving the quality and length of life of people living with mental illness.

The framework outlines six ambitions for change and suggests the core principles and competencies needed in the workforce, and in leaders, to make that change happen, alongside practical actions.

A call to action approach is used to gain commitment from strategic partners and key organisations. Planners and practitioners are encouraged to use the framework to inform the commissioning and delivery of workforce development.

This is the first time a national framework for workforce development in public mental health has been published and as such it sets direction for national and local bodies and provides a practical approach to inform and influence action.

New Zealand is not alone in facing challenges for the building and sustaining of a future health workforce that can meet the needs of a diverse population. In this article, the author describes how New Zealand has begun to build on models developed from the UK and elsewhere to attend to workforce issues in the child and adolescent mental health and addictions sector. The workforce planning development model being implemented by the Werry Centre for Child and Adolescent Mental Health has a solid pedigree, with a very New Zealand focused process for implementation.

One of the key initiatives of the National Institute of Mental Health in England National Workforce Programme (NIMHE NWP) has been to explore the development and sustainability of the non‐professionally qualified workforce (NPQW). Both the National Service Framework (NSF) for Mental Health (Department of Health, 1999) and the wider Department of Health Changing Workforce Programme (Department of Health, 2001) provided a unique opportunity to start this process off.

The aim of this paper is to review research conducted on managing the ageing healthcare workforce and identify gaps for further research.

A systematic literature search of studies in the English language was carried out in Scopus and Web of Science databases.

The study consists of an analysis of 75 published articles. The majority of the papers were published in recent years, indicating a growing interest in the field. The authors specified the following inclusion criteria: all years, articles/reviews, English language and full text in the Web of Science and Scopus databases. The authors of the paper illustrated seven major categories with different topics that were suggested for future research. It included: challenges of labor market in the healthcare field, age-related changes and their influence on work ability, training opportunities and lifelong learning among ageing health workforce, motives of early retirement, ageing and its relationship to Occupational Health and Safety. Longitudinal studies and case study strategy with mixed-methods approaches were suggested for future research by the authors.

The paper summarizes knowledge related to the management of ageing health workforce, describes topics researched and as a result, presents findings on and conclusions about the most important future implications of the ageing workforce for management in the healthcare field providing lines for further research. To the authors' knowledge, no holistic systematic literature reviews have been published in academic journals targeted specifically to ageing healthcare workers.

Workforce shortages and maldistribution in the health care sector are the outcome of poor planning processes, entrenched power relations, jurisdictional boundaries and professional silos. In seeking to redress these problems, countries are moving toward establishing independent agencies to monitor, regulate and shape the health workforce. In Australia, for example, Health Workforce Australia (HWA) has been established to provide data on workforce numbers and fund clinical education. The purpose of this paper is to examine whether this strategy is likely to work. By locating HWA within the framework of an Independent Regulatory Agency, the implicit strengths and weaknesses of using HWA to manage workforce planning are highlighted.

A theoretical discussion on regulatory capitalism and Independent Regulatory Authorities provides the context for the case study: the gynaecological cancer workforce – a niche health workforce that is complex and multidisciplinary. Data are from a mixed method study commissioned by Cancer Australia.

The analysis of the gynaecological cancer workforce illustrates the difficulties that HWA will face in defining the health workforce, in measuring supply and demand and in setting targets for training and education.

Findings are limited by the fact that HWA was only established in mid 2009.

The establishment of independent agencies to oversee and implement government policy is a new form of control over universities and health professionals that challenges their professional autonomy.

This paper points to the creation of new agencies of government control in the wake of an international health workforce crisis.

While one-third of Australians live outside major cities, there are ongoing challenges in providing accessible, sustainable, and appropriate primary health care services in rural and remote communities. The purpose of this paper is to explore a partnership approach to understanding and addressing complex primary health workforce issues in the western region of New South Wales (NSW), Australia.

The authors describe how a collaboration of five organisations worked together to engage a broader group of stakeholders and secure commitment and resources for a regional approach to address workforce challenges in Western NSW. A literature review and formal interviews with stakeholders gathered knowledge, identified issues and informed the overarching approach, including the development of the Western NSW Partnership Model and Primary Health Workforce Planning Framework. A stakeholder forum tested the proposed approach and gained endorsement for a collaborative priority action plan.

The Western NSW Partnership Model successfully engaged regional stakeholders and guided the development of a collaborative approach to building a sustainable primary health workforce for the future.

Given the scarcity of literature about effective partnerships approaches to address rural health workforce challenges, this paper contributes to an understanding of how to build sustainable partnerships to positively impact on the rural health workforce. This approach is replicable and potentially valuable elsewhere in NSW, other parts of Australia and internationally.

Integrated care presents health workforce planners with significant uncertainty. This results from: (1) these workforces are likely in the future to be different from the present, (2) integrated care's variable definitions and (3) workforce policy and planning is not familiar with addressing such challenges. One means to deal with uncertainty is scenario analysis. In this study we reveal some integration-supportive workforce governance and planning policies that were derived from the application of scenario analysis.

Through a mixed methods design that applies content analysis, scenario construction and the policy Delphi method, we analysed a set of New Zealand's older persons health sector workforce scenarios. Developed from data gathered from workforce documents and studies, the scenarios were evaluated by a suitably qualified panel, and derived policy statements were assessed for desirability and feasibility.

One scenario was found to be most favourable, based on its broad focus, inclusion of prevention and references to patient dignity, although funding changes were indicated as necessary for its realisation. The integration-supportive policies are based on promoting network-based care models, patient-centric funding that promotes collaboration and the enhancement of interprofessional education and educator involvement.

Scenario analysis for policy production is rare in health workforce planning. We show how it is possible to identify policies to address an integrated care workforce's development using this method. The article provides value for planners and decision-makers by identifying the pros and cons of future situations and offers guidance on how to reduce uncertainty through policy rehearsal and reflection.

Workforce pressures are the key constraining factor in effective delivery of the CAMHS agenda (Kurtz et al, 2006). The continuing investment and expansion of Child and Adolescent Mental Health Services (CAMHS) has key implications for workforce planning, and improving outcomes for children and young people requires an adequately resourced, trained and motivated workforce. Every Child Matters: Change for children in health services and the National Service Framework for Children, Young People and Maternity Services establishes for the first time, clear standards for promoting the health and well‐being of children and young people, and for providing high quality services that meet their needs. This paper explores the key workforce issues facing child and adolescent mental health services as identified by child and adolescent practitioners. A number of key themes are identified along with the associated challenges.

The scale of current demand on primary care services from people seeking help with common mental health problems places enormous pressure on the existing front line workers in general practice. The paucity of training opportunities and competing pressures to deliver improved services across a range of general practice targets remains a major challenge for primary care professionals. The impact of government policy, to improve both access to and choice of treatments, has raised public expectations.The commissioning of the graduate workforce, the graduate worker in primary care mental health (GWPCMH), commenced in 2002, in response to the publication of target numbers detailed in the Priorities and Planning Framework, (DoH, 2002). It signalled a determination to expand the workforce provision and improve the quality of care for service users with common mental health problems.This paper examines the scale of common mental health problems, the policy response and the commissioning process. Particular attention is given to examining the barriers that have been shown to affect implementation, identifying the key influencers and the resources required to train these workers.