National health and social care workforce plan: part three
Part three of the plan sets out how primary care services are in a strong position to respond to the changing and growing needs of our population.
Footnotes
1. Scottish Government (2016), Health and Social Care Delivery Plan http://www.gov.scot/Resource/0051/00511950.pdf
2. The Future of Primary Care: a view from the professions (2017), https://www.rcn.org.uk/about-us/policy-briefings/sco-pol-future-of-primary-care-1-sept
3. http://www.gov.scot/Resource/0048/00489938.pdf
5. Memorandum of Understanding between Scottish Government, British Medical Association, Integration Authorities and NHS Boards http://www.gov.scot/Resource/0052/00527517.pdf
6. http://www.gov.scot/Resource/0052/00521803.pdf
7. http://www.gov.scot/Resource/0052/00529319.pdf
8. The Future of Primary Care: a view from the professions (2017), https://www.rcn.org.uk/about-us/policy-briefings/sco-pol-future-of-primary-care-1-sept
9. Scottish Government (2017), Realising Realistic Medicine http://www.gov.scot/Resource/0051/00514513.pdf
10. Scottish Government (2018), Health and Care Experience Survey 2017/18 - National Results http://www.gov.scot/publications/health-care-experience-survey-2017-18-national-results/
11. Multi-morbidity is commonly defined as the presence of two or more chronic medical conditions in an individual.
12. https://www.nrscotland.gov.uk/files//statistics/population-projections/2014-based/pp14-fig4.xlsx
13. Information Services Division ( ISD) estimate an additional 243,000 individuals living with hypertension, diabetes, heart failure or COPD by 2029.
14. Baird, B. et al (2016), Understanding pressures in general practice, The Kings Fund
15. Department of Health (2012), Long Term Conditions Compendium of Information: Third Edition https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/216528/dh_134486.pdf
16. Scottish Government (2017), Mental Health Strategy 2017-2027 http://www.gov.scot/Publications/2017/03/1750
17. Scottish Government (2016), Realistic Medicine http://www.gov.scot/Resource/0049/00492520.pdf; Scottish Government (2017), Realising Realistic Medicine http://www.gov.scot/Publications/2017/02/3336/downloads#res-1
18. http://www.gov.scot/Resource/0052/00529319.pdf
19. Health England (2009). Intervention Reports: Report no 5.
20. Ibid
21. Deloitte (2014) Spend to save: The economic case for improving access to general practice http://www.rcgp.org.uk/~/media/Files/PPF/2014-RCGP-Spend-to-Save-Deloitte-report.ashx, Royal College of General Practitioners
22. Ibid
23. Scottish Government (2016) Creating a healthier Scotland - What matters to you http://www.gov.scot/Publications/2016/03/9693
24. https://www.ourvoice.scot/
25. See, for example, Starfield B, Shi L, Macinko J. Co ntribution of primary care to health systems and health. Milbank Q. 2005;83(3):457–502.
26. The graph shows the number of nursing and midwifery staff working in community settings; these data are consistent over time. Data on community nurses are not comparable prior to 2015 due to changes in coding following the review of nursing and midwifery 'job families'. Source: https://www.isdscotland.org/Health-Topics/Workforce/Publications/2018-03-06/Nursing_and_Midwifery_SIP_D2017.xls
27. NHS National Services Scotland (2018), National Primary Care Workforce Survey 2017 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/2018-03-06/2018-03-06-PCWS2017-Report.pdf
28. Ibid
29. Ibid
30. Qualified Health Visitors classed as Agenda for Change ( AfC) Band 6 and above; qualified District Nurses are Band 6; with Band 7 usually either DN Team leaders, DN ANPs or DN Practice
31. Qualified District Nurses are Band 6; with Band 7 are usually either DN Team leaders, DN ANPs or DN Practice Teachers.
32. ISD Workforce Statistics: http://www.isdscotland.org/Health-Topics/Workforce/Publications/data-tables2017.asp?id=2115#2115
33. Data from ISD Workforce statistics; analysis by Scottish Government
34. Scottish Social Services Council (2017) Scottish Social Service Sector: Report on 2016 Workforce Data http://data.sssc.uk.com/images/WDR/WDR2016.pdf
36. Also referred to as 'Health Care Support Workers'.
37. Scottish Government (2017), Transforming Nursing, Midwifery and Health Professionals Roles - The district nursing role in integrated community nursing teams http://www.gov.scot/publications/transforming-nursing-midwifery-health-professionals-roles-district-nursing-role-integrated/
38. NHS National Services Scotland (2018), Primary Care Workforce Survey 2017 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/2018-03-06/2018-03-06-PCWS2017-Report.pdf
39. Data from ISD Workforce statistics; analysis by Scottish Government
40. Art Therapists; Dietitians; Drama Therapists; Music Therapists; Occupational Therapists; Orthoptists; Orthotists; Paramedics; Physiotherapists; Podiatrists; Prosthotists; Radiographers (diagnostics) Radiographers (therapeutic); Speech and Language Therapists
41. ISD Workforce Statistics: http://www.isdscotland.org/Health-Topics/Workforce/Publications/data-tables2017.asp?id=2115#2115
42. Ibid
43. All figures in this section from ISD GP Workforce and Practice Populations: http://www.isdscotland.org/Health-Topics/General-Practice/Workforce-and-Practice-Populations/
44. The GP Retainer Scheme enables qualified GPs who are unable to commit to a full-time post to continue working in general practice in order to maintain and develop their skills. Up to four sessions per week are available for a period not exceeding five years.
45. NHS National Services Scotland (2017), GP Workforce and practice list sizes 2007–2017 https://www.isdscotland.org/Health-Topics/General-Practice/Publications/2017-12-12/2017-12-12-GPWorkforce2017-Report.pdf
46. The GP whole time equivalent figures are estimated based on data from the biennial Primary Care Workforce Survey and therefore are indicative.
47. Data from GP Workforce and practice list sizes 2007–2017; Primary Care Workforce Survey 2017
48. Data from General Practice Central Database ( GPCD); analysis Scottish Government.
49. The OoH element of the survey was introduced as a pilot in 2013 and the survey coverage between then and 2017 has varied. Conclusions drawn from trend analysis should be treated with caution.
50. NHS National Services Scotland (2017), GP Workforce and practice list sizes 2007–2017 https://www.isdscotland.org/Health-Topics/General-Practice/Publications/2017-12-12/2017-12-12-GPWorkforce2017-Report.pdf
51. Information Services Division (2017), Prescribing & Medicines: Dispenser Payments and Prescription Cost Analysis
52. General Pharmaceutical Council of Great Britain. Data is based on registrants with a registered home address in Scotland. Data on registrants place of work or working in Scotland is not captured.
53. Information Services Division workforce statistics
54. Source: Combined non- GDS dentists and Public Dental Service dentists as at September 2017 ( ISD Workforce Statistics)".
55. ISD Scotland, NHS Scotland Workforce Statistics http://www.isdscotland.org/Health-Topics/workforce/ 2017 figure uses 2016 population estimates.
56. Data provided by National Services Scotland.
57. Scottish Government (2011), 2020 Vision http://www.gov.scot/Topics/Health/Policy/2020-Vision
58. Scottish Government (2016), A National Clinical Strategy for Scotland http://www.gov.scot/Publications/2016/02/8699
59. Scottish Government (2016), Health and Social Care Delivery Plan http://www.gov.scot/Resource/0051/00511950.pdf
60. The Future of Primary Care: a view from the professions (2017), https://www.rcn.org.uk/about-us/policy-briefings/sco-pol-future-of-primary-care-1-sept
61. http://www.gov.scot/publications/general-practice-contract-context-principles-scottish-approach/
62. http://www.gov.scot/Resource/0052/00527515.pdf
63. Memorandum of Understanding between Scottish Government, British Medical Association, Integration Authorities and NHS Boards http://www.gov.scot/Resource/0052/00527517.pdf
64. http://www.gov.scot/Topics/Health/Services/Primary-Care/GP-Contract
65. Scottish Government (2017), A Nation With Ambition: The Government's Programme for Scotland 2017-18 http://www.gov.scot/publications/nation-ambition-governments-programme-scotland-2017-18/
66. http://www.isdscotland.org/Health-Topics/Workforce/Nursing-and-Midwifery/NMWWP/_docs/CEL2011_32.pdf
67. http://www.gov.scot/Resource/0051/00512739.pdf
68. http://www.sehd.scot.nhs.uk/mels/CEL2011_32.pdf
69. http://www.gov.scot/Resource/0048/00489938.pdf
70. Scottish Government (2017), Improving Health and Social Care Service Resilience over Public Holidays http://www.gov.scot/publications/improving-health-social-care-service-resilience-over-public-holidays-9781788514965//0
71. Further information on Govan SHIP is included within the Deep End website: https://www.gla.ac.uk/researchinstitutes/healthwellbeing/research/generalpractice/deepend/reports/
72. http://www.gov.scot/Publications/2017/12/5568
73. Scottish Government (2013), Everyone Matters: 2020 workforce vision http://www.gov.scot/resource/0042/00424225.pdf)
74. Waddell, G., and Burton, A. K. (2006). Is work good for your health and wellbeing? https://www.nice.org.uk/guidance/ng13/evidence/evidence-review-1-workplace-policy-and-management-practices-to-improve-the-health-of-employees-pdf-75821149
75. The Point of Care Foundation (2014), Staff care how to engage staff in the NHS and why it matters https://16682-presscdn-0-1-pagely.netdna-ssl.com/wp-content/uploads/2014/01/POCF_FINAL-inc-references.pdf)
76. Scottish Government (2013), Everyone Matters, 2020 vision http://www.gov.scot/Resource/0042/00424225.pdf
77. Boorman, S (2009) NHS Health and Well-being: Final Report http://webarchive.nationalarchives.gov.uk/20130103004910/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_108799 NA(M)
78. IMatters covers staff employed in NHS Scotland and social care. It does not survey staff employed directly by GP practices.
79. Scottish Government (2018), Health and Social Care Staff Experience Report 2017 http://www.gov.scot/publications/health-social-care-staff-experience-report-2017/
80. Scottish Government (2016), A National Clinical Strategy for Scotland http://www.gov.scot/Resource/0049/00494144.pdf
81. /publications/improving-health-social-care-service-resilience-over-public-holidays-9781788514965/
82. http://www.gov.scot/Publications/2015/11/9014
83. Scottish Government (2017), A Plan For Scotland: The Scottish Government's Programme For Scotland 2016-17 http://www.gov.scot/publications/plan-scotland-scottish-governments-programme-scotland-2016-17/
84. http://www.gov.scot/Publications/2017/12/5568
85. Scottish Government (2017), Transforming Nursing, Midwifery and Health Professionals Roles - The district nursing role in integrated community nursing teams http://www.gov.scot/Resource/0052/00529738.pdf
86. Information Services Division (2013), Practice Team Information ( PTI) Annual Update.
87. Scottish Government (2017), Details for the Transforming nursing, midwifery and health professionals roles: advanced nurse practitioner roles:
/publications/transforming-nursing-midwifery-health-professions-roles-advance-nursing-practice/
88. See: http://www.nes.scot.nhs.uk/media/4031459/final__anp_sna-ena_tool.docx
89. Available at: http://www.isdscotland.org/Health-Topics/Workforce/Publications/data-tables2017.asp
90. Scottish Government (2017), The Best Start: A Five Year Forward Plan For Maternity And Neonatal Care in Scotland, http://www.gov.scot/Publications/2017/01/7728
91. Starfield, B. (1992) Primary Care: Concept Evaluation and Policy. OUP, New York
92. Royal College of General Practitioners (2012) Medical Generalism: Why expertise in whole person medicine matters
93. Scottish Government (2016), Realistic Medicine http://www.gov.scot/Resource/0049/00492520.pdf
94. For a description of mentoring, including the benefits, see: https://www.bma.org.uk/advice/career/progress-your-career/mentoring
95. Faculty of Medical Leadership and Management (2017), NHS England GP Coaching Pilot: Evaluation Report https://www.fmlm.ac.uk/news-opinion/nhs-england-gp-coaching-pilot-evaluation-report
96. Analysis undertaken by Scottish Government. The WTE analysis was undertaken prior to the publication of the Primary care Workforce Survey that provides updated WTE data. The analysis will be re-run prior to the publication of the integrated workforce plan later this year.
97. Royal College of General Practitioners (2017), Destination GP: Medical students' experiences and
perceptions of general practice http://www.rcgp.org.uk/-/media/Files/Policy/A-Z-policy/2017/RCGP-destination-GP-nov-2017.ashx?la=en
98. Howe A., and Ives, G. (2001) Does community-based experience alter career preference? New evidence from a prospective longitudinal cohort study of undergraduate medical students. Med Educ 35(4):391–397
99. Royal College of General Practitioners (2017), Destination GP: Medical students' experiences and perceptions of general practice
100. Harding A, McKinley R, Rosenthal J, Al–Seaidy M (2015) Funding the teaching of medical students in general practice: a formula for the future? Educ Prim Care 26(4):215–219
101. Centre for Workforce Intelligence (2014) In-depth review of the general practitioner workforce: Final report, https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/507493/CfWI_GP_in-depth_review.pdf
102. https://www.shapeoftraining.co.uk/reviewsofar/1788.asp
103. Scottish Government (2016), Health and Care Experience Survey 2015/16 - National Results http://www.gov.scot/publications/health-care-experience-survey-2015-16-national-results/
104. Scottish Public Health Observatory (2017), The Scottish Burden of Disease Study, 2015 http://www.scotpho.org.uk/media/1474/sbod2015-overview-report-july17.pdf
105. Scottish Government (2017), Achieving Excellence in Pharmaceutical Care: A Strategy for Scotland http://www.gov.scot/publications/achieving-excellence-pharmaceutical-care-strategy-scotland/
106. The Framework is available to the Pharmacists funded via
the Primary Care Fund, who access an electronic version via
Portfolio on our TURAS platform. Additional information is
available at:
http://www.nes.scot.nhs.uk/education-and-training/by-discipline/pharmacy/pharmacists/prescribing-and-clinical-skills/pharmacists-working-in-gp-practices.aspx#_blank
107. http://www.gov.scot/Resource/0052/00527530.pdf
108. Scottish Ambulance Service Towards 2020: Taking Care to the Patient
109. https://www.collegeofparamedics.co.uk/downloads/PEEP-Report.pdf
110. Smith, D. et al (2014) Depression and multimorbidity: a cross-sectional study of 1,751,841 patients in primary care, J Clin Psychiatry. 2014 Nov;75(11):1202-8
111. Melek S. Norris D. (2008), Chronic Conditions and Comorbid Psychological Disorders. Seattle: Milliman Research Report
112. Scottish Government (2017), Mental Health Strategy 2017-2027 http://www.gov.scot/Publications/2017/03/1750
114. Williams M. (2013), The importance and practical implementation of the LOW FODMAP Diet. Complete Nutrition Focus; 5(1): 9-11
115. NHS Education for Scotland (2016), The Dental Workforce in Scotland 2016 http://www.nes.scot.nhs.uk/dental-workforce1.html
116. Scottish Government (2017), Community Eyecare Services Review http://www.gov.scot/Resource/0051/00516810.pdf
117. NHS National Services Scotland (2018), National Primary Care Workforce Survey 2017 http://www.isdscotland.org/Health-Topics/General-Practice/Publications/2018-03-06/2018-03-06-PCWS2017-Report.pdf
118. Scottish Government (2015), National Review of Primary Care Out of Hours Services http://www.gov.scot/Publications/2015/11/9014
119. http://www.isdscotland.org/Health-Topics/Emergency-Care/GP-Out-of-Hours-Services/
121. http://www.isdscotland.org/Health-Topics/Workforce/Allied-Health-Professions/
122. Scottish Government (2017), Community Eyecare Services Review http://www.gov.scot/publications/community-eyecare-services-review/
123. Survey was undertaken during the period Monday 19th to Sunday 25th February 2018
124. More information on SPIRE can be found at: http://spire.scot.
125. http://www.gov.scot/Publications/2017/01/7911.
126. More information on LIST is available at: http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Local-Intelligence-Support-Team/
127. Primary Care Evidence Collaborative members: NHS Health Scotland, Scottish School of Primary Care, Healthcare Improvement Scotland, NHS Education for Scotland, National Services Scotland, The Alliance for Health and Social Care Scotland, Scottish Government (Primary Care Policy and Health and Social Care Analysis).
128. http://www.gov.scot/Topics/Health/Services/Primary-Care
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Email: Naureen.Ahmad@gov.scot
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