Primary Care Trust Workforce (eBook)

Keith Hurst is the author of Primary Care Trust Workforce: Planning and Development, published by Wiley.

Primary Care Trust Workforce Planning and Development 3
Contents 7
Preface 11
Acknowledgements 13
Chapter 1 Introduction, background and context 15
Workforce planning and development definitions 16
Driving and restraining forces 17
Workforce planning and development method issues 19
The book’s aim, objectives and methods 23
Conclusion 26
Chapter 2 Community patient dependency and workload 28
Introduction and background 28
Dependency measures 30
Dependency and workload 33
Health needs assessment and community profiling 35
Demographic data 38
Age groups and sex 39
Acute and chronic illness and disability 41
Patients’ homes 42
Care home issues 43
Children and child care issues 44
Morbidity and mortality data 47
Lifestyle and related issues 47
Life expectancy and death rates 48
Socioeconomic and quality-of-life data 49
Deprivation and demand 51
Conclusion 53
Chapter 3 Community staff activity 56
Introduction and background 56
First contact 57
Access to primary care practitioners 60
Chronic disease management and continuing care 62
Primary and community care of elderly people 67
Travelling time 68
Public health 69
Other public health workers 75
Productivity 78
Time out 82
Conclusion 83
Chapter 4 Staff mix 87
Introduction and background 87
Grade-mix and skill-mix drivers and restrainers 90
Delegation and extended roles 92
Clinical re-grading 94
Practice nurses and nurse practitioners 94
District nurses 97
Community staff nurses 97
Health visitors 98
School nurses 100
Nursery nurses 100
Health-care assistants 101
Paraprofessionals 103
Allied health professionals 103
Administrative and clerical staff 104
Managers 105
Multidisciplinary and integrated teams 107
The Changing Workforce and Future Healthcare Workforce programmes 109
Conclusion 112
Chapter 5 Efficiency and effectiveness 116
Introduction and background 116
Workforce planning, development and quality from a methodological perspective 117
Standard-setting methods 119
Document analysis 120
Patient satisfaction 121
Community profiles 123
Clinical audit 124
Critical incidents 125
Workforce planning, development and quality from a professional perspective 125
Conclusion 129
Chapter 6 Education and training 131
Introduction and background 131
Curriculum 131
Competencies 133
In-service education and training 134
Supervision, mentorship and appraisal 136
Conclusion 138
Chapter 7 Recruitment and retention 140
Introduction and background 140
The greying and shrinking NHS workforce 141
Vacancies 142
Turnover 144
Job satisfaction 145
Education and training issues 148
Succession planning and other solutions 149
Improving Working Lives 152
Conclusion 153
Chapter 8 Determining team size and mix 155
Demand-side methods 155
Professional judgement 157
Population and health needs-based approaches 158
Caseload-based methods 163
Dependency–acuity approaches 165
Evaluating team size and mix 168
Some algorithms 168
Modernizing the PCT workforce 170
Appendices 171
Appendix I: Demographic data 171
Commentary 171
Appendix II: Socioeconomic and health needs assessment 172
Commentary 173
Appendix III: Staff activity and evaluating team size 174
Commentary 175
Appendix IV: Efficiency and effectiveness 176
Commentary 177
Appendix V: Recruitment and retention 178
Commentary 178
Annotated bibliography 179
Index 217

"...This is a thorough read for serious work on workforce planning
and development..." (Health Service Journal, 9 June 2005)

"...a useful resource for all primary care trust managers and
students...excellent analysis and synthesis of subject matter..."
(Nursing Standard, October 05)

"...comprehensive...the author shows insight into the many
disciplines working in the community..." (Community
Practitioner, 1st November 2005)

"...comprehensive...useful..." (Community Practitioner,
Vol 78 (11), November 2005)