Is there a doctor in the house? Who works for the NHS?

Who makes up the NHS workforce?
Chances are, you know someone who works in health or social care. The NHS is the largest public sector employer in the UK. The majority of the total NHS workforce – 1.3 million people – work in hospital and community services in England. More than half of the workforce are health professionals (e.g. doctors, nurses, paramedics) and the remaining half provide support to clinical staff and the service overall.Not only is the NHS workforce vast, it’s also incredibly varied. Within the workforce, there are more than 350 different roles and 60 different medical specialties. Outside of roles related directly to health care, NHS roles can include:- Emergency call handlers
- Librarians
- Chaplains
- Housekeepers
How diverse is the NHS?
Despite almost 20% of NHS staff being from a black, Asian and minority ethnic (BAME) background, this diversity does not translate when looking at senior staff, with only 7% of NHS senior management being from a BAME background. As part of the NHS Workforce Race Equality Standard, NHS providers are expected to show progress against a number of indicators of workforce equality, including a specific indicator to address the low numbers of BAME board members across the organisation.This diversity does not translate into gender equality either, with men holding the majority of senior roles in the NHS despite 77% of the NHS workforce being female. There is now a target for 50:50 representation on NHS boards by 2020.How much does the workforce cost the NHS?
Staffing is the biggest expense for the service and it takes up almost 45% of the NHS budget.The UK has one of the lowest numbers of practising doctors per head of population in the EU and although the number of nurses is around the EU average, it is lower than comparable countries like France, Germany and the Netherlands.
Source: The King’s Fund: Spending on and availability of health care resources

Source: The King’s Fund: Spending on and availability of health care resources
How has the workforce changed over time?
Over the past seven years, the number of staff working in NHS hospitals and community services has been steadily rising at a rate of 0.5% on average.
Source: The King’s Fund: NHS staffing numbers
In this time, the number of staff has increased in all groups except managers and backroom support staff. Despite this general trend of rising staff numbers, the NHS has an estimated 100,000 health care staff vacancies. This shortfall is partly due to increased demand for health care. People argue that the demand for health care rises over time because of:- growing numbers of people with health issues, particularly complex health needs
- changing expectations of what the NHS should deliver
- new medicines and other technological changes.
What do you think are the biggest challenges the NHS workforce faces? Share your thoughts in the comments below.
The NHS Explained: How the Health System in England Really Works

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