Securing a sustainable and fit-for-purpose UK health and care workforce

Anderson, Michael; O’Neill, Ciarán; Clark, James G.; Street, Andrew; Woods, Michael; Johnston-Webber, Charlotte; Charlesworth, Anita; Whyte, Moira K. B.; Foster, Margaret; Majeed, Azeem; Pitchforth, Emma; Mossialos, Elías; Asaria, Miqdad; McGuire, Alistair

doi:10.1016/s0140-6736(21)00231-2

Cited by 76 publications

(75 citation statements)

References 54 publications

(54 reference statements)

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“…They were selected according to their expertise and exposure to pharmaceutical research and policy in the UK over the last two decades. The LSE-Lancet Commission produced a series of working papers that take a similar format to this paper on issues related to workforce [7] , changing health needs [8] , digital health [9] , and financing [10] . The final commission report, recommendations, and complete list of health policy experts is also publicly available [11] .…”

Section: Methodsmentioning

confidence: 99%

Promoting innovation while controlling cost: The UK's approach to health technology assessment

et al. 2022

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Section: Methodsmentioning

confidence: 99%

Promoting innovation while controlling cost: The UK's approach to health technology assessment

et al. 2022

Self Cite

View full text Add to dashboard Cite

“…Against the backdrop of the COVID-19 pandemic, the London School of Economics and Political Science (LSE) -Lancet Commission on the Future of the NHS made a number of recommendations for the NHS. The recommendations included: increasing investment; developing a sustainable and skilled workforce; and strengthening prevention of disease and disability (Anderson et al, 2021a(Anderson et al, , 2021b.…”

Section: The Healthcare System Of Northern Irelandmentioning

confidence: 99%

An Analysis of the Primary Care Systems of Ireland and Northern Ireland

Connolly¹,

Brick²,

O’Neill³

et al. 2022

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21 st century Ireland.The Institute was founded in 1960 by a group of senior civil servants led by Dr T. K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland.Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research.The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices.The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicate research findings at regular conferences and seminars.The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.Further information is available at www.esri.ie.

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“…At present, models of care such as the Enhanced Health in Care Homes plan in England do not include the SIH sector. According to Anderson et al (2021), provision of a quality effective SIH sector depends on ensuring investment into integrated care and robust community health services. However, accessing primary care expertise to support SIH residents with multimorbidity, frailty, dementia and complex needs is challenging.…”

Section: Workforce Developmentmentioning

confidence: 99%

Evidence assessment and narrative synthesis of the key characteristics of older people living in service-integrated housing facilities, and their ‘accommodation journey’

Thompson

Hill

Bainbridge

et al. 2021

HCS

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Purpose This paper aims to provide an evidence assessment and narrative synthesis of literature regarding the key characteristics of older people living in service-integrated housing (SIH) facilities and their “accommodation journey”. Design/methodology/approach A rapid evidence assessment was conducted: 22 research publications met the inclusion criteria and were analysed using narrative synthesis. Findings The quality of studies in this area is low, but consistency across components of the results of studies included in the review is apparent. Results suggest key characteristics of older people that drive moves into SIH are a decline in health, increased dependency, increased health service use and carer burden. Suggested key characteristics of SIH residents are high levels of health problems, dependency and health service use, but high self-reported health and well-being. Results indicate that the key driver for older people leaving SIH is a lack of workforce competency to manage further declines in health and dependency status. Research limitations/implications Current policy may not realise or account for the complex health and care needs of SIH residents. Investment into integrated care, robust community health services and workforce development to facilitate a comprehensive assessment approach may be required to support residents to remain in SIH and live well. Further longitudinal studies are required to map the progression of SIH residents’ health status in detail over time to provide an understanding of preventative and enablement support, development of care pathways and workforce planning and development requirements. Originality/value This evidence assessment is the first to consider the accommodation journey of older people residing in SIH.

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Securing a sustainable and fit-for-purpose UK health and care workforce

Cited by 76 publications

References 54 publications

Promoting innovation while controlling cost: The UK's approach to health technology assessment

Promoting innovation while controlling cost: The UK's approach to health technology assessment

An Analysis of the Primary Care Systems of Ireland and Northern Ireland

Evidence assessment and narrative synthesis of the key characteristics of older people living in service-integrated housing facilities, and their ‘accommodation journey’

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