Agenda for Change is the most ambitious pay reform introduced into the NHS. In addition to simplifying the system of pay, its objectives were to improve the delivery of patient care as well as staff recruitment, retention and motivation. This paper examines progress in implementation based on interviews with key ...
This research summary, based on interviews with stakeholders in London and nationally, plus a review of recent policies and commentaries, analyses the public health issues faced by local strategists and managers, and offers recommendations to support the development of the function locally. It demonstrates the need to embrace the complexity ...
The King's Fund Mental Health Inquiry 2002/3 revisits many of the issues covered in its previous inquiry of 1997. This identified several areas of concern about the mental health workforce, specifically: a crisis in recruitment and retention of mental health professionals of all disciplines in London; among primary care staff, ...
There are about 34,000 people resident in mental health facilities in England and Wales on any one day (Commission for Healthcare Audit and Inspection 2005) and many of them smoke. Most facilities allow smoking in a designated indoor area, thus exposing patients and staff to second-hand smoke. Smoking and exposure ...
This research summary, based on a review of the literature and a series of focus groups with NHS staff, shows that while it is difficult to measure how people feel about their work, there is much to suggest that morale and motivation of the NHS workforce are low. It identifies ...
General practice has changed considerably over the past decade. Practice size has increased, the workforce has grown and become more diverse, the range of services offered has expanded, and the contracting and financing arrangements for GPs have changed. Current government policy aims to improve access and choice for patients, to ...