Acute medical care in-depth review

Acute medical care in-depth review

On 26 February, 2015, we published an in-depth review of the acute medical care workforce in England. Jointly commissioned by Health Education England (HEE) and the Department of Health (DH), the review identifies key drivers of demand and supply that could affect the acute medical care workforce over the next 20 years.

Our research suggests that by 2033:

  • Demand for CCT holders who contribute to acute medical care – based solely on the effects of population growth and ageing – is projected to increase by 20 per cent to 1,265 FTE.
  • Supply of CCT holders, based on current conditions with no changes, is projected to increase by 97 per cent to 2,300 FTE.
  • Taking all of this into account we forecast that whilst total workforce supply may outstrip expected demand for acute medical care over the period, it will be important to continue to expand the acute medicine workforce for the time being.

Therefore we suggest to HEE:

  • Continue to fill the current number of higher specialty training (ST3) posts.
  • Revisit acute medicine training levels in three years’ time and consider additional workforce reviews for related specialties and professions.

The report has been provided to Health Education England and the Department of Health, and will help inform the decisions they make as part of their annual workforce planning process. It has been published by the CfWI to support workforce planners across the health and care landscape on a national and local basis. It will also help to stimulate debate around acute level medicine for those outside of the health and care sector with an interest in this specialty.

The CfWI approach has engaged with a number of key stakeholders and professional representatives with specialist perspectives on the hospital-based acute medical care workforce, including the Royal College of Physicians (RCP) and the Society for Acute Medicine (SAM). This engagement was both to improve the quality and credibility of the CfWI’s approach and to improve stakeholders’ understanding of the intelligence contained in this review and its potential to support decision-making and future workforce reviews. We thank all those who have been involved with this report and welcome any feedback.

Read the full report at: