Source · Select Committees · Health and Social Care Committee

Recommendation 15

15 Accepted

Generalist staff, who provide most end of life care, often lack the skills, confidence and...

Conclusion
Generalist staff, who provide most end of life care, often lack the skills, confidence and specialist support required to deliver high-quality, person-centred care. Despite existing initiatives, a clearer, system-wide approach to upskilling the generalist workforce is urgently needed. (Conclusion, Paragraph 63)
Government response summary AI-generated
The government is committed to training staff, noting an existing career pathway and core capabilities framework developed by NHS England, and is working to commission QiSS modules with funding and places planned for March 2027/28 to upskill the generalist workforce.
Summary of the government's response below — read the verbatim text to verify.
Government Response Accepted
HM Government · verbatim extract Accepted
Partially Accept Generalist Workforce We are committed to training the staff we need to ensure patients are cared for by the right professional, when and where they need it. Standards of proficiency, conduct and performance of registered professionals are the statutory responsibility of healthcare regulators. Approved Education Institutions and practice partners develop the specific content and design of programmes to meet these standards. Programmes are then approved and monitored by the relevant regulator. Independent statutory regulatory bodies such as the General Medical Council, the Nursing and Midwifery Council and the Health and Care Professions Council have the general function of promoting high standards of education and coordinating all stages of education to ensure that health and care students and newly qualified healthcare professionals are equipped with the knowledge, skills and attitudes essential for professional practice. To ensure the health and social care workforce is equipped and well supported to deliver personalised care to people at the end of life, including children and young people, Health Education England, now part of NHS England, hosts the e-ELCA (End of Life Care for All e-learning) training programme, which includes 9 modules on improving care for people at the end of life. It is not for the Government to mandate a defined set of competencies. However, building on commitments set out in the 10 Year Health Plan, we are taking action to ensure education and training is fit for purpose. The first phase of the medical training review has concluded, and phase two is already underway. The 10 Year Workforce Plan will set out further detail on how we will ensure education and training are fit for the future. While the 10 Year Workforce Plan will be focused on the NHS workforce, for this shift to be meaningful, multi-disciplinary working and effective integration with social care, public health and the voluntary, community and social enterprise sector will be vital. Baroness Casey’s independent commission into adult social care is underway as part of our critical first steps towards delivering a National Care Service. The terms of reference have been designed to be sufficiently broad to enable Baroness Casey to independently consider how to build a social care system, and workforce, fit for the future. As part of the MSF for Palliative Care and End-of-Life Care, we have identified key areas for action. These include improving the quality and scale of education and training for the health and social care workforce, and shifting the national narrative to raise awareness of palliative care and end-of-life care. This will be supported through platforms such as the NHS App and NHS.uk, alongside partnerships beyond government. Metrics and targets are currently under development, with a proposed focus on training.
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