Select committee: Health and Social Care Committee
Recommendation 8
Third Report - Workforce: recruitment, training and retention in health and social care
Published 25 Jul 2022
Paragraph 57
Addressed to Department of Health and Social Care
Health and Social Care Committee Workforce: recruitment, training and retention in health and social care All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Recommendation (the committee's words)
In July 2021, we recommended that NHS England needed an additional 1,932 midwives and 496 obstetricians to operate at a level that Birthrate Plus considered safe. Rather than adding to their headcount, NHS England has lost 552 midwives between March 2021 and March 2022. This indicates a clear problem with midwifery retention. Despite requests to NHS England and the Secretary of State for a date by which these safe staffing levels would be reached, no date has been set. This failure to respond demonstrates a lack of responsibility taking and is absolutely unacceptable. Without a clear workforce plan for midwifery staffing, and the wider maternity workforce in general, the public can have no confidence that the Government or the NHS has grasped the seriousness or scale of the situation in which it finds itself. We urge the Government and the NHS to publish a plan for recruiting the recommended additional midwives and obstetricians needed to create safe staffing levels in maternity services.
From: Health and Social Care Committee, Third Report - Workforce: recruitment, training and retention in health and social care (HC 115), paragraph 57, 25 July 2022
Government response
The government responded to the whole report on 21 April 2023 (deadline 25 September 2022).
Summary written by Accountability Index from the government's response. It is not the government's own words.The government's response sets out partial and varied positions on the Committee's 73 recommendations, with some agreed, some agreed in principle, and others not agreed, and points to the forthcoming Long Term Workforce Plan.
- On workforce planning (Recommendations 1 and 2) it states "We agree this recommendation" and says the Long Term Workforce Plan will include independently verified projections for 5, 10 and 15 years, which it has "committed to publishing" "shortly".
- On a new nursing bursary scheme (Recommendation 3) it says "We do not agree with this recommendation", citing the training grants already available to nursing, midwifery and allied health students.
- On maternity funding and workforce plans (Recommendations 9 and 10) it states "We disagree with these recommendations", but says it "will consider" the forthcoming Royal College of Obstetricians and Gynaecologists report and "will keep further funding under review".
- On social care funding it states "We do not accept" the recommendation of an extra £7 billion a year by 2023-24, pointing to up to £2.8 billion in 2023-24 and up to £4.7bn in 2024-25.