Source · Select Committees · Public Accounts Committee
Recommendation 3
3
We are not convinced that the Department has plans for how the NHS will secure...
Conclusion
We are not convinced that the Department has plans for how the NHS will secure 50,000 more nurses by 2025. The Department plans to meet the 50,000 commitment by increasing the domestic supply of registered nurses, recruiting from overseas and improving retention rates. However, it could not tell us how many nurses each of these supply routes are expected to provide, as local areas are reviewing their plans in light of COVID-19. The NHS is relying on a substantial short-term increase in overseas recruitment for nurses, but the COVID-19 outbreak illustrates that this is a risky strategy as international recruitment has been delayed as a result of travel restrictions. NHSE&I acknowledges that pay remains an important issue for NHS nursing, which has impacted on retention in the past; in international recruitment, other countries often have more leeway to pay nurses more than in the 6 NHS nursing workforce UK. Apprenticeships and nursing associate roles are potentially a more accessible, if longer, route to becoming a registered nurse, but providers are finding it challenging to deliver apprenticeships at scale. Recommendation: As part of the published people plan, the Department, NHSE&I and HEE should include a set of costed and detailed action plans for each of the different supply routes for nursing, and how many nurses each route is expected to contribute to the overall nursing workforce. They should consider what national actions, for example on pay, they may need to take to increase recruitment and retention.
Government Response
Not Addressed
HM Government
Not Addressed
3. 1 The government agrees with the Committee’s recommendation. Ta rget implementation date: Autumn 2021 3.2 The commitment to 50,000 more nurses is underpinned by a robust costed delivery programme which will be achieved through increased domestic recruitment (including undergraduates, postgraduates, reduced attrition, blended degrees, apprenticeships and nursing associate conversions to registered nurses), increased international recruitment and improved retention. 3.3 The latest UCAS (Universities and Colleges Admissions Service) data show a 23% increase in placed applicants to nursing and midwifery courses when compared to last year, meaning the department is likely to see more domestically trained nurses complete training in 2023. In contrast, international recruitment has been disrupted, in the short term, as a result of the COVID-19 pandemic. 3.4 The department has responded to these changes by adapting the programme to flex across workstreams, to ensure the maximum supply and the best value for money. The department will publish plans as soon as practicable, taking account of the impact of the COVID-19 pandemic on the programme. 3.5 On national pay, a three-year pay and contract reform deal was agreed in 2018 for all Agenda for Change staff increasing the starting salary for newly qualified nurses by over 12%. Outside of multi-year deals the department plan to rely on the independent NHS Pay Review Body. Pay Review Bodies consider evidence provided by multiple stakeholders including NHS trade unions, system partners and government. In making recommendations, Review Bodies consider affordability and what is needed to recruit, retain and motivate the workforce.