You are here
Medical Distribution – Workforce Transformation Toolkit
As part of our wider work under the Medical Education Reform Programme to help address worsening health inequalities, the NHS is seeking to address the historic imbalance in investment in training places for Medical Specialty Training through a distribution programme of work undertaken over a number of years to ensure that the current and future NHS investment in numbers of medical specialists more closely aligns to population health needs across the country. Some areas will receive a greater share reflecting their populations healthcare need leading to more funded training places than in the past, compared to other areas where this investment share will better reflect their populations proportionate need. This adjustment will cause differing workforce issues to those services affected.
To support all services to optimise their workforce planning and design and ensure they have the best multi-disciplinary team set up to meet patient needs, HEE’s workforce transformation team have produced the following toolkit of resources. This will enable services to explore and better understand other workforce options. HEE also offer a wealth of workforce transformation tools (link to tool overview page) to support services with workforce transformation and redesign activity.
Below you will find links to a variety of different resources, including information on alternative roles, workforce transformation tools and financial tools.
If you have any resources you feel would be a useful addition to this page, or have any questions about the content, please email the Workforce Transformation team transformation@hee.nhs.uk
A list of alternative medical roles you may wish to consider as part of your medical team and a selection of links and resources to support your thinking and planning for each role.
Medical Training Initiative
Medical Training Initiative - A UK scheme that allows a fixed number of international medical graduates to work and train within the NHS for a maximum of 24 months.
Locally Employed Doctors
BMA SAS Charter - Dec 2014): developed to address the development needs of the SAS workforce, published jointly by the BMA, NHS Employers, the AoMRC and HEE.
Maximising the Potential: essential measures to support SAS doctors - (Feb 2019): Published by HEE and NHS Improvement, builds on the educational aspects of the SAS charter and recognises the priorities for the future.
GMC SAS and LE workplace experiences survey: initial findings report (Jan 2020) - The GMC conducted a survey in 2019 to understand the concerns of SAS and LE Doctors in the UK.
Academy of Royal Medical College’s – The SAS Workforce: rhetoric vs reality - An AoRMC document calling for a culture shift among the profession and employers to better support the SAS workforce.
Academy of Royal Medical College’s – Wellbeing of the SAS workforce - An AoRMC document focusing on the wellbeing of the SAS workforce.
Academy of Royal College’s – Leadership development for SAS doctors and dentists - An AoRMC document to give attention to leadership development for SAS doctors and dentists.
Maximising the Potential: essential measures to support SAS doctors
Certificate of Eligibility for Specialist Registration
Certificate of Eligibility for Specialist Registration - For doctors who haven’t completed a GMC approved programme of training but can show knowledge, skills and experience equivalent to the approved curriculum for their specialty
A guide to supervising a CESR candidate - Aimed at Emergency Medicine, but may be useful to other areas.
A list of alternative non-medical roles you may wish to consider as part of your wider Multi-Disciplinary Team, to complement or potentially replace elements of the medical team, and a selection of links and resources to support your thinking and planning for each role.
Physician Associate
HEE Physician Associate webpage - Overview and Resources
NHS Employers - Information for employers on the physician associates role and how it fits within the NHS
Health Careers - Information on the role and requirements for prospective Physician Associates
Royal College of Physicians - Further information on the role
Royal College of Physicians - Information on incorporating the role into the wider team
NHS England - Case study of a Physician Associate working in Primary Care
London Affiliation of Physician Associates - Workforce resources, including job descriptions, business cases, case studies and practical guidance for employing the role
London Affiliation of Physician Associates video library
Urgent Treatment centres – Physician Associates information
Advanced Clinical Practitioners
Advanced Practice - An online toolkit which provides a repository for helpful resources relating to Advanced Practice
Advanced Practice South West Case Studies
Healthcare Science
National School of Healthcare Science webpage - Overview and links to training programmes
Surgical Care Practitioners
HEE Medical Associate Professions webpage - Overview and Resources
NHS Employers - Information for employers on the surgical care practitioner role and how it fits within the NHS
Royal College of Surgeons of England - Further information on the role
Health Careers - Information on the role and requirements for prospective Surgical Care Practitioners
Royal College of Surgeons of England - Training programme and curriculum framework
Science Direct - Article on the role and its impact within the surgical team
Anaesthesia Associates
HEE Anaesthesia Associate webpage - Overview and Resources
National School of Healthcare Science webpage - Overview and links to training programmes
NHS Employers - Information for employers on the anaesthesia associate role and how it fits within the NHS
Association of Anaesthesia Associates - Information on the role and support planning them into your workforce
Royal College of Anaesthesia (RCOA) - Information on the role and training routes
Health Careers - Information on the role and requirements for prospective Anaesthesia Associates
Medical Support Workers
Medical Support Workers Scheme for Refugee Doctors
Refugee Doctor MSW Recruitment pack
Medical Support Worker Scheme for Refugee Doctors - HEE London report and resources
A selection of workforce transformation and workforce planning and intelligence tools to support your thinking and planning from anything to minor changes up to entire service redesign.
Medical Distribution Tools
MERP Medical Distribution resources - (Internal HEE access only)
Workforce Transformation Tools
HEE Star: Accelerating workforce redesign
Transformation case studies in Medical Distribution
Extended Surgical Teams Pilot - HEE report and resources
Financial Comparator
Coming soon