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Annual census headcount figures shows increased numbers in the NHS workforce compared to last year

25 March 2014: Females make up more than half of the GP workforce numbers.

*All figures are in headcount. Regional information and Full Time Equivalents (FTE) are available for this report

*HSCIC must be quoted as the source of these figures

The number of people working for the NHS in England has increased slightly, Health and Social Care Information Centre (HSCIC) figures show. Over 1.36 million people were working for the NHS in England at 30 September 2013 an increase of 0.4 per cent (5,870) on 2012. This constitutes an increase of 12.5 per cent (151,580) since 2003, according to today's annual census report.

The census report provides a snapshot of staff working in hospital, community, general and personal medical services. It allows for year-on-year comparisons and also includes the annual summary of the GP workforce.

Today's figures show that GPs number 40,240, a decrease of 0.1 per cent (29) since 2012 and an increase of 19.9 per cent (6,670) since 2003.

There are 20,440 females within the GP workforce, an increase of 2.9 per cent (570) since 2012. This is the first year the number of female GPs has been greater than their male counterparts. Male GP headcount is 19,800, a decrease of 2.9 per cent (599) since 2012.

There has been an increase of 50.9 per cent (6,890) female GPs since 2003, whereas male GP numbers have decreased by 1.1 per cent (218).

Today's figures show that, at 30 September 2013:

The number of professionally qualified clinical staff12 stood at 692,160 its highest level across the decade, a rise of 16.1 per cent (95,920) on 2003.

Of this group:

  • There were 54,580 hospital doctors in training, an increase of 2.4 per cent (1,260) on 2012 and an increase of 46.2 per cent (17,260) on 2003.
  • Consultant numbers stood at 41,220, an increase of 2.0 per cent (826) on 2012 and an increase of 43.4 per cent (12,470) on 2003.
  • Qualified nurses stood at 347,940,a 0.4 per cent (1,530) increase on 2012 and a 6.5 per cent (21,370) increase on 2003.
    • Of which there were 25,910 midwives, a 1 per cent (256) increase on 2012 a 16.4 per cent (3,650) increase on 2003.

There were 1.08 million NHS Hospital and Community Health Service (HCHS) non medical staff13. This area covers staff working within the NHS (excluding doctors and staff working with GP practices). The census report shows an increase of 0.3 per cent (3,390) on 2012 and an increase of 8.7 per cent (85,900) on 2003.

  • Clinical support staff stood at 349,000, a 1.5 per cent (5,070) increase on 2012, a 6.6 per cent (21,540) increase on 2003.
  • NHS infrastructure support staff stood at 211,190, a 1.8 per cent (3,890) decrease on 2012, a 5.7 per cent (11,380) increase on 2003. Of this group:
    • Managers and senior managers stood at 36,360, a decrease of 2.6 per cent (954) on 2012, but an increase of 2.9 per cent (1,040) on 2003.

Health and Social Care Information Centre chair Kingsley Manning said: "The annual census gives us the opportunity to study the changes within the NHS workforce, one of the largest of its kind in the world.

"Today's figures show an overall rise in staff numbers across the whole NHS, with increases for doctors, nurses and a slight decline in management figures.

"There has also been a rise in professionally qualified clinical staff numbers which now stands at 692,160, the highest they have been within the last ten years."

The NHS annual workforce census report and provisional monthly figures are available at: http://www.hscic.gov.uk/pubs/nhsworkstatov.

More recent monthly data for HCHS staff numbers plus NHS staff earnings and sickness absence data are available at:

http://www.hscic.gov.uk/pubs/nhsworkstatdec13http://www.hscic.gov.uk/pubs/staffearndec13prov

http://www.hscic.gov.uk/pubs/sickabsratenov13

ENDS


Note to editors

1. The Health and Social Care Information Centre (HSCIC) was established on April 1 2013 as an Executive Non Departmental Public Body (ENDPB). It is England's trusted data source, delivering high quality information and IT systems to drive better patient services, care and outcomes. Its work includes publishing more than 220 statistical publications annually; providing a range of specialist data services; managing informatics projects and programmes and developing and assuring national systems against appropriate contractual, clinical safety and information standards.

2. All workforce census numbers are for 30 September 2013. All workforce census changes are for 30 September 2012 to 30 September 2013 or 30 September 2003 to 2013 and refer to headcount unless stated otherwise.

3. Counts of figures under 1,000 are exact and figures over 1,000 have been rounded to the nearest 10. Percentages have been rounded to the nearest decimal point.

4. Rates per 100,000 of the workforce have been rounded to one decimal place.

5. Figures no longer include bank staff, all figures have been adjusted to show data excluding bank (publications prior to 2011 included bank staff).

6. HSCIC today also publishes its routine provisional monthly figures - to December 2013 - for key Hospital and Community Health Service (HCHS) staff groups plus data on NHS staff earnings and sickness absence: http://www.hscic.gov.uk/pubs/nhsworkstatov.

7. Introduced in 2010, the headcount figures are based on a new methodology which is not fully comparable with previous years' figures. This methodology aligns the headcount figures across the three publications, listed in note 8 below, so all headcount figures are now calculated in exactly the same way. The new methodology is also consistent with the headcount figures already in use within the provisional monthly workforce publication which has been published in this format on July 2010. The current headcount methodology cannot be applied to years prior to 2010. Increases on 2003 are therefore likely to be slightly understated, but the impact on these figures of the change of methodology will be small.

8. Headcount refers to the total number of staff in both part-time and full-time employment. The main difference for the annual census from 2010 is that headcount figures are a more precise count of absolute staff numbers as the methodology has changed from counting all contracts and job roles in different Trusts to one of counting unique individuals, where this is possible (for example, a nurse working for more than one Trust). This results in duplicate individuals being removed at every level so when totalling, duplication is removed therefore the headcount total will typically be less than the sum of its component parts. There will remain, as in previous years, some potential duplication between HCHS and Practice Staff.

9. In 2012 and 2013, 90 per cent of GP practices provided a Practice Staff return. Figures for the remaining GP practices were estimated to give a full census figure. The same methodology has been applied retrospectively to figures for 2010 and 2011 and the published data has been revised to enable full comparability for a 4 year time series, but it has not been possible to estimate earlier years. Details of the estimation process for Practice Staff can be found in the methodology section of the Census bulletin. This means that the comparison with years prior to 2010 for total NHS staff will be slightly overstated for this reason, but the impact will be small.

10. This annual publication presents the results from three censuses monitoring the NHS workforce as at 30th September 2013. The statistical publication takes the format of a summary document and three Statistical Bulletins: two covering Hospital and Community Services (Medical and Dental staff; and Non-medical staff); and one covering General and Personal Medical Services. These data do not include high street dentists and ophthalmic practitioners which are covered in other publications: http://www.hscic.gov.uk/primary-care

Nor do they include Social Care which is covered in the publications at: http://www.hscic.gov.uk/social-care The HSCIC has also issued a Data Quality Statement with this publication http://www.hscic.gov.uk/workforce as required by the Code of Practice for Official Statistics.

11. HCHS Medical and Dental staff are all hospital and community doctors (excluding GPs) with a medical and dental specialty.

12. Professionally qualified clinical staff includes: All doctors, qualified nurses, qualified scientific, therapeutic and technical staff and qualified ambulance staff.

13. Non medical NHS Hospital and Community Health Service (HCHS) staff figures include qualified nurses, qualified scientific, therapeutic and technical staff and qualified ambulance staff (professionally qualified non medical clinical staff). Please note that there is an overlap with the professionally qualified clinical staff.

14. Bank and agency staff are excluded.

15. Staff in support to clinical staff includes the following sub groups;

Support to doctors and nursing - such as nursery nurses, healthcare assistants, clerical and administrative staff working specifically in clinical areas such as medical secretaries, and maintenance and works staff specifically identified as supporting clinical areas;

Support to scientific, therapeutic and technical (ST&T) staff - such as ST&T trainees, healthcare assistants, clerical and administrative staff and maintenance and works staff specifically identified as supporting the ST&T group;

16. NHS infrastructure support includes the following sub groups; managers and senior managers, central functions (such as personnel, finance, IT, legal services and library services), and hotel, property and estates (such as laundry, catering, caretakers and domestic services).

17. For media enquiries please call 0300 303 3888 or email media@HSCIC.gov.uk

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