NHS staffing tracker

Monitoring and analysis of key workforce targets and trends.

General practice

Most of the contact that people have with the NHS is with general practice: there are an estimated 300 million appointments each year. These services provide the first step in diagnosing and treating most patients’ health conditions.

Due to changes in the data, trends in general practice staff are limited to 2015 at the earliest. The data do not include staff working in prisons, army bases, educational establishments, specialist care centres including drug rehabilitation centres and walk-in centres. From July 2019, primary care networks (PCNs) will offer services to patients and employ new specialist staff such as clinical pharmacists, social prescribing link workers, physiotherapists, physician associates and paramedics. NHS Digital has started to publish information on the PCN workforce, but the data does not presently cover all PCNs. Based on the PCN data that is available, we have estimated the number of certain primary care staff groups employed by PCNs across England in some of the charts below.

Number of GPs 27/05/2021

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Note:  

1. Data are for qualified general practitioners in England.

2. The number of qualified GPs, excluding registrars, start from December 2017 on the chart. The higher GP locum numbers reported in March 2017 are not comparable to previous figures in the time series due to indications that additional guidance has led to more accurate reporting of this group.

3. The initial target of 5,000 more GPs by 2020 begins in the quarter following the publication of the GP Forward View (end of September 2016) and extends to the end of the 2020 calendar year. The most recent target of 6,000 additional GPs by 2024/25 starts at Q4 of 2019/20 on the chart (March 2020), following the 2019 General Election, and ends in Q4 of 2024/25 (March 2025).

4. NHS Digital identified a very likely under-reporting of staff in the March 2020 general practice workforce data. These numbers may be refreshed in due course.

Source:  

NHS Digital’s General Practice Workforce Statistics

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Since 2016, the number of permanent, fully qualified GPs has fallen by 1,900. We would have expected levels to increase to be on course to deliver 6,000 more GPs by 2025.

About the target: The GP Forward View (2016) stated that GP staffing would be expanded to create an extra 5,000 doctors working in general practice by 2020. The Interim NHS People Plan (2019) then superseded this and called for 5,000 more GPs “as soon as possible”. The Conservative Party Manifesto has more recently committed to 6,000 more doctors in general practice by 2024/25. It is not clear whether GP registrars or locums are supposed to be counted, and whether the pledge relates to headcount or FTE.


Number of practice staff other than GPs 27/05/2021

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Note:  

1. Data are for staff working in general practice in England.

2. The number of full-time equivalent health professionals (bold grey line) is a subset of the total number of full-time equivalent general practice staff (bold blue line).

3. Both targets begin in Q2 2016/17 (end of September 2016), following the publication of the GP Forward View. The target for 5,000 more practice staff stops at the end of the calendar year in December 2020, and the target for 26,000 more health professionals in general practice ends at the end of the 2023/24 rolling year (end of March 2024).

4. NHS Digital identified a very likely under-reporting of staff in the March 2020 general practice workforce data. These numbers may be refreshed in due course.

Source:  

NHS Digital’s General Practice Workforce Statistics

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GPs themselves make up only a minority of the total practice workforce. The total number of health professionals (excluding GPs) has increased by over 1,000 in the last year. When including non-clinical staff, numbers have increased by over 9,200 since 2016, reaching a total over 100,000 staff in December 2020. This exceeds the target set in the GP Forward View of 5,000 more staff working in general practice by 2020.

About the target: The GP Forward View (2016) called for 5,000 more staff working in general practice by 2020 and for 20,000 more health professionals (excluding GPs) by 2023/24. On top of this, the update to the 2020/21 GP contract stated that the recruitment scheme for general practice staff was expanding by 6,000, therefore aiming for 26,000 additional staff by the end of 2023/24. It was not clear whether the targets related to headcount or FTE.


Number of patients per GP by CCG 12/02/2021

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Note:  

This map was created by Lucina Rolewicz using digital vector boundaries for clinical commissioning groups (CCGs) in England as at April 2020. The data compares the number of full-time equivalent GPs as at December 2020 (including registrars and locums) with 2020/21 needs-weighted populations by CCG. Needs-weighted population is used as one of the underlying components for CCG resource allocation.

Source:  

ONS Geography, NHS Digital, NHS England & Improvement.

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Variation between regions in the number of GPs is longstanding. Though there have been efforts to fill these gaps through targeted recruitment schemes, differences still remain. When taking account of the relative needs of a CCG’s patient population, the number of patients per one GP as at December 2020 varied from 2,989 patients in Luton CCG to 1,768 patients in Vale of York CCG.


Number of physician associates and clinical pharmacists in general practice 27/05/2021

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Note:  

1. Data are for full-time equivalent pharmacists and physician associates in primary care in England.

2. Both targets in the chart begin in Q2 2016/17 (end of September 2016), following the publication of the GP Forward View, and both target lines stop at the end of the calendar year in December 2020.

3. NHS Digital identified a very likely under-reporting of staff in the March 2020 general practice workforce data. These numbers may be refreshed in due course.

4. Data on the primary care network (PCN) workforce is limited and is not fully complete, therefore this chart includes an estimate of the number of pharmacists and physician associates working in primary care networks across England.

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Growing the number of physician associates and clinical pharmacists in general practice have been national priorities in recent years. As at December 2020, the number of clinical pharmacists has grown by a little over 1,400 since 2016 – below the level that was needed to meet the target. Over the same period, the number of physician associates has increased by only 400, which is well below the ambition of 1,000 more by the end of 2020.

Despite this, we recognise that both of these professions are likely to be registered to primary care networks as their place of work, rather than general practice. Using our estimates based on PCN workforce data, it appears as though the number of pharmacists has well exceeded its target. Conversely, we estimated that there were around 700 more physician associates employed in primary care in December 2020 than there were in 2016, which was not enough to meet the 1,000 target.

About the target: Targets for 1,500 more pharmacists and 1,000 physician associates in primary care by 2020 were detailed in the GP Forward View (2016). It was not clear whether the targets related to headcount or FTE.


Number of social prescribing link workers 27/05/2021

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Note:  

  1. Data show the number of full-time equivalent social prescribing link workers based in primary care in England.
  2. The target begins in Q2 2019/20 (end of September 2019), following the publication of the NHS Mental Health Implementation Plan, and extends to Q4 2023/24 (end of March 2024).
  3. Data on the primary care network (PCN) workforce is limited and is not fully complete, therefore this chart includes an estimate of the number of social prescribing link workers based in primary care networks across England.
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Social prescribing link workers were introduced to support individuals who feel socially isolated, with a particular focus on patients managing multiple long-term conditions. As at March 2021, there were an estimated 573 link workers in primary care in England.

About the target: The Mental Health Implementation Plan committed to 4,500 social prescribing link workers by 2023/24. It was not clear whether this target was intended to be measured using headcount or full-time equivalent staff.

nhsst 01/04/1920

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