Scottish Government

Securing Future Practice
Shaping the New Medical Workforce for Scotland

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CONTENTS

Letter to the Minister for Health and Community Care
Commissioning the Review
Throughout this Report . . .
1. Ten key messages
. . . and a single conclusion
2. Summary of recommendations
3. Setting the scene
Shaping the New Medical Workforce for Scotland
4. What kind of service do we need to staff?
A service built around the patient
A service with defined goals
A service that is compliant with the Working Time Regulations
A service committed to redesign
Managing change
5. What kinds of doctor do we need?
The changing role of the doctor
The legal framework
A basis for new arrangements
What is a 'trained doctor'?
Judgement-safe practice
The need for change
6. How do we provide for education, training and career development?
A new approach
The challenge
The impact of the Working Time Regulations
Hospital-based training is too long
General practice training is too short
The need for flexibility
Providing support
Academic doctors
Managing change
7. How do we secure the workforce?
Why is there a need to secure the workforce?
What then is the problem?
Difficulties in retaining and recruiting to our workforce
Why do doctors leave NHSScotland?
What does this mean?
What should we do?
Strategies to retain and recruit
Effective workforce planning
8. Looking to the future
The medical workforce in 2012 - one scenario
A plan for action
Annex A Membership of the Short Life Working Group
Annex B Participants in five one-day focus groups
Annex C A Review of the Scottish Medical Workforce
Annex D Profile of the current Scottish Workforce