Brady Chevonne, Edmondson Sarah-Jayne, Murray Alexandra
From the Stoke Mandeville Hospital, Aylesbury, United Kingdom.
Ann Plast Surg. 2019 Mar;82(3):274-276. doi: 10.1097/SAP.0000000000001847.
Workforce planning is an essential component of organizing any health service. Centralization of burns services pools expertise, although trainees can struggle to achieve adequate exposure to burns training. We aim to review current staffing levels and predict the future consultant numbers required for UK services to remain staffed with appropriately trained surgeons.
We have compiled a database of all UK burns consultants. Basic demographic data, such as age and sex, were collated. Projected UK population data have been used to estimate whether the number of patients under the care of the UK burns network will change in the coming years. Access to burns fellowship training has also been factored in.
There are 34 burns facilities in the United Kingdom and 86 burns consultants. On average, these consultants are 13 years from retirement age. 22 will reach this age within the next decade. During this time, the UK population is expected to increase by 10%, translating to approximately another 6 consultant posts. Since there are only 2 UK recognized burns fellowships, many of the required consultants will have to seek training abroad.
Workforce planning is essential to avoid a short fall in the number of upcoming burns consultants. Plans must be in place to anticipate additional workload with a 10% population rise. With the current struggles of NHS funding, a comprehensive review of burns workforce planning should be undertaken to ensure that sufficient numbers of trainees are completing appropriate burns-specific training and are ready to fill these posts.
劳动力规划是组织任何卫生服务的重要组成部分。烧伤服务的集中化汇聚了专业知识,尽管实习医生可能难以获得足够的烧伤培训机会。我们旨在审查当前的人员配备水平,并预测英国烧伤服务部门为维持配备经过适当培训的外科医生所需的未来顾问数量。
我们编制了一个英国所有烧伤顾问的数据库。整理了年龄和性别等基本人口统计数据。已使用英国预计人口数据来估计未来几年英国烧伤网络所护理患者的数量是否会发生变化。获得烧伤专科培训的情况也已被考虑在内。
英国有34个烧伤治疗机构和86名烧伤顾问。这些顾问平均距离退休年龄还有13年。其中22人将在未来十年内达到退休年龄。在此期间,预计英国人口将增长10%,这意味着大约还需要6个顾问职位。由于英国只有2个认可的烧伤专科培训项目,许多所需的顾问将不得不出国寻求培训。
劳动力规划对于避免即将到来的烧伤顾问数量短缺至关重要。必须制定计划以应对人口增长10%带来的额外工作量。鉴于国民保健制度目前面临的资金困难,应全面审查烧伤劳动力规划,以确保有足够数量的实习医生完成适当的烧伤专项培训,并准备好填补这些职位。