Find out what the College is doing to ensure the future of the mental health workforce – and how you can support our work.
National workforce planning
Accompanying the Five Year Forward View for Mental Health is HEE’s workforce plan, Stepping Forward to 2020/21: Mental Health Workforce Plan for England, which sets out how an additional 19,000 posts will be created by 2020/21 to staff the new services it pledges.
We are leading the work on Physician Associates, and you can find guidance for employing bodies, prospective and existing Physician Associates – as well as information on our Physician Associates in Mental Health network – on our dedicated pages. We are calling for at least 10% of Physician Associates being trained each year to work in mental health (including liaison services and GP practices).
Stepping Forward has now reached its target deadline, and while good progress has been made on growing the overall mental health workforce, psychiatric and nursing workforce targets have been missed.
The NHS Long Term Plan was published in January 2019 and outlines the additional workforce needed to deliver the ambitious commitments on mental health and beyond. We engaged with national leaders to develop a vision for how people working in the NHS will be supported to deliver the plan. The Interim People Plan was published in June 2019, and The People Plan 2020/21 was published in July 2020.
The 2020/21 People Plan commits to making progress in addressing the most pressing workforce shortages in areas with the highest demand, including mental health. As a result, HEE committed to expanding psychiatry training programmes. We have also called for continued expansion of core and higher psychiatry posts to facilitate long-term sustainability of the workforce.
What is the College doing next?
We are continuing to make the case for a bigger psychiatric workforce.
At a local level, we are monitoring the roll out of the community mental health framework and ICS workforce planning. As ICSs take on greater responsibility for people planning and transformation activities, we will support our members who are clinical leaders to influence and engage with the implementation of the NHS Long Term Plan in their region.
At a national level, we monitor progress on workforce plans and work with stakeholders to develop and implement workforce policy. For example, we are currently working with HEE on the refresh of their 15-year strategic framework for workforce planning – Framework 15 – to help ensure we have the right numbers, skills, values and behaviours for the future. We submitted a comprehensive response to their call for evidence, which set out what we think will have the most impact on workforce demand and supply over the next 15 years.
Following publication of HEE's strategic framework in 2022, we are calling for a comprehensive NHS workforce strategy, accompanied by a multi-year settlement for workforce training and education.
Our most recent workforce census provides important evidence of the challenges facing the psychiatric workforce.
What else does the College want to see happen?
Since 2018 the government has funded an additional 1,500 medical training places per year. This was a welcome step to increase supply over the long-term, however did not go far enough to put long-term workforce planning on a sustainable footing.
COVID-19 created an unforeseen growth in medical school places as a result of an unexpectedly high number of students qualifying for an offer to study medicine in 2021. In response, the government decided to provide extra funding to medical and dental schools across England and to increase the number of available places. However, the cap of 7,500 places is being reintroduced in 2022.
This article highlights key findings from our project on understanding what interventions at undergraduate level might have an impact on students choosing psychiatry as a career.
We worked with over 100 organisations to campaign for an amendment to the Health and Care Bill, which would have strengthened workforce planning through requiring the Secretary of State to publish independent assessments of current and future workforce numbers every 2 years. While the campaign was not successful, we are still calling for a fully funded workforce plan to ensure that the system can keep up with patient demand.
We broadly welcome the proposed reforms to the Mental Health Act. They provide an opportunity to modernise mental health law, tackle racial disparities, and improve support for people in a mental health crisis. However, the proposed reforms will result in significant changes to the way psychiatrists work and will place more demands on their time.
We have told the government that changes to the Mental Health Act cannot be absorbed within the existing workforce. We are calling for the government to ensure funding is allocated to deliver the requisite workforce for the reforms. Investment should be accompanied by a workforce plan to ensure the required workforce is in place at the time of implementation.
You can read more about our work.