背景:有效的医疗人员配备对于成功的医疗保健系统至关重要,要求战略规划,以确保高质量的服务。尽管英国医生与人口的比率随着时间的推移有所改善,仍低于全球平均水平。COVID-19大流行加剧了现有的挑战,导致了前所未有的NHS等待名单,鼻子,喉咙(ENT)手术在所有专业中的等待时间排名第三。
方法:这项研究利用了一项全国性的Jotform调查来收集ENTUK成员的数据,主要专注于英国各地ENT部门内的顾问人员配备。收集的其他信息包括注册状态,兼职角色,性别,空缺,ocum角色,副专家,注册官和其他初级医生,和高级护士从业者。当调查答复不充分时,与部门顾问或秘书建立了直接沟通,其次是信息自由的要求,如有必要。使用MicrosoftExcel编译所有数据。
结果:在对ENTUK调查的65个答复中,确定了53个个人信托。其中包括41个英国急性信托,在苏格兰的补充参与下,威尔士,和北爱尔兰。结合信息自由请求,收集了来自115个英国急性信托的749名顾问的数据。
结论:尽管耳鼻喉科顾问人数有所增加,空缺职位的持续存在与越来越多的等待名单相吻合。大流行的影响,包括提前退休和兼职工作,强调扩大培训职位以抵消这些转变的紧迫性。地方和国家干预措施对于通过各种策略加强和多样化ENT劳动力至关重要。
BACKGROUND: Effective medical staffing is pivotal for a successful healthcare system, demanding strategic planning to ensure a high-quality service. Although the UK\'s doctor to population ratio has improved over time, it remains below global averages. The COVID-19 pandemic has exacerbated existing challenges, resulting in an unprecedented NHS waiting list with Ear, Nose, and Throat (ENT) surgeries ranking third highest in waiting times amongst all specialties.
METHODS: This study utilized a national jotform survey to gather data from ENTUK members, primarily focusing on consultant staffing within ENT departments across the UK. Additional information collected encompassed registration status, part-time roles, gender, vacancies, locum roles, associate specialists, registrars and other junior doctors, and advanced nurse practitioners. When survey responses were inadequate, direct communication was established with departmental
consultants or secretaries, followed by Freedom of Information requests as necessary. All data were compiled using Microsoft Excel.
RESULTS: Among the 65 responses to the ENTUK survey, 53 individual trusts were identified. These included 41 English acute trusts, with supplementary participation from Scotland, Wales, and Northern Ireland. Data from 749
consultants across 115 English acute trusts were collected in combination with a Freedom of Information request.
CONCLUSIONS: Despite an increased number of ENT
consultants, the persistence of unfilled posts coincides with mounting waiting lists. The pandemic\'s effects, including early retirements and part-time roles, emphasise the urgency of expanding training positions to counterbalance these shifts. Local and national interventions are essential to fortify and diversify the ENT workforce through a variety of strategies.