Dr Simon Gardner & Dr Jonathan Brand Workforce Survey Dr Simon Gardner & Dr Jonathan Brand

Why? Recruitment, Shape of Training, Separate on-call implications, Snapshot of UK situation, Continuity, mirror RCOA & FICM activity, different data to NCBC

Q2 & Q3: “How many (a) Consultants do you have working & (b) Whole Time Equivalents have you funding for?” Average 10. Ideally more consultants than WTEs, Several centres still significantly understaffed

Q4: “How many Consultants working in CTA/CITU also undertake sessions in general anaesthesia or general ITU?” >70% have other sessions, aids on-call, job planning, ?private work, “reserves”

Q5: “How many Consultants participate in the on-call rota(s) for CTA & CITU?” Average 10 – not enough to split rotas in many cases

Q6: “Which of the following areas of clinical practice do you provide anaesthesia/ITU for?” ECMO & Transplant only in about 1/3 centres

Q8: “Do you have separate rotas for CTA / CITU?” >70% still have unified rota

10 units already on separate rotas 22 remaining units: Q9: “How many additional Consultant appointments are required to staff separate rotas, in order to achieve a minimum of 1/6 on-call frequency?” 10 units already on separate rotas 22 remaining units: Range of between 1 – 8 appointments required 78 new consultants required across UK for complete separation of CITU & CTA rotas! Assuming 1 in 6 as minimum acceptable Total shortfall = , Debate about acceptable minimum numbers, logistics

Q10: “What is the current frequency of on-call for your rotas?” CTA (separate) (n = 10) Frequency range: 1/6 – 1/10 CITU (separate) (n = 10) Frequency range: 1/5 – 1/10 Combined CTA / CITU (n = 22) Frequency range: 1/5 – 1/12 Lower numbers more difficult to work with logistically, generally higher frequency than GITU or general anaesthesia

Q11: “Do you have routine scheduled late shifts for Consultants (up to 22:00) in CTA?” New consultant contract may attempt to influence this but limited by staff numbers, CITU bed availability, availability of anciliary services (e.g. perfusion) etc

Q12: “Do you have routine scheduled late shifts for Consultants (up to 22:00) in CITU?”

Q13: “Do any Consultants in your department undertake weekly programmed clinical sessions in CTA on a Saturday or Sunday?” New Consultant Contract

Q14: “On average, what ratio of fixed:flexible sessions do your Consultants work?” Couple of missing responses, majority have at least 20% flexible – job-planning vs departmental needs vs work/life balance. About 30% fully flexible

Q15: “Do you have a resident on-call rota for Consultants?” No: 32 centres (100%)

Q16: “Do you have an age limit beyond which Consultants no longer participate in the on-call rota?” Yes: 1 centre (3%) (age 60 years) No: 31 centres (97%)

Q18: “To the best of your knowledge, How many Consultants do you expect to retire from your department within the next (a) 2 years (b) 5 years” Totals – 29 in 2 years, 71 in 5 years

Q19: “Do you currently have consultant vacancies within CTA/CITU Q19: “Do you currently have consultant vacancies within CTA/CITU? If so, how many?” Almost 50% currently have vacancies

Q19: “Do you currently have consultant vacancies within CTA/CITU Q19: “Do you currently have consultant vacancies within CTA/CITU? If so, how many?”

Q20: “Are you currently employing a consultant locum within CTA/CITU, If so, how many?” More than 50% employing a locum

Q20: “Are you currently employing a consultant locum within CTA/CITU, If so, how many?” Almost 50% employing more than 1

Q21: “Within the past 2 years, have you advertised for a consultant post? If so, how many?”

Q21: “Within the past 2 years, have you advertised for a consultant post? If so, how many?” Average 2

Q22: “If you did advertise for a consultant post, did you successfully appoint? If so, how many appointments were made?” Approximately 70% appointment rate, but clear variation

Consultant Post Fill Rates Per Region Scotland = 89% North East = 40% Ireland = 100% North West = 88% Yorkshire = 57% Midlands = 75% Wales = 50% South East = 60% London = 90% South = 100%

Q23: “How would you rate your departments current prospects in recruiting to vacant consultant posts?” At least a quarter of centres rate their chances as poor – generally smaller centres have less chance with more vacancies

Q24: “Do you have a senior training/fellowship position within your department? If so, how many?” Range: 1 – 12 fellowships/centre Non-fellowship centres: 3/11 plan on establishing a fellowship programme in the next 2 years

Range of interested trainees: 1 – 6/centre Q25: “Are you aware of any locally-based senior trainees interested in pursuing a career in CTA/CITU? If so, how many?” Range of interested trainees: 1 – 6/centre

Q26: “Do you employ non-EU doctors into your senior training/fellowship positions within your department? If so, how many?”

Q26: “Do you employ non-EU doctors into your senior training/fellowship positions within your department? If so, how many?”

Q28: “Please provide any further comments”

Q28: “Please provide any further comments”

Your thoughts….

Conclusions

Our Future?