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

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

5. 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

6. 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”

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

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

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

10. 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

11. 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

12. 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

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

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

15. 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

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

17. 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%)

18. 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

19. 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

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

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

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

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

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

25. 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

26. 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%

27. 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

28. 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

29. 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

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

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

32. Q28: “Please provide any further comments”

33. Q28: “Please provide any further comments”

34. Your thoughts….

35. Conclusions

36. Our Future?