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The Guardian - UK
The Guardian - UK
Politics
Denis Campbell Health policy editor

NHS vacancies in England at ‘staggering’ new high as almost 10% of posts empty

Paramedics take a patient from an ambulance into the Royal London Hospital
Paramedics at the Royal London hospital. London has 30,506 vacancies across the acute, ambulance, community, mental health and specialist care sectors. Photograph: Chris J Ratcliffe/Getty Images

The number of posts lying vacant across the NHS in England has reached a “staggering” record high of 132,139 – almost 10% of its planned workforce.

The number at the end of June was up sharply from three months earlier when there were 105,855 vacancies, quarterly personnel figures show.

NHS leaders said the huge number of empty posts showed why the health service is in a state of deepening crisis, with patients facing long waits for almost every type of care.

The previous highest number of vacancies for full-time-equivalent staff was 111,864, recorded at the end of June 2019.

The new number represents 9.7% of the NHS’s planned staffing levels – a new high. As recently as March 2021 there were 76,082 vacancies.

“Today’s vacancy figures are staggering and further proof that the NHS simply doesn’t have enough staff to deliver everything being asked of it”, said Saffron Cordery, the interim chief executive of NHS Providers, which represents all health service trusts in England. “With nearly one in 10 posts in trusts in England now vacant, and tens of thousands more right across the health and care system, many staff face unsustainable workloads and burnout.”

Danny Mortimer, the chief executive of NHS Employers, said: “These figures paint a bleak picture. A jump in nearly 30,000 staff vacancies – equivalent to the entire staffing of a large NHS hospital – show an alarming trend across the NHS of rising levels of vacancies.”

The headline total of 132,139 included vacancies for 46,828 nurses – the highest number on record, and a big increase on the 38,972 empty posts at the end of March. It represents a vacancy rate of 11.8%, the highest since the 12.1% seen in September 2019.

Pat Cullen, the acting general secretary of the Royal College of Nursing, said: “Two weeks before we open our strike ballot, these stark figures reveal what is happening in England’s NHS – record numbers of unfilled nurse jobs, and rising fast too. Ten of thousands of experienced nurses left last year at the very moment we cannot afford to lose a single professional, and patients pay a heavy price.”

There were also 10,582 vacancies for doctors at the end of June – a 7.3% vacancy rate.

London had 30,506 vacancies across the acute, ambulance, community, mental health and specialist care sectors – another record. That equates to 12.5% of the capital’s planned NHS workforce.

The capital had more vacancies in acute hospitals than any other region – more than 20,000. There were 7,745 vacancies in mental health services in the city, meaning almost one in six posts (16%) were unfilled.

Cordery and Cullen identified pay levels as a key reason the NHS was being confronted with such a rapidly escalating number of vacant positions.

“The government’s failure to fully fund this year’s below-inflation pay awards, alongside ongoing concerns over punitive pension taxation for senior staff, will make it even harder to recruit and keep the health workers we so desperately need, which in turn will hugely impact on patients,” Cordery said.

A spokesperson for the Department of Health and Social Care said: “We are boosting NHS recruitment with almost 4,100 more doctors and over 9,600 more nurses working across the NHS compared to last year. However, the overall number of posts is increasing as we expand services to bust the Covid backlogs and provide the best possible care to patients.

“Since September 2019 we have recruited an additional 29,000 nurses and are on track to meet our target of recruiting 50,000 more nurses by 2024. We have also commissioned NHS England to develop a long-term workforce plan to recruit and retain more NHS staff and have launched a taskforce to drive up the recruitment of international staff into critical roles across the system this winter.”

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