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Big picture challenges

  • Published: Oct 2013

A big picture challenge is a fundamental challenge facing policymakers across the sector and requires focused action across politics, industry and research. As part of our horizon scanning programme, the Department of Health (DH) has commissioned the CfWI to identify the big picture challenges facing health, social care and public health to draw out their workforce implications.

Through engagement with the Department of Health, and with experts from across health and social care, academia, think tanks and policymakers, we have been able to identify 11 key challenges, falling under four categories: demographic and social, health and social care system design, quality and productivity, and finance and economic.

The Big Picture Challenges report is designed to spark debate around ensuring the future health and social care workforce can meet the needs of the population, and deliver high-quality care. It consists of a context paper that covers the 11 challenges, and ten additional workforce briefing papers. The briefings identify the implications these challenges pose, and where more work is needed to inform workforce planning. They cover:

  • How can we recruit and retain sufficient domiciliary care workers to meet future demand?
  • How can the workforce be used to address the challenges facing emergency departments?
  • What role will informal carers have in meeting future demand?
  • How can band 1-4 staff be utilised to improve workforce productivity and meet demand?
  • What does 24/7 working mean for the workforce?
  • How can we promote diffusion and adoption of technology and innovation across the workforce?
  • What leaders will we need to address the big picture challenges?
  • How do we achieve effective safeguarding across health and social care?
  • How could the community workforce alleviate some of the pressure on general practitioners and improve joint working across primary and community care?
  • What does a flexible workforce look like?

Click the download button below to download the full report as a ZIP file. To download the context paper or the workforce briefings individually please go to: The Context or Workforce Briefings.

Big picture challenges


Format: ZIP document (4.17 MB)

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