CfWI HS Hub - Ideas Bank
- Any qualified provider makes education and workforce planning more difficult
- Survivability
- A competitive market of service providers
- A step change may be needed to the rate of shift to community care
- Academic careers
- Achieving better integration between health, social care and support organisations
- Addressing physical health in mental disorders
- Addressing the needs of an ageing population
- Adoption of innovation is slow, resulting in an inefficient health service
- Advances in brain sciences
- Advances in reproductive, fetal and maternal medicine
- Ageing population
- Ageing population
- Ageing population and co-morbidities
- Ageing population changes skills requirements for public health teams
- Ageing workforce and pensions
- An increase in marketing by providers
- Antibiotics become less effective
- Applying the PH Skills & Career Framework in broader organisational settings
- Artificial organs
- Attitudes towards medication for long-term health conditions
- Attractiveness of part-time working
- Availability of high-quality placement roles
- Availability of services
- Average maternal age will continue to rise, resulting in increased demand on services
- Baumol's cost disease
- Better outcomes increase survival and thus increase the demand for nursing
- Big picture challenges
- Breakthrough drugs replace many more invasive services
- Breakthroughs in treatments of some major problems in public health
- Bridging the gap between child and adult mental health care
- Capacity needs to be created to encourage greater confidence in practicing independently
- Care moves into the community
- Centralisation of services
- Change in attitudes to those diagnosed with SLCN
- Change in importance of communication needs
- Change in incidence of tropical diseases
- Change in number of complex pregnancies
- Change in retirement age and pension provision result in lengthening of maternity staff careers
- Change in the birth rate
- Change in the role of doctors
- Change in training courses to reflect future SLT roles
- Change to surgical procedures
- Change to the personality disorder pathway
- Changes in priorities in the justice sector
- Changes in the Midwifery workforce
- Changes to CCG commissioning of mental health services
- Changes to the professional roles and locations of service delivery of SLTs
- Changing demand from increasing prevalence of complex long-term conditions and co-morbidities
- Changing disease profiles
- Changing expectations of postnatal care
- Changing immigration and diversity in England
- Changing landscape patterns
- Choice in maternity services
- Choice of CCT
- Choice versus resources
- Choice-driven independence of ICM
- Climate change impacts on health and care systems
- Closure of local services
- Collecting high quality data to effectively measure quality of care and productivity
- Combination therapy evolves
- Community care moves may continue to be sporadic, piecemeal, local developments
- Community care policy lacks clarity in implementing funding and training
- Complexity of community care mounts insuperable barriers to technology adoption
- Considering the global context in public health workforce development
- Consultant contracts
- Consultants role in mental health services
- Continued NHS reforms and service design changes
- Conventional training is augmented with super high-fidelity patient simulations
- Cost of implementing new technologies is too high
- Criticism of market-based approach to service delivery and structure
- Culture change
- Delivering the personalisation agenda and providing person-centred care within financial constraints
- Demand for community-based psychiatrists
- Demand for improved access to mental health services in primary care
- Developing risk assessment and management competencies for PH workers
- Developments in technology applications for education delivery will increase capacity
- Developments in technology for IVF will lead to more births
- Diagnostic testing in outpatient settings increases
- Disease burden latent in current obese population emerges
- Dispensing services become fully automated
- Diversification of commissioning arrangements
- Economic pressures: affordability vs. choice and community care development
- Economy
- Education intake reductions lead to fewer newly qualified nurses
- Education intake reductions lead to fewer newly qualified nurses
- Electronic communications technology is often lacking for community staff
- Electronic decision aids boost the 'no decision about me without me' principle
- Electronic records
- Emergence of commissioning rules affecting funding of CPD in public health
- Emergence of major institutional changes in the public health sector
- Emergence of polyclinics
- Emergence of Public Health England and partnerships
- Emergence of third sector activism and community connectivity in PH
- Emerging changes in the development of leadership in public health
- Emigration
- Employment and labour market
- Employment practice leading to decrease in Personal Assistant (PA) workforce
- End of national pay bargaining in the NHS
- Ensuring the system delivers high-quality services within financial constraints
- Environment
- Epidemic of new forms of healthcare-associated infections
- Epigenetics - personalised medicine becomes more widespread
- Equal access to fertility treatment
- Establishing common values across the healthcare workforce
- EU immigration makes UK workforce planning impossible
- European Joint Action
- European Working Time Directive
- Euthanasia and assisted suicide laws are relaxed
- Euthanasia and assisted suicide laws are relaxed
- Every doctor does acute and community training
- Exacerbation of regional supply inequalities
- Expectations of life
- Expectations of service users increase
- Experimenting on humans acceptance of genetic testing and screening
- Extent of financial challenge
- Extra corporeal membrane oxygenation
- Failure to meet rising demand has unknown consequences
- Families abandon older relatives
- Feminisation of the care workforce
- Fewer specialists, partial move back to generalism
- Fluoridation of the whole water supply
- Fragmentation of families
- Fragmentation of society
- Frequency of natural disasters increases
- Fully integrated healthcare records
- Funding for medical research in the UK decreases
- Further growth of multidisciplinary teams (MDTs)
- Future government expenditure on Social Care
- GDP decreases causing services to be cut
- Gender balance and increasing feminisation
- Generation Y entitlement
- Generation Y expectations; email health, telehealth
- Generation Z and work-life balance
- Genetic screening advances and becomes widespread
- Genetic technologies result in personalisation of health and care
- Geographical distribution of training
- Geriatricians run acute medical units
- Giving patients electronic access to their GP
- GP career becomes less attractive
- GP out-of-hours working
- GP retirement reduces quality of primary care and drives demand in acute
- Greater immigration and diversity in England
- Greater importance of work relating to wider determinants of health
- Greater numbers of homeless people drive increased demand in acute settings
- Growing difficulties in public health workforce identification and planning
- Growing impact of energy/food/water insecurities on public health
- Growing interconnection of public health intelligence and information
- Growing multidisciplinary training needs of the public health workforce
- Growing need to review career pathways in public health sector
- Growing public health risks associated with innovation in illicit drugs
- Growing risks to public health of widely used technologies
- Growing role of intergenerational equity ideas on public health
- Growing role of PH in impact assessment of infrastructure developments
- Growing role of reliable health inequalities data in public health service delivery
- Growing use of ICT in public health service delivery
- Growth in the prevalence of psychological conditions
- Guarantee that all medical students will get a foundation training place is removed
- Health and care employment and working
- Health and care service delivery
- Health and care training and education
- Health and social care integration
- Health and well-being
- Health increasingly becomes a commodity
- Health tourism
- Health visitor and community nurse online
- High-tech medicines are increasingly developed
- Horizon 2035
- Horizon Scanning Research
- Hospital centralisation
- Hot clinics are the norm
- http://cfwi.futuresdiamond.com/HS-research/big-picture-challenges/demographic-social/
- http://cfwi.futuresdiamond.com/HS-research/big-picture-challenges/finance-economic/
- http://cfwi.futuresdiamond.com/HS-research/big-picture-challenges/quality-productivity/
- http://cfwi.futuresdiamond.com/HS-research/big-picture-challenges/system-design/
- http://cfwi.futuresdiamond.com/ideas-bank/community-care-policy-lacks-clarity-in-implementing-funding-and-training-2/
- http://cfwi.futuresdiamond.com/ideas-bank/income-inequality-in-society-will-rise-2/
- http://cfwi.futuresdiamond.com/ideas-bank/nurse-numbers-may-fall-as-20-years-of-constraint-replace-decades-of-growth/
- http://cfwi.futuresdiamond.com/ideas-bank/patients-expect-and-demand-more-from-services-2/
- http://cfwi.futuresdiamond.com/ideas-bank/the-uk-population-is-likely-to-continue-to-grow-over-the-next-20-years-so-even-if-the-need-for-nursi/
- Hygienists and therapists deliver tasks traditionally completed by the dentists
- ICU bed demand
- Immigration
- Immigration increases diversity of the population
- Impact of 24/7 working
- Impact of dementia and other age-related diseases on mental health services
- Impact of expanding GP workforce
- Impact of feminization
- Impact of migration on public health specialist services
- Impact of the Francis report
- Income inequality in society will rise
- Increase in independent SLTs
- Increase in self-managed care and lay carer involvement
- Increase in single-parent families increases pressure on the pharmacy workforce
- Increase in the elderly population
- Increase in unhealthy lifestyles
- Increased awareness of public mental health
- Increased demand for evidence-based practice
- Increased demand for public health courses and academic staff to deliver them
- Increased diagnosis of autism
- Increased poverty and levels of inequality will increase demands on services
- Increased role of research in the professions
- Increased role of technology in the delivery of care
- Increased social deprivation drive demand
- Increased survival rates
- Increased use of doulas and support of fathers
- Increased use of technology in closed environments
- Increasing demand for research practice posts
- Increasing focus on person-centred care
- Increasing labour migration
- Increasing population (all ages) increases demand for nursing workforce
- Increasing privatisation of services
- Increasing privatisation of services
- Increasing rates of immigration
- Increasing role of a public health culture in enhancing workplace wellbeing
- Increasing support to hidden workforce
- Increasingly feminised workforce
- Increasingly informed patient population
- Increasingly litigious society
- Independence of the NHS from politics
- Individualised treatment
- Insistence on evidence-based research and outcomes
- Integrated care staff need real-time access to specialist advice
- Integration of health and social care requires public health evidence base and analysis
- Integration of primary and secondary
- International supply and demand will continue
- Internet information overload leads to more trust in nurses
- Introduction of 24/7 health and care
- Introduction of a sub consultant grade
- Introduction of non-psychiatric trained mental health workers
- Introduction of personalised budgets
- Lack of career paths for public health intelligence specialists
- Lack of specific training in care of older people creates skills gap
- Lack of statutory regulation for the majority of the public health workforce
- Lack of training available for SLT support staff
- Large number of staff will retire in the next ten years
- Legislation of euthanasia
- Lengths of stay continue to reduce in the acute sector
- Less invasive surgical techniques reduce demand for post-operative stays on acute medical wards
- Less money is provided for education and training as costs of care continues to rise
- Life plans alter as retirement age reaches 75
- Lifestyle changes drive increased demand
- Lifestyle drugs gain greater acceptance
- Locums
- Low-technology solutions dominate health service delivery
- Major epidemic or national disaster - lack of response plans
- Managing changing public expectations
- Managing the pace of change
- Marketing by providers increases
- Maternal age at pregnancy
- Maternity services will increasingly be seen as a key element of public health policy delivery
- Medical brain drain
- Medical school admissions decrease due to high education costs
- Medicine recycling and re-use
- Midwifery models of risk versus medical models
- Migration and refugees
- More ageing people with complex mix of health and social care needs
- More care delivered in the community may reduce overall health costs
- More efficient deployment reduces workforce costs per patient
- More understanding of care pathways to plan services and workforce
- Movement in population as people age
- Moving public health policy to local authorities may vary workforce skills requirements
- Multi-professional working
- Need for health informatics skills changes education and career paths in public health
- Need for more GPs with commissioning and leadership skills
- New demands on midwifery and MSW education, including commissions, placements and CPPD
- New technology increases amount of information to be analysed
- New tools for detection of emerging public health risks
- Newly qualified pharmacists do not meet employers expectations
- NHS as a social enterprise
- NHS drive for efficiency
- NHS drive for efficiency
- NHS restructuring leads to more pharmacists fulfilling strategic roles
- NHS savings drive service changes
- 'No decision about me without me' becomes reality
- No one receives all of the healthcare that could fully benefit them
- Non-service work
- Number and reconfiguration of paediatric units
- Number of people studying science at A level
- Nurse numbers may fall as 20 years of constraint replace decades of growth
- Nurses and other care professionals take over some of GP functions
- Nurses and other health and social care professionals take over some of the functions currently perf
- Obese wards reduce pressure on AMUs
- Obesity becomes central focus of public health activity
- Online consultations become the norm
- Online diagnosis and prescription may reduce demand for staff time
- Online forums for advice/support allow anonymity
- Online prescribing compromises patient safety
- Outbreaks of infectious diseases previously confined to (sub)tropical regions
- Pain management
- Patient safety and integrated approach
- Patient-held budgets become more widespread
- Patients self-manage with improved technology in their homes
- Patients self-management with improved technology
- People with complex, chronic needs, and their relatives, demand integrated care
- People with long term conditions self manage and self refer
- Perceived cost and duration of a pharmacist career
- Personalised healthcare advice keeps the population healthier
- Personalised, predictive and integrative medicine made possible using virtual physiological human
- Person-centred care could become even more of a priority
- Pharmacists lead the medicines optimisation agenda
- Pharmacoeconomics roles increase
- Pharmacy regulation changes
- Planning service delivery given the uncertainty about level of funding in the future
- Planning to meet the needs of an ageing population with an ageing workforce
- Politics and legislation
- Pollution and future pollutants
- Poor linkages between PH academic capacity and PH training/research
- Population
- Population living with chronic diseases continues to rise
- Potential growth of the public health component in GP Training
- Potential impacts of labour migration policies on the PH workforce
- Poverty will continue to increase and increase demand on Social Care
- Predictive technology
- Preparing for changes resulting from innovation and technology
- Prescribing becomes a core role
- Pressures on food supplies result in price rises and poorer diets
- Prevalence of co-morbidity increases among patients and other factors
- Preventative measures reduce admissions
- Primary, secondary and social care integration
- Private sector provision
- Proactive case management needs rapid development to progress integrated care
- Proportion of services provided in the community
- Public health agenda changes scope of practice
- Public health increases in political importance
- Public health specialists from a non-medical background gain more prominence over medical specialist
- Public health specialty training does not reflect increased susceptibility to global health trends
- Rapid technology improvements leave the workforce behind
- Ratio of NHS to independent services
- Rationing of healthcare resources
- Rationing of services leads to privatisation
- Recognition and improvement of work-life balance for GPs and hospital doctors
- Recruitment into the academic psychiatrist workforce
- Recruitment to rural areas declines
- Reduction in hospitalisation
- Re-emergence of vector-borne disease causes a pandemic
- Regulation and accountability
- Regulations for out-of-hours care tighten
- Remuneration packages for dental professionals drive increasing proportion of private dentistry
- Remuneration packages for dental professionals drive increasing proportion of private dentistry2
- Research & Development
- Research and technology
- Return-to-practice schemes will continue
- Richer skill mix could improve outcomes and reduce overall costs
- Rise of a psychologically minded society
- Rise of the mail-order pharmacy
- Rising notion of debt deters students from pursuing pharmacist training
- Rising numbers of children in care
- Role boundaries will change and new ways of working be introduced
- Role shifts
- Role turnover is slow
- Rural demand
- Rural skill demand
- Safety net needed for people unable to self-manage or make choices
- Salary inequalities persist
- Scenarios
- Service reconfiguration
- Service reorganisation will reshape the way that maternity care is delivered
- Shape of training review
- Shaping of medical training
- Shared decision making with patients
- Shift of care into the community
- Shift to preventive medicine
- Shifting the focus of the system towards prevention and well-being
- Shortfall in number of medical staff as more retire early
- Skill Mix
- Skills impact of demand
- SLT recruitment problems
- Social finance
- Social media transforms awareness of young people
- Society, culture and behaviour
- Status of the pharmacy profession
- Sub-consultant grades
- Supernumerary trainees
- Surgical technology
- Targets
- Technical Papers
- Technology facilitates care management and provision in people's homes and other settings
- Technology that facilitates provision of care in women's homes will become more widely available
- Technology; Availability of efficient diagnostic technology
- Telemedicine
- Telemedicine changes GP roles and functions
- Telemedicine; web technology; consumer demand; clinical need
- The modulopital
- The ageing population
- The attractiveness of acute medical care
- The Big Society enacted
- The Big Society enacted
- The birth and total fertility rates (TFR) will continue to rise for a decade and then decline
- The challenge of interconnected systems (e.g. 111, 999, GP accessing EOL-wishes register)
- The context of adult social care will be shaped by government legislation over the next decade
- The context of adult social care will be shaped by government legislation over the next decade
- The cost of drugs rises
- The development of more advanced scanning equipment will increase capacity
- The economic climate increases the drive for a more efficient workforce
- The effect of substance misuse
- The effect of UK economic conditions
- The fate of psychiatry as a career
- The impact of genetic screening
- The impact of higher education changes on international students
- The impact of revalidation on the quality of practice
- The impact of risk assessment on criminality
- The impact of service-user led care
- The impact of the availability of genetic screening
- The incidence of multiple births will continue to rise
- The level of public expenditure
- The majority of patients are keen to reduce time spent in hospital
- The NHS maintains a role in public health
- The powerful consumer expects more
- The proportion of pharmacists seeking portfolio work changes
- The shift to community could mean more lonely vulnerable people with unmet needs
- The suitability of current education and training for a shift from acute to community
- The UK develops as a training hotspot for overseas medical students
- The willingness to financially support care for older people decreases
- There is a 'protecting our professions' response to change
- There will be more higher-level maternity support workers (MSWs) employed in the future
- Transfer of risk to patients and families
- Tropical and novel disease
- UK and global climate and its effect on health
- UK health economy
- Unaffordable demand leads to rationing of services
- Uncertainty about funding for future public health capacity and workforce development
- Uncertainty about how investment in life science, health and care will support the UK economy
- Undergraduate student intakes are not sustainable
- Uneven distribution of physicians
- Urgent, emergency and acute demand
- Use of new technologies in public health practice
- Use of remote technology
- Vacant academic posts
- Wave of early retirement in psychiatry
- Widespread use of ambient intelligence / ubiquitous computing / social media
- Women in the workforce
- Women's choices will shape service delivery and workforce
- Workforce change driven by cost pressures
- Workforce planning
- Workforce planning is difficult
