The economic climate increases the drive for a more efficient workforce

The NHS is currently working with the Nicholson Challenge to save £20 billion by 2015 (i.e. to be about 4 per cent more productive per year) through 'doing more with less'. This is managed mainly via the Quality, Innovation, Productivity and Prevention (QIPP) agenda. Given that expenditure on nursing is the biggest single NHS cost, this may lead to further pressures to find more efficient ways of working. These could include further work on efficient rostering, pressures to dilute skill mix, scheduling visits, etc.

Some of the information in this section is provided by stakeholders and expert groups, and does not necessarily represent the views of the CfWI.