Publication changes: Please read the section on 'Notes on changes to publications' within the PDF report as this highlights changes to data currently published and potentially the frequency of future reports. This report shows monthly numbers of NHS Hospital and Community Health Service (HCHS) staff groups working in Trusts and CCGs in England (excluding primary care staff). Data is available as headcount and full-time equivalents. This data is an accurate summary of the validated data extracted from the NHS's HR and Payroll system. In addition to the regular monthly reports there are a series of quarterly reports (first published on 26 July 2016 looking at the data for March 2016) which include statistics on staff in Trusts and CCGs and information for NHS Support Organisations and Central Bodies. The quarterly analysis will be published each; September (showing June statistics) December (showing September statistics) March (showing December statistics) June (showing March statistics). Due to their size CSV data are only available for each respective month however data from September 2009 to March 2016 are all available within the March 2016 web page. This is accessible from the 'previous versions of the publication' link within the 'Related Links' section below. Additional healthcare workforce data relating to GPs and Independent Sector workforce are also available; links to this data are available below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678

*** This dataset has been discontinued from November 2015 - please refer to "NHS Workforce - Medical Staff" and "NHS Workforce - Non Medical Staff" datasets using the additional links below ***

Provisional monthly figures for headcount, full time equivalent and role count of NHS Hospital and Community Health Service (HCHS) staff groups working in England (excluding primary care staff).

As expected with provisional statistics, some figures may be revised from month to month as issues are uncovered and resolved. No refreshes of the provisional data will take place either as part of the regular publication process, or where minor enhancements to the methodology have an insignificant impact on the figures at a national level.

The monthly publication is an accurate summary of the validated data extracted from the NHS's HR and Payroll system. It has a provisional status as the data may change slightly over time where trusts make updates to their live operational systems. Given the size of the NHS workforce and the changing composition, particularly during this period of transition, it is likely that we will see some additional fluctuations in the workforce numbers over the next few months reflecting both national and local changes as a result of the NHS reforms. These statistics relate to the contracted positions within English NHS organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave.

The average length of stay in NHS hospitals in England decreased from ****days in 1998/99 to just less than **** days in 2023/24. Although, during the pandemic, length of stay was even lower at ********** days.

This report shows provisional monthly numbers of NHS Hospital and Community Health Service (HCHS) staff groups working in Trusts and CCGs in England (excluding primary care staff). Data is available as headcount and full-time equivalents. This data is an accurate summary of the validated data extracted from the NHS's HR and Payroll system. It has a provisional status as the data may change slightly over time where trusts make updates to their live operational systems. In addition to the regular monthly reports there are a series of quarterly reports (first published on 26 July 2016 looking at the data for March 2016) which include statistics on staff in Trusts and CCGs and information for NHS Support Organisations and Central Bodies. The quarterly analysis will be published each; September (showing June statistics) December (showing September statistics) March (showing December statistics) June (showing March statistics). Note: From March 2017 these quarterly reports will also include statistics on; i) Bank staff employed directly by trusts and paid through the Electronic Staff Record (ESR) pay and human resources system (as covered by our consultation on NHS workforce statistics). They are exploratory and experimental statistics. ii) The nationality of staff (previously published every six months) showing quarterly figures from September 2015 onwards. CSV data is available for every month back to September 2009 within the March 2016 report. Due to their size they are broken down into several files. A link to the March 2016 data is given in the 'Related Links' section below. Additional healthcare workforce data relating to GPs and Independent Sector workforce are also available; links to this data are available below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678

This file is a lookup between NHS England (Region, Local Office) and NHS England (Region) areas, as at 1 April 2017 in England.Organisation Data Service, part of NHS Digital, received formal confirmation from NHS England that they wished to update the collective organisation role/type names for the NHS Region (Geography) and Commissioning Region areas. The new name for these geography entities are NHS England (Region, Local Office) and NHS England (Region), respectively. This is purely a change to organisation role names. The associated organisation role codes, and the names and codes of individual organisations of this type, will all remain unchanged. This version includes:The newly formed NHS England (Region, Local Office) areas - NHS England North (Cumbria and North East) (E39000039) and NHS England North (Lancashire and South Cumbria) (E39000040)(File Size - 16 KB)Column Descriptions: NHSRLO17CD | Text | 9NHSRLO17NM | Text | 48NHSER17CD | Text | 9NHSER17NM | Text | 28FID | Number | 2REST URL of Feature Access Service – https://services1.arcgis.com/ESMARspQHYMw9BZ9/arcgis/rest/services/NHSRLO17_NHSER17_EN_LU_56f72d5ab25d4c988e9adf2aa4cec8f3/FeatureServer

The average length of stay in NHS hospitals in Wales decreased from ***** days in 2004/05 to just less than *** days in 2023/24. This statistic shows the average length of stay in NHS hospitals in Wales from 2004/05 to 2023/24.

Healthcare spending in the United Kingdom (UK) as a share of the gross domestic product (GDP) has increased since 1990, when it was 5.1 percent. By 2023, healthcare expenditure in the UK amounted 10.9 percent of the GDP. Health expenditure in the UK compared to Europe  In comparison to other European countries in 2022, the UK ranked fifth highest in terms of healthcare spending as a share of the GDP. Top of the list was Germany, which spent 12.7 percent of its GDP on healthcare in this year. This was followed by France and Austria, which spent 11.9 percent and 11.4 percent on health, respectively. Performance of the NHS in the UK  Individuals in the UK still regard the NHS as a world class health service and remain happy with the high level of care provided by the organization. Although waiting times have been getting worse in the A&E department over the years. The NHS has been falling behind the target that 95 percent of patients should be seen within four hours of arrival. As a result, the primary reasons for dissatisfaction with the NHS among the public are the length of time required to get a GP or hospital appointment and the lack of staff.   

A survey of NHS mental health service users in England in 2023 showed that almost ** percent of respondents had been in contact with mental health services for between one and five years. A further ** percent had been in contact with NHS mental health services for between six and ten years, while ** percent had been in contact for more than ten years.

Hospital services are currently being stretched at the seams as they struggle to navigate financial constraints and workforce shortages while appointment waiting times remain high. Hospitals faced unrivalled pressure during the COVID-19 outbreak and this necessitated the release of significant government funding to help hospitals boost their capacity to treat afflicted patients. According to the King’s Fund, NHS funding rose from £148.9 billion in 2019-20 to £191 billion in 2020-21. Hospitals are still facing long elective backlogs, growing by around 100,000 cases monthly, according to the BMA. Over the five years through 2024-25, industry revenue is therefore expected to marginally rise at a compound annual rate of 0.2% to reach £115.1 billion. Hospitals are contending with stagnant real-term funding growth, exacerbated by inflationary pressures in the three years through 2024-25 and increasing demand for healthcare services due to a growing and ageing population. NHS England has a planned 2024-25 budget of £165 billion in real terms, which is only a 0.2% rise on 2023-24. In March 2025, the government announced plans to abolish NHS England, in a move to remove administrative hurdles it feels are preventing improvements in the hospital sector. Hospitals have been pressured to manage costs while dealing with a workforce crisis, highlighted by dependency on temporary staff to maintain safe staffing levels. Public healthcare budgets have failed to keep pace with soaring demand. Hospitals are struggling to match pre-COVID-19 activity levels, which has boosted demand for private hospitals as more patients seek private treatment. As a result, industry revenue is projected to grow by 0.9% in 2024-25. Revenue is estimated to climb at a compound annual rate of 2.3% over the five years through 2029-30 to £128.7 billion. Hospitals’ performance will depend on how much funding is available for an already over-burdened institution. The Labour government’s plan for hospitals over the next decade will be released in spring 2025 which will determine what resources are at the industry’s disposal in the coming years. With workforce shortages projected to worsen without substantial investments in training and recruitment, hospitals will need a plan to build a sustainable long-term staffing model. Dependency on international recruitment will become more of a challenge as global healthcare systems grapple with their own workforce shortages. Embracing technological advancements and digitisation like virtual wards will be key to improving efficiency and patient care, with planned capital funding aimed at transforming medical technology.

During the financial year 2023/24, the busiest hospital provider in England was the ************************************************ with over *** thousand admissions. This trust encompasses four hospitals in the Birmingham area, one of the largest urban areas in England. The second-busiest trust this year was the ******************************************, with approximately *** thousand admissions. Accident and emergency admissionsFrom April to June 2023, there were around *** million accident and emergency (A&E) attendees (including at A&E departments not in hospitals) in England. After the drop in A&E attendances during the COVID-pandemic, numbers have risen again to previous levels, with a trend towards an increasing number of individuals seeking emergency care. Over ***** percent of A&E attendees in England in 2022/23 were first diagnosed with a sprained ankle, knee, wrist, or foot, and over **** percent were diagnosed with a respiratory infection. Furthermore, *** percent were found to have ‘no abnormality detected’ which could be detrimental to a service that is already stretched. Waiting too longOver the last few years in the A&E department, the NHS has been falling behind the target that ** percent of patients should be seen within **** hours of arrival. The last time this target was reached was back in July 2015. Not just the A&E department, but other services also require lengthy waits. It is no wonder that the ******** of respondents surveyed were fairly or very dissatisfied with the length of wait for many aspects of NHS care. Moreover, in general, levels of satisfaction with the way NHS runs is at an all-time low.

This statistic displays the distribution of GP practices in the United Kingdom by devolved health service and patient list size in 2017. In England and Scotland, the highest proportion of GP practices have ***** to ***** patients as of 2017. In the NHS in Wales, the highest percentage of practices have to deal with patient list sizes of ***** to *****.

This file contains the NHS England (Region, Local Office) (NHSRLO) names and codes, as at 1 April 2017. This file replaces the NHS Region (Geography) (April 2017) Names and Codes in England file.

This file contains the NHS England (Region, Local Office) (NHSRLO) names and codes, as at 1 April 2017. This file replaces the NHS Region (Geography) (April 2017) Names and Codes in England file. Organisation Data Service, part of NHS Digital, received formal confirmation from NHS England that they wished to update the collective organisation role/type names for the NHS Region (Geography) areas. The new name for these geography entities are NHS England (Region, Local Office). This is purely a change to organisation role names. The associated organisation role codes, and the names and codes of individual organisations of this type, will all remain unchanged.This contains the two new NHSRLOs of NHS England North (Cumbria and North East) (E39000039) and NHS England North (Lancashire and South Cumbria) (E39000040). (File Size - 16 KB)Column Descriptions: NHSRLO17CD | Text | 9NHSRL17CDH | Text | 3NHSRLO17NM | Text | 48FID | Number | 2REST URL of Feature Access Service – https://services1.arcgis.com/ESMARspQHYMw9BZ9/arcgis/rest/services/NHS_England_Region_Local_Office_April_2017_Names_and_Codes_in_England_2022/FeatureServer

A highly granular dataset of 16,052 Same day emergency care (SDEC) spells with a focus on care pathways. It includes demography, co-morbidities, presenting symptoms, serial physiology, investigations, and outcomes.

Description (3000 Characters) – Current 2540 (with spaces)

Emergency care services face increasing pressure. NHS England (NHSE) has prioritised pathways for patients which avoid admission, including Same Day Emergency Care (SDEC) services. The NHS Long Term Plan recommends SDEC assessment for one third of medical attendances.

​Care quality indicators (CQI) include times from arrival to assessment by senior clinical teams. Performance measured against these CQI are impacted by other factors, such as delays in referrals, awaiting investigation results.​ 

PIONEER has curated a highly granular dataset of 16,052 Same day emergency care (SDEC) spells, including not only detailed patient level information, but data about the wider clinical environment on the day of admission.

Geography: The West Midlands (WM) has a population of 6 million & includes a diverse ethnic & socio-economic mix. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & > 120 ITU bed capacity. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”.

Data set availability: Data access is available via the PIONEER Hub for projects which will benefit the public or patients. This can be by developing a new understanding of disease, by providing insights into how to improve care, or by developing new models, tools, treatments, or care processes. Data access can be provided to NHS, academic, commercial, policy and third sector organisations. Applications from SMEs are welcome. There is a single data access process, with public oversight provided by our public review committee, the Data Trust Committee. Contact pioneer@uhb.nhs.uk or visit www.pioneerdatahub.co.uk for more details.

Available supplementary data: Matched controls; ambulance and community data. Unstructured data (images). We can provide the dataset in OMOP and other common data models and can build synthetic data to meet bespoke requirements.

Available supplementary support: Analytics, model build, validation & refinement; A.I. support. Data partner support for ETL (extract, transform & load) processes. Bespoke and “off the shelf” Trusted Research Environment (TRE) build and run. Consultancy with clinical, patient & end-user and purchaser access/ support. Support for regulatory requirements. Cohort discovery. Data-driven trials and “fast screen” services to assess population size.

As of May 2024, around ** percent of people surveyed in the United Kingdom felt the standard of care in the NHS has become worse over the last twelve months. This was a decrease in the share of people feeling the NHS has gotten worse compared to *** year prior. During the height of the COVID-19 pandemic, an increased share of respondents thought the standard of care was better, but since the end of 2021 this optimism faded.

Mid-year (30 June) estimates of the usual resident population for health geographies in England and Wales.

This file contains the digital vector boundaries for NHS England (Regions) in England as at 1 April 2017.