The recruitment, retention and development of an integrated urgent care telephone triage workforce: a small-scale study. Issue 1 (26th November 2020)

• Record Type: Journal Article
• Authors: Snell, Laura; Grimwood, Tom
• Is Part Of: Journal of integrated care. Volume 30:Issue 1(2022)
• Page Start: 20
• Page End: 27
• Publication Date: 2020-11-26
• Subjects: Integrated urgent care -- Telephone triage -- NHS 111; Integrated delivery of health care -- Great Britain -- Periodicals; Community health services -- Great Britain -- Periodicals
• DOI: 10.1108/JICA-06-2020-0033
• Languages: English
• ISSNs: 1476-9018

Abstract

Abstract : Purpose: NHS 111 is a non-emergency telephone triage service that provides immediate access to urgent care 24 h a day. This study explored the recruitment, retention and development of one integrated urgent care (IUC) workforce in England, specifically the NHS 111 service and Clinical Hub. Design/methodology/approach: An online survey was distributed to the NHS 111 and Clinical Hub workforce. The data from 48 respondents were summarised and analysed thematically. Findings: The survey respondents held a variety of clinical and non-clinical roles within NHS 111 and the Clinical Hub. The findings indicate that the IUC workforce is motivated to care for their patients and utilise a range of communication and cognitive skills to undertake their telephone triage roles. In total, 67% of respondents indicated that their work was stressful, particularly the volume and intensity of calls. Although the initial training prepared the majority of respondents for their current roles (73%), access to continuing professional development (CPD) varied across the workforce with only 40% being aware of the opportunities available. A total of 81% of respondents stated that their shifts were regularly understaffed which indicates that the retention of IUC staff is problematic; this can put additional pressure on the existing workforce, impact on staff morale and create logistical issues with managing annual leave entitlements or scheduling time for training. Originality/value: This small-scale study highlights some of the complexities of telephone triage work and demonstrates the challenges for IUC service providers in retaining an appropriately skilled and motivated workforce.