FOI/2025/26/183/
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| Reference | FOI/2025/26/183/ |
|---|---|
| Description | Internal business cases and workforce consultations |
| Date requested | 15/08/2025 |
| Attachments | N/A |
Request
To whom it may concern,
In light of the Leng review, I write to request information under the Freedom of Information Act 2000.
Please provide copies of all internal business cases and/or workforce consultations produced or commissioned by your Trust since 1 January 2020 that involve any of the following:
- A reduction in the number of doctors employed by the Trust, either by headcount or full-time equivalence.
- A reduction in the number of doctors in any service or department, either by headcount or full-time equivalence.
- An introduction or increase in the employment of Physician Associates, either by headcount or full-time equivalence.
- An introduction or increase in the employment of Anaesthesia Associates, either by headcount or full-time equivalence.
Response
1. A reduction in the number of doctors employed by the Trust, either by headcount or full-time equivalence. – The only headcount or FTE reduction was observed between 1 January 2022 and 1 January 2023 (1 FTE) for doctors employed by CHCL NHS Trust. No other reduction was observed.
2. A reduction in the number of doctors in any service or department, either by headcount or full-time equivalence. – FTE as of January of the year by Division
| Divisions | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Comments |
|---|---|---|---|---|---|---|---|
| Chief Executive | 0.8 | 0.8 | - | ||||
| Children Health & Development* | 0.2 | 0.2 | Merged with divisions based on location | ||||
| Hertfordshire Division | 7.8 | 7.4 | 6.9 | 7.0 | 7.5 | 7.7 | Reduction in 2021 of 0.4 FTE, in 2022 of 0.5 FTE |
| Inner North West Division | 2.5 | 2.1 | 3.7 | 16.1 | Reduction in 2023 of 0.4 FTE | ||
| Medical Directorate | 0.4 | 0.8 | 1.8 | 1.0 | 2.0 | 1.9 | Reduction in 2023 of 0.1 FTE, in 2025 of 0.1 FTE |
| North Central Division | 4.6 | 3.3 | 4.1 | 3.1 | 3.0 | 5.0 | Reduction in 2021 of 0.7 FTE, in 2023 of 1.0 FTE, in 2024 of 0.1 FTE |
| Outer North West | 6.7 | 5.0 | 7.4 | 5.4 | 6.6 | 7.6 | Reduction in 2021 of 1.7 FTE, in 2023 of 2.0 FTE |
| South West Division | 5.1 | 11.8 | 9.9 | 12.9 | 11.7 | 10.7 | Reduction in 2022 of 1.9 FTE, in 2024 of 1.2 FTE, in 2025 of 1.0 FTE. |
| Grand Total | 24.6 | 28.4 | 32.6 | 31.6 | 35.2 | 49.8 | Reduction in 2023 of 1.00 FTE |
There was organisational change process in SWD where it was proposed a reduction in 1 FTE in medical staff headcount, see attached consultation paper. Due to staff turnover, no medical staff were put at risk.
3. An introduction or increase in the employment of Physician Associates, either by headcount or full-time equivalence. – There is no employee with position titled, or role of Physician Associates employed at CLCH since 1 January 2020.
4. An introduction or increase in the employment of Anaesthesia Associates, either by headcount or full-time equivalence. – There is no employee with position titled, or role of Anaesthesia Associates employed at CLCH since 1 January 2020.