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Health and Care Advisory Group for The Careers & Enterprise Company - NHS Workforce Plan 2025

03 Dec 2025

Overview 

The 10 Year Workforce Plan recognises need for the right people in the right place to improve productivity and deliver the transformational change outlined in the 10-Year Health Plan to make the NHS Fit for the Future.  

 

The national Health and Care Advisory Group, working in partnership with the national body for careers, ÇéÉ«ÎåÔÂÌì (ÇéÉ«ÎåÔÂÌì), has been working to deliver a place-based approach to this ambition. We are seeking to ensure that recruitment and retention in every region is underpinned by a diverse and skilled talent pipeline, through early and continuous engagement within communities and schools.  

 

Overall, we see significant potential for careers education to support positive change emanating from the 10 Year Workforce Plan – the three shifts resonate with our group as a strategically placed vision into 2030 and beyond. Germane to all three is a need for prioritisation on: 

 

  1. Early intervention and this should mean explicit recognition of early community outreach and careers engagement, to ensure all NHS Regions benefit equally from the required diverse, agile and skilled health and care workforce. 
  2. Local connectivity - a shift to community-based provision means that all Trusts and ICBs need to build anchor institution status within local labour markets aligned to local growth strategies and place-based all age careers provision.
  3. Efficacy – within Trusts and ICBs, by maintaining – not losing – data led education outreach capacity that enables well planned talent pipeline to fuel transformation of a 10-year workforce plan. 

 

This submission outlines the impact of this work, and where there is an opportunity for this best practice to be built on as a foundation of the 10 Year Workforce Plan, with health sector employers working as a collective to drive the 3 shifts.  

 

About the Health and Care Advisory Group (HSAG) 

A national group of leading Health and Care employers representing over 25% of the NHS employers in England (and employing nearly 240,000 people) unifying their voice and joining forces to address shared skills gaps across the health and social care sector. This group of ambitious employers, from across the country, are working in partnership with ÇéÉ«ÎåÔÂÌì and local Careers Hubs to find long-term solutions, national, local and sectoral, to skills and workforce pressures. 

 

About ÇéÉ«ÎåÔÂÌì 

ÇéÉ«ÎåÔÂÌì is the national body for careers education in England working with over 95% of schools and colleges and 1000s of employers to deliver modern, 21st century careers education. Our mission is to support every young person to develop the employability skills and readiness they need to transition successfully into work. We do this through Careers Hubs, a localised careers infrastructure delivered through Mayoral Strategic Authorities and Local Authorities - connecting young people with opportunities.  

 

Productivity gains from wider 10 Year Health Plan implementation 

Across the country, NHS employers are already demonstrating how timely and well-resourced careers education outreach can help support young people into the roles and pathways the sector needs to fund the three shifts. Careers Hubs, schools and local partners, are forging inclusive and effective outreach programmes which include:  

  • Careers education for primary school students to challenge stereotypes early and broaden horizons  

  • Modern high-quality workplace experience aligned to the skills and attributes employers need  

  • Teacher encounters that empower educators to guide students into the jobs the NHS offers 

  • Parental engagement programmes that strengthen community and family support, smoothing transitions  

These approaches widen access, build confidence, and ensure young people from diverse backgrounds see health sector roles as an achievable and long-term employment opportunity. Trusts and ICBs are working in partnership with Mayoral Strategic Authorities and Local Government to align with local labour market needs, with emerging evidence showing this work improves workforce diversity and encourages more applications. Our regional convening forges connections supporting local Health Work and Skills Plans, and the vital mission to transform the service from Sickness to Prevention. Data from ÇéÉ«ÎåÔÂÌì outlines the essential skills of 330,000 young people, is supporting the  targeting of employer engagement in a way that develops a local workforce designed to drive productivity.

 

Building on this success is vital in meeting the ambitions of the 10-year workforce plan. The ÇéÉ«ÎåÔÂÌì Health and Care Advisory Group would welcome a continued prioritisation of community-based engagement within the 10 Year Workforce Plan.  

 

 

Each area has developed and implemented one of three interventions: 

Examining the Skills Gap

This report brings together 13 NHS employers across the country, working in partnership with the ÇéÉ«ÎåÔÂÌì as the national careers body and in collaboration with Careers Hubs, to find local long-term workforce solutions to key skills gaps in their organisations.

Download the report

There is a with the right skills to manage and deliver community-based care, ÇéÉ«ÎåÔÂÌì data also shows clear regional disparities in the projected pipeline- with interest in health-related professions peaking within London compared to the North East. Work experience creates measurable social and economic value, strengthening talent pipelines, improving young people’s life chances and supporting national economic growth. NHS partners across England are transforming traditional two-week observational placements into flexible, inclusive, and skills-based programmes that will support learners into community-based healthcare roles. This best practice is also replicated across the independent and social care sector, ensuring all aspects of the community workforce are supported.   

  • Place-based example: Derby & Derbyshire ICB and Staffordshire & Stoke-on-Trent ICS are delivering blended virtual and in-person placements to reach young people from disadvantaged backgrounds by working in partnership with regional Careers Hubs to create inclusive and scalable models that deliver against their needs. This multiple and progressive approach allows for hidden professions and pathways to be exposed. Employers across the sector are inspiring students into priority professions including mental health, AHPs, and healthcare sciences. Outreach is also able to target interventions to raise awareness of new pathways outlined in Fit for the Future, such as nursing apprenticeships, which require increased awareness if they are to be resourced within plans (awareness of apprenticeships for those interested in the sector is –2%pts below national average).  

  • Many Trusts, such as Buckinghamshire NHS Trust, have built school and community outreach into the heart of their workforce planning based on recognition that when young people are supported onto the right pathways, with the necessary skills, they see positive effect on retention. These skills are also transferable, with Gloucestershire NHS Trust triaging learners into essential local care roles instead of over-subscribed areas of the NHS.  In line with social value frameworks seen in other priority sectors, the 10-year health plan should consider embedding ÇéÉ«ÎåÔÂÌì’s Modern work experience framework (currently piloting the governments national guarantee) as a core foundation - to ensure quality, equity and alignment with government ambitions. 

ÇéÉ«ÎåÔÂÌì data shows significant gendered disparities in interest with 31% of girls showing interest and only 9% of boys. The reorientation of the health system requires a diverse, representative, workforce with the capabilities required to drive change in every community. Teachers are key influencers in shaping young people’s skills development and aspirations, yet a core barrier is that many lack up-to-date understanding of skills needs. Careers Hubs are connecting NHS employers into local government and facilitating first-hand exposure for the local teaching workforce into NHS environments. This is enabling educators to embed accurate careers guidance and local LMI into their teaching – as part of a joined-up approach to Health Work and Skills Plans.  

  • Place-based example: Buckinghamshire Healthcare NHS Trust, through its BrigHT Futures strategy, engages more than 40 local schools and colleges in termly teacher visits and follow-up curriculum resources - directly linking teaching to healthcare careers. This intervention is a core part of the Trusts work as an anchor institution to engage the local community addressing social, economic and environmental priorities in order to reduce health inequalities. By working with local Government, NHS Trusts will continue to prioritise diversified routes into the sector, ensuring barriers are removed to the apprenticeship and vocational pathways required to meet the needs of the Industrial Strategy and Fit for the Futrue. 

  • Expanding the sustained engagement all NHS employers have with schools will enable teachers to promote local career pathways and inspire students into new priority professions.  93% of employers with sustained relationships have said this has helped to develop new talent pipelines. Embedding these measures also ensures that the health service is working in tow with local government economic ambitions and is a vital consideration within local Get Britain Working Plans.  The 10 Year Workforce Plan should encourage all NHS employers to designate a pre-employment outreach function and use the ÇéÉ«ÎåÔÂÌì’s free Employer Standards tool to plan, deliver, and evaluate outreach. 

The modernisation of the health system requires a workforce with the skills required to drive productivity, encouragingly ÇéÉ«ÎåÔÂÌì data shows high essential skills proficiency amongst young people interested in the sector, allowing employers to target interventions at both those showing promise, and systematic gaps- which will prove vital in . Embedding NHS and social care pathways into the curriculum supports every young person to connect classroom learning with real-world achievable career prospects and develop the competencies needed to access them.  

  • Place-based example: The Inclusive Careers Project, delivered in partnership by Humber & North Yorkshire ICB and Hull & East Yorkshire Careers Hub, integrates careers into the curriculum. It provides tailored guidance for young people interested in health & care careers, including those in Special Educational Needs and Disabilities (SEND) and alternative provision settings, while upskilling key influencers such as teachers, careers leaders, and parents. This has removed a key barrier many employers face, engaging diverse cohorts through work experience opportunities often restricted by logistical and safeguarding concerns. 

  • Engagement with NHS employers and Careers Hubs has revealed opportunities to align education more closely with local economic plans. By embedding local skills needs into classroom learning, students (especially those from underrepresented backgrounds) gain a clearer understanding of the competencies required and pathways available. The 10 Year Workforce Plan can build on this best practice, including through a new NHS Employers pilot, delivered through Careers Hubs, to target diverse talent pipelines in the key roles required to fund the NHS transformation.