Partially Accept Generalist Workforce We are committed to training the staff we need to ensure patients are cared for by the right professional, when and where they need it. Standards of proficiency, conduct and performance of registered professionals are the statutory responsibility of healthcare regulators. Approved Education Institutions and practice partners develop the specific content and design of programmes to meet these standards. Programmes are then approved and monitored by the relevant regulator. Independent statutory regulatory bodies such as the General Medical Council, the Nursing and Midwifery Council and the Health and Care Professions Council have the general function of promoting high standards of education and coordinating all stages of education to ensure that health and care students and newly qualified healthcare professionals are equipped with the knowledge, skills and attitudes essential for professional practice. To ensure the health and social care workforce is equipped and well supported to deliver personalised care to people at the end of life, including children and young people, Health Education England, now part of NHS England, hosts the e-ELCA (End of Life Care for All e-learning) training programme, which includes 9 modules on improving care for people at the end of life. It is not for the Government to mandate a defined set of competencies. However, building on commitments set out in the 10 Year Health Plan, we are taking action to ensure education and training is fit for purpose. The first phase of the medical training review has concluded, and phase two is already underway. The 10 Year Workforce Plan will set out further detail on how we will ensure education and training is fit for the future. While the 10 Year Workforce Plan will be focused on the NHS workforce, for this shift to be meaningful, multi-disciplinary working and effective integration with social care, public health and the voluntary, community and social enterprise sector will be vital. Baroness Casey’s independent commission into adult social care is underway as part of our critical first steps towards delivering a National Care Service. The terms of reference have been designed to be sufficiently broad to enable Baroness Casey to independently consider how to build a social care system, and workforce, fit for the future. As part of the MSF for Palliative Care and End-of-Life Care, we have identified key areas for action. These include improving the quality and scale of education and training for the health and social care workforce, and shifting the national narrative to raise awareness of palliative care and end-of-life care. This will be supported through platforms such as the NHS App and NHS.uk, alongside partnerships beyond government. Metrics and targets are currently under development, with a proposed focus on training. Specialist workforce The 10 Year Workforce Plan will set out action to ensure we have a sustainable workforce ready to deliver the transformed service set out in the 10 Year Health Plan. We are working with partners to ensure the Plan delivers for staff and patients. We are also engaging independent experts to ensure it is ambitious, forward-looking and evidence-based. While the Plan will articulate transformational changes for different professional groups and service areas, it would not be right to set targets for staffing, an issue best managed by individual NHS trusts, which are responsible for ensuring they have the right number of staff, with the right skill mix, to provide safe and effective care. The Qualification in Specialism Standard (QiSS) referenced in the recommendation, sits within a wider career pathway, core capabilities in practice and education framework that has been developed by NHS England (NHSE) in collaboration with Stakeholders The framework supports the development of and planning for the current and future supportive, assistive and registration level nursing workforce (soon to also include allied health professions) who provide universal, targeted and specialist palliative care and end of life care and supports ICBs to ensure sufficient workforce is in place across all settings with the knowledge to deliver the care required. Version 1 of the Career pathway, core capabilities in practice and education framework, incorporating a qualification in specialism for palliative care and end-of-life care, is already available on the NHS Futures website. A Steering Group, led by NHS England’s Chief Nursing Officer’s office is working with NHS England’s Workforce Training and Education leads and their expert reference group to commission the QiSS modules. We are planning to have funding and places ready for March 2027/28.