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FLAGSHIP ANNUAL REVIEW  ·  INAUGURAL EDITION
ANNUAL NHS WORKFORCE REVIEW 2026

What the NHS workforce data says when you test it properly.

The first annual edition reports the whole battery rather than the results that worked: seventy-nine pre-specified tests, twelve passed, fifty failed, with a section on every construct that failed its threshold and three of our own earlier published claims corrected in it. The register itself, test by test, is available under NDA. Around that sit four findings from the panel, the absence relationship observed in the six months after agency share fell, and what a board can test against its own data. Built from the same public-data panel as every finding on this site.

Cover page of the annual NHS workforce review
Get the annual review PDF, 35 PAGES. NO EMAIL REQUIRED.
The TLP NHS Panel
178 to 203
NHS trusts in the public-data panel, 2021 to 2024
NHS Staff Survey, workforce statistics, provider accounts
All Insights
BOARD INSIGHT PAPER  ·  IN PREPARATION
Agency Debt Cycle Construct, not validated

Agency spend fell by 40 per cent in two years. Why did the dependency not move with it?

The Agency Debt Cycle is not a procurement failure. It is a structural mechanism, and it is a doctrine construct rather than a validated diagnostic. This paper sets out what we tested, what did not explain agency dependency, and what that leaves.

FIRST OF SIX PAPERS, ONE PER NAMED MECHANISM
Reports & Publications

Full-length published work

Sample Board Workforce Review: a large acute trust, anonymised Board-ready. A 2023 published-data review built entirely from publicly available NHS data, with no data requested from the trust. The worked example of what a Workforce Structural Review produces. The full report is on the Sample Report page.
SAMPLE

Both documents above are downloadable in full. Further papers are listed here as they are released.

Forthcoming

In preparation. Release dates are announced when a piece is ready, not in advance.

FLAGSHIP The Annual NHS Workforce Review 2026, inaugural edition: the outcome of all seventy-nine pre-specified tests, four findings from the panel, three corrections to our own published claims, and what a board can test for itself Published
PAPER SERIES Board insight papers: six papers, one per named workforce failure mechanism. The mechanisms are a map, not a sequence: four of the five consecutive links were tested and all four failed In preparation