The NHS is in crisis, with a shortage of doctors, nurses and midwives cripples the health service across England.
A recent report from a cross-party group of MPs led by former Health Secretary Jeremy Hunt said the Government must tackle "the greatest workforce crisis in history in the NHS" as it deals with the aftereffects of the coronavirus pandemic.
The study by the Health and Social Care Committee criticised the absence of a long-term plan to address stalling recruitment and persistent short-staffing, adding that the NHS is currently in need of tens of thousands of workers.
We have taken a look at NHS figures for Alder Hey Children's Hospital to see how the workforce has changed in recent years, as the crisis across the country deepened.
The latest figures from NHS Digital show there were the equivalent of 479 full-time doctors as of April at Alder Hey Children's NHS Foundation Trust.
This was up from 468 last year and 340 in April 2016 – when comparable figures for all professions began – equating to a rise of 41% over the last six years.
Nationally, there were 128,000 FTE doctors in NHS trusts in April, up from 124,000 the year before and 104,000 in 2016.
But the workforce figures, which provide a snapshot overview, do not account for the number of health care workers who joined and left the NHS in between counts, nor do they indicate how staffing levels compare to demand for services.
The report by the Health and Social Care Committee said the NHS must still recruit a further 12,000 hospital doctors to address a current national shortfall.
The British Medical Association called on the Government to publish workforce projections, reduce medicine's gender pay gap and increase the supply of affordable childcare.
Emma Runswick, the BMA deputy chair of council, said: "If the Government continues to ignore this – or continued warnings from reports like this – the impact on health professionals, patients and the very health of our society does not bear thinking about."
Nurses and Health Visitors
The figures also show there were 1,071 nurses and health visitors at Alder Hey Children's Hospital in April.
This is down from 1,080 last year but up from 904 at the start of the pandemic.
The committee said there is a vast shortage of nurses nationally, with the NHS needing to urgently recruit more than 50,000 nurses and midwives.
In England, there were 319,000 FTE nurses and health visitors in April – up from 310,000 the year before and 285,000 in 2016.
The Royal College of Nursing said persistent understaffing "poses a serious risk to staff and patient safety" and urged the Government to take immediate action.
Patricia Marquis, director of the RCN, said the report, which highlighted unacceptable pay for some NHS nurses who are struggling to feed their families and pay their rent, "should make the Government rethink the latest pay deal that follows a decade of real terms pay cuts".
Understaffing is not the only issue facing the NHS workforce.
Different NHS Digital figures show trusts are still grappling with staff sickness, as the absence rate across all roles nationally rose to 6% in March – the fourth highest month since the pandemic began and well above pre-pandemic levels of 4.1% in March 2019.
At Alder Hey Children's Hospital, 7.3% of full-time staff days were lost due to sickness absence in March.
In March 2019, the rate stood at 5.5%.
The RCN said that the high absence figures were "yet more evidence of the need for drastic action and investment in the nursing workforce".
NHS vacancies have also increased more in the year to March than any 12-month period since records began in 2018.
Separate data reveals the NHS had 106,000 FTE vacancies at the end of March, up from 76,000 the year prior.
These include almost 39,000 nursing vacancies, over 4,000 more than 12 months ago.
In the North West, there were 12,822 total vacancies as of 31 March – up from 9,701 a year earlier – including 4,543 for nurses.
What the Government has said
The Department of Health and Social Care said it has commissioned NHS England to develop a long-term workforce plan.
A spokesperson said: "We are growing the health and social care workforce, with over 4,000 more doctors, and 9,600 more nurses compared to last year, and over 1,400 more doctors in general practice compared to March 2019.
"As we continue to deliver on our commitment to recruit 50,000 more nurses by 2024, we are also running a £95 million recruitment drive for maternity services."