Full-Time Equivalent (FTE) is a standardised measure of the workload of an employed person and allows for the total workforce workload to be expressed in an equivalent number of full-time staff. 1.0 FTE equates to full-time work of 37.5 hours per week, an FTE of 0.5 would equate to 18.75 hours per week.
It is important to understand what constitutes full-time equivalence for some PCN roles. For example, it is expected that the average Clinical Director workload in a PCN will equate to around 0.25 FTE and it is likely that any remaining working hours for these staff will be recorded elsewhere. However, when considering the Clinical Director workforce for approximately 1,250 PCNs, 300 FTE staff could be considered to mean that most, if not all PCNs had the expected level of Clinical Director resource in post.
Many primary care staff work in more than one GP practice, PCN, CCG or region. When we refer to “headcount”, we mean the number of distinct individuals working for any of these organisations. Headcount figures tend to be higher than full-time equivalence counts because we may include the same person several times in the totals depending on where they work, and whether they are readily identifiable in the data. Another reason headcount figures are higher than counts by full-time equivalence is because we add together the working hours of part-time staff members when reporting full-time equivalent counts, so two people each working at a PCN 2.5 days per week would be reported as two by headcount and one in terms of FTE.
We calculate headcount separately for every reporting level, for example, PCN, CCG or England level, and higher-level headcount figures cannot necessarily be calculated by simply adding together the lower level PCN counts. This is because if the quality of the data is good, we can identify the same person in different organisations so at the higher reporting levels, we count them only once.
As noted, because the data collected about staff providing contracted services is not record-level identifiable data relating to individuals, we cannot calculate headcount figures for this element of the PCN workforce.