This chapter is concerned with the way in which managers in an organisation decide the numbers and types, in terms of skills and abilities, of people it needs to employ directly or indirectly in order to secure business objectives, and how they set about achieving this. The NHS uses a particularly complex labour force and this is a consequence of the nature of its activities. Table 1.1 breaks down the directly employed staff of the NHS into its main groups. Figure 1.1 shows trends in these groups.
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