NHS Scotland Workforce Data Quality Report
1 Introduction
Over time a number of quality issues have been identified with the data. In addition there have been updates in the coding of staff to professions, these can cause apparent large shifts in the size of a particular workforce, but are in reality administrative updates.
These were previously described within the notes pages of the dashboard. To help users to interpret the data and understand what those issues may be, we have introduced this report to more clearly describe those areas.
There are a number of future developments that we are working on to improve the range and quality of the data. These are listed on our Future Developments page.
Updates to this Data Quality report, when available, will be released with the Official Statistics publication.
2 Ongoing data quality and coding issues
2.1 Vacancy data
JobTrain was rolled out to all NHS Boards in 2021 and most use data from JobTrain to complete the vacancy survey.
NHS Boards use JobTrain in slightly different ways.
We have found that the largest variation arises in the calculation of vacancy length, which is carried out when reporting the number of vacancies in categories according to how long a post has been vacant, e.g., Vacant less than three months, Vacant between three and six months, etc.
NES is working with the JobTrain reporting group on the use of JobTrain data and definitions. We will continue to work with this group and with data providers to investigate both.
There are several key issues that are preventing us from moving forward using JobTrain data directly:
- Identifying current vacancies using the Job Status, sometimes job adverts are re-used
- Identifying the number of vacancies that form part of a cohort recruitment, such as when an NHS Board recruits newly qualified nurses.
- Calculating length that vacancies have been opened, jobs that have successfully recruited to are not always closed in the system.
Currently, many NHS Boards recruitment teams apply local knowledge to the data extracted from Job Train to clean the data before this is submitted to us.
This is especially the case for the period of time between appointment and starting the post.
2.2 Clinical Nurse Specialist data
The publication of the number of Clinical Nurse specialists was paused in 2018 following significant data quality concerns.
Following the publication of the Review into Clinical Nurse Specialist Roles, the NES Data group worked with colleagues in the NES Nursing, Midwifery and AHP directorate, and NHS Boards to review the specialisms that would accurately describe the CNS workforce.
This then allowed a new list of specialties and sub-specialties to be agreed, which has been added to the eESS HR system. NHS Boards are now in the process of updating their staff records in eESS.
NES are aiming to recommence publishing data on the CNS workforce for those employed on 31 March 2025. This will be published in June 2026.
2.3 Location of Service Delivery
During our investigation of eESS data, we have identified an issue with the way the eESS data is transferred through to SWISS. When a person moves jobs to one where there is not a Location of Service Delivery recorded, this change was not feeding through to SWISS correctly, leaving the previous value in place.
This field is not used by NHS Boards in the management of their staff, and so is not a priority for them to keep updated.
Due to these issues we have decided to pause the publishing of the statistics whilst we investigate other ways to provide this information. We will provide an update on this as part of the 31 March publication released in June 2026.
3 Historic Changes
3.1 2025
3.1.1 Category and Name Changes
Resident Doctors
From 31 March 2025 Doctors in Training are now referred to as Resident Doctors. Historic data has been updated to the new terminology.
3.1.2 Data Quality
All NHS Boards - Medical Agency
The medical agency expenditure for the year ending 31 March 2025 has been published on 19 August in the NHS Scotland workforce Official Statistics. These data were not released as planned on 3 June 2025 due to concerns over quality raised during the Early Release for Quality Assurance period by an NHS Board. Data providers, NHS National Services Scotland (NSS), worked with NHS Boards to validate the data sourced from NHS Scotland’s Finance Platform. Compared with the original extract provided to NES, there were minor changes made to the expenditure for four NHS Boards.
NHS Lothian and NHS Borders - Nursing Bank
Nursing and midwifery bank costs and hours are calculated from paybill data. In most cases, the board of employment is the same as the health board in which the bank nursing shifts are delivered. However, since the year ending 31 March 2021, NHS Lothian has acted as the employer for most of the staff working bank shifts in NHS Borders.
In publications up to September 2024, the data were reported by board of employment, meaning some Borders bank shifts were counted under NHS Lothian’s totals. In the December 2024 publication for data as at 30 September 2024, the data has been revised to attribute all nursing and midwifery bank shifts delivered in NHS Borders to NHS Borders, regardless of whether the staff were employed by NHS Borders or NHS Lothian.
The revised total hours and costs for NHS Borders are higher than previously reported (by up to 4.6 times) and the revised values for NHS Lothian are lower (by <5%). The revised totals for the East region and Scotland in years ending 2021, 2022 and 2023 are slightly decreased (by <1%) due to changes in the administrative data since it was originally extracted; the values for year ending 2024 are unchanged.
The data was revised for NHS Borders, NHS Lothian, East region and Scotland for the years ending 2021, 2022, 2023 and 2024.
3.2 2024
3.2.1 Category and Name Changes
Medical Associate Professions
From March 2024, four new Medical Associate Profession (MAP) sub job families were made available: Physician associate, Anaesthesia associate, Surgical care practitioner, and Advanced critical care practitioner. These fall under the medical and dental support job family and will appear as staff are re-coded to the new sub job families.
Reduction in Working week
From the first of April 2024 NHS Agenda for Change staff saw a reduction in their working week from 37.5 hours to 37 hours.
3.2.2 Data Quality
Reduction in working week
There was an error in the process to update the contracted and conditioned hours for this change in SWISS which resulted in the Whole Time Equivalent (WTE) calculations for 31 March 2024 being incorrect. As such, a combination of data from 29 February 2024 and 30 April 2024 were used to calculate the WTE for 31 March 2024. This change in SWISS also affected the sickness absence data for March 2024 and as such a duplicate of February 2024 data was used in its place. A detailed explanation for both of these processes can be found in the Missing data methodology paper.
Sickness absence is calculated as the hours lost divided by the total contracted hours. When the Sickness absence report was run for March 2024, the total contracted hours had partially updated, but the total hours lost was constant.
We have again used Last Observation Carried Forward on this data for each Health Board, using the absence data for each Health Board from 01 March 2023 - 29 February 2024, instead of 01 April 2023 - 31 March 2024 which has been used in previous years.
NHS Highland - Vacancies
As part of continuing work to improve vacancy data quality, NHS Highland have updated their methodology for calculating Consultants vacancies. The update has been introduced for vacancies as at 30 September 2024 and data has been reviewed locally as part of the process.
The updated methodology uses data from the Job Train recruitment system and counts vacancies as per the definition provided (see link for more information), where the previous process was based on manual data collation and included unfilled posts before they were approved for recruitment. Following this change, the vacancies as at 30 September 2024 are lower than previous quarters.
Consultant vacancies
From 30 June 2024, Consultant vacancies in NHS Highland include vacancies at Caithness General Hospital. These were not included in vacancies reported before June 2024, therefore NHS Highland Consultant vacancies prior to June 2024 may have been under-reported. Including these vacancies as at 30 June 2024 added fewer than 5 WTE and Headcount in total.
3.3 2023
3.3.1 Category and Name Changes
NHS Lanarkshire - Support Staff
For the June 2023 publication, NHS Lanarkshire employed an additional approximately 400 headcount (240WTE) Support services staff. These staff were previously contracted to work in NHS acute site support but not employed directly by NHS Scotland.
3.3.2 Data Quality
NHS Fife - Fixed term contracts
In December 2023, some staff in NHS Fife were reported as having fixed term contracts when they were on Permanent contracts. This affected approximately 200 staff.
All NHS Boards - Missing specialties
During development of the NES data warehouse, a specialty table was created using the specialties recorded in the employment extract at July 2021 (the last batch of historical data ingested into the warehouse). This table has not been updated since. This has meant that any employment record loaded after July 2021 with a specialty not active in that table, has been recorded under unspecified specialty. This has only affected a small number of people: for staff employed at 31 March 2023 there were four people recorded with an unspecified specialty. This bug was fixed so the specialty table is automatically updated for data available after June 2023.
NHS Highland - Vacancies
An error was identified in the historic reporting of NHS Highland vacancies for the reporting of the September 2023 vacancies. Posts with staff who had been given a conditional or an unconditional offer post interview but have not yet started were not included in the reported numbers. In addition some vacancies for large intakes (particularly Band 5 nurses) were also not included. This means that NHS Highland vacancies were being under reported. The total WTE for N&M vacancies at these statuses is 322.8WTE. AHP and Medical consultant vacancies were also affected but to a lesser extent. This issue has been resolved and vacancies are included from September 2023 onwards.
NHS Lothian and Tayside - Vacancies
In December 2023, NHS Lothian and NHS Tayside each carried out independent reviews and cleansed their vacancy data of posts that had already been filled or were no longer available. As a result, the vacancies for these boards may show a larger decrease than usual. Processes have now been put in place to prevent this happening in the future. NHS Lothian vacancies also decreased through successful recruitment initiatives. Boards are unable to perform any retrospective clean up on their previously reported figures.
NHS Grampian - Vaccinator vacancies
From 30 June 2023, vacancies for vaccinator posts at NHS Grampian are recorded within the nursing and midwifery staff group (public health sub job family). These posts could be filled by candidates out with nursing & midwifery (for example allied health professions). At 30 June, there are 30 WTE band 5 vaccinator vacancies.
NHS Forth Valley - Prison vacancies
From to 31 March 2023, NHS Forth Valley recorded prison vacancies under public health nursing (community location of service delivery) in line with the community guidance. Prior to this date, NHS Forth Valley prison vacancies were recorded under the other sub job family.
3.4 2022
3.4.1 Category and Name Changes
Healthcare Support Workers review March 2022
From 31 March 2022, a review was undertaken across NHS Scotland to assess Band 2 Healthcare Support Workers (HCSW) against new national Band 2 and Band 3 nursing clinical support worker job profiles. This can be seen in our data with a drop in the number of Band 2 nursing staff, and a rise in Band 3 nursing staff as staff are re-banded.
Vocational Dental Practitioners
From December 2022 (30 September 2022 census) Vocational Dental Practitioners (VDPs) are reported in the NHS Employment data, under NHS Education for Scotland, ‘community dentistry’ specialty and ‘other’ grade. Before then VDPs were reported using an extract from Turas TPM, and were not in included in the employment data, but were included in the Dentist section of the report. There are approximately 150 VDPs each year.
3.4.2 Data Quality
NHS Grampian - Nursing and midwifery vacancies
During the reporting of nursing and midwifery vacancies at 31 December 2022, it was recognised that a small number of vacancies at 30 September 2022 in NHS Grampian were omitted. This affected band 5 district nursing. This was due to a change in reporting methodologies as NHS Grampian utilises Yellowfin reporting within JobTrain.
3.5 2021
3.5.1 Category and Name Changes
All Boards - Migration of HR system to eESS
From June 2014 - September 2021, all NHS Boards migrated to the new national HR system e:ESS which feeds into SWISS. This affects medical grade and medical specialty; changes may be seen as boards review their data during the migration process.
3.5.2 Data Quality
3.6 COVID19
3.6.1 Medical staff specialty changes
Medical staff in some specialties were reassigned to work in areas more directly related to treating COVID-19 patients. There were large movements of staff to “Unknown medical specialty” during this time, and these staff then reverted to their previous roles.
3.6.2 Accelerated recruitment
A process of accelerated recruitment was undertaken to help NHS Scotland to manage the COVID-19 pandemic. This involved a several thousand nursing students, from both their 2nd and 3rd year of study, and doctors in their final year of university study, being brought in to work for NHS Scotland. Some NHS Boards in order to process the onboarding of these individuals quickly only added their details to the NHS Payroll system, and did not add them to eESS the NHS HR system.
In order to accurately count staff in post statistics we take data from both systems and if individuals are not recorded on both they are excluded from our statistics. Therefore the Staff in Post numbers reported for June 2020 are likely to be an under representation.
3.6.3 Scottish Ambulance Service Mobile testing staff
Scottish Ambulance Service employed around 450 mobile testing unit staff during August and September 2020 to cope with the demand for COVID-19 testing. These staff, and any additional staff recruited to the mobile testing units over the pandemic, were employed on fixed term contracts which ended at the end of 2022.
3.6.4 Public health nursing staff
From September 2020, there was an increase in public health nursing. This was in response to the COVID-19 pandemic, as staff were brought in to help with the COVID-19 response including the vaccination programme.
3.6.5 Absence rates during COVID
From 1 September 2022, covid-related absences are recorded as sickness absence (with covid-related illness reason). Prior to this covid-related absences were treated as special leave absence. During the transition of how these data are recorded, users were allowed to update previously entered sickness absences reasons to covid-related illness. This was relevant for some boards who introduced the change in covid-related absence recording in May.
The first instance of a sickness absence recorded with a covid-related illness reason is from August 2022. This means that absences due to covid-related illness are first included in the sickness absence rates in this dashboard for the year ending 31 March 2023. More information on the number of staff who were off work due to COVID-19, including those who were self isolating and shielding can be found in the other workforce statistics on Turas Data Intelligence.
3.6.6 Reduced Agency data in March 2020
There were eight NHS Boards who were unable to supply Nursing agency spend for 2019/20 which are reported in this dashboard. Five NHS Boards retrospectively supplied data during the 2020/21 collection process. The NHS Boards who were unable to supply data were: NHS Borders, NHS Forth Valley, NHS Greater Glasgow & Clyde, NHS Lanarkshire, NHS Shetland, NHS Western Isles, NHS Education for Scotland, Healthcare Improvement Scotland.
3.6.7 Reduced Vacancy data through the pandemic
Due to the COVID-19 pandemic, reduced vacancy data was reported due to the additional demand this would place on colleagues at NHS Boards.
- As at 31 March 2020 the 13 Boards who were able to supply vacancy data were: NHS Ayrshire & Arran, NHS Borders, NHS Forth Valley, NHS Greater Glasgow & Clyde, NHS Highland, NHS Lothian, NHS Orkney, NHS Shetland, Scottish Ambulance Service, The State Hospital, NHS 24, Healthcare Improvement Scotland, and NHS Education for Scotland.
- At 30 June 2020, NHS Grampian and NHS Tayside were unable to supply vacancy data. No Region or NHS Scotland figures have been calculated. Furthermore, NHS Ayrshire & Arran and NHS Fife (for headcount) were unable to supply consultant vacancy figures.
- At 31 December 2020, NHS Grampian, NHS Dumfries & Galloway, NHS Western Isles were unable to supply vacancy data and a partial submission from NHS Greater Glasgow & Clyde (only consultants).
3.7 2020
3.7.1 Category and Name Changes
PHS Formation
Public Health Scotland is the new national public health body that launched 1 April 2020. It brings the functions of Health Protection Scotland and Information Services Division (formally within NHS National Services Scotland) together with NHS Health Scotland. As a result, the turnover will be higher in NHS National Services Scotland and NHS Health Scotland will have a turnover of 100%.
Review of Age Data
The Data Group have undertaken an assessment of the publication of granular age data in collaboration with Information Governance. In summary, we acknowledge that the age of workforce staff should be treated as a protected characteristic and is personal data in accordance with data protection law. For this reason, from the 2 June 2020 publication (31 March 2020 census date), we have removed the data available at a level below NHSScotland and staff group. A full assessment is available.
It is important that we continue to supply colleagues working in workforce planning, reporting and intelligence with the appropriate level of age information so that their work is undisrupted. Therefore, Management Information dashboards with full age data are available to authenticated individuals via TDI.
This has been communicated with our colleagues and stakeholders across NHS Boards and the Scottish Government. If you require to access the age data, please get in touch by emailing the Datagroup@nes.scot.nhs.uk.
3.7.2 Data quality
NHS Greater Glasgow & Clyde - Consultant histopathology
In December 2020, a review of medical grades and specialties by NHS Greater Glasgow and Clyde resulted in the specialties of some consultants being incorrectly re-coded. For example, consultants with a histopathology specialty have been recoded to chemical pathology. It was fixed in the March 2021 publication.
All NHS Boards - Dentists by Unknown SIMD
There is an increase in Unknown SIMD in September 2022 due to the new source of VDP data. Due to practice names being shared across multiple locations in Scotland postcodes were unable to be assigned to all practices.
3.8 2019
3.8.1 Category and Name Changes
Health Visiting band change
Following a review of the role and responsibilities for qualified band 6 health visiting, a new job description has been developed and evaluated which matched the post to a Band 7 advanced practitioner health visiting profile. As a result, a shift can be seen in the health visiting across boards within NHS Scotland with staff who meet the full requirements for the new role moving from band 6 to band 7. These changes can be seen from March 2019 onwards for all boards with the exception of NHS Fife whose changes are seen from June 2019.
3.9 2018
3.9.1 Category and Name Changes
Sterile Services
From 30 December 2018, sterile services within support services job family is re-categorised to sterile services life within healthcare sciences job family. This causes the turnover within this job family to be artificially high in the year ending 31 March 2019.
Trainee Paramedics
From September 2018, the Scottish Ambulance Service record trainee paramedics as band 5 paramedics.
Ambulance Support Service Job Family rename.
From June 2018, ambulance services have been renamed to ambulance support services.
Lead Employer Model for Doctors in Training
In July 2018, the Scottish Government announced a change in the employment model for Doctors in Training (DiT). Under the new arrangements, trainees will continue to occupy and move between training posts across all NHS Boards as part of their training, but for administrative purposes, 22 employers are being reduced to four, with trainees benefitting from having one employer for the duration of their training programme. This will apply initially to Junior Doctors, but will later include Dentists in Training. The change in employment model came into force on 1 August 2018.
Turas People was created to support implementation of the lead employer arrangements across Scotland by enabling information to be easily shared across systems and users.
Prior to the lead employer model, DiTs were recorded in SWISS by their board of placement. After implementation, they were recorded under their board of employment. To continue to report by board of placement, data from SWISS are linked to data from Turas People. The methodology of how we do this is available.
This change affects data released from December 2018 onwards in the NHSScotland Workforce official statistics publication (30 September 2018 census).
Medical and Dental Locums
Prior to September 2018, staff recorded as Locum Appointment in Training (LAT) and Locum Appointment in Service (LAS) were excluded from national workforce statistics. Following the quality assurance exercise which identified historical local recording issues with these staff, there was a broader discussion between ISD and NHS Boards on the merits of including these locum posts in national statistics.
Since NHS Boards view these locums as a key component of the medical workforce, it was agreed to change the reporting cohort so that such staff are included from 30 September 2018 onwards. This change impacts trend data for both the Doctor in Training grade (due to inclusion of staff on a LAT grade) and ‘Other’ grade (due to inclusion of staff on a LAS grade).
Agency locums are not included in these employment figures.
3.9.2 Data Quality
NHS Highland - Neonatal staff
In September 2018, some neonatal nursing staff in NHS Highland were incorrectly coded resulting in a decrease in these figures.
National Waiting Times Centre - Medical staff
For March 2018, the grades of some medical staff in National Waiting Times Centre were incorrectly recoded from other grade to doctor in training.
NHS Education for Scotland - General practice trainees
For September 2018, due to a timing difference between SWISS and Turas People, the board of placement for approximately 130 general practice doctors in training was not able to be identified. These staff were therefore recorded under their board of employment, NHS Education for Scotland.
Scottish Ambulance Service - AHP vacancies
For March 2018, the Scottish Ambulance Service could not confirm the start date of when a post became vacant for some AHP vacancies. As such, these posts have been recorded as unknown length of vacancy.
NHS Grampian - Health visiting vacancies
In March 2018, NHS Grampian show a sharp increase in health visiting vacancies (vacant for 3 months or more) due to a shift in recruitment approach that wasn’t immediately captured by local reporting mechanism.
3.10 2017
3.10.1 Category and Name Changes
New GMC specialties
Two new specialties were added: tropical medicine (in March 2017) and forensic histopathology (in December 2017).
Review of Ambulance technician and paramedic roles
In early 2017, an exercise was undertaken by Scottish Ambulance Service, in conjunction with staff side partners, to review and update the job descriptions of both the technician and paramedic roles. This was in recognition of the changing nature of these roles as they work towards the strategy of Taking Care to the Patient. This exercise, including the job evaluation process, was completed in August 2017 and as a result the banding of each role has changed. Technicians are now band 5 and paramedics are now Band 6 and this change was effective from 31 December 2016.
3.10.2 Data Quality
NHS Lothian - General practice staff
For December 2017, a data quality exercise by NHS Lothian resulted in some general practice staff being re-coded from other grade to consultant. These staff are GP appraisers who were wrongly coded to the salaried GP grade (which is within the other grade). They are on very low WTE.
NHS Education for Scotland - Dental Staff
Between March 2017 and September 2017 (inclusive), NHS Education for Scotland figures for dental staff other grades were inaccurately reported due to a recording issue.
NHS Greater Glasgow & Clyde - Paediatric consultants
For March 2017, the figure for consultants in paediatrics specialties as under reported due to a local system issue at NHS Greater Glasgow & Clyde.
For December 2016, according to local systems, NHS Forth Valley report that FY1 = 45.0 WTE and FY2 = 30.5 WTE and NHS Tayside report that FY1 = 96.0 WTE and FY2 = 89.5 WTE.
3.11 2016
3.11.1 Category and Name Changes
New GMC specialties
New specialties added include: acute internal medicine (in March 2016), vascular surgery (in March 2016) and community and sexual reproductive health (in March 2016), diagnostic neuropathology (in December 2016), tropical medicine (in March 2017) and forensic histopathology (in December 2017).
Family planning and other nursing renaming
In March 2016, family planning nursing was renamed sexual and reproductive health nursing, and other nursing was renamed specialist nursing.
3.11.2 Data Quality
NHS Education for Scotland - Nursing and AHP staff
A recoding exercise took place in June 2016 to better reflect the work carried out by NHS Education for Scotland’s nursing, midwifery and allied health professional staff. This has resulted in an increase in these areas.
National Waiting times centre - Clinical fellows
Prior to June 2016, National Waiting Times Centre had recorded clinical fellows as doctor in training, these staff had been correctly recorded into other until December 2017.
NHS Grampian - Medical and dental staff
As from the 1st April 2016 NHS Grampian’s medical and dental figures include medical leadership and support roles such as GP appraisers, GP sub committee members, clinical leads, medical director, most of these have a low WTE.
NHS Tayside - Fixed term secondments
For 31 March 2016 data it has been identified that there is a coding issue which has excluded a small number of staff (approximately 200 wte) on fixed term secondments within NHS Boards. This has resulted in a small decrease in reported staff numbers. The biggest impact is on NHS Tayside figures which show a decrease of 179.6 wte.
3.12 2015
3.12.1 Category and Name Changes
Community Nursing Review
From March 2015 the community review of nursing sub job families was finalised. The following sub job families were added/changed definition: community children’s nursing, district nursing, sexual and reproductive health nursing, health visiting, specialist nursing, practice nursing, public health nursing, school nursing, training and administration and treatment room nursing. Data prior to March 2015 are not be comparable to data after March 2015 at this level. Data for vacancies for nursing and midwifery sub-job families are only available from March 2015.
3.12.2 Data Quality
NHS Lothian - Operating Department Practitioners
From December 2015, NHS Lothian saw an increase in medical and dental support due to the correction of operating department practitioners who were previously coded as nurses.
3.13 2014
3.13.1 Category and Name Changes
New Sub Job Families
From June 2014, care at home and residential / day care sub job families were introduced to capture staff who have transferred from local authority to NHS employment. These numbers will change over time as more staff are assimilated to Agenda for Change.
Formation of the Public Dental Service
From 1st January 2014, General Dental service includes non-salaried GDS dentists only.
The Public Dental Service (PDS) category was introduced in January 2014 and brings together the previously separate salaried and community dentists. NHS Education for Scotland figures for hospital dentists were inaccurately reported for March and September 2017 due to a recording issue which has now been resolved.
From March 2014 the dentists per population data is for all primary care dentists, which combines the general dental service and the public dental service. The Scottish Index of multiple deprivation (SIMD) is based on location of dental practice. A dentist can be recorded once and against one location only for each contract they hold when they may work across multiple locations.
3.13.2 Data Quality
NHS 24 - job family restructure
NHS 24 have undergone a restructure and have reassigned staff to the correct job families. Changes can be seen from December 2014 onwards.
NHS 24 - Management Grades
For December 2013, March 2014 and June 2014, there was a coding issue for sub job family management grades (non AfC) for NHS 24. This has been resolved for September 2014 data.
NHS Greater Glasgow & Clyde - Portering services staff
In December 2014, NHS Greater Glasgow & Clyde identified an error in the recording of some portering services staff. These staff are now recorded under the general services sub job family (instead of hotel services).
3.14 2013
3.14.1 Category and Name Changes
New dental support sub job families
New dental care practitioner sub job families (clinical dental technician, dental hygienist, dental hygienist-therapist, dental therapist, orthodontic therapist) have been introduced from December 2013. The new sub job families were introduced in December 2013, but data are shown from September 2014 as all boards have moved the relevant staff onto these.
However, some staff had been moved onto these sub job families between December 2013 and June 2014 resulting in the total not being the sum of the breakdown shown.
Paramedics moved to AHP Job Family
From the 1st April 2013, paramedics have been reclassified from ambulance services staff to allied health professions. Within the turnover tab, paramedics are shown as leavers from ambulances services in 2013/14 and joiners to allied health professionals in 2014/15.