Skip to main content

GeraClinic / NHS Staff Vacancy Index

The Gera NHS Staff Vacancy Index

One number for how bad the NHS staff shortage is. The Gera NHS Staff Vacancy Index is a 0–100 score over the real NHS Vacancy Statistics, England release, where a higher score means a more severe shortage (more funded posts left unfilled). For 30 September 2025 it stands at 67 / 100 for the whole workforce — 100,023 vacancies, a 6.7% vacancy rate.

Reference period: 30 September 2025· published 27 November 2025 · updated quarterly · Open Government Licence v3.0 · England · funded posts unfilled by permanent/fixed-term staff

How bad is the NHS staff shortage right now?

As of 30 September 2025, the Gera NHS Staff Vacancy Index stands at 67 / 100 for the whole NHS England workforce — 100,023 funded posts (6.7%) were unfilled, down from 109,919 (7.4%) a year earlier. Nursing is the worst clinical shortage. Gera recomputes the index on each quarterly NHS release.

Source:Gera NHS Staff Vacancy Index — derived from NHS Vacancy Statistics open data·as of 30 September 2025updated quarterly (last: )
Gera NHS Staff Vacancy Index67 / 100Whole NHS workforce, Sept 2025 — severe shortage (higher = more severe)How this index is calculated

The index places the official NHS vacancy rate on a common 0–100 severity scale against a 10% reference ceiling (a 10% vacancy rate — one funded post in ten unfilled — scores 100). Every figure is the real published NHS number; only the scaling is Gera’s, and it is set out in full in the methodology.

Index (workforce)

67 / 100

severe shortage

Vacancies (FTE)

100,023

6.7% of posts

A year earlier

109,919

7.4% — shortage easing

Highest region

London

7.7%

NHS staff shortage by staff group

The Gera NHS Staff Vacancy Index for each staff group the NHS release quantifies, most severe first. In 30 September 2025, Registered Nursing has the most severe shortage at 60 / 100 (6.0% vacancy rate, 25,504 FTE) and Medical the least severe at 44 / 100 (4.4%). Every group’s vacancy rate fell over the year.

Gera NHS Staff Vacancy Index by staff group, England (30 September 2025)
Staff groupVacancy IndexVacancy rateVacancies (FTE)Change vs 2024
1. Registered Nursing60 / 1006.0%25,504−1.5 pts YoY
2. Medical44 / 1004.4%7,248−0.5 pts YoY

How the index is built (methodology) →

Allied Health Professionals (AHPs)

Allied Health Professionals (for example physiotherapists, radiographers and occupational therapists) are counted by the NHS within the broader "Scientific, therapeutic and technical" staff group, which the headline NHS Vacancy Statistics release does not report as a single summary figure. Rather than estimate a number, this index links AHPs to the HCPC registration pathway and points to the full NHS tables for that cut.

UK HCPC registration for allied health professionals →

The NHS shortage → recruitment pathway briefing

Each NHS shortage maps to a specific UK registration pathway. The headline numbers are above; the completion briefing below links every reported shortage to the exact pathway, the regulator and the practical next step for internationally-educated professionals who independently choose to work in the UK.

As of 30 September 2025, NHS England had 100,023 unfilled posts (6.7%); nursing is the largest clinical shortage.

67 / 100Gera NHS Staff Vacancy Index, whole workforce (Sept 2025)
Registered Nursing
60 / 100 · 6.0% · 25,504 FTE
Medical
44 / 100 · 4.4% · 7,248 FTE

+ 2 more not shown here. As of Sept 2025. Source: NHS Vacancy Statistics, England (Sept 2025).

Get the shortage → pathway briefing

Enter your email and we send the staff-group shortage figures mapped to each UK registration pathway (NMC, GMC, HCPC, GPhC), with pay-band context. Free pathway information — not recruitment. Unsubscribe anytime.

Gera NHS Staff Vacancy Index: FAQs

What is the Gera NHS Staff Vacancy Index?
The Gera NHS Staff Vacancy Index (GNSVI) is a single 0–100 score that summarises how severe the NHS England staffing shortage is for a staff group. Higher means a more severe shortage (a larger share of funded posts unfilled). For 30 September 2025 the whole-workforce index is 67 / 100 — 6.7% of funded posts were vacant (100,023 FTE). It is computed transparently from the real NHS vacancy rate; the full formula is on the methodology page.
How is the index calculated?
It places the official NHS vacancy rate on a common 0–100 severity scale: GNSVI = the vacancy rate divided by a 10% reference ceiling, times 100, capped at 100 and rounded to one decimal place. A 10% vacancy rate — roughly one funded post in ten unfilled — scores 100 (most severe). Every input is the real published NHS figure; only the scaling is Gera's, and the 10% ceiling is fully disclosed. So a 6.7% whole-workforce rate scores 67, 6.0% nursing scores 60, 4.4% medical scores 44.
How bad is the NHS staff shortage right now?
As of 30 September 2025, NHS England had 100,023 vacancies (FTE) — a 6.7% vacancy rate, giving a Gera NHS Staff Vacancy Index of 67 / 100 (severe shortage). That is down from 109,919 vacancies (7.4%) a year earlier, so the shortage eased over the year but remains substantial.
Which NHS staff group has the worst shortage?
Of the reported groups, Registered Nursing scores highest on the Gera NHS Staff Vacancy Index at 60 / 100 (6.0% vacancy rate, 25,504 FTE), while Medical scores 44 / 100 (4.4%). Nursing is the largest clinical shortage by headcount at 25,504 vacancies; medical vacancies stand at 7,248.
What about allied health professional (AHP) vacancies?
Allied Health Professionals (for example physiotherapists, radiographers and occupational therapists) are counted by the NHS within the broader "Scientific, therapeutic and technical" staff group, which the headline NHS Vacancy Statistics release does not report as a single summary figure. Rather than estimate a number, this index links AHPs to the HCPC registration pathway and points to the full NHS tables for that cut.
Which region has the highest NHS vacancy rate?
The NHS Vacancy Statistics release reports that London had the highest overall NHS vacancy rate at 7.7% at the reference date, against a national 6.7%. The full per-region and per-staff-group breakdown is published in the NHS data tables linked as the source; this index does not restate figures it cannot cite exactly.
Is a higher score good or bad?
Higher is worse. A higher Gera NHS Staff Vacancy Index means a more severe shortage — a larger share of funded NHS posts left unfilled. A score of 100 would mean a 10% vacancy rate (one funded post in ten unfilled). Lower scores mean fewer unfilled posts relative to the funded workforce.
How often is the index updated?
NHS England publishes vacancy statistics quarterly, roughly two months after the reference date. Gera recomputes the index on each release. The figures on this page are for 30 September 2025 (published 27 November 2025) and were last recomputed on 2 July 2026.
What does the index NOT show?
It covers NHS England only and measures the gap between funded posts and permanent or fixed-term staff in post — a post counted as vacant may already be covered by temporary bank or agency workers, so this is a workforce gap, not a complete measure of the staffing shortfall. It is not provider- or hospital-level, and the source calls it Experimental Statistics. It is not recruitment advice for any individual.
How does this connect to working in the NHS from overseas?
Each shortage maps to a real UK registration pathway. Nursing vacancies map to the NMC Test of Competence route; medical vacancies to the GMC / PLAB route; allied health roles to HCPC registration; pharmacy to GPhC. GeraClinic publishes free, honest information on each pathway. This is pathway information for people who independently choose to migrate — it is not recruitment, and Gera does not actively recruit from countries on the WHO health-workforce safeguard list.

Understand the NHS from the demand side

With a whole-workforce index of 67 / 100 and 100,023 unfilled posts, the NHS shortage maps directly to registration pathways. If you trained overseas and are considering the UK, start with the honest, free pathway guides.

Recruitment pathways (by shortage)

Related NHS data

Source

The Gera NHS Staff Vacancy Index is computed only from the real NHS Vacancy Statistics release below — every figure on this page traces back to it. The index (the 0–100 scaling) is the Gera contribution and is fully specified on the methodology page; no value is invented, and staff-group cuts the NHS does not publish are not estimated.

Contains public sector information published by Gera Systems and licensed under the Open Government Licence v3.0 (source data). Source: Gera NHS Staff Vacancy Index — derived from NHS Vacancy Statistics open data (30 September 2025, published 2 July 2026).

Contains public sector information published by NHS England and licensed under the Open Government Licence v3.0. Underlying data: NHS Vacancy Statistics, England, April 2015 – September 2025, Experimental Statistics (NHS England, published 27 November 2025).

GeraClinic is a private telemedicine service and is not part of, or affiliated with, the NHS. Pathway information is provided for individuals who independently choose to migrate; Gera does not actively recruit from countries on the WHO Health Workforce Support and Safeguards List.