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Staff Engagement, Job Complementarity and Labour Supply: Evidence from the English NHS Hospital Workforce

Author

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  • Moscelli, Giuseppe

    (University of Surrey)

  • Sayli, Melisa

    (University of Surrey)

  • Mello, Marco

    (University of Aberdeen)

Abstract

We investigate the relationship among staff engagement, job complementarities and labour supply in the hospital sector, where excessive turnover of the clinical staff (doctors and nurses) can be detrimental for quality of care. We exploit a unique and rich panel dataset constructed by combining employee-level payroll and survey records from the universe of English NHS hospitals. System-GMM estimates remove the endogeneity bias due to reverse causality, revealing nurses' elasticities of retention with respect to engagement of 0.1 and 0.85, and doctors' elasticities of retention with respect to nurses' retention of 0.16 and 0.2, respectively within the hospital and the NHS. Estimates of unconditional quantile regressions confirm these findings, with nurses' engagement-elasticities as large as 1.4 for providers with low retention. Higher engagement is also beneficial to reduce staff absences. Our work is informative on the role played by staff engagement and labour supply complementarities in the workforce planning and management of large organizations.

Suggested Citation

  • Moscelli, Giuseppe & Sayli, Melisa & Mello, Marco, 2022. "Staff Engagement, Job Complementarity and Labour Supply: Evidence from the English NHS Hospital Workforce," IZA Discussion Papers 15126, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp15126
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    Cited by:

    1. Costi, Chiara & Clark, Andrew E. & Lepinteur, Anthony & D'Ambrosio, Conchita, 2023. "Healthcare Workers and Life Satisfaction during the Pandemic," IZA Discussion Papers 16680, Institute of Labor Economics (IZA).
    2. Sayli, Melisa & Moscelli, Giuseppe & Blanden, Jo & Bojke, Chris & Mello, Marco, 2022. "Do Non-monetary Interventions Improve Staff Retention? Evidence from English NHS Hospitals," IZA Discussion Papers 15480, Institute of Labor Economics (IZA).

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    More about this item

    Keywords

    healthcare organization; job complementarities; staff engagement; workforce retention; labour supply; endogeneity;
    All these keywords.

    JEL classification:

    • C33 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Models with Panel Data; Spatio-temporal Models
    • C36 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Instrumental Variables (IV) Estimation
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • J28 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Safety; Job Satisfaction; Related Public Policy
    • J63 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Turnover; Vacancies; Layoffs

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