Numbers of nurses working in the NHS fell again in June, according to the latest workforce statistics.
Data released by the NHS Information Centre shows there were 632 fewer full-time equivalent qualified nurses employed during June, in comparison to May this year.
Annually the number of qualified nurses working in the sector is down by 1,860 full-time equivalent posts, a fall of 0.6 per cent.
Numbers of midwives increased by 438, health visitors by 298 and school nurses by 22 in comparison with June 2011.
The number of doctors, excluding locums, was up 1,817, or 1.9 per cent, over the year.
Overall 8,457 fewer people are working in the NHS than there was a year ago.
Since the coalition government came to power in April 2010 the total number of full-time equivalent qualified nursing, midwifery and health visiting staff has fallen by 4,527.
The number of senior managers in the NHS has dropped by 10 posts in June, while the number of less-senior managers was down by 31 over the same period.
In the past year, the number of senior managers in the NHS has dropped by 505 posts, a fall of 4.5 per cent while the number of less-senior managers has reduced by 928 posts, or 3.6 per cent.