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Retaining the general practitioner workforce in England : what matters to GPs? A cross-sectional study

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Dale, Jeremy, Potter, Rachel, Owen, Katherine, Parsons, Nicholas R., Realpe, Alba and Leach, Jonathan (2015) Retaining the general practitioner workforce in England : what matters to GPs? A cross-sectional study. BMC Family Practice, 16 (1). pp. 1-11. 140. doi:10.1186/s12875-015-0363-1

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Official URL: http://dx.doi.org/10.1186/s12875-015-0363-1

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Abstract

Background:
The general practice (GP) workforce in England is in crisis, reflected in increasing rates of early retirement and intentions to reduce hours of working. This study aimed to investigate underlying factors and how these might be mitigated.

Methods:
GPs in central England were invited to participate in an on-line survey exploring career plans and views and experiences of work-related pressures. Quantitative data were analysed using logistic regression analysis and principal components analysis. Qualitative data were analysed using a thematic framework approach.

Results:
Of 1,192 GPs who participated, 978 (82.0 %) stated that they intend to leave general practice, take a career break and/or reduce clinical hours of work within the next five years. This included 488 (41.9 %) who intend to leave practice, and almost a quarter (279; 23.2 %) intending to take a career break. Only 67 (5.6 %) planned to increase their hours of clinical work.

For participants planning to leave practice, the issues that most influenced intentions were volume and intensity of workload, time spent on “unimportant tasks”, introduction of seven-day working and lack of job satisfaction.

Four hundred fifty five participants responded to open questions (39128 words in total). The main themes were the cumulative impact of work-related pressures, the changing and growing nature of the workload, and the consequent stress.

Reducing workload intensity, workload volume, administrative activities, with increased time for patient care, no out-of-hour commitments, more flexible working conditions and greater clinical autonomy were identified as the most important requirements to address the workforce crisis. In addition, incentive payments, increased pay and protected time for education and training were also rated as important.

Conclusions:
New models of professionalism and organisational arrangements may be needed to address the issues described here. Without urgent action, the GP workforce crisis in England seems set to worsen.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Physicians (General practice) -- Great Britain
Journal or Publication Title: BMC Family Practice
Publisher: BioMed Central Ltd.
ISSN: 1471-2296
Official Date: 16 October 2015
Dates:
DateEvent
16 October 2015Published
8 October 2015Accepted
30 June 2015Submitted
Volume: 16
Number: 1
Number of Pages: 11
Page Range: pp. 1-11
Article Number: 140
DOI: 10.1186/s12875-015-0363-1
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
Funder: Health Education West Midlands, Royal College of General Practitioners (RCGP)

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