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

BMC Family Practice

Research Article

Jonathan Leach¹  Rachel Potter²  Jeremy Dale²  Nicholas Parsons²  Alba Realpe²  Katherine Owen² 

[1] Davenal House Surgery, B61 0DD, Bromsgrove, Worcestershire, UK;Warwick Medical School, CV4 7AL, Coventry, UK;

关键词: National Health Service;    Personal Development;    Estimate Odds Ratio;    Career Break;    Individual Motivator;   

DOI  :  10.1186/s12875-015-0363-1

 received in 2015-06-30, accepted in 2015-10-08,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsGPs 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.ResultsOf 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.ConclusionsNew 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.

【 授权许可】

CC BY   
© Dale et al. 2015