GP retention in the UK: a worsening crisis. Findings from a cross-sectional survey

BMJ Open
Katherine OwenJeremy Dale

Abstract

To investigate how recent national policy-led workforce interventions are affecting intentions to remain working as a general practitioner (GP). Online questionnaire survey with qualitative and quantitative questions. All GPs (1697) in Wessex region, an area in England for which previous GP career intention data from 2014 is available. 929 (54.7%) participated. 59.4% reported that morale had reduced over the past two years, and 48.5% said they had brought forward their plans to leave general practice. Intention to leave/retire in the next 2 years increased from 13% in the 2014 survey to 18% in October/November 2017 (p=0.02), while intention to continue working for at least the next 5 years dropped from 63.9% to 48.5% (p<0.0001). Age, length of service and lower job satisfaction were associated with intention to leave. Work intensity and amount were the most common reasons given for intention to leave sooner than previously planned; 51.0% participants reported working more hours than 2 years previously, predominantly due to increased workload.GPs suggested increased funding, more GPs, better education of the public and expanding non-clinical and support staff as interventions to improve GP retention.National initiatives that ali...Continue Reading

References

May 16, 1992·BMJ : British Medical Journal·P Hjortdahl, E Laerum
Apr 29, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Vari M DrennanSimon de Lusignan
Jan 8, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Natasha DoranMichael Harris
Feb 19, 2016·BMJ : British Medical Journal·Martin Roland, Sam Everington
Apr 10, 2016·Lancet·F D Richard HobbsUNKNOWN National Institute for Health Research School for Primary Care Research
Jan 18, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Caroline Hd CroxsonFd Richard Hobbs
Mar 16, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Catherine Marchand, Stephen Peckham
Oct 11, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ben JacksonSusie Schofield
Nov 8, 2017·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Jon BanksJeremy Horwood
Jan 27, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Pauline NelsonDamian Hodgson

❮ Previous
Next ❯

Citations

Mar 2, 2019·BMJ : British Medical Journal·Gareth Iacobucci
Feb 12, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sharon SpoonerMatt Sutton
Feb 19, 2020·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Jacqueline A Tavabie, Paul White
Mar 18, 2020·Medical Education·Jennifer ClelandDiane Skåtun
Aug 31, 2020·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Kevork Hopayian, James Sherifi
Jul 29, 2020·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Hajira Dambha-MillerJenni Burt
Mar 24, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sarah L Lay-FlurrieRichard J McManus
Mar 11, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Lynsey Warwick-GilesKath Checkland
Jan 28, 2022·BMC Medical Education·Andrew O'ReganSarah Hyde

❮ Previous
Next ❯

Software Mentioned

Survey Monkey
Brexit
NVivo

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.