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"Lost to the NHS" - Why GPs leave practice early: a mixed methods study

Doran, Natasha and Fox, Fiona and RODHAM, Karen and Taylor, Gordon and Harris, Michael "Lost to the NHS" - Why GPs leave practice early: a mixed methods study. British Journal of General Practice (BJGP). ISSN 0960-1643 (In Press)

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Abstract or description

Background
The early loss of GPs is contributing to the GP workforce crisis. Recruitment in the United Kingdom remains below the numbers needed to support demand for GP care.
Aim
To explore the reasons why GPs leave practice early
Design and Setting
A mixed methods study using online survey data triangulated with qualitative interviews.
Method
Participants were GPs who had left the English Medical Performers List in the last five years (2009 -2014), whilst under 50 years of age. 143 early GP leavers participated in an online survey, of which 21 took part in a recorded telephone interview. Survey data were analysed using descriptive statistics, and qualitative data using thematic analysis techniques.
Results
Reasons for leaving were cumulative and multifactorial. Organisational changes to the National Health Service have led to an increase in administrative tasks and overall workload, which is perceived by GP participants to have fundamentally changed the doctor-patient relationship. Lack of time with patients has compromised the ability to practise more patient-centred care, and with it, GPs’ sense of professional autonomy and values, resulting in diminished job satisfaction. Once their job satisfaction had become negatively impacted, the combined pressures of increased patient demand and the negative media portrayal left many feeling unsupported and vulnerable to burnout and ill health, and ultimately, the decision to leave general practice.
Conclusion
To improve retention of young GPs, the pace of administrative change needs to be minimised and the time spent by GPs on work that is not face-to-face patient care reduced.

Item Type: Article
Subjects: A300 Clinical Medicine
C800 Psychology
Faculty: Previous Faculty of Health Sciences > Psychology, Sport and Exercise
Depositing User: Karen RODHAM
Date Deposited: 01 Oct 2015 09:07
Last Modified: 18 Mar 2016 11:31
URI: http://eprints.staffs.ac.uk/id/eprint/2163

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