NHS England and Capita criticised over handling of PCSE contract

NHS England and Capita criticised over handling of PCSE contract

May 21 2018  NHS England and Capita’s handling of primary care support services has...

Northern Ireland sets out details of £15m additional funding for primary care

Northern Ireland sets out details of £15m additional funding for primary care

May 15 2018 Northern Ireland is committing £15 million for enhancing primary care services...

New tax year changes to pension costs and lost reliefs will affect employers and locums

New tax year changes to pension costs and lost reliefs will affect employers and locums

April 13 2018 Changes to the minimum employer contribution to pensions and a delay in National...

BMA resource advises on how to chase up 'burdensome' late practice payments from PCSE

BMA resource advises on how to chase up 'burdensome' late practice payments from PCSE

March 9 2018 The British Medical Association has issued guidance on how to write formally to...

  • NHS England and Capita criticised over handling of PCSE contract

    NHS England and Capita criticised over handling of PCSE contract

    Monday, 21 May 2018 09:27
  • Northern Ireland sets out details of £15m additional funding for primary care

    Northern Ireland sets out details of £15m additional funding for primary care

    Tuesday, 15 May 2018 12:01
  • New tax year changes to pension costs and lost reliefs will affect employers and locums

    New tax year changes to pension costs and lost reliefs will affect employers and locums

    Friday, 13 April 2018 15:02
  • BMA resource advises on how to chase up 'burdensome' late practice payments from PCSE

    BMA resource advises on how to chase up 'burdensome' late practice payments from PCSE

    Friday, 09 March 2018 16:23

a stethoscope image cbFebruary 6 2018

A range of issues have been identified as influencing GPs’ thoughts about whether to stay in practice having direct patient care.


The University of Exeter study interviewed GPs about their concerns but also asked about what might make them stay in practice, or return to practice in some cases. The study followed on from a recent survey of all GPs in South West England. This had revealed that 37% of GPs reported a high likelihood of quitting direct patient care within five years. In addition, 70% of GPs had reported a career intention that, if implemented, would negatively impact GP workforce capacity and availability.

This latest study involved in depth interviews with 41 GPs as well as 19 other stakeholders. Three core themes were identified in GPs’ thoughts about staying in practice:

  • a sense that general practice based primary care was under-valued within the healthcare system;
  • concerns regarding professional risk encountered in delivering care in an increasingly complex health environment;
  • considerations about leaving or remaining in direct patient care and the options and choices that GPs felt were available to them.

Professor John Campbell, who led the study and is a practising GP, said: “Our new research is a significant study of what is driving the exodus of GPs from direct patient care. Policy makers need to take this onboard and address these issues to retain GPs and encourage medical students to take up a career in general practice.

“Despite recent government plans to address the problem, numbers are continuing to fall. If we do not act now, many areas will face a severe shortfall in the number of GPs providing care for patients their area … we now need sustained, strategic, and stable planning of health services – not a series of short-term ‘fixes’ which only destabilise clinical care further. Innovation is essential, but needs to be based on firm evidence.”

Professor Helen Stokes-Lampard, RCGP Chair, said the research “hammers home why the College’s calls for thousands more GPs must be heard and acted upon.

“GP workload has increased by at least 16% over the last seven years – and become far more complex – but the share of the overall NHS budget that general practice receives is less that it was a decade ago, and our workforce has not risen at pace.”

Calling for NHs England’s pledge of 5,000 more GPs to be in place by 2020, Prof Stokes-Lampard warned that there was a risk of numbers falling short. “The latest workforce figures actually showed a concerning drop of more than 600 full-time equivalent family doctors between March-September last year,” she said.

“Ultimately, it’s our patients who suffer when we lose GPs, and this study not only highlights the need to recruit more doctors into general practice for the future, but to also take measures to retain existing and experienced doctors working in NHS general practice.”

Links:
University of Exeter announcement      
A Sansom et al. ‘Why do GPs leave direct patient care and what might help to retain them? A qualitative study of GPs in South West England’. BMJ Open 2018; 8: e019849.        
RCGP comment            

Management News

May 22 2018 ‘Scratch Beneath the Surface’, a new UK public health initiative intended to improve people’s understanding of atopic dermatitis, has been launched online.
May 18 2018 New guidance to support the integration of community pharmacy services into primary care homes (PCHs) has been published.  The National Association of Primary Care’s report looks at ways...