Looking to the future: general practice through the eyes of GP trainees

Quotes from trainees surveyed by The King’s Fund over the future of General practice.

‘Patient complexity, demand and not enough time means that the workload is not sustainable.’

Graduation Day...

Graduation Day…

‘Time pressure and workload has made it impossible to be a full-time GP for a protracted period of time without incurring costs to one’s own health and wellbeing. To prevent burn out, I intend to spread my work across different areas to gain more job satisfaction and better work/life balance. This is driving GPs away from full-time clinical work or partnerships, as they attempt to protect themselves and their careers from destruction.’

‘There is not enough time with patients. I worry about missing a diagnosis.’

‘Work related stress/illness is an issue. It’s a tough job. Resilience is fashionable, but the greater question needs to be asked; is there unsustainable expectation of the current workforce?’

Link below to full article at The King’s Fund

Looking to the future: general practice through the eyes of GP trainees

There is undoubtedly a workforce crisis in primary care – practices are struggling to recruit and retain experienced GPs and insufficient numbers are entering training.

NHS England’s recently published General practice forward view re-states a number of measures aiming to provide an extra 5,000 GPs by 2020, including initiatives to boost training numbers through a major recruitment campaign, enhanced training opportunities and targeted bursaries to train in areas with the worst GP shortages. But will these measures be enough?

As part of our recent report Understanding pressures in general practice we conducted a survey of GP trainees, exploring their intended future working patterns along with their views on the pressures facing general practice. We received responses from 318 trainees, and the key findings are:

  • A minority of respondents intend to work full-time in general practice.
  • A greater proportion intend to do part-time work, particularly at earlier career stages.
  • Many respondents intend to have ‘portfolio careers’ (defined as ‘part of the working week spent on clinical work in general practice and the rest of their time spent on other work’ which may amount to full-time working hours) – particularly at later career stages.
  • The most commonly cited reason for not wishing to pursue full-time clinical work in general practice is ‘intensity of the working day’ for both male and female trainees.
  • Many respondents do not intend to take on partnerships.
  • Medical education or other clinical NHS work are favoured options for additional work alongside general practice.
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