It helps to have competition when recruiting. Unfortunately, competition in specialities is for cities, and centres of excellence where there is a team, research opportunity, and support. In GP world there is much less competition than there was, and locum GPs are raking it in. The majority of doctors in training come from cities and are women. These are the last people to choose to work independently, either as a consultant , or as a GP. A disaster is coming, as retirements planned outnumber new entrants, and these are not enough.
GP recruitment in Wales has improved from an all time low last year, and this year virtually all 130 places are filled. Unfortunately we need 200 per annum to maintain standards.. Now why, especially now that all foreign workers are being discouraged, did we reject 9 out of 11 applicants to medical school for so many years? And this was against the advice of the profession.. It will be interesting to see if, in an undercapacity market, whether £20,000 inducement (for some areas) and £2000 for exams will do the trick. GPs in Wales have no obligation to do late evenings and weekends, and housing is cheap. But education of their children is a high priority for doctors, and a recent article in the Economist put Wales at the bottom of the EU and the UK, and on the steepest downward slope.
How about grants for private education similar to those for the armed forces when they are posted to a “hardship” country? How about restricting movement once the GPs have qualified? To date they have been able to leave Wales but now we have Brexit and a partial rejection of the European Bill of Human rights, we might be allowed to address freedom of movement.
General practice is facing increasing and unprecedented pressures, with a significant gap between the demand placed upon it and its capacity. General Practice is forced to try and cope with inadequate resources, an unsustainable workload and a workforce under considerable strain across the whole of Wales.
Our urgent prescription for general practice in Wales shines a light on these issues and provides solutions to address these challenges.
The benefits of GP training in Wales | GPonline 22nd Feb 2017
The struggle to improve the worst education system in … – The Economist
General practice in Wales – frequently asked questions