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GPs' perceptions of workload in England: a qualitative interview study.

Caroline Hd Croxson1, Helen F Ashdown1, Fd Richard Hobbs1

  • 1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|January 18, 2017
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Summary

General practitioners (GPs) face unmanageable workloads, impacting morale and job satisfaction. Addressing increased patient needs, bureaucracy, and workforce issues is crucial for sustaining general practice.

Keywords:
general practicegeneral practitionerspatient expectationspatients’ needsprimary health carequalitative researchworkload

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Area of Science:

  • General Practice
  • Healthcare Workforce Studies
  • Qualitative Research

Background:

  • General practitioners (GPs) experience low morale and job satisfaction, contributing to a diminishing workforce.
  • High workload is a significant factor negatively impacting career commitment in general practice.
  • Many GPs perceive their workload as unmanageable, affecting well-being and patient care.

Purpose of the Study:

  • To gain an in-depth understanding of General Practitioners' perceptions and attitudes towards their workload.
  • To explore the factors contributing to the increasing workload in general practice.
  • To identify the impact of workload on GPs' well-being and career decisions.

Main Methods:

  • Qualitative study involving semi-structured interviews with General Practitioners (GPs) in NHS England.
  • A maximum-variation sample of 34 GPs was selected from 171 respondents until data saturation.
  • Thematic analysis was used to analyze the qualitative data.

Main Results:

  • GPs reported a significant increase in workload, characterized by long and intense working days.
  • Key themes contributing to increased workload include rising patient needs, evolving primary-secondary care relationships, bureaucracy, and internal practice dynamics.
  • Workload pressures were perceived as unsustainable, impacting the possibility of full-time partnership and eroding continuity of care.

Conclusions:

  • Urgent need to address underinvestment and capacity issues in general practice.
  • Managing patient expectations and reducing bureaucratic burdens are critical in the short term.
  • Improving clinical capacity is essential for the long-term sustainability of general practice.