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Updated: Jul 4, 2025

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Gender, flexibility and workforce in the NHS: A qualitative study.

Choon Key Chekar1, Liz Brewster1, Michael Lambert1

  • 1Lancaster Medical School, Lancaster University, Lancaster, UK.

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The growing number of female doctors in the UK faces systemic barriers in medical training and career progression. Addressing these structural issues is crucial for workforce equity and patient access to healthcare.

Keywords:
NHSdiversity and inclusionequalitygenderhealth workforcemedical careers

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Area of Science:

  • Medical Workforce Studies
  • Sociology of Health
  • Health Equity Research

Background:

  • The UK medical workforce is experiencing a gender shift with a faster growth rate in female doctors.
  • Existing medical training models and workforce policies may not adequately support equity and inclusivity.
  • Women remain underrepresented in certain specialties (e.g., surgery) and leadership roles.

Purpose of the Study:

  • To critically examine the impact of the increasing number of female doctors on the UK medical workforce.
  • To identify structural factors in medical training and career pathways that perpetuate gender-based underrepresentation.
  • To understand how workforce policies affect doctors' career continuity and willingness to work in underserved areas.

Main Methods:

  • Cross-disciplinary theoretical approach integrating historical, spatiotemporal, and sociological insights.
  • Analysis of data from the 'Mapping underdoctored areas' research project.
  • Qualitative exploration through 50 interviews with doctors in NHS areas facing recruitment and retention challenges.

Main Results:

  • Medical training pathways inadvertently shape doctors' geographical distribution and career progression.
  • Structural factors reinforce underrepresentation of women in specific specialties and senior positions.
  • Doctors' career biographies reveal adaptations to personal and professional disruptions within the NHS.

Conclusions:

  • Current medical education and training systems require reform to enhance equity and inclusivity.
  • Understanding gendered career pathways is essential for improving NHS workforce distribution.
  • Systemic changes are needed to ensure timely and equitable patient access to healthcare services.