Factors influencing decision to leave general practice | Factors that might retain GPs in practice | ||||
---|---|---|---|---|---|
(1 = not important to 5 = very important) | (1 = not important to 5 = very important) | ||||
Workplace influences | |||||
mean | sd | mean | sd | ||
Volume of workload | 4.5 | 0.92 | Reduced intensity of workload | 4.5 | 0.91 |
Intensity of workload | 4.6 | 0.86 | Reduced volume of workload | 4.4 | 0.91 |
Too much time spent on unimportant tasks | 4.4 | 0.97 | Less administration | 4.3 | 1.0 |
Introduction of 7 day a week working | 4.2 | 1.2 | Longer appointment times | 4.2 | 1.1 |
Reduced job satisfaction | 4.2 | 1.1 | No out of hours commitments | 3.9 | 1.5 |
Lack of time for patient contact | 4.1 | 1.0 | More flexible working conditions | 3.5 | 1.4 |
Poor flexibility of hours | 3.0 | 1.3 | Greater clinical autonomy | 3.3 | 1.4 |
Revalidation | 2.6 | 1.4 | Improved skill-mix in the practice | 3.0 | 1.9 |
Shorter practice opening times | 2.9 | 1.4 | |||
Option to work term time only | 1.8 | 1.3 | |||
Individual motivators | |||||
Changes to pension taxation | 3.3 | 1.5 | Incentive payment | 3.7 | 1.4 |
Age | 3.2 | 1.4 | Protected time for education and training | 3.6 | 1.3 |
Family commitments | 2.6 | 1.0 | Increased pay | 3.1 | 1.5 |
Ill health | 1.6 | 1.0 | Additional annual leave | 2.9 | 1.4 |
Embarking on career outside general practice | 1.8 | 1.3 | Opportunity for a sabbatical | 2.7 | 1.5 |
Planned career break | 1.3 | 0.89 | Extended interests e.g. CCG role | 2.3 | 1.4 |
Introduction of ‘Twenty Plus’ | 2.3 | 1.4 | |||
Reintroduction of the flexible careers scheme | 2.0 | 1.3 | |||
Expansion of GP retainer scheme | 1.9 | 1.3 |