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Tens of thousands of GPs on brink of early retirement, BMA finds

A major BMA survey has revealed that six in ten GPs are considering early retirement and more than half say their morale is either ‘low’ or ‘very low’, in findings that will form the core of the profession’s fight back against Government cuts to general practice.

The survey, which involved 420 GP respondents, also revealed that almost half the respondents having already made changes or planning to make changes to their work life balance.  

GPC chair Dr Chaand Nagpaul said he would use the ‘shocking’ results to lobby ministers on the impact of the ongoing drive to keep patients out of hospital, and highlight how funding cuts are threatening to overwhelm general practice.

A separate RCGP poll of patients showed almost two-thirds of respondents believe the sheer volume of consultations taking place are a threat to patient care. RCGP chair Dr Maureen Baker said over the weekend that general practice is in real danger of ‘extinction’.

Pulse recently revealed that GPs in some parts of England are currently working for free as a result of the changes made by the imposed 2013/14 GP contract, and a series of below inflation pay uplifts. The 0.28% pay uplift for 2014/15 has also reduced the morale of GPs.

The survey, which the BMA said is accurate to within 3.3% at a 95% confidence level, found that 56.8% had considered retiring early, while 27.7% had thought of leaving the profession.

Furthermore, 47% said they had already made changes, or are in the process of planning for a change to their work life balance. Only 14.1% said they had not considered a move away from their current role.

When asked how they would describe their current level of morale, 39% answered ‘low’, and 16% said ‘very low’. Only 1% said it was ‘very high’, while 13% said it was ‘high’.

It also found that 54.1% of GPs described their current workload as ‘unmanageable or unsustainable’.

Dr Nagpaul said general practice was in danger of becoming ‘overwhelmed’.

He told Pulse: ‘It is shocking that so many GPs intend to retire early. The Government has to act to retain the workforce – by making the workload manageable and providing enough resources. GPs are overstretched and overwhelmed, and there is not the capacity to deal with the volume of work that is moving out of hospital.’

Dr Nagpaul added: ‘We are seeing morale dip to a level that I cannot remember in my 25 years as a GP.’

One survey respondent, Norfolk-based GP Dr John Harris-Hall, said of his decision to retire early: ‘The increasing demand and workload pressure are leading to low morale and stress, causing many GPs like myself to leave the profession. I am sad to retire early but I feel there is no other choice. Enough is enough.’

The RCGP poll of 1,007 patients found that 62% believe that the number of patient consultations GPs conduct each day – which the RCGP estimated at between 40-60 in most cases – is a threat to the standard of care they can provide to patients.

The poll, conducted by ComRes, also found that 28% of those surveyed could not get an appointment in the same week when they last tried to book an appointment.

Dr Baker said: ‘General practice as we know it is now under severe threat of extinction. It is imploding faster than people realise and patients are already bearing the brunt of the problem. This will only get worse unless urgent action is taken to redress the huge and historic imbalance in funding.’

Related images

  • Dr Chaand Nagpaul 2013 - online

Readers' comments (134)

  • Took Early Retirement

    Yes Bob, I forgot to say, this is a GOOD NEWS story!

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  • Some improvement of morale could be obtained by putting all QOF money into the global sum , stopping revalidation and dropping CQC . Two weeks without OOH should do it . The changes wouldn't cost HMG anything.

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  • Keith Taylor

    Based upon our client base I’m surprised the % is not higher. When it becomes obvious that the expected budget savings can’t be made and GPs are blamed then this will start the exodus. We have done numerous projections of clients pensions and when is the best time to retire to avoid the continued attack on GP pensions.

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  • Bob Hodges

    Stopping OOH would also make it clear just how dependent we upon '9 to 5 fatcat' GPs to also provide the vast majority of OOH capacity to.

    I might just have to give up OOH anyway as I can't get out of this bloody surgery early enough to go up to the OOH centre.

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  • It's not just about the Daily Mail.If you read the comment sections in the Guardian and Daily Telegraph,the overwelming majority are anti-GP.We just can't shake off our public image as overpaid,underqualified failed hospital doctors.

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  • I agree , time to go asap as can at 57 for me in 2 months.

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  • if the service is cheap and effective there will always be more punters than we can cope with .
    There was a young GP from Crewe
    Who did all a doctor could do.
    I'll cure you for free
    And make the blind see
    Now get to the back of the queue.

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  • Well I made it to 59, and next Monday is my big R............before tax changes start to take 55% of my hard-paid Added years. I never thought I would have to make a quick exit!

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  • Una Coales

    The public didn't even get a chance to save the NHS with copayments like in Australia, New Zealand, Ireland and Canada. Why only save NHS dentistry? Now the public will end up paying expensive annual private health insurance premiums and be restricted in choices of specialists and coverage and GPs will be made to work around the clock for HMOs/APMS for as little as they can get away with paying a fully qualified family physician.

    Our finest GPs who are too young to retire early and too grounded to emigrate, will be stuck between working as a salaried GP on min doctor's pay for HMOs or brave a new world in private practice.

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  • Bob Hodges

    I'm not sure I'd be that pessimistic Una.

    When was the last time an insurance company oferred me £x for a report, and when I said 'actually my rate is £2x' then didn't cough up no questions asked.

    There are not enough family docotrs full stop. Even if the CSA debacle hadn't mugged the IMGs there still wouldn't be enough GPs. There certainly aren't enough GPs to train enough GPs to rectify the situation.

    HMOs know better than the NHS that everytime a GP DOESN'T refer to acute hospital, they've saved the system thousands of pounds, and roughly 10 times what the doctor was paid that day on average.

    A market might just break out in our skills and labour.

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