This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

CAMHS won't see you now

60% of GP trainers work extra hours on a daily basis to manage workload

Three in five GP trainers work beyond their rostered hours on a daily basis to fit their training roles around their daily duties - more than twice as many as trainers in other specialties - according to a GMC survey.

The annual training survey of trainers in foundation, core and higher specialty programs found that 60% of 3,615 GP trainers questioned have to work extra hours everyday to manage the workload of being a trainer.

But across all specialties excluding general practice, this falls to 23%.

GMC chief executive Charlie Massey said trainers must 'receive the resources and time they need to meet their education and training responsibilities'.

He added: ‘It is not right that there is such a reliance on trainers always somehow finding the time, often their own time, to keep the system going.

‘We mustn’t take the continued high quality of medical training across the UK for granted, and we cannot afford to lose the services of trainers by abusing their dedication and goodwill.’

Meanwhile, the survey confirmed early indications that 53.6% of all trainees said that they work beyond their rostered hours on a weekly or daily basis.

While this figure is down compared with 58% who said the same in 2016, 22.4% of trainees still said they felt short of sleep at work on a daily or weekly basis.

Dr Helena McKeown, BMA GP committee lead on education, training and workforce, said the Government needs to 'take the plight of GP trainees more seriously'.

She said: 'The BMA has consistently warned the Government that the workload and funding pressures on GP services are damaging both patient care and the working conditions of GPs, including trainees.'

She added: 'GP training has been funded inadequately for some time, a situation which has affected the delivery of high quality GP training.

'In this climate, it is no surprise that GPs are having to work beyond their normal working hours to deliver training and that GP trainers are also having a similar experience.'

The survey's findings come after Pulse revealed that Health Education England budget cuts are affecting training available for qualified GPs and trainees - with courses being cut due to the squeeze, and trainees having to train each other in one area of the country.

These were the first reported cuts since Pulse revealed that HEE was facing a 30% squeeze to its running budget and had been offering GP trainers voluntary redundancy.

It also comes as Pulse reported that HEE was spending funds taken from education programmes on the training of support roles, such as physician associates.

How often (if at all) have you worked beyond your rostered hours?  
  Daily Weekly Monthly Less than once Never Total asked
GPs 60.44 27.25 3.24 3.71 5.37 3615
Total excluding GPs 23.02 50.80 15.14 8.94 1.81 20,928
Anaesthetics 7.76 53.13 28.01 10.25 0.85 3181
Emergency 18.90 56.71 16.36 7.15 0.88 1021
Medicine 31.84 48.61 10.68 6.89 1.98 5600
OBGYN 23.37 52.10 14.98 8.31 1.23 1215
Occupational 33.33 47.92 10.42 8.33 0.00 48
Opthamology 18.24 54.29 14.81 10.73 1.93 466
Paeds 26.22 49.80 13.56 9.13 1.29 1785
Pathology 34.31 43.74 9.43 9.26 3.26 583
Psychiatry 22.75 45.89 14.10 12.89 4.37 2312
Public Health 25.52 46.90 14.48 9.66 3.45 145
Radiology 23.49 53.77 12.64 8.58 1.51 1060
Surgery 20.81 53.76 15.26 8.88 1.28 3512

Source: GMC annual training survey



Readers' comments (8)

  • Vinci Ho

    Interesting comment from chief executive of GMC.
    In another angle , is this a comment of ‘negativity’.
    I suppose we should not let GP trainees know their trainers are working their ar*ses in overtimes for them??

    Unsuitable or offensive? Report this comment

  • Cobblers

    So doctors, trainers in this case, work for free. It comes as no shock to know that NHSE & HMG rely on doctors to do this. It props up the system. Indeed CCGs factor in a zero cost for GPs to do anything.

    Could we be our own worst enemies?

    Unsuitable or offensive? Report this comment

  • GPs need to start valuing ourselves. If we behave like we are s*&t on someone's shoes no wonder everyone else thinks it.
    I suspect if ePortfolios were only done in paid time and suddenly 1000s were waiting to be completed, proper training funding would be found!
    Also I can't see many of our Hospital Consultants ultimately paying for the honour of being a trainer.
    Sort it out or just walk away and give yourself only 18hrs of work to do in a normal day...

    Unsuitable or offensive? Report this comment

  • Why is anyone still a trainer?

    Unsuitable or offensive? Report this comment

  • Most trainers are partners.
    Partners don't have rostered hours.
    So they choose to work longer then moan.
    Bizarre if you ask me.

    Unsuitable or offensive? Report this comment

  • I am a trainer and am planning to give up because of the workload.

    Unsuitable or offensive? Report this comment

  • There is stil some nuts out there !!

    Unsuitable or offensive? Report this comment

  • Training gets registrars, who then become salaried doctors and if they're any good they become partners. Pretty obvious why we do it, and why we eventually give it up.

    Unsuitable or offensive? Report this comment

Have your say