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GPs buried under trusts' workload dump

Third of GP trainee positions remain unfilled across the UK following first round of recruitment

Exclusive Around 30% of GP training places across the UK remained unfilled following the first round of recruitment, with the worst-affected areas seeing vacancy rates of up to 65%, Pulse can reveal.

Figures for the first round of recruitment, revealed on the GP National Recruitment Office website, show that more than 60% of positions in the East Midlands and North East of England remain unfilled.

Only London and Northern Ireland have filled all their positions after the first round of recruitment and two more - Kent, Surrey & Sussex and Thames Valley - have said they are likely to have filled their places by now.

Overall, there is a 29% vacancy rate across the UK compared with 8% of places in 2013, the last year figures for this round were available.

There are normally two rounds of GP trainee recruitment, but Health Education England was forced to instigate an unprecedented third round last year following poor take-up rates - a move that is likely to occur again this year.

GP leaders in the worst affected regions have said they think it is unlikely these positions will be filled by August.

It comes after Pulse revealed earlier in the year that applications for GP training had dropped, for the second successive year, by 6%.

This is the latest setback in Health Education England’s attempts to recruit 3,250 GP trainees a year by 2016, a deadline that has already been pushed back a year after application rates tumbled in 2014, and will further heap pressure on GP recruitment.

HEE could not provide a breakdown of the vacancy rates after last year’s round 1 intake but there was a 12% shortfall by the end of the whole recruitment process, despite the unprecedented third round of recruitment, labelled ‘desperate’ by GP leaders

NHS England, along with HEE, the BMA and RCGP recently launched a 10 point plan to tackle GP recruitment along with retaining the existing workforce and coaxing those who have left the profession to return.

But GP leaders say minor changes won’t suffice and a contract overhaul is needed to improve general practice’s stock.

Dr John Ashcroft, an executive officer of Derby and Derbyshire LMC in the hard hit East Midlands, told Pulse the whole situation was ‘depressing’ and that 20 ago he and his wife - both East Midlands alumni – had to fight for places.

He added: ‘We need a new contract, the contract isn’t fit for purpose, they talk about “you need extra doctors”… we keep hearing the talk, but we’re not really seeing anything to really make a difference. That ultimately means money, doesn’t it?

‘Words are cheap, money counts. If they really recognise the importance of general practice, somebody’s got to find some real money to put in there, otherwise it’s going to keep on getting worse.’

Dr Krishna Kasaraneni, chair of the GPC’s education, training & workforce subcommittee, told Pulse: ‘I think it wouldn’t be unreasonable to say the last two years for general practice recruitment haven’t been that great, simple as that.’

‘The approach that Health Education England and NHS England have taken recently… to listen to [the BMA’s] concerns and put measures in place to try and address that has been a welcome change.’

However, he added that these changes had come too late to impact on the 2015 recruitment figures, but that planning would be ‘much better’ next year.

Health Education England said it was unable to comment until the end of the pre-election ‘purdah’ period.

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Readers' comments (39)

  • Well there's a surprise!

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  • I BLAME THE DAILY MAIL......READ COMMENTS AGAIN ABOUT A/E AND GPs......

    I AM CALLING FOR A PUBLIC DEMONSTRATION AGAINST THE DAILY MAIL IN LONDON...TO SHOW THE PUBLIC THE "DAMAGE" THIS "DISGRACEFUL RAG" HAS CAUSED.....

    WHO IS UP FOR A DEMONSTRATION AGAINST MEDIA "POLITICAL INTERFERENCE" IN THE NHS????

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  • This comment has been moderated.

  • I agree with the above. The Daily Mail have certainly "botched" their "cunning strategy to bully GPs".

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  • Yes agreed...

    the only April "fool" around is THE DAILY MAIL !!

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  • True...the quality of journalism in THE DAILY MAIL is a "joke".

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  • Peter Swinyard

    There is an insidious pressure on younger doctors to avoid general practice, which after 30+ years I still believe to be the most interesting and satisfying speciality in medicine (give or take paperwork, over-regulation and political pressures).
    Until medical schools start promoting the only general physicians for all ages (the geriatricians do a good job for the over 65s), we may be on a loser.

    It makes a mockery of all the over-promising of the political parties for more doctors. Or was that a "pledge"?.......

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  • 'Pledge' wipes the crap away..............

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  • Well another day another advert for our practice in North Wales - then look on the map and the three most likley areas of recruitment have training deficits of between 20 and 40 percent - no Mpig and high earning but no one wants to come - Is our story that unusual I don't think so - sadly the shutters are going down on Primary care as we have known it and it is too late now to use money to bribe people in or keep them in the craft. Best jobin the world and no one wants it - tragedy.

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  • "Health Education England said it was unable to comment until the end of the pre-election ‘purdah’ period." What rubbish. Crisis, what crisis?

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  • Azeem Majeed

    Peter Swinyard | GP Partner | 01 April 2015 10:25am

    Peter, I don't think medical schools are responsible for the current problems with GP recruitment. At Imperial College, we now employ more academic GPs than we have ever done in the past (around 25) and are increasing the amount of undergraduate teaching that takes place in primary care.

    We are also the only medical school that runs a GP Training Scheme. Our undergraduate students have established a GP Society to promote primary care.

    Our focus groups with medical students show that once they have completed their GP placements, they are fully aware of the problems that GPs in the UK are currently facing (we place our medical students in practices all across the UK).

    The onus is therefore on the NHS to improve the conditions under which GPs work and once again make general practice an attractive career option for medical students and junior doctors.

    https://www.facebook.com/ImperialcollegeGPS

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  • There has to be a new Contract and the next Government must be forced to the negotiating table. Trouble is-will the new administration be in paralytic chaos after the election?

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  • In other words the majority of training posts continue to be filled and we're still harping on about a "crisis."A crisis will be when none of the positions are filled and that is not going to happen.So RCGP you need to try a different line of propaganda because this one isn't scoring any points!

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  • 12:36

    I do not understand your position. 29% of GP training posts remain unfilled. I would not call that a small short fall. We are not training enough recruits to replace those who are leaving.

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  • Don't forget us trainees who plan to leave when our training is done. Pulse please survey current trainees and what they intend beyond qualification!... It would take a miracle to make me want to stay as things are.

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  • @Anonymous | GP Partner | 01 April 2015 1:17pm who wrote "We are not training enough recruits to replace those who are leaving."

    Nonsense.The main problem is that a predominantly female workforce is not electing to work fulltime and going "all portfolio".

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  • So what do you suggest ?

    Indentured servitude ?

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  • It would seem that women are the more sensible of our species ! :)

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  • its quite simple, you throw peanuts, you get....

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  • Excellent news.

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  • Anonymous | Sessional/Locum GP | 01 April 2015 1:51pm

    you need to have a good long look at the numbers...

    over 25% of GPs are over 55. Most workforce studies suggest about 10,000 more GPs are needed.

    The only nonsense here is that you're blaming the lack of GPs on women taking time out to have children.

    I can assure you that a 29% loss of traineees is quite significant in the above context.

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  • Pay them properly and they will come .

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  • Odd that some people seem to view the shortfall as perfectly acceptable. I'm due to retire in 4 years and I begin to wonder who is going to look after my patients! Having finished tidying up the paperwork after a duty doctor day at 23.42 last evening, I'm pretty sure it won't be me!!

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  • Gosh, I'm gob smacked!

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  • Im 34 and left this overflowing cesspool 2.5years ago for a life abroad; Worked somewhere in the middle of the country dealing with rif raf day in day out and had had enough! worryingly for the partnership I was not replaced and ive found out this week that 2 of the existing partners have retired in the last 2 weeks!

    Its now April and the story was that round about now many of the seniors 60+ would be retiring. Id heard stories about pension contributions forcing this upon a few but am now beginning to wonder if this storm is going to provoke Armageddon and a total collapse of primary care!!!! GP land seems to be being hammered every which way but loose-- retirements/ emigrating newbies (and increasingly mid career folk) and now a dearth of cannon fodder entering the mad house!!

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  • T Roscoe

    The difficulty of recruiting is already causing problems. The over 60s are not the only ones going. at least 6 GPs aged 55 have retired in Sheffield in the last 12 months.

    I know of another three in S Yorks who were at University with me who are also going . This is next door to tthe worst hit area with 60% VACANCIES in Derbyshire

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  • Yes general practice in the NHS is falling apart. NHSE Is now having a very difficult time with practices collapsing. The domino perfect is only just starting. Give it another six months and OMG.

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  • You need 1 FTE GP for approx 1800-2000 patients (depending on demographics). Anything above this tends to compromise care. At the end of the day it's difficult to get away from this fact.

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  • .......money.......?!!??

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  • there isn't any money left - more efficiency savings 'have' to be made.

    nope - expect more work, more risk, more expenses for less pay. This is hardly a positive recruitment scenario.

    there are many many other jobs which pay more for less risk and effort. Medical students are not silly (well not all of them) and are just being sensible by avoiding general practice.

    In fact it's interesting that none of the leadership organisations want to talk about the future terms and conditions or offer any gurantees as they know things are going to get a lot worse.

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  • Its not rocket science really is it? The way primary care gets battered and manipulated for political gain. Just means med students and FY docs arent stupid. Implication of all this means that we are going to be left with a lots of people in GP training who actually dont want to be a GP, they jsut couldnt get into their job of choice first time. I think this will result in those "ending up"on a GP scheme being the majority of trainees rather than those actively choosing GP resulting in traineesleaving before completion as they will continue to apply for their specialty fo choice next time around. Just increasing the number of people in GP tranining isnt the answer (not that the can manage that from the look of things)

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  • Just finished GP training and I'm out -- no longer need to deal with the daily riff-Raff, QOF, unreasonable demands, people who almost enjoy playing the 'sick role' and take no responsibility whatsoever..
    ..any prospective trainees...Do not go into GP training

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  • Is anyone shocked?
    International trainees reluctant to waste 3 years.
    FY2s realising that their hospital colleagues hold the primary care doctors in low regard.
    Medical students realise that becoming a GP is a sign of failure.
    A capricious GMC holding GPs responsible for the consequences of poor resources.
    Trainees passing on to their colleagues that the hours are dreadful, during and after training.
    Perhaps they realise that when they qualify as a 'consultant in general practice' they are paid £20,000 less than hospital consultants with no clinical excellence awards.
    Perhaps they realise that the ship is about to sink and would prefer to be on the quayside than scrabbling for lifeboats.
    Who knows?

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  • What a surprise! RCGP have done a wonderful job with new CSA exam conduction. Moreover, the tribunal cleared the RCGP of any wrongdoing.
    A big chunk of candidates of GP Recruitment have traditionally been IMGs. They see what is going on at Euston Square, they are not fools to go to "guillotine" like the author of this comment. I wonder what is the percentage of IMG applicants compared to previous years?

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  • This really isn't a CSA issue..the RCGP cannot and should not lower standards of CSA just to fit in with a political agenda...yes, many IMGs have failed CSA but these very same IMGs (and even some local candidates for that matter), have also failed to gained their first choice of speciality (usually Orthopedics, surgery, ENT) by my experience. Being a doctor should not automatically qualify you to be a GP...Focus on the working conditions of GPs!! And the utter dross that wastes our time sometimes

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  • @ 1.54 pm
    Whats wrong with working conditions? You get compensated generously to the value you bring to the work place comparative to the hospital consultants or senior registrar level work in the hospital.Shorter training time, no vigorous exams to pass,negligible unsocial hours, if you are not sure about a diagnosis ot management send them to A&E or refer to a specialty.Yet you complain.

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  • Took Early Retirement

    no vigorous exams to pass

    moron. Troll.

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  • @ 8.14pm - if GP is so picture perfect as you describe, why oh why do we then have a recruitment crisis?? Think about this for a second or two!

    It's far from ' no unsociable hours' - most GPs I know regularly work 12 hour days, Secondly we cannot simply refer everything if we are uncertain..in many cases referral is not warranted (just lots of social dross that the patients themselves can only sort out but refuse to do so). I haven't even mentioned the pointless bean counting exercises imposed on us..add in to that unrealistic patient demands, having to firefight those who demand instant referral for minor ailments and the riff raff who simply refuse to change their lifestyle..I'm not saying all GPs are perfect; I think the giving up of OOH has lowered the respect for our profession and I too have come acros many 'lazy GPs' (and hospital condultants for that matter) but please..don't knock us all

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  • So we still have some sensible folk in our midst, who on earth would want to be a GP in todays climate … only fools!

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  • What happen to GP,a respectable and trusted profession,political ping pong street joke.
    Some thing terrible or bad had happen to GP.

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