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Revealed: one in seven GPs turns to alcohol and drugs to cope

Exclusive Almost half of GPs say their ability to care for patients has been affected by the stress of general practice, a Pulse survey of more than 800 GPs has revealed.

Around one in nine GPs has turned to alcohol because of work pressures, with 6% turning to prescription drugs.

The survey also found that one in 10 GPs has taken time off work in the past 12 months because of stress or burnout, while a further 22% fear it is likely they will do so within the next year.

These figures come after the GP Health confidential counselling service was inundated with GPs suffering with mental health concerns, including stress or depression, or addiction issues.

The service was launched this year following Pulse’s ‘Battling Burnout’ campaign, which highlighted the pressures GPs face from relentless workload, and saw 500 self-referrals within its first four months of operation.

Around 15% of the GPs who responded to Pulse’s survey said they had turned to alcohol, prescription drugs or both to help them ‘deal with work pressures’.

One GP – who wished to remain anonymous – said: ‘I drink a bottle of wine most evenings after work, and often take codeine to help me sleep. I’m also on long-term antidepressants, as are a lot of my colleagues.’

Other respondents had similar stories: ‘I’m more likely to drink a glass of wine on a work night than on a non-work day’; ‘I started self-treating, perhaps stupidly’; ‘I’m on melatonin bought abroad to help sleep’; and ‘I don’t think I could work without fluoxetine’.

A major University of Oxford study, published last year, showed GP workload has increased by 16% since 2007 and patients see their GP 14% more than seven years ago. The researchers said practices had reached ‘saturation point’.

A number of GPs told Pulse how the pressure affects patient care, with many citing the effect on their empathy and commitment to the profession.

Dr Stephen Aras, a GP in West London, said: ‘I care less about me and my career – I have to “care less” or else the pain would be too much to bear.’

Other GPs referred to ‘getting irritated with patients when it is not their fault’, and ‘compassion fatigue’.

It also affects other areas of the job: a few GPs highlight ‘taking more shortcuts’ and ‘a reduced willingness to take on risk’. One said ‘the sheer volume and pressures mean my recordkeeping is awful’.

Exeter GP Dr Kate Dick summed up the message of the survey, saying: ‘Sheer volume of work is making me less sympathetic at the end of the day and after a full day on duty I still have to offer an extended hours routine surgery from 6.30 to 7.30pm for working patients. I am not the best GP I could be at this time.’

Former RCGP chair Professor Clare Gerada, who runs the GP Health service, said: ‘‘It’s worrying that one in 10 doctors go home and use alcohol to relax. That’s high. With prescription drugs, even 6% is a significant number who have expressly gone to their doctor for benzodiazepines and antidepressants to address work-related stress.’

An NHS England spokesperson said: ‘We fully understand GPs are on the front line when it comes to dealing with rising patient demand. This is why we have launched a world-first, nationally funded service to support GPs and GP trainees suffering mental ill health and addiction, while implementing measures to boost the wider primary care workforce and reduce individual GP workload.’

If you are worried about your health, then you are able to access free counselling in England from the GP Health Service. Click here for more details

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Readers' comments (25)

  • NHS ENGLAND AND HUNT COULD NOT GIVE A "CRAP" ABOUT GPs OR ANYBODY.

    THEIR SHARED "MEGALOMANIA" OUTSTRIPS ANY MORAL CONSCIENCE.

    THIS "SICKENING AND DEPRAVED" BEHAVIOUR WILL UNRAVEL AND ULTIMATELY THEY WILL BE REWARDED FOR THEIR "MORAL CRIMES" WHEN THERE ARE NO GPs LEFT TO BULLY.

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  • Not sure where you're going with this.
    Are the figures worse than any other comparable profession,teachers,social workers etc.
    Are they getting worse,I suspect more than one in seven of my generation used alcohol,for stress,to sleep,and for the sheer joy of it.
    How do the figures compare with GP's in other countries e.g Southern Ireland
    For all her worrying, this is the role into which HSL is trying to push as many young doctors as possible,presumably on the basis of a cold calculation that it is a price worth paying.
    It would not be unreasonable to talk about heat and kitchens.
    It is fundamentally ludicrous to suggest there is any plan to address it now or in the future.

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  • Is it possible that the legions of sanctimonious bearded worthies sponsored by a college in fantasy land,who sit on endless selection committees,applying idiotic criteria,are simply rubbish at their job

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  • Vinci Ho

    What I am fearing is while many will be showing empathy towards these figures about how much stress we are under, one can never prevent right wing propagandists and demagogues from spinning ruthlessly , labelling GPs as ‘unsafe’. We all know regulatory bodies like GMC and CQC had been entirely receptive to pressure from the public and media , with the ego of ‘we are the protectors of the public’ ,instead of being more facilating and supportive . The vicious cycle mechanism set up will, no doubt, crowd out even more practising GPs .

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  • Vinci Ho

    Correction
    ....facilitating and supportive....

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  • ONE IN SEVEN ONLY ???

    HOW THE HELL DO THE OTHER SIX COPE ??
    There's only so far you can get with aromatherapy, reiki or golf

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  • Cue Daily Wail headlines on drunken doctors complaining about working a four-day week and earning £150k.

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  • Why would Hunt care about GPs. We are payed moe than average bear anyway:)

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  • Oh dear, instead of helping lessen the paperwork, now GMC, CQC and NHS England will call for more regulations, more appraisals and we now need alcohol testing on a daily basis to work.

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  • Instead of helping lessen the paperwork, now GMC, CQC and NHS England will call for more regulations, more controlled drugs, more daily appraisals and we need alcohol testing on a daily basis to work. More regulations to keep patient safe and avoid the threat of the doctors who obviously took the trouble to go to medical school to kill them.

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  • Cobblers

    Taking the p!ss before work (for testing of course) and during and after. That's Jezza *unt for you.

    "Dr Cobblers, you are in front of the GMC for a positive opiate test. We do not accept you had an extra poppy seeded bagel for lunch!"

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  • David Banner

    Outrageous allegation, I'd never do a shurgery pished, just a couple of shtiffeners before the heartshinks maybe, and Irish up the shurgery coffee, yesh, but pished? Never! (Anyone sheen my car keys??)

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  • AlanAlmond

    Can’t go to work without popping an omega 3 swished down with a hard core oral caffeine stimulant hit. My employer has no idea. I only put the brew on when the staff kitchen is empty and I keep the ASDA freeze dried Colombian in a locked draw in my room. None knows. Except you guys now...but i’m posting under a pseudonym so it’s ok. ‘A virtual nobody’ is not my real name.

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  • Having a glass of wine or a pint od beer after hard days work or even round of golf does not make a gp alcoholic.. it is good for health.
    setting up a help line does not help stresses of work. this is how doctor's life is.

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  • turn to alcohol means what?

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  • I turned to a KFC Zinger wrap today...

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  • CAGE questionnaires for everybody!

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  • The general public will never understand the pressure and stress they put us under.

    An equivalent day for an accountant would be 50-60 clients a day bringing 10-20 years worth of tax accounts, demanding they sort them all within 10 minutes, reduce their tax bill to zero and or pay their tax for them (I have no money), whilst doing it on a home visit, and being constantly pressured to do unethical practices and borderline illegal activities (prescription fraud requests), having 5 minutes for lunch each day, constant complaints when they can't do the impossible or illegal, and complaints to their regulator and constant threat of instant loss of income for the rest of their life, and constant worry that they might be destroying someone's life by missing something in 10-20 years worth of accounts, and doing it all for a paltry figure that's borderline slave labour.

    Oh, and the tax accounts comprise of 'well (doc) I earned some money once'

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  • LSD is a fantastic way of dealing with visits from the CQC.

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  • doctordog.

    We were always taught that we had a several fold increased risk of dying from an alcohol related disease, compared with the public, so these figures are unsurprising.
    Reduce or modify your workload as self preservation is a must.
    Better to have a GP doing less work than no work.

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  • When I joined the Practice in 1997 the outgoing partner said that in any emergencies use draw 3.

    I opened it to find a bottle of Whisky, a pack of Dunhill International and a box of valium.

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  • Meaningless without comparison to other occupational groups or comparative historical data.

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  • Council of Despair

    a serious question has been raised in terms of how we compare to other professions.

    a quick google search will show articles showing that doctors are at higher risk of suicide/mental health issues, alcohol and drug issues than the average population.

    i can't find any 'proper' comparative studies but i suspect that the issue hasn't been explored as it will embarass the health establishment so it isn't a priority.

    unfortunately i suspect things are going to get worse as the problems many of us face are not being tackled - more hoops, more demand, more risk and diminishing support.

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  • I would have thought this figure would have been higher.

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  • I binge eat.

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