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Independents' Day

Why I chose to be honest in a GP job ad

Dr Dave Wilson

dave wilson

Every GP knows the importance of being straightforward. But what about away from the consultation room, on social media and with other doctors?

I’m a partner at Argyle Medical Group in Pembroke Dock, west Wales. We’re a large practice, with 22,500 patients, but there are currently only nine GPs, which works out at about seven and a half FTE.

Because of this, I recently appealed on Twitter for any prospective Pembrokeshire GPs to join us. But I also concluded that honesty is the best policy, so didn’t hold back from including that we’re heavily undermanned and the hours, frankly, stink.

But telling the truth doesn’t mean the positives don’t get a look-in - I also praised the genuineness of the patients, our great staff and the fact that you can make such a difference here.

The Tweet had hundreds of responses, and I hope the message came across - our team, of about 70, including nurses and admin/management staff, work really well together.

But staff numbers have dwindled over the last few years, as people retire and leave for various reasons - life happens. When I started, there were 13 or 14 GPs, and everything seemed ok. The gradual departures, however, had a knock-on effect on workloads becoming harder to manage. And I know this problem isn’t unique to our practice, and is actually evidenced throughout the country.

You’re picking up the extra work from everyone else, because that’s what GPs often do

Deputy chair of GPC Wales Dr Peter Horvath-Howard recently said: ‘This is by no means an isolated case. General practice in Wales remains under intense pressure and as a result, we’re increasingly hearing of practices being unable to recruit. BMA Cymru has repeatedly warned of the growing gap between the demand placed upon general practice and its capacity…’

On top of this, locum calls have declined in our area. We’re isolated geographically, and there aren’t locums available to be called upon - whereas six years ago, competition was rife. I also remember that when I started, it was generally difficult to find a partnership, but now we’re just desperately looking for GPs. It’s fine when all the GPs are in, but it’s when you have unexpected absences, such as people off sick, that the pressures kick in.

The minute you have another couple of doctors in, that critical mass is taken off and suddenly you’re all leaving on time, the workload is split equally and that balance is redistributed. It never used to be a schedule of 8am til late, but that’s what happens when numbers decrease. You’re picking up the extra work from everyone else, because that’s what GPs often do.

I’m not prolific on Twitter, but I tweeted this because I’d finished work late and sat there left with the cleaners thinking ’I want to get out of the office because I’ve been here til late, it stinks a little bit, I’m meant to be part-time and I’m doing a full-time job.’

Recruitment in general practice in the UK is often even trickier in areas like mine, which, as well as being isolated, is relatively deprived. This can bring its own challenges, but I think we’re generally very fortunate - I love my job and where I work. So while I’m not going to sugarcoat the reality, I really do hope to hear from you if you’re a GP in the area.

Dr Dave Wilson is a GP partner at Argyle Medical Group in Pembrokeshire, west Wales

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Readers' comments (8)

  • Dave, O Dave !
    I had to read your article twice as it seemed I had written it!
    You know with failing memory, you do get deja-vu.
    The give away was you are in Wales and I am in Midlands.
    I bet every GP will relate to this. Like wise, when I joined all those years ago, I had to fight other doctors, had interview, then waited for that letter of acceptance. Now if I see glimpse of an applicant, forget the interview when can you start?
    What a state of affairs!!

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  • Azeem Majeed

    Good luck with your recruitment campaign Dave.

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  • Dave dear boy you have the wrong end of the stick. You only need a couple of doctors for a practice of that size. The rest of the staff should be pharamcists, nurses, PAs, paramedics, HCAs etc.

    You should be full time but working as if part time. Your role is supervisory.

    Good luck!

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  • i would rather work for an honest oractice than one that offers better hours, but turns out diferent!
    Unfortunately, Pembroke is a little too far from home at the moment, but good luck to you. You will get better candidates for being honest.

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  • Good to see someone calling a spade a spade..... good luck!

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  • If the job is so crap, retire, locum or emigrate. Nothing will change whilst people are prepared to prop up the NHS at whatever the cost.

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  • |Stelvio | Locum GP|05 May 2019 5:56am

    Or continue to vote for a bigger state - i.e. Labour or the 'fake' Conservatives

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  • please-delete-this-fucking-profile-i-cant-delete-it-in-my-account-settings

    I feel for you, and the position you have taken but i have come to the conclusion that if you consent to be used by a parasitic system you are propping it up and perpetuating the parasitism of your colleagues, and those who come after you. If you are part of a system you hold part responsible for its outcomes, wether you like it or not. History is full of people who made excuses for the actions of organisations and regimes they were part of, their excuse being 'i was just doing my job'..'i was trying my best' ..'it wasn't my fault' . If your value system is such that you are willing to sacrifice your own well being for the good of others - fair enough - but i think in doing so you simultaneously damage the well-being of your colleagues and lengthen the time it might take to sort out this mess.In the long run propping up a corrupt and parasitic system is not helping anyone. We all have to live with what we do in our lives but for me, i can't see keeping the current system going as helping anyone

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