Factors influencing intention to leave or remain working in general practice (GP)
Factors influencing decision to leave GP (1=not important to 5=very important) | Factors that might retain GPs in practice (1=not important to 5=very important) | ||||||
N | Mean | SD | N | Mean | SD | ||
Intensity of workload | 113 | 4.4 | 1.0 | Reduced intensity of workload | 109 | 4.1 | 1.4 |
Volume of workload | 114 | 4.3 | 1.0 | Longer appointment times/more time to spend with patients | 109 | 4.0 | 1.4 |
Too much time spent on unimportant tasks | 113 | 4.0 | 1.2 | Reduced volume of workload | 110 | 3.9 | 1.4 |
Lack of time for patient contact | 113 | 3.8 | 1.2 | Less administration | 108 | 3.9 | 1.4 |
Potential introduction of 7 days a week working | 113 | 3.8 | 1.4 | No out of hours commitments | 109 | 3.6 | 1.6 |
Reduced job satisfaction | 110 | 3.6 | 1.3 | Incentive payment | 108 | 3.5 | 1.5 |
Poor flexibility of hours | 108 | 2.8 | 1.4 | Protected time for education and training | 107 | 3.3 | 1.4 |
Revalidation | 112 | 2.6 | 1.5 | More flexible working conditions | 106 | 3.2 | 1.5 |
Greater clinical autonomy | 107 | 3.0 | 1.5 | ||||
Age | 113 | 3.5 | 1.3 | Increased pay | 107 | 2.9 | 1.4 |
Medical indemnity payments | 113 | 3.4 | 1.4 | Improved skill mix in the practice | 106 | 2.8 | 1.4 |
Increased risk of litigation | 111 | 3.0 | 1.5 | Additional annual leave | 107 | 2.8 | 1.5 |
Changes to pension taxation | 112 | 2.7 | 1.5 | Shorter practice opening times | 108 | 2.7 | 1.5 |
Family commitments | 111 | 2.6 | 1.2 | Opportunity for a sabbatical | 107 | 2.6 | 1.5 |
Ill health | 109 | 1.8 | 1.2 | Introduction of ‘Twenty Plus’ | 106 | 2.3 | 1.3 |
Embarking on career outside general practice | 109 | 1.6 | 0.98 | Expansion of GP retainer scheme | 105 | 2.1 | 1.4 |
Planned career break | 107 | 1.4 | 0.89 | Extended interests; for example, Clinical Commissioning Group (CCG) role | 106 | 2.0 | 1.3 |
Reintroduction of the flexible careers scheme | 105 | 2.0 | 1.2 | ||||
Option to work term time only | 105 | 1.6 | 1.1 |