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Authors: Ding, Alexander¹; Hann, Mark²; Sibbald, Bonnie²

Source: British Journal of General Practice, Volume 58, Number 546, January 2008 , pp. 20-25(6)

Abstract:

Background

Recent national policy changes have provided greater flexibility in GPs' contracts. One such policy is salaried employment, which offers reduced hours and freedom from out-of-hours and administrative responsibilities, aimed at improving recruitment and retention in a labour market facing regional shortages.

Aim

To profile salaried GPs and assess their mobility within the labour market.

Design of study

Serial cross-sectional study.

Setting

All GPs practising in England during the years 1996/1997, 2000/2001, and 2004/2005.

Method

Descriptive analyses, logistic regression.

Results

Salaried GPs tended to be either younger (<35 years) or older (≥65 years), female, or overseas-qualified; they favoured part-time working and personal medical services contracts. Salaried GPs were more mobile than GP principals, and have become increasingly so, despite a trend towards reduced overall mobility in the GP workforce. Practices with salaried GPs scored more Quality and Outcomes Framework points and were located in slightly more affluent areas.

Conclusion

Salaried status appears to have reduced limitations in the labour market, leading to better workforce deployment from a GP's perspective. However, there is no evidence to suggest it has relieved inequalities in GP distribution.

Keywords: career mobility; England; general practitioners; health manpower; primary health care

Document Type: Research article

DOI: 10.3399/bjgp08X263776

Affiliations: 1: School of Medicine, University of California San Francisco, California, US 2: National Primary Care Research and Development Centre, University of Manchester, Manchester, UK

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