Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - The Bradford salaried non-principal scheme
T2 - addressing the problems of GP recruitment and retention in the inner city
AU - Dickson, Peter
AU - Greasley, Pete
AU - Small, Neil
PY - 2002/4
Y1 - 2002/4
N2 - In the context of widespread discussion about a crisis in GP recruitment and retention we review available evidence and comment on underlying policy dynamics. There have been a number of attempts to improve recruitment and retention, and examples of salaried schemes and personal medical service pilots are discussed. The results of a postal survey to health authorities requesting information on existing salaried schemes are reported. Forty health authorities responded to the survey, of which 30 had developed a scheme. These schemes had been established to address recruitment and retention issues, provide higher professional training for GPs, provide care to specific groups of patients, to support underperforming practices, and to help practices develop their range of services and address PCG/T health priorities. We then comment, in some detail, on one particular scheme as an example – the Bradford salaried non-principal scheme. The background to the scheme is described, as is the process of selecting both scheme GPs and host practices. The impact in terms of personal and professional development of the salaried GPs is discussed. Evaluation of the scheme from the perspective of the salaried GPs (via a focus group) found that the main attractions of the scheme were the opportunity to gain experience of inner city general practice without the commitment to a partnership, opportunities for professional development, and support from the peer group of salaried GPs. A number of concerns were raised relating to the clarity of their role in the practices, in particular, the extent to which the salaried GPs were being used to absorb practice workload rather than, as proposed, to facilitate practice development.
AB - In the context of widespread discussion about a crisis in GP recruitment and retention we review available evidence and comment on underlying policy dynamics. There have been a number of attempts to improve recruitment and retention, and examples of salaried schemes and personal medical service pilots are discussed. The results of a postal survey to health authorities requesting information on existing salaried schemes are reported. Forty health authorities responded to the survey, of which 30 had developed a scheme. These schemes had been established to address recruitment and retention issues, provide higher professional training for GPs, provide care to specific groups of patients, to support underperforming practices, and to help practices develop their range of services and address PCG/T health priorities. We then comment, in some detail, on one particular scheme as an example – the Bradford salaried non-principal scheme. The background to the scheme is described, as is the process of selecting both scheme GPs and host practices. The impact in terms of personal and professional development of the salaried GPs is discussed. Evaluation of the scheme from the perspective of the salaried GPs (via a focus group) found that the main attractions of the scheme were the opportunity to gain experience of inner city general practice without the commitment to a partnership, opportunities for professional development, and support from the peer group of salaried GPs. A number of concerns were raised relating to the clarity of their role in the practices, in particular, the extent to which the salaried GPs were being used to absorb practice workload rather than, as proposed, to facilitate practice development.
KW - general practice
KW - recruitment
KW - retention
KW - salaried service
U2 - 10.1191/1463423602pc096oa
DO - 10.1191/1463423602pc096oa
M3 - Journal article
VL - 3
SP - 85
EP - 95
JO - Primary Health Care Research and Development
JF - Primary Health Care Research and Development
SN - 1463-4236
IS - 2
ER -