{"id":1188,"date":"2017-10-31T23:32:17","date_gmt":"2017-10-31T23:32:17","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjopen\/?p=1188"},"modified":"2017-10-31T15:15:50","modified_gmt":"2017-10-31T15:15:50","slug":"less-red-tape-and-shorter-working-hours-might-help-stave-off-retirement-of-uk-doctors","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjopen\/2017\/10\/31\/less-red-tape-and-shorter-working-hours-might-help-stave-off-retirement-of-uk-doctors\/","title":{"rendered":"Less red tape and shorter working hours might help stave off retirement of UK doctors"},"content":{"rendered":"<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\"><em>GPs most likely to stop working because of workload pressures, survey shows<\/em><\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\"><a href=\"http:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2017-017650\">Less red tape and shorter working hours are the two key factors that might persuade older UK doctors to carry on working rather than hanging up their stethoscopes, suggests an analysis <\/a>of survey responses, published in the online journal <em><a href=\"http:\/\/bmjopen.bmj.com\/\"><strong>BMJ Open<\/strong><\/a>.<\/em><\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">Family doctors (GPs) were more likely than their peers in other specialties \u00a0to cite workload pressures as the primary motivation behind their decision to retire, the findings show.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">Given that 1 in 10 UK specialists and GPs is over the age of 60, and that stress is driving 80 per cent of senior hospital doctors to consider early retirement, the loss of all this valuable expertise poses serious challenges for the medical workforce in the UK, and possibly for patients too, say the researchers.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">They draw on the responses to a survey sent in 2014 to 4369 doctors who had graduated from UK medical schools between 1974 and 1977. The questionnaire aimed to tease out the factors influencing doctors\u2019 decision to retire and those that might persuade them to carry on working.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">Some 85 per cent (3695) responded, and their answers showed that over half (55%) were still working in medicine, which included those who had officially retired but had resumed working (864).<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">Among the 1542 who had retired, two thirds (67%) said they had retired when they originally planned to do so, while around one in four (28%) had changed their plans.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">Half (50%) said they wanted more leisure time or to pursue other interests. But nearly as many (43%) said that work pressures had prompted their decision to stop working.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">GPs were considerably more likely to cite workload pressures as a prompt for retirement than hospital specialists (51.6% <em>vs<\/em> 32.5%). Surgeons were the least likely (28.6%) to do so.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">GPs were also more likely to cite deteriorating skills\/competence as a reason for retiring (20%), as were nearly one in three anaesthetists (just over 31%). <\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">This was a factor for only 1 in 7 surgeons (16%), whereas a desire not to work out of hours was much more important for them \u00a0(29.5%) and for anaesthetists (just over 29%). Radiologists and obstetricians and gynaecologists were also particularly keen to give up work to avoid out of hours work, the responses showed.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">Women were twice as likely as men (21% <em>vs<\/em> 11%) to retire for family reasons, and three times as likely to do so (27% <em>vs<\/em> 9%) because of the retirement of their spouse.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">A previous study of the same doctors showed that women were also more likely to have made early career choices based on family considerations when they were young, indicating that \u00a0these gender differences persist into older age, say the researchers. <\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">The higher proportion of women retirees pre-dates the substantial increase in female intake to medical schools, they point out.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">\u201cIf the male-female differences in the likelihood of early retirement become evident in younger generations of doctors, these may become an important source of future attrition from the medical workforce, overall,\u201d they warn.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">The doctors still in work were asked what would persuade them to stay on for longer: less work-related red tape came top of the list, cited by 45 per cent, closely followed by shorter hours\/lighter workload, cited by 42 per cent.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">Financial reward appealed more to men (30%) than to women (20%), while surgeons were most motivated by fewer on-call and emergency commitments.<\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">\u201cSome of the reasons given may be amenable to policy initiatives, which could result in securing a longer contribution to the health service by some doctors than would otherwise be the case,\u201d write the researchers. <\/span><\/p>\n<p dir=\"ltr\"><span id=\"m_8588201367609640810gmail-m_-7851907929802916669docs-internal-guid-6e1f0dc1-5dbd-e627-d07d-c82786a75506\">Retention policies should look at how best to get the most out of senior doctors\u2019 clinical expertise, they add.<\/span><\/p>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>GPs most likely to stop working because of workload pressures, survey shows Less red tape and shorter working hours are the two key factors that might persuade older UK doctors to carry on working rather than hanging up their stethoscopes, suggests an analysis of survey responses, published in the online journal BMJ Open. Family doctors [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjopen\/2017\/10\/31\/less-red-tape-and-shorter-working-hours-might-help-stave-off-retirement-of-uk-doctors\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2470,511],"tags":[],"class_list":["post-1188","post","type-post","status-publish","format-standard","hentry","category-content","category-in-the-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Less red tape and shorter working hours might help stave off retirement of UK doctors - BMJ Open<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjopen\/2017\/10\/31\/less-red-tape-and-shorter-working-hours-might-help-stave-off-retirement-of-uk-doctors\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Less red tape and shorter working hours might help stave off retirement of UK doctors - BMJ Open\" \/>\n<meta property=\"og:description\" content=\"GPs most likely to stop working because of workload pressures, survey shows Less red tape and shorter working hours are the two key factors that might persuade older UK doctors to carry on working rather than hanging up their stethoscopes, suggests an analysis of survey responses, published in the online journal BMJ Open. 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