{"id":1802,"date":"2023-09-12T12:43:11","date_gmt":"2023-09-12T12:43:11","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjopen\/?p=1802"},"modified":"2023-09-12T12:43:11","modified_gmt":"2023-09-12T12:43:11","slug":"work-stress-workload-understaffing-driving-out-health-professionals-from-nhs","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjopen\/2023\/09\/12\/work-stress-workload-understaffing-driving-out-health-professionals-from-nhs\/","title":{"rendered":"Work stress, workload, understaffing driving out health professionals from NHS"},"content":{"rendered":"

Pay increases alone may not be sufficient to fix NHS staff retention, researchers suggest<\/em><\/p>\n

Work stress, high workload, and understaffing are the primary factors driving health professionals out of the NHS, suggest the results of a survey<\/a> published in the open access journal\u00a0BMJ Open<\/strong><\/em><\/a>.<\/p>\n

The findings prompt the researchers to suggest that pay increases alone may not be sufficient to fix NHS staff retention.<\/p>\n

There are well over 100,000 staff vacancies in the NHS. And worsening retention of NHS health professionals has been attributed to the fall-out from the COVID-19 pandemic.<\/p>\n

To explore this further, the researchers wanted to assess the relative importance of widely cited \u2018push\u2019 factors behind decisions to leave the NHS, and whether these were ranked differently by profession and NHS setting, a year after exposure to the effects of the pandemic.<\/p>\n

During the Summer and Autumn of 2021, 1958 NHS health professionals from across the UK completed an online survey to determine the relative importance they gave to 8 factors as the key reasons for leaving NHS employment.<\/p>\n

In all, 227 doctors; 687 nurses\/midwives; 384 healthcare assistants and other nursing support staff; 417 allied health professionals, such as physiotherapists and occupational therapists; and 243 paramedics from acute, mental health, community, and ambulance services, completed the survey.<\/p>\n

To produce reliable rankings, the survey used the paired comparison technique, whereby each respondent was presented with two push factors at a time, for all combinations of pairings, and asked to indicate: \u2018Which of these two factors is the bigger influence on why staff in your profession\/job role leave the NHS\u2019?\u2019<\/p>\n

The factors compared were: staffing levels; working hours; mental health\/stress; pay; time pressure; recognition of contribution; workload intensity; and work\u2013life balance.<\/p>\n

Overall, health professionals ranked work-related stress, workload intensity, and staffing levels as the primary \u2018push factors\u2019 underpinning decisions to leave the NHS. Recognition of effort and working hours were ranked lowest.\u00a0But there were differences in the order of importance and relative weighting given to the push factors among the different health professions.<\/p>\n

This was sharpest\u00a0for paramedics who, relative to staffing, gave work stress, work-life balance, work intensity and pay higher relative weighting than the other professions.\u00a0Paramedics also ranked work-life balance as a stronger driver to leave the NHS. They ranked this second compared to a fourth or fifth ranking across the other professions.<\/p>\n

Pay was considered more important by healthcare assistants and other nursing support staff and paramedics, but was generally ranked fourth or fifth by other professional groups.<\/p>\n

This contrasts with \u201csome contemporary media and industrial relations accounts,and some academic research findings,\u201d say the researchers, who nevertheless add: \u201cWhile other variables appear to exert a stronger push than pay, this is not grounds to diminish it as a potential source of dissatisfaction in absolute terms.\u201d<\/p>\n

Work intensity in acute care hospitals and community services; time pressure in community services; and recognition of effort in mental health services were given higher relative weightings.<\/p>\n

\u201cIn common with the NHS annual staff survey and all other voluntary participation employee surveys, the potential for self-selection response bias cannot be discounted,\u201d emphasise the researchers.<\/p>\n

But they conclude: \u201cExcepting paramedics, rankings of leave variables across the different health professional families exhibit a high degree of alignment, at the ordinal level, and highlight the primacy of psychological stress, staff shortages, and work intensity.\u201d<\/p>\n

They add: \u201cWhile increases in pay are transparently important to NHS staff, findings from this research suggest that enhancements in that domain alone may produce a modest impact on retention.<\/p>\n

\u201cAn equivalent conclusion might be drawn with respect to the current high-profile emphasis on increased access to flexible working hours as a solution within contemporary NHS staff retention guidance to employers.<\/p>\n

\u201cBoth have potential to do good, but there are grounds for inferring there is a risk that neither may deliver sufficient good to redress the high and rising exodus in the absence of attention to what present as more fundamental factors driving exit.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Pay increases alone may not be sufficient to fix NHS staff retention, researchers suggest Work stress, high workload, and understaffing are the primary factors driving health professionals out of the NHS, suggest the results of a survey published in the open access journal\u00a0BMJ Open. The findings prompt the researchers to suggest that pay increases alone […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":429,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[511,15012],"tags":[15026,15025],"class_list":["post-1802","post","type-post","status-publish","format-standard","hentry","category-in-the-news","category-press-release","tag-in-the-news","tag-press-release"],"yoast_head":"\nWork stress, workload, understaffing driving out health professionals from NHS - 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\/2023\/09\/12\/work-stress-workload-understaffing-driving-out-health-professionals-from-nhs\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Work stress, workload, understaffing driving out health professionals from NHS - BMJ Open\" \/>\n<meta property=\"og:description\" content=\"Pay increases alone may not be sufficient to fix NHS staff retention, researchers suggest Work stress, high workload, and understaffing are the primary factors driving health professionals out of the NHS, suggest the results of a survey published in the open access journal\u00a0BMJ Open. 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