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 (> or =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.
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 (> or =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.
Authors: Tim Doran; Catherine Fullwood; Hugh Gravelle; David Reeves; Evangelos Kontopantelis; Urara Hiroeh; Martin Roland Journal: N Engl J Med Date: 2006-07-27 Impact factor: 91.245
Authors: Jon Helgheim Holte; Birgit Abelsen; Peder Andreas Halvorsen; Jan Abel Olsen Journal: BMC Health Serv Res Date: 2015-03-25 Impact factor: 2.655