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British Journal of General Practice

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Research

Regional variation in practitioner employment in general practices in England: a comparative analysis

Sharon Spooner, Jon Gibson, Kath Checkland, Anne McBride, Damian E Hodgson, Mark Hann, Imelda McDermott and Matt Sutton
British Journal of General Practice 2020; 70 (692): e164-e171. DOI: https://doi.org/10.3399/bjgp20X708185
Sharon Spooner
Centre for Primary Care Research, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester.
Roles: Academic clinical lecturer
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Jon Gibson
Centre for Primary Care Research, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester.
Roles: Research fellow
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Kath Checkland
Centre for Primary Care Research, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester.
Roles: Professor of health policy and primary care
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Anne McBride
Alliance Manchester Business School, University of Manchester, Manchester.
Roles: Professor of employment relations
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Damian E Hodgson
Alliance Manchester Business School, University of Manchester, Manchester.
Roles: Professor of organisational analysis
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Mark Hann
Centre for Primary Care Research, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester.
Roles: Senior research fellow
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Imelda McDermott
Centre for Primary Care Research, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester.
Roles: Research fellow
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Matt Sutton
Centre for Primary Care Research, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester.
Roles: Professor of health economics
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Abstract

Background In recent years, UK health policy makers have responded to a GP shortage by introducing measures to support increased healthcare delivery by practitioners from a wider range of backgrounds.

Aim To ascertain the composition of the primary care workforce in England at a time when policy changes affecting deployment of different practitioner types are being introduced.

Design and setting This study was a comparative analysis of workforce data reported to NHS Digital by GP practices in England.

Method Statistics are reported using practice-level data from the NHS Digital June 2019 data extract. Because of the role played by Health Education England (HEE) in training and increasing the skills of a healthcare workforce that meets the needs of each region, the analysis compares average workforce composition across the 13 HEE regions in England

Results The workforce participation in terms of full-time equivalent of each staff group across HEE regions demonstrates regional variation. Differences persist when expressed as mean full-time equivalent per thousand patients. Despite policy changes, most workers are employed in long-established primary care roles, with only a small proportion of newer types of practitioner, such as pharmacists, paramedics, physiotherapists, and physician associates.

Conclusion This study provides analysis of a more detailed and complete primary care workforce dataset than has previously been available in England. In describing the workforce composition at this time, the study provides a foundation for future comparative analyses of changing practitioner deployment before the introduction of primary care networks, and for evaluating outcomes and costs that may be associated with these changes.

  • employment
  • general practice
  • health workforce
  • primary care networks
  • statistics and numerical data
  • Received October 4, 2019.
  • Revision requested October 15, 2019.
  • Accepted October 18, 2019.
  • ©The Authors

This article is Open Access: CC BY 4.0 licence (https://creativecommons.org/licenses/by/4.0/).

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British Journal of General Practice: 70 (692)
British Journal of General Practice
Vol. 70, Issue 692
March 2020
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Regional variation in practitioner employment in general practices in England: a comparative analysis
Sharon Spooner, Jon Gibson, Kath Checkland, Anne McBride, Damian E Hodgson, Mark Hann, Imelda McDermott, Matt Sutton
British Journal of General Practice 2020; 70 (692): e164-e171. DOI: 10.3399/bjgp20X708185

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Regional variation in practitioner employment in general practices in England: a comparative analysis
Sharon Spooner, Jon Gibson, Kath Checkland, Anne McBride, Damian E Hodgson, Mark Hann, Imelda McDermott, Matt Sutton
British Journal of General Practice 2020; 70 (692): e164-e171. DOI: 10.3399/bjgp20X708185
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Keywords

  • employment
  • general practice
  • health workforce
  • primary care networks
  • statistics and numerical data

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  • Advance care planning in primary care for patients with gastrointestinal cancer: feasibility randomised trial
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