Recruitment and retention of 'Deep End' GP practitioners

Khan, Yasar (2023) Recruitment and retention of 'Deep End' GP practitioners. Masters thesis, University of Wales Trinity Saint David.

Khan, Yasar (2023) MBA Recruitment and retention of 'Deep End' GP Practitioners.pdf - Accepted Version
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Background: UK NHS GP Practices serving relatively more deprived communities have the dual challenge of a relative increase in service demand whilst operating with a reduced workforce, a recipe fuelling widening health inequalities. ‘Deep End’ practices consist of GP surgeries providing healthcare services to the 15% most deprived populations as per the UK Index of Multiple Deprivation (IMD) rank. The literature search strategy exposed a paucity of research as related to the study objective. Retention of pre-existing working age GPs accompanied by additional recruitment is critical in ensuring adequate workforce supply to meet future NHS service demands. Theories of employee motivation and engagement are explored. Research Objective: To identify key factors that influence the recruitment and retention of GPs working within ‘Deep End’ Practices from the perspective of GP surgery partners. Research Question: What perceptions do ‘Deep End’ GP Surgery Partners have on the factors that influence the recruitment and retention of GPs? Methodology: This research study is situated within a qualitative framework with interpretivism as the epistemological basis and constructivism asthe research paradigm. As perceptions were explored, a phenomenological approach was adopted. The participants were selected utilising a purposive sampling technique as partners specifically within ‘Deep End’ practices were required. Luton within England, UK was selected as the geographical location given the relative high concentration of ‘Deep End’ practices and closeness to the researcher. 8 semi-structured interviews were conducted virtually via synchronous video consulting facilities utilising Zoom© software as the data collection tool to assist efficient collaborative dialogue in the context of the ongoing Covid 19 pandemic. Ethical approval was gained from the University of Wales, Trinity Saint David. Thematic analysis was utilised as a strategy for data analysis. Data Analysis: Overall 5 themes were identified: GP Partner identity/role (including value of GPs as ‘specialists’ in primary care, role as the ‘named’ GP, adverse media coverage and future viability of the partnership model), patient factors particularly relevant to ‘Deep End’ practices (including wider determinants of health, language barriers and co-morbidities at a younger age), work environment (including job satisfaction, workload, safety, premises and the GP market), continuous professional development/career progression (including portfolio careers and training practices) and finally resources/remuneration (including the Carr-Hill formula, wider workforce and the NHS Pension scheme). Recommendations: 20 recommendations linked to Maslow’s hierarchy of needs theory (physiological, safety, belonging, esteem and self-actualisation) albeit with cessation of the pre�potency principle are proposed for stakeholder action to ensure meaningful ‘levelling up’ is realised for all communities with regards to the provision of NHS primary care health services within the UK.

Item Type: Thesis (Masters)
Subjects: H Social Sciences > HD Industries. Land use. Labor > HD28 Management. Industrial Management
R Medicine > R Medicine (General)
Divisions: Theses and Dissertations > Masters Dissertations
Depositing User: Natalie Williams
Date Deposited: 20 Jul 2023 08:15
Last Modified: 20 Jul 2023 08:15

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