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20 Nov, 14 tweets, 5 min read

#RCGPCouncil now turns its attention to a policy paper on GP retention. How do we stop GPs quitting the profession? Which groups of GPs are leaving & why? How are existing retention schemes working & how can they be improved?

#RCGPCouncil member: Loss of GPs is a major patient safety issue. Exhausted doctors are likely to make mistakes.

#RCGPCouncil member: To solve the retention problem, we need to make the daytime job doable.

#RCGPCouncil member: retention schemes are supporting struggling docs but not addressing the underlying problem. RCGP and BMA should be defining what is a safe workload. Also returner scheme too difficult to access.

#RCGPCouncil member: Returners are a failure of retention. 10% leave because of disability, illness or ill health. We need to support these doctors to stay in work.

#RCGPCouncil member: IMGs have no family support & young children so we could think about how we support this group.

#RCGPCouncil member: There is no accurate GP workforce data in England so we need to be slightly careful. Accurate data will enable us to take granular view. Lack of maternity cover/support is a big problem.

#RCGPCouncil member: Workplace culture is an issue, e.g. divide between partners and salaried GPs. We need to be kind to each other.

#RCGPCouncil member: North of Scotland has chronic retention problems despite the schemes we have in place. We should be asking not just why GPs leave but why they stay.

#RCGPCouncil member: I love being a partner but if someone offered to take that away and let me just see patients, I might bite their hand off. 5 clinical sessions should be what a full-time GP does.

#RCGPCouncil member: Retention scheme in our area is discretionary and hard to get onto.

#RCGPCouncil member: The real issue is workload. It's out of control. We're looking at downstream solutions. We need a renaissance of general practice.

#RCGPCouncil member: We could look at restricted licences for GPs approaching retirement to keep them in the workforce longer. Should we think the unthinkable, e.g. restricted list sizes?

#RCGPCouncil member: Retention isn't improved by appraisal. There is evidence that appraisal and revalidation are contributing to the problem

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