Difficulty in recruiting GPs is a major health crisis says doctor

10:55 28 November 2014


A leading GP has told how Norfolk and Waveney is facing “a major health crisis” as the area struggles to recruit enough doctors for its surgeries.

‘This is a crisis’

Dr Tim Morton, chairman of the Norfolk and Waveney Local Medical Committee, said: “This is a crisis that is hitting and it’s going to get worse.

“I represent 124 practices in Norfolk and Waveney and most are suffering.”

His practice at Beccles is a well-regarded training practice with 20,000 patients, but is four full-time GPs short and he said another 20 practices are in a similar situation.

He said: “Actually we are managing but we are working 12-hour days and that’s unsustainable.”

When the practice advertised for GPs in the British Medical Journal for five weeks it had no responses. Dr Morton said: “This is the national response as well. “I talk to fellow chairmen around the country and it’s exactly the same.

“Not only can we not recruit and have not made general practice attractive enough for young doctors, younger doctors are leaving early because they are burnt out.”

While the problem is nationwide, the issue of NHS recruitment has come under scrutiny following Watton Medical Practice’s decision to de-register 1,5000 patients.

A Breckland District Council scrutiny report this summer found there were 50 GP vacancies in Norfolk, which represented an overall 10pc shortfall.

Yesterday, Norfolk Health Overview and Scrutiny Committee quizzed health bosses about the issue and were told by Norfolk and Waveney Local Medical Committee chairman Dr Tim Morton that “we have got a major health crisis”.

The pressure being put on surgeries by large housebuilding schemes in communities across Norfolk and Waveney was raised as a concern, as GPs say they are often only consulted late into the planning stages, and Dr Morton said the construction of 
large new care homes could significantly add to local GP workloads.

Why is it so hard to recruit GPs? Here are a few of the reasons raised at the meeting:

• General practice is not attractive to medical students

• Many GPs own their practice premises and the burden of this can put off doctors from becoming partners

• A rise in part-time GPs as doctors choose to pursue other roles and as female GPs take time off for families

• A rise in doctors choosing to work solely as locum GPs

• Norfolk needs to be marketed better as a place to live and work

• More investment in primary care is needed

• Medical schools focus more on training in hospitals rather than in general practice

• Are the right sort of prospective medical students, who are interested in becoming a GP, being chosen?

• Doctors are put off by negative publicity about GPs and a “blame culture”

• Reducing average income for GPs and changing to pension rules encouraging some to retire early

He said: “The GPs premises are a huge issue and it’s compounding the issue. Most young GPs look at the financial burden of providing premises and walk a mile. That’s why we have very few GPs coming in.”

Dr Mark Sanderson, of NHS England’s East Anglia Area Team and who works as a Cambridgeshire GP, said: “Many trainees want to be locums, which means it’s harder to get good doctors to work in your practice in a substantive position.”

James Elliott, of the Norwich Clinical Commissioning Group and the Strategic Resilience Group for Central Norfolk, said he believed Norfolk’s stable GP workforce in the past had helped to keep emergency admissions at hospitals low, but now the pressure at the Norfolk and Norwich University Hospital was “huge”.

While the committee acknowledged workforce planning is ultimately the responsibility of Health Education England at a national level, members were urged to see if there were steps that could be taken locally to improve the situation – for example, seeing if councils could support local practices by helping to fund adverts to attract GPs to the area as a place to live and work.

Ross Collett, head of the Norfolk and Suffolk Workforce Partnership for Health Education East of England, said one option was to try to set up a GP training programme which gave doctors the chance to experience different areas of work in an attempt to develop and retain GPs.

Do you have a health story? Contact Tom Bristow on 01603 772419 or email


  • I say, andy, exactly how many years ago was Labour last in power ? This silly Tory excuse of 'keep blaming Labour' wore thin in 2011. Like immigration, the national debt crisis, and all other failures of David Cameron's Govt, they are entirely of the Tories' own doing. They've been far too busy cutting taxes for the super-rich, giving away pubic assets for peanuts, and pushing through privatisation of NHS services and LEA schools to trouble themselves with such petty matters.

    Report this comment

    Mr Cameron Spork-Pies

    Friday, November 28, 2014

  • Take a look at the GPs' online in-house magazine, pulsetoday, and see how angry they are about being a political and newspaper scapegoat. It's a major factor in why medical students are choosing not to be GPs.

    Report this comment


    Friday, November 28, 2014

  • There are other key problems of course. The massive increase in pay for less work under the contract awarded by Labour has made it far more likely that GP's will work part time as indeed has been the case. In addition, it is far more lucrative to work as a locum because of the rate of pay and with all the tax advantages that come with working in that way. Until there is a cap on what can be paid to locums, this will continue and perhaps get worse.

    Report this comment


    Friday, November 28, 2014

  • Larson and T - are you saying that all of the net 260,000 who arrived last year are working in the NHS? And what about all those who arrived in the previous years. And this is only NET immigration, not total. There are just too many people in this country so it it really is pointless you continuing to be in denial. Of course it has an impact and will continue to do so. Some targeted immigration may well be appropriate but continued mass immigration is not.

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    Friday, November 28, 2014

  • Difficulty in recruiting ? How about increasing the medical places available to train our own Doctors rather than take from parts of the world where they may be needed .

    Report this comment


    Friday, November 28, 2014

  • Dear blister, it seems you are unaware that of the 'people flooding into the country' many work in the NHS. In fact the Health Service would not survive without them: "The proportion of foreign nationals increases for professionally qualified clinical staff (14%) and even more so for doctors (26%), prompting the British Medical Association (BMA) to observe that without the contribution of non-British staff, "many NHS services would struggle to provide effective care to their patients". - source Health and Social Care Information Centre. A BMA spokeswoman said: "Overseas doctors have for many years made a valuable and important contribution to the NHS, especially in key services where there has been a historic shortage of UK-trained doctors. "This includes consultant posts in emergency care, haematology and old-age psychiatry. Without the support of these doctors many NHS services would struggle to provide effective care to their patients." In anticipation of your reply I quote the following: "The spokeswoman added that doctors were subject to strict criteria set by the GMC and that if they were from outside the European Economic Area they had to take additional language tests to ensure that they spoke English to a good standard.".

    Report this comment


    Friday, November 28, 2014

  • Keep 'em coming John......not heard from " Ryan Bure " or " Bob Tob " for a while.

    Report this comment


    Friday, November 28, 2014

  • Most of the pressures on the NHS come from the act that there are far too many people using it, there has been a surge in the number of people flooding into the country which is putting huge pressure on hospital, schools, the transport system and finances due to the massive increase in welfare payments

    Report this comment


    Friday, November 28, 2014

  • Just when are people going to come to their senses? We no longer have the infrastructure to cope with the number of people coming here.

    Report this comment

    John L Norton

    Friday, November 28, 2014

The views expressed in the above comments do not necessarily reflect the views of this site

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