ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1998
General practitioner turnover and migration in England 1990-94.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Related factors of turnover intention among general practitioners: a cross-sectional study in 6 provinces of China.BMC primary care · 2025Article
- Predictors and population health outcomes of persistent high GP turnover in English general practices: a retrospective observational study.BMJ quality & safety · 2023Observational
- Rates of turnover among general practitioners: a retrospective study of all English general practices between 2007 and 2019.BMJ open · 2021Article
- Understanding the impact of professional motivation on the workforce crisis in medicine: a rapid review.BJGP open · 2021Article
- Assessing family medicine trainees--what can we learn from the European neighbours?GMS Zeitschrift fur medizinische Ausbildung · 2015Article
- Neighborhood Deprivation and Risk of Age-Related Eye Diseases: A Follow-up Study in Sweden.Ophthalmic epidemiology · 2015Article
- End stage renal disease risk and neighbourhood deprivation: a nationwide cohort study in Sweden.European journal of internal medicine · 2014Article
- Neighborhood deprivation and hospitalization for venous thromboembolism in Sweden.Journal of thrombosis and thrombolysis · 2012Article
- Neighborhood deprivation and prostate cancer mortality: a multilevel analysis from Sweden.Prostate cancer and prostatic diseases · 2012Article
- Inequities in CHD incidence and case fatality by neighborhood deprivation.American journal of preventive medicine · 2007Article
- GPs on the move.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Why do general practitioners from France choose to work in London practices? A qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- The future for non-principal general practitioners: lost doctors--lost to whom?The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Article
- Recruitment and retention of general practitioners in the UK: what are the problems and solutions?The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Review
- Retention of young general practitioners entering the NHS from 1991-1992.The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Article
- Retrospective analysis of census data on general practitioners who qualified in South Asia: who will replace them as they retire?BMJ (Clinical research ed.) · 1999Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn tandem with fears about a GP workforce crisis, increasing attention is being focused on the supply and distribution of primary care services: on general practitioners in particular. Differential turnover and migration across health authority boundaries could lead to a maldistribution of GPs, yet comprehensive studies of GP turnover are non-existent.
aimTo quantify general practitioner (GP) turnover and migration in England from 1990 to 1994.
methodYearly data from 1 October 1990 to 1 October 1994 were collected on GPs in England practising full time, including average yearly turnover, rates of entry to and exit from general practice, and net migration among GPs. All were calculated at the family health service authority (now the new health authorities) level.
resultsAverage yearly GP turnover ranges from 2.9% in Shropshire to 7.8% in Kensington, Chelsea and Westminster; turnover is associated with deprivation and high-need areas. Migration of GPs across health authority borders was rare. Entry and exit rates were also positively related to measures of deprivation and need. Relatively underprovided health authorities lost 23 GPs over the study period as a result of migration; relatively overprovided ones gained three.
conclusionTurnover is driven primarily by exits from general practice and is related to deprivation and high need. Retention appears to be the main problem in ensuring an adequate GP supply in relatively deprived and underprovided health authorities.
Indexed as
Identifiers
9624750PMC1410007What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.