Preferences for general practice jobs: a survey of principals and sessional GPs

Sarah Wordsworth, Diane Skåtun, Anthony Scott, Fiona French

Research output: Contribution to journalArticleResearchpeer-review

52 Citations (Scopus)


Background: Many countries are experiencing recruitment and retention problems in general practice, particularty in rural areas. In the United Kingdom (UK), recent contractual changes aim to address general practitioner (GP) recruitment and retention difficulties. However, the evidence base for their impact is limited, and preference differences between principals and sessional GPs (previously called non - principals) are insufficiently explored. Aim: To elicit GP principals' and sessional GTs' preferences for alternative jobs in general practice, and to identify the most important work attributes. Design of study: A discrete choice experiment. Setting: National Health Service (NHS) general practices throughout Scotland. Method: A postal questionnaire was sent to 1862 principals and 712 sessional GPs. The questionnaire contained a discrete choice experiment to quantify GPs' preferences for different job attributes. Results: A response rate of 49% (904/1862) was achieved for principals and 54% (388/712) for sessional GPs. Of responders, most principals were male (60%), and sessional GPs female (75%), with the average age being 42 years. All GPs preferred a job with longer consultations, no increase in working hours, but an increase in earnings. A job with outside commitments (for example, a health board or hospital) was preferable; one with additional out-of-hours work was less preferable. Sessional GPs placed a lower value on consultation length, were less worried about hours of work, and a job offering sufficient continuing professional development was less important. Conclusion: The differences in preferences between principals and sessional GPs, and also between different personal characteristics, suggests that a general contract could fail to cater for all GPs. Recruitment and retention of GPs may improve if the least preferred aspects of their jobs are changed. However, the long-term success of contractual reform will require enhancement of the positive aspects of working, such as patient contact.

Original languageEnglish
Pages (from-to)740-746
Number of pages7
JournalBritish Journal of General Practice
Issue number507
Publication statusPublished - Oct 2004
Externally publishedYes


  • Experiment
  • General practitioners
  • Job attributes
  • Preferences

Cite this