Publications [#300756] of Donald H. Taylor

We've launched a new site so please go to People & Research for current information on our faculty and staff.

Journal Articles

  1. Taylor, DH; Leese, B. "General practitioner turnover and migration in England 1990-94.." The British journal of general practice : the journal of the Royal College of General Practitioners 48.428 (March, 1998): 1070-1072. [9624750]
    (last updated on 2026/01/20)

    Abstract:

    Background

    In 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.

    Aim

    To quantify general practitioner (GP) turnover and migration in England from 1990 to 1994.

    Method

    Yearly 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.

    Results

    Average 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.

    Conclusion

    Turnover 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.

Donald H. Taylor

x