How we can keep experienced GPs working in the NHS
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What motivated Dr Nada Khan to study GP retention and how does the new research differ from the 2016 study?
Hello and welcome to Talking General Practice, the podcast from GP Online. I'm Emma Bauer, the editor of GP Online. Today on the podcast, I'm speaking to Dr. Nada Kahn, who is a GP in Exeter and a clinical lecturer in general practice about her recent study on GP retention. In this conversation, Nadra explains how workload has become increasingly intense, fragmented and risk-laden, and she describes the impact of hybrid access models and moral distress on GPs, all of which are causing experienced doctors to cut back on sessions they work or leave the profession altogether. Nada also highlights the critical factors that help GPs stay in practice, including the importance of continuity of care, supportive practice teams and establishing clear workload boundaries.
And we discuss what national policymakers need to understand to address the retention crisis among mid to late career GPs and the practical changes individual practices can make to support their staff. Mims Learning Life South is returning to London on Friday, the 12th of June, and this year we're pleased to announce that tickets are free to book. This is the event you won't want to miss. It's your chance to boost your clinical know-how, connect with peers from across the UK and gain fresh insights that can make a real difference in your patients' lives. This year's clinical programme covers issues including obesity management, pediatrics, women's health and cardiology. We'll also be running a GP business hub stream aimed at GP partners, practice managers and PCN managers, which will be chaired by me.
Sessions in that stream will cover practice finance, neighbourhood working, using AI in practice and how to meet the challenges of rising patient demand. Spots will go faster, don't wait. Head to mimslearninglife.com forward slash south and grab your tickets today. And if you come along, do pop over to say hello if you see me. I'm really pleased to be joined on the podcast now by Dr. Nada Kahn, who is a GP in Exeter and a clinical lecturer in general practice at the University of Exeter. Her research interests are around the GP workforce and continuity of care and how to enhance the general practice experience for patients and clinicians, and she's here today to talk about a recent study that was published in the British Journal of General Practice about GP retention.
Thanks so much for coming on the podcast, Narda. It's really Lovely to meet you, Emma. Thank you. We're talking about this study you've recently published about GP retention and this latest piece of research, this followed on from a previous study that explored why GPs leave the profession. So can you explain a bit about that first study to begin with? How did that work and what did that first study find?
So the original study, the regroup study, looked at why GPs were thinking about leaving practice. And that was done back in 2016. And it found that things like workload, stress, bureaucracy, and things like that were major drivers pushing GPs towards reducing sessions or leaving altogether. But what's interesting is looking back is that study captured a moment just before. For some really major changes that, as we all know, have happened in general practice. So it was pre-pandemic, it was before the rapid expansion of digital first access and total triage, the increasing multidisciplinary team in practice, and before a lot of the current pressures around workload transfer and some of the fragmented systems that we deal with.
In today's general practice. So that gave us a really good baseline for understanding what's changed since then, but also going back and thinking about why GPUs are leaving practice now.
So it's interesting when you say it like that, it just actually makes you realise how much has changed, hasn't it, over the last five, six, seven years? This recent study, why did you decide to do this one? What had changed that prompted you to look at that group of GPs? Was it just because of all those changes we were talking about then?
Yeah, absolutely.
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Chapters
7 chapters
1
What motivated Dr Nada Khan to study GP retention and how does the new research differ from the 2016 study?
0:01–4:41
2
How have hybrid access models and digital‑first consulting changed GP workload and risk?
4:41–9:14
3
What specific factors (continuity, team support, workload boundaries) help experienced GPs stay in practice?
9:14–14:24
4
How does moral distress differ from burnout and why is it rising among senior GPs?
14:24–20:34
5
Why is continuity of care essential for GP retention and how does it affect patient outcomes?
20:34–25:43
6
What practical workload‑boundary strategies (capped lists, admin blocks, meeting structures) improve GP sustainability?
25:43–30:10
7
What policy‑level changes (workload limits, protecting continuity, funding schemes) could stop the exodus of mid‑to‑late‑career GPs?
30:10–31:30
Speakers
1 identifiedMore from Talking General Practice
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