When comparing GP workforce statistics, we always advise that any comparisons are made across a full year rather than from one quarter or month to the next. This is because monthly data is affected by seasonality. For example, September is the main intake and rotation period for registrars, which can result in a higher number of registrars joining the practices than leaving. Similarly, some registrars may leave, or rotate away from practices, over the subsequent quarters.
Consequently, as this is the first release of these statistics covering October, these figures have no available direct comparison. No attempt to quantify percentage increases or decreases in FTE figures is made in this release.
Can historical comparisons be made?
We have done our utmost to remove breaks in the time series to allow GP counts to be comparable – as far as possible – across years. This means that our FTE GP time series is available back to September 2015 and published figures may reasonably be compared with those from the same point in previous years.
Details of the work we have done to remove time series breaks and support comparability are available in the General Practice Workforce 30 September 2019 publication and the figures in that release supersede all earlier publications. However, in summary:
- Revisions to the estimation methodology:
We revised how we estimate for missing or incomplete records for the December 2018 data collection and revised all historical figures back to September 2015 in that publication which was released in two instalments on 21 February and 25 April 2019.
- GP registrars:
We began using the Health Education England Trainee Information System (TIS) as the source of our GP registrar data from June 2018 onwards and used this more reliable data to estimate for missing records at England-level only for September 2015 to March 2018.
However, regional figures for September 2015 to March 2018 remain noncomparable with the figures from June 2018 onwards as there is no information about the regional location of large numbers of GP registrars prior to June 2018.
- GP locums:
The GP locum time series – and hence the overall GP time series – had two series breaks. These breaks resulted from the release of additional data collection guidance early in 2017 and a change to the data collection between September and December 2017 when we began collecting information on “infrequent locums” who may cover as little as a single session at a GP practice.
We have been able to produce estimates for FTE GP locums to account for under-reported figures, meaning all GP FTE figures are now comparable with those for the same reporting point in previous years back to September 2015.
As the figures in the General Practice Workforce 30 September 2019 publication, released on 28 November 2019, superseded all earlier releases, we have archived older publications to avoid confusion.
More details on all these changes and areas of exploratory work can be found in the accompanying Data Quality Statement.
Where data can be compared
We urge users not to make comparisons between quarters or months, but only on a year-on-year basis. This is because seasonal variation affects workforce figures. Because of changes in data sources and other methodological changes, some measures have a longer time series than others, while some measures include a break in their time series which affects comparability across reporting periods.
All GP FTE data at England-level can now be compared from September 2015 to current following the removal of breaks in the time series. However, regional comparisons of figures prior to June 2018 are not possible because there is no regional information for a large number of GP registrars whose location is therefore recorded as “Unknown” for September 2015 to March 2018.
The GP regional FTE excluding registrars can be compared from September 2015 to current.
The Nurses data in this publication can be compared across time periods. At a job role level, we recommend that caution be used, as staff previously classified as District Nurses were re-categorised as Practice Nurses from June 2019.
The overall Direct Patient Care, and Admin/non-Clinical figures in this publication can be compared from September 2015 to current. However, the job role level data is not fully comparable due to changing job roles in the collection tools, and the existence of some records with no stated job role in the early collections.
More detail about these changes are in the relevant table footnotes. Table 2 indicates where data is and is not comparable, to earlier periods.
Table 2: Earliest date in this publication where all figures are calculated on the same basis*
General Practitioner groupings:
|
From (England-level)
|
From (Region-level) |
All GPs
|
Sep-15 FTE, Dec-17 HeadcountA,B
|
Jun-18C |
Fully Qualified GPs (excludes Registrars)
|
Sep-15 FTE, Dec-17 HeadcountA
|
Sep-15 FTE, Dec-17 HeadcountA |
Regular GPs (excludes Locums)
|
Sep-15B
|
Jun-18C |
Qualified Permanent GPs (excludes Registrars & Locums)
|
Sep-15
|
Sep-15 |
General Practitioner job roles:
|
|
|
GP Partners
|
Sep-15
|
Sep-15 |
Salaried GPs
|
Sep-15
|
Sep-15 |
GP Registrars
|
Sep-15B
|
Jun-18C |
GP Retainers
|
Sep-15
|
Sep-15 |
GP Locums
|
Sep-15 FTE, Dec-17 HeadcountA
|
Sep-15 FTE, Dec-17 HeadcountA |
Other Staff Groups:
|
|
|
All Nurses
|
Sep-15
|
Sep-15 |
All Direct Patient Care
|
Sep-15
|
Sep-15 |
All Admin/non-Clinical
|
Sep-15
|
Sep-15 |
A Adjustment applied to September 2015 to December 2016 data to account for an improvement in GP locum recording.
B Adjustment applied to September 2015 to March 2018 data to account for a changing data source for GP registrars.
C Change in data source of GP registrars led to a notable reduction in registrars of 'unknown' location and region.
*Headcount figures are not currently available in this release.
Included in the published information
Workforce information is included for all staff providing services at a traditional General Practice, which we define as an organisation which offers Primary Care medical services by a qualified General Practitioner who can prescribe medicine and where patients can be registered and held on a list. Generally, the term describes what is traditionally thought of to be a high street family doctor’s surgery. Definitions of each job role can be found in the NWRS User Guidance.
For the purposes of this publication, the term General Practice does not include Prisons, Army Bases, Educational Establishments, Specialist Care Centres including Drug Rehabilitation Centres and Walk-In Centres, although the increasing trend for Walk-In Centres to develop as Equal Access Treatment Centres that register patients now makes it harder to differentiate between these sites and traditional general practices. It also does not include other alternative settings outside of traditional general practice such as urgent treatment centres and minor injury units.