Satisfaction and attrition in the UK healthcare sector over the past decade.

Neel Ocean, Caroline Meyer
Author Information
  1. Neel Ocean: WMG, University of Warwick, Coventry, United Kingdom. ORCID
  2. Caroline Meyer: University of Warwick, Coventry, United Kingdom.

Abstract

Existing literature has highlighted concerns over working conditions in the UK National Health Service (NHS), with healthcare workers frequently citing work-life balance issues and stress as being drivers of attrition and burnout. However, we do not know whether these problems have become worse over time, particularly over the past decade, during which there have been multiple shocks to the UK healthcare system. To investigate this, we analysed data from NHS monthly workforce statistics and the UK Household Longitudinal Study. Three times as many workers left the NHS in 2021 for work-life balance reasons than in 2011, while estimated satisfaction with one's amount of leisure time for healthcare workers fell by three times the amount that it fell for non-healthcare workers. Both satisfaction with amount of leisure time and satisfaction with income have remained lower for healthcare workers than for other public sector workers. By 2020, a worker that had low satisfaction with their amount of leisure time was as much as 22 percentage points less likely than in 2010 to remain in healthcare in the following year. Overall, working conditions in UK healthcare have deteriorated between 2010 and 2020, especially relative to the private sector. However, overall job satisfaction has fallen faster in other areas of the public sector than it has in healthcare, which may indicate wider issues within the UK public sector as a whole.

References

  1. SSM Popul Health. 2021 Sep 04;15:100909 [PMID: 34584931]
  2. BMJ Open. 2018 Jan 10;8(1):e019849 [PMID: 29326195]
  3. BMC Public Health. 2021 Jul 28;21(1):1470 [PMID: 34320922]
  4. BMC Health Serv Res. 2021 Mar 1;21(1):188 [PMID: 33648510]
  5. Lancet Psychiatry. 2021 Jul;8(7):610-619 [PMID: 33965057]
  6. Midwifery. 2013 Aug;29(8):921-6 [PMID: 23415363]
  7. Psychooncology. 2013 Jan;22(1):46-53 [PMID: 21956976]
  8. Emerg Med J. 2020 Sep;37(9):555-561 [PMID: 32647025]
  9. Br J Hosp Med (Lond). 2017 Jun 2;78(6):344-348 [PMID: 28614029]
  10. BMJ Open. 2019 May 15;9(5):e027362 [PMID: 31092661]
  11. BMJ. 2013 May 14;346:f3066 [PMID: 23674337]
  12. J Adv Nurs. 2009 Jul;65(7):1400-11 [PMID: 19457002]
  13. Int J Ment Health Nurs. 2021 Dec;30(6):1476-1497 [PMID: 34184394]
  14. PLoS Med. 2017 Nov 14;14(11):e1002427 [PMID: 29135978]
  15. Open Heart. 2021 Jul;8(2): [PMID: 34244358]
  16. J R Soc Med. 2018 Jan;111(1):18-30 [PMID: 29035667]
  17. Br J Radiol. 2014 Jul;87(1039):20130742 [PMID: 24786316]
  18. Eur J Public Health. 2017 Oct 1;27(suppl_4):18-21 [PMID: 29028245]
  19. BMJ Open. 2021 Aug 2;11(8):e045150 [PMID: 34341033]
  20. J Clin Nurs. 2018 Dec;27(23-24):4353-4360 [PMID: 29896763]
  21. Lancet. 2021 May 22;397(10288):1915-1978 [PMID: 33965070]
  22. BMJ Open. 2018 Mar 2;8(3):e019456 [PMID: 29500208]
  23. Int Rev Psychiatry. 2005 Oct;17(5):329-36 [PMID: 16194812]
  24. Postgrad Med J. 2021 Dec 17;: [PMID: 37073616]
  25. BMJ Open. 2017 Oct 25;7(10):e018462 [PMID: 29074517]
  26. J Adv Nurs. 2012 Jul;68(7):1589-600 [PMID: 22458811]
  27. BMJ. 2021 Oct 18;375:n2533 [PMID: 34663568]
  28. Eur J Public Health. 2011 Aug;21(4):499-503 [PMID: 20142402]
  29. J Adv Nurs. 2019 Feb;75(2):327-337 [PMID: 30187541]
  30. J Clin Nurs. 2021 Aug;30(15-16):2373-2385 [PMID: 33949027]
  31. Fam Pract. 2000 Oct;17(5):364-71 [PMID: 11021893]
  32. BMJ Open. 2017 Apr 11;7(4):e015853 [PMID: 28446528]
  33. Br J Gen Pract. 2016 Feb;66(643):e128-35 [PMID: 26740606]
  34. J Adv Nurs. 2005 Feb;49(3):315-22 [PMID: 15660556]
  35. Int J Environ Res Public Health. 2020 Dec 15;17(24): [PMID: 33333913]
  36. BMJ Open. 2019 Nov 25;9(11):e030968 [PMID: 31767585]
  37. Nat Med. 2021 Jun;27(6):964-980 [PMID: 34002090]
  38. BMJ. 2020 Mar 20;368:m1117 [PMID: 32198166]
  39. BMJ. 2022 Apr 26;377:o1047 [PMID: 35474169]
  40. Radiography (Lond). 2021 Aug;27(3):795-802 [PMID: 33423914]
  41. Int J Nurs Stud. 2022 Jul;131:104242 [PMID: 35525086]
  42. BMJ. 2022 Apr 1;377:o871 [PMID: 35365492]
  43. Perspect Public Health. 2022 Sep;142(5):287-296 [PMID: 33855922]
  44. Health Policy. 1996 Jun;36(3):273-89 [PMID: 10158269]
  45. Health Econ. 2003 Jun;12(6):465-78 [PMID: 12759916]
  46. J R Soc Med. 2017 May;110(5):198-207 [PMID: 28504070]
  47. Health Sci Rep. 2021 Oct 08;4(4):e419 [PMID: 34646946]
  48. Front Public Health. 2022 Jun 27;10:928107 [PMID: 35832284]
  49. Soc Sci Med. 2019 Feb;222:335-345 [PMID: 30626498]
  50. BMC Med Educ. 2021 Apr 26;21(1):241 [PMID: 33902561]
  51. J Res Nurs. 2018 Dec;23(8):659-675 [PMID: 34394487]
  52. Lancet Psychiatry. 2020 Oct;7(10):883-892 [PMID: 32707037]
  53. Health Policy. 2019 Nov;123(11):1093-1099 [PMID: 31564383]
  54. BMJ Open. 2019 Jan 7;9(1):e024349 [PMID: 30617103]
  55. BMJ Open. 2020 Aug 13;10(8):e035957 [PMID: 32792432]
  56. Br J Gen Pract. 2017 Jun;67(659):e428-e436 [PMID: 28483822]
  57. BMC Psychiatry. 2021 May 12;21(1):250 [PMID: 33980215]

MeSH Term

Humans
State Medicine
Longitudinal Studies
Health Care Sector
Job Satisfaction
United Kingdom

Word Cloud

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