1. Job satisfaction and the current job market for hospital based doctors in the UK Dr Celia Gregson Specialist Registrar in Elderly and Internal Medicine Frenchay Hospital, Bristol

2. The Current Job Market

4. 2005 Consultants and GP Numbers in the UK GPs – 35,944 Consultants – 31,427

5. 2005 UK Consultants - Medicine

6. 2005 UK Consultants - Surgery

7. 2005 UK Consultants - Others

9. Consultant Vacancies Survey, March 2006

10. Sept 2005: Numbers of Doctors in all grades in UK

11. NHS; The Information Centre www.ic.nhs.uk/statistics-and-data- collections/workforce www.ic.nhs.uk/statistics-and-data- collections/workforce Organisation for Economic Co-operation and Development www.oecd.org

12. Postal questionnaire 4221 Drs, qualified in 1999 Surveyed towards end of first year 2727 respondents, of whom 1326 codable

13. 65.2% did not definitely intend to practise medicine in the UK

14. Considering leaving the UK

15. Considering leaving Medicine

16. Reasons: UK working conditions Poor working conditions Poor state of NHS Poor working environment Better pay Shorter working hours Lack of respect / appreciation Demoralised Taxes

17. Reasons: Lifestyle choices Better QOL Better standard of living Outdoor life Experiencing other countries and cultures Change of scene Travel & Adventure Desire to help developing world Family & Friends abroad Better weather

18. The Numbers Now? Presently >30,000 Drs have applied for 20,000 training posts through MTAS Up to 11,400 of these Drs may have qualified outside of EEA (may be working in UK) 7700 SHOs & 3700 Staff Grades Immigration rules….

19. Medical school expansions…. 6000 of applicants are F2 applying for ST1 – result of medical school expansion Last 6 years – yearly medical graduates increased from < 4000 to 6000 a year in UK

20. Who is applying for the 20 000 training posts across the UK? Doctors in F2 posts: 6000 SHOs in England: 18 200 SHOs in Scotland, Wales, and NI: 4000 Doctors in staff grade posts in UK (out of a total of >6000): Not known Doctors working outside the European Economic Area (EEA): 2000 Doctors currently working inside the EEA (but outside UK): Not known Total: >30 200

21. Number of available training posts? BMA: 18 500 DoH: 23 000

22. To Conclude…..