North Yorkshire GP: 'We can't finish today's work on the day anymore'

There are calls for the Government to continue investing in supporting the NHS workforce

In 2018, more than 4,000 of the neurologist's patients attended recall appointments amid concerns over his clinical practice
Published 8th Aug 2023

Almost half of doctors in the UK say their mental health is worse now than during Covid-19.

A survey found it is due to work pressure, rising demand and staffing issues in the NHS.

Dr. Peter Billingsley is a GP in Scarborough and said: "Everybody's been kind of traumatised since Covid. I don't think it's unique to doctors, certainly everyone in the health service, and of course all of our patients so there's a lot of trauma going around, more than I've ever seen before. There's certainly a lot of anxiety especially in young people. Doctors aren't immune to it, they're pretty traumatised and most of them try and get on with it.

"Anything new you just have to get used to and you have to adapt so Covid was a different kind of pressure and that was a challenge. We did things we've never done before. I went back to work in hospital and I was tired, putting in a lot of hours, and then you get through all that and realise you've got all the backlog from the time before.

"I still love my job and I suppose the difference between now and before Covid is that I can't complete today's work on the day anymore. It was always tough before and you could always stay a bit later and complete that work, but you just can't do that now. The patients obviously need to see us.

"You can still be there 7-8 o'clock in the evening or even later and you still can't finish the work and I think that's the tough thing. We've lost a little bit of that control and the work space of managing our stress levels and being able to complete work.

"In an ideal world, if you work 8am until 6pm, which is a long enough day as it is, I think everybody would probably be alright with that. The reality is, especially younger doctors, is that they've all got families. The stress starts in the late afternoon when they're trying to get off work on time to rush off to pick the kids up from school or whatever you're trying to do."

Experts are calling on the Government to continue investing in supporting the health service's workforce.

The Medical Protection Society survey

The Medical Protection Society (MPS) surveyed 861 doctors and found 46% were worse off psychologically than during the pandemic due to work pressure, rising demand and staffing issues in the NHS.

It comes after NHS England pledged to share £2.3 million between seven regions to maintain 40 NHS staff mental health and wellbeing hubs, which were set up in 2021 to provide workers with fast and easy access to support.

However, MPS said a freedom of information request by the British Psychological Society found £40 million would be required to run the sites.

Of those surveyed by MPS, 75% did not believe the Government is doing enough to help healthcare workers when it comes to mental health, while 43% are considering their future career due to concerns about their own wellbeing.

More than three-quarters (76%) said staff shortages are making it hard to take time off to deal with their issues.

Some 43% of doctors said "not being able to do the right thing for patients" is impacting on their mental health. Elsewhere, 47% said they were concerned about the impact of burnout on patient safety, and 40% said working long hours is affecting their mental wellbeing.

A doctor who participated in the survey said: "Pressures across NHS secondary, primary and social care, and the haemorrhaging of experienced staff at every level make the job increasingly impossible and fear of serious incidents, things going wrong, a sense of lurching from crisis to crisis with little or no respite, is taking its toll.

"I am considering early retirement - far earlier than planned. I do think this will be a sad loss both for myself and the NHS services as I have considerable experience and expertise. But I have my health, wellbeing and family to consider also."

Professor Dame Jane Dacre, MPS president, said the mental health and wellbeing hubs "provide desperately needed support to staff" with a range of issues, including anxiety and depression.

She added: "Demand for support with mental health issues is still high. Nearly half of our members tell us their mental health is worse now than it was during the pandemic, and a similar amount are considering their future in healthcare due to mental health concerns.

"We are also seeing more staff absent from work due to mental ill health than ever before.

"It therefore seems absolutely the wrong time to scale back mental health provision for healthcare staff and risk the sustainability of an established network of hubs that are crucial in supporting mental wellbeing and retention.

"We urge the Government to consider providing sustainable funding to strengthen the hubs. While retention is complex and multi-faceted, investment in mental health support for staff is a fundamental pillar."

Sarb Bajwa, chief executive at the British Psychological Society, said: "These shocking - but sadly not surprising - findings once again highlight the urgent need for the ongoing, dedicated mental health support provided by the hubs.

"It's clear the health and social care workforce is running on empty, and they deserve better than a drastically reduced service that's unable to meet demand due to short-sighted funding arrangements."

Last week, data published by NHS Digital revealed 24.2% of sick days across the health service in March 2023 were due to anxiety, stress, depression or other psychiatric illnesses.

The figure was 24.6% in February and 23.3% in January.

Saffron Cordery, deputy chief executive of NHS Providers, said the likes of staff shortages, operational pressures and demand on healthcare services "take a huge toll on the psychological wellbeing of staff across hospital, ambulance, mental health and community services".

"Trust leaders are deeply worried about this and are doing all they can do support staff and cover sickness absences, but their efforts will only go so far without national support," she added.

"A lack of government funding has led to the recent widespread closure of wellbeing hubs, leaving many NHS staff without access to crucial metal health services.

"Staff wellbeing is the lifeblood of the health service and helps ensure the best patient care. Proper government funding and support for it must therefore be non-negotiable."

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