Determinants of general practitioners' wages in England. 2011

Stephen Morris, and Rosalind Goudie, and Matt Sutton, and Hugh Gravelle, and Robert Elliott, and Arne Risa Hole, and Ada Ma, and Bonnie Sibbald, and Diane Skåtun
UCLH/UCL Comprehensive Biomedical Research Centre, UCL Division of Research Strategy, UCL Research Department of Epidemiology and Public Health, University College London, London, UK. steve.morris@ucl.ac.uk

We analyse the determinants of annual net income and wages (net income/hours) of general practitioners (GPs) using data for 2271 GPs in England recorded during Autumn 2008. The average GP had an annual net income of £97,500 and worked 43 h per week. The mean wage was £51 per h. Net income and wages depended on gender, experience, list size, partnership size, whether or not the GP worked in a dispensing practice, whether they were salaried of self-employed, whether they worked in a practice with a nationally or locally negotiated contract, and the characteristics of the local population (proportion from ethnic minorities, rurality, and income deprivation). The findings have implications for pay discrimination by GP gender and ethnicity, GP preferences for partnership size, incentives for competition for patients, and compensating differentials for local population characteristics. They also shed light on the attractiveness to GPs in England of locally negotiated (personal medical services) versus nationally negotiated (general medical services) contracts.

UI MeSH Term Description Entries
D008297 Male Males
D010317 Partnership Practice A voluntary contract between two or more doctors who may or may not share responsibility for the care of patients, with proportional sharing of profits and losses. Partnership Practices,Practice, Partnership,Practices, Partnership
D011907 Rate Setting and Review A method of examining and setting levels of payments. Rate Setting, Review,Review and Rate Setting,Rate Settings, Review,Review Rate Setting,Review Rate Settings,Setting, Review Rate,Settings, Review Rate
D003284 Contract Services Outside services provided to an institution under a formal financial agreement. Services, Contract,Contract Service,Service, Contract
D004739 England A part of Great Britain within the United Kingdom.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012456 Salaries and Fringe Benefits The remuneration paid or benefits granted to an employee. Fringe Benefits,Wages,Paternity Benefits,Pay Equity,Salaries,Benefit, Fringe,Benefit, Paternity,Benefits, Fringe,Benefits, Paternity,Equities, Pay,Equity, Pay,Fringe Benefit,Paternity Benefit,Pay Equities,Salary,Wage
D012737 Sex Factors Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances. Factor, Sex,Factors, Sex,Sex Factor
D013222 State Medicine A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population. National Health Service, British,Socialized Medicine,British Health Service, National,British National Health Service,Medicine, Socialized,Medicine, State,Service, British National Health

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