General and Personal Medical Services. England 2004-14

General and Personal Medical Services England 2004-14 Published 25 March 2015

We are the trusted national provider of high-quality information, data and IT systems for health and social care. www.hscic.gov.uk enquiries@hscic.gov.uk @hscic This product may be of interest to employers, stakeholders, policy officials, commissioners and members of the public. Interests will range from comparisons of the general practice workforce at local, regional and national levels to managing recruitment, staffing and training and prioritising commissioning. Author: Responsible statistician: Workforce and Facilities Team, Health and Social Care Information Centre Kate Bedford, Programme Manager Version: V1.0 Date of publication: 25 March 2015 2 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Contents Executive Summary 4 Introduction 5 Analysis and Commentary 6 Practitioners by type (excluding Registrars and Retainers) 6 Practitioners by Gender (excluding Registrars and Retainers) 7 GP Retainers 8 GP Registrars (trainees) 8 Practice numbers and size 9 Country of Primary Medical Qualification 10 Practitioner Age 11 Practitioners and the population 13 Type of contract 16 Dispensing Practices 16 Staff in practices 16 Joiners and Leavers 19 UK Comparison of GP Workforce 20 Data Quality 21 General Practice and General Practitioners 21 General Practice Staff 25 Further Information 27 Index to Tables 28 Copyright 2015, Health and Social Care Information Centre. All rights reserved. 3

Executive Summary All GPs (Providers, Salaried/Other, Registrars and Retainers) There are 40,584 headcount General Practitioners, an increase of 348 (0.9%) since 2013 and a rise of 5,729 (16.4%) since 2004 (an average annual increase of 1.5%). This represents 36,920 Full Time Equivalent (FTE) GPs, an increase of 626 (1.7%) since 2013 and an increase of 5,899 (19.0%) since 2004 (an average annual increase of 1.8%). GPs excluding Registrars (i.e. trainees) and Retainers There are 32,628 FTE GPs, an increase of 553 (1.7%) since 2013 and 4,320 (15.3%) more since 2004 (an annual average increase of 1.4%). This represents 35,819 headcount GPs, an increase of 258 (0.7%) since 2013 and an increase of 4,296 (13.6%) since 2004 (an average annual increase of 1.3%). There are 23,763 FTE GP providers, a decrease of 279 (1.2%) since 2013 and a decrease of 2,416 (9.2%) since 2004 (an annual average decrease of 1.0%). This represents 26,183 headcount GP providers, a decrease of 452 (1.7%) since 2013 and a decrease of 2,598 (9.0%) since 2004 (an average annual fall of 0.9%). FTE of Other GPs (typically salaried practitioners) now numbers 8,865, an increase of 833 (10.4%) since 2013 and an increase of 6,736 (316.4%) since 2004 (an annual average increase of 15.3%). This represents 9,885 headcount Other GPs, an increase of 732 (8.0%) since 2013 and an increase of 7,143 (260.5%) since 2004 (an average annual increase of 13.7%). All GPs by gender (Providers, Salaried/Other, Registrars and Retainers) There are 18,301 FTE females within the GP workforce, an increase of 5.4 per cent (941) since 2013. Male FTE GPs number 18,619, a decrease of 1.7 per cent (314) since 2013. This represents 21,195 headcount females and 19,389 headcount males in 2014, an increase of 3.7 per cent (760) for the former and a decrease of 2.1 per cent (412) for the latter since 2013. There has been an increase of 58.4 per cent (6,750) in females (FTE) since 2004, whereas male numbers have decreased by 4.4 per cent (851). This represents an increase of 46.0 per cent (6,676) in headcount females since 2004, whereas male headcount has decreased by 4.7 per cent (947). Practice staff There are 23,832 headcount Nurses, a decrease of 1 (less than 0.01%) since 2013. This represents 15,062 FTE Nurses, an increase of 119 (0.8%) since 2013. There are 115,520 headcount Practice Staff (excluding Nurses), an increase of 1,297 (1.1%) since 2013. This represents 73,334 FTE Practice Staff (excluding Nurses), a rise of 1,133 (1.6%) since 2013. 4 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Introduction This statistical bulletin relates to General Practices contracted to the NHS in England. The data is collected from the NHS General Practice payments system and also through returns supplied by NHS England Area Teams and Clinical Commissioning Groups (CCGs). Comprehensive definitions can be found later in this bulletin. It is important to understand the term General Practice and what it means in terms of this bulletin. It is defined as an organisation which offers Primary Care medical services by a qualified General Practitioner who is able to 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. For the purposes of this bulletin the term General Practice does not include Prisons, Army Bases, Educational Establishments, Walk-In Centres or Specialist Care Centres including Drug Rehabilitation Centres. This bulletin is one of four that make up the NHS Staff 2004-2014 publication, the others being: NHS Workforce: Summary of staff in the NHS: Results from September 2014 Census NHS Hospital and Community Health Services: Medical and Dental staff, in England 2004-2014, as at 30 September NHS Hospital and Community Health Services: Non-medical staff, in England 2004-2014, as at 30 September Summary details of all NHS staff can be found on Tables 1a and 1b of this bulletin. Recent Consultation on this Publication The HSCIC consulted users on changes to the way the information used to produce these statistics are sourced, processed, defined and presented. These changes are intended to give users a better understanding of how General Practice is resourced and allow them to plan for future workforce needs more effectively. The consultation also captured users requirements in respect of the changes following the future implementation of the Workforce Minimum Dataset (wmds). The wmds will going forward be the source data for this publication and will predominantly be provided via a web-based tool. The wmds will replace the current data sources, see data quality section of this publication for details of the current sources. More information relating to wmds can be found at: http://www.hscic.gov.uk/wmds The consultation closed in Feb 2015 with a total 26 responses. The results from the consultation will be published on the HSCIC website. Copyright 2015, Health and Social Care Information Centre. All rights reserved. 5

Headcount General and Personal Medical Services: England 2004-14 Analysis and Commentary Practitioners by type (excluding Registrars and Retainers) Figure 1: Practitioner Headcount 2004-2014 40,000 35,000 30,000 25,000 20,000 15,000 10,000 Practitioners GP Providers Salaried/Other GPs 5,000 0 2004 2005 2006 2007 2008 2009 2010¹ 2011 2012 2013 2014 Year - at 30 September ¹ The new headcount methodology is not fully comparable with data for years prior to 2010, due to improvements that make it a more stringent count of absolute staff numbers. Headcount totals are unlikely to equal the sum of components. Further information on the headcount methodology is available in the data quality section contained within the overview Census publication. Between 2004 and 2014 the total number of practitioners (headcount) rose by 13.6%, to 35,819; the number of GP Providers has however fallen by 9.0% since 2004 to 26,183 in 2014 and down from the 2005 high of 29,340. The number of salaried/other practitioners (headcount) shows an increase of 7,143 since 2004; this 260.5% increase from 2,742 to 9,885 in 2014 indicates the continuing trend to work in General Practice for a salary rather than as a partner. This can be seen across both male and female salaried/other GPs who have seen an average annual rise of 11.3% and 14.9% respectively since 2004. The measure of full time equivalent practitioners increased to 32,628 in 2014 from 32,075 in 2013, an increase of 1.7%. Since 2004 there has been an increase of 15.3%. As highlighted in the data quality statement for Full Time Equivalent (FTE), this 10 year change should however be treated with caution. 6 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Full Time Equivalent Headcount General and Personal Medical Services: England 2004-14 Practitioners by Gender (excluding Registrars and Retainers) Figure 2: Practitioners (excluding Registrars and Retainers) by Gender 2004-2014 (Headcount) 22,500 20,000 17,500 15,000 12,500 10,000 7,500 5,000 2,500 0 Male Female 2004 2005 2006 2007 2008 2009 2010¹ 2011 2012 2013 2014 Year - at 30 September ¹ The new headcount methodology is not fully comparable with data for years prior to 2010, due to improvements that make it a more stringent count of absolute staff numbers. Headcount totals are unlikely to equal the sum of components. Further information on the headcount methodology is available in the data quality section contained within the overview Census publication. Since 2004 female practitioner headcount has increased by 5,653 (46.2%) from 12,235 in 2004 to 17,888 in 2014 (an average annual change of 3.9%), with their proportion rising from 38.8% in 2004 to 49.9% in 2014. Since 2013 the number of male practitioners has fallen by 399 (2.2%) whilst female practitioners rose by 657 (3.8%) over the same period. In FTE terms male practitioners have fallen to 17,205 in 2014, down 306 since last year and 1,766 since the peak in 2006; FTE female practitioners have risen by 5.9% in the last year to 15,423, continuing the upward trend with an annual average increase of 4.6% since 2004. Figure 3: Practitioners (excluding Registrars and Retainers) by Gender 2004-2014 (FTE) 20,000 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Year - at 30 September Male GP Providers Female GP Providers Female Salaried/ Other GPs Male Salaried/ Other GPs Copyright 2015, Health and Social Care Information Centre. All rights reserved. 7

Age General and Personal Medical Services: England 2004-14 GP Retainers Retainers are practitioners who provide service sessions in general practice. They are employed to undertake set sessions, being allowed to work a maximum of 4 sessions per week. The headcount number of retainers is down by 66.0% from 770 in 2004 to 262 in 2014. Over the same time the FTE of retainers has decreased by 142 (55.1%). GP Registrars (trainees) The number of GP Registrars (headcount) has increased from 2,562 in 2004 to 4,512 in 2014, an average annual growth rate of 5.8%. Since 2013 GP Registrar headcount has grown by 2.5 per cent (108). Figure 4: Registrars by Gender and Age at 30 September 2014 (Headcount) 59 57 55 53 51 49 47 45 43 41 39 37 35 33 31 29 27 25 Female Male 500 450 400 350 300 250 200 150 100 50 0 50 100 150 200 250 Headcount 3,056 (headcount) female registrars work in general practice, an increase of 1,517 (98.6%) since 2004 (annual average increase of 7.1%). The male registrar headcount in 2014 is 1,456, an increase of 433 (42.3%) since 2004 (an average annual increase of 3.6%). The gender split for registrars has increased from 60.1% female in 2004 to 67.7% in 2014. It is recommended that counts of trainees currently in Primary Care be read in conjunction with those on hospital rotation listed in table 3.1 of the Medical and Dental Staff Census. 8 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Practice numbers and size Map 1: Average number of Patients per Practice at 30 September 2014 by Clinical Commissioning Group In 2014 there were 7,875 general practices in England, a decrease of 87 (1.1%) on last year. We continue to exclude, where possible, other prescribing locations like hospices, out-ofhours and most walk-in centres, although the increasing trend for the latter to develop as Equal Access Treatment Centres that register patients now makes it harder to distinguish them from true general practices. The number of patients per practice has grown steadily in the last decade rising from 6,149 to 7,171 between 2004 and 2014, reflecting the move towards larger practices. Average practice list size varies between 5,477 in Merseyside Area Team and 9,203 in Thames Valley Area Team. Copyright 2015, Health and Social Care Information Centre. All rights reserved. 9

Total registered patients in England have increased from 56.0 million in 2013 to 56.5 million (0.8%). It should be noted that ONS resident population for 2014 is however only 53.9 million based on mid-year 2013 estimates from the 2011 Census. This discrepancy is known as list inflation and may be due to patients being registered at a general practice who no longer exist due to death, emigration or moving home (often called ghosts ), or due to registered patients not completing the 2011 Census (for example, patients who are refugees or homeless) 1. In 2014 there are 1,369 single-handed GP providers, a fall of 35 (2.5%) from 2013 and a fall of 40.1% since 2004. A single-handed GP provider is one who has no partners, although they may employ a GP Other, GP Registrar or GP Retainer. The count of single-handed practices is now 843 or 10.7% of the total, less than half the number in 2004. A singlehandled practice is a practice which only has one working (Provider or Other) GP, although a GP Registrar or GP Retainer may work in the practice. Country of Primary Medical Qualification There continues to be little change in the proportions of practitioners (headcount) obtaining their primary medical qualification in the United Kingdom (UK), European Economic Area (EEA) and elsewhere over the last ten years. In 2014, 77.7% of practitioners had qualified in the UK, down slightly from 81.2% in 2004, with growth coming mainly from Africa and South Asia. The percentage of GPs qualified in South Asia has risen to 12.6% in 2014 from 10.5% in 2004. Figure 5a: Practitioner (excluding Registrars and Retainers) Country of Qualification - main groups at 30 September 2014 (Headcount) United Kingdom South Asia EEA Africa Other 12.6% 4.5% 3.0% 2.3% 77.7% The proportion of GP Registrars (headcount) obtaining their primary medical qualification in the UK has risen from 63.5% (1,627) in 2004 to 79.5% (3,585) in 2014. As a result the proportion of GP Registrars obtaining their primary medical qualification outside of the UK has fallen, but the absolute number of these GP Registrars has remained largely unchanged (935 in 2004; 927 in 2014). Figure 5b: Registrars Country of Qualification - main groups at 30 September 2014 (Headcount) United Kingdom South Asia EEA Africa Other 10.6% 2.7% 3.9% 3.3% 79.5% 1 Ashworth, M, Jenkins, M, Burgess, K, Keynes, H, Wallace, M, Roberts, D, & Majeed, A (2005), 'Which general practices have higher list inflation? An exploratory study', Family Practice, 22, 5, pp. 529-531 10 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Map 2: Percentage of Practitioners (excluding Registrars and Retainers) qualified outside the UK at 30 September 2014 by Clinical Commissioning Group (Headcount) Practitioner Age England has 7,816 practitioners aged 55 and over, an increase in the proportion from 20.4% in 2004 to 21.9% in 2014, with the proportion under 35 also rising from 11.9% to 12.8% over the same period. Regionally, Kent and Medway Area Team has the highest proportion of practitioners aged 55 and over (29.9%) followed by Essex (28.7%) and then London (27.0%). Cheshire, Warrington and Wirral Area Team has the lowest proportion aged 55 and over at 16.1%. Greater Manchester Area Team has the highest proportion of practitioners under 35 with 17.5%, with the Kent and Medway Area Team having the lowest proportion at 7.6%. Copyright 2015, Health and Social Care Information Centre. All rights reserved. 11

Age Age General and Personal Medical Services: England 2004-14 Figure 6: Providers by Gender and Age at 30 September 2014 (Headcount) 82 80 78 76 74 72 70 68 66 64 62 60 58 56 54 52 50 48 46 44 42 40 38 36 34 32 30 28 26 24 Female Male 600 400 200 0 200 400 600 800 Headcount Figure 7: Salaried/Other GPs by Gender and Age at 30 September 2014 (Headcount) 82 80 78 76 74 72 70 68 66 64 62 60 58 56 54 52 50 48 46 44 42 40 38 36 34 32 30 28 26 24 Female Male 600 400 200 0 200 400 600 800 Headcount 12 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Map 3: Percentage of Practitioners (excluding Registrars and Retainers) aged 55 and over by Clinical Commissioning Group (Headcount) Practitioners and the population Headcount GP numbers (excluding Registrars and Retainers) since 2004 have increased by an annual average rate of 1.3%; this is higher than the rate of growth in the population, resulting in 66.5 practitioners per 100,000 ONS resident population in 2014 compared to 62.9 in 2004. Copyright 2015, Health and Social Care Information Centre. All rights reserved. 13

Regionally, London has 65.6 practitioners (excluding Registrars and Retainers) per 100,000 population, which is slightly less than the England average of 66.5. This compares with highs of 79.0 in Devon, Cornwall and Isles of Scilly Area Team and 77.9 in the Bristol, North Somerset, Somerset and South Gloucester Area Team. Essex Area Team and Kent and Medway Area Team have the lowest numbers with 55.2 and 60.0 respectively. Map 4: Number of Practitioners (excluding Registrars and Retainers) per 100,000 population at 30 September 2014 by Clinical Commissioning Group (Headcount) 14 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Map 5: Average number of Patients per Practitioner (excluding Registrars and Retainers) at 30 September 2014 by Clinical Commissioning Group (Headcount) Average GP List sizes range from 1,313 patients per practitioner in the Devon, Cornwall and Isles of Scilly Area Team to 1,870 in the Essex Area Team. Over the last ten years, the average number of patients per headcount practitioner has fallen from 1,666 in 2004 to 1,577 in 2014, but has risen slightly in each of the last three years from 1,562 in 2011. Copyright 2015, Health and Social Care Information Centre. All rights reserved. 15

Type of contract Figure 8: Contract Type of Practices - at 30 September 2014 GMS 56.1% PMS 39.9% APMS 2.4% APMS by Limited Company PMS by Limited Company GMS by Limited Company 1.3% 0.2% 0.1% In 2014 there are 4,421 practices (56.1%) holding General Medical Service (GMS) contracts; there are also a small number of GMS Contracts (7) held by limited companies. There are 3,143 (39.9%) Personal Medical Service (PMS) contracts in 2014, down slightly from 3,197 in 2013, with some PMS contracts also being held by limited companies (14). In 2014 there are 290 practices who have Alternative Personal Medical Service (APMS) contracts, an increase from 271 in 2013, of which now just over a third (99) are administered privately. Dispensing Practices Although most Practitioners just prescribe, some are also authorised to dispense prescriptions under the National Health Service (Pharmaceutical Services) Regulations 1992. A GP may be authorised to dispense to patients living in a controlled locality like a rural area who would have difficulty reaching a chemist or pharmacy. The number of dispensing practices has fallen by 99 over the last ten years; however as a proportion of the total they have remained roughly the same, 13.6% (1,162) in 2004 to 13.5% (1,063) in 2014. Staff in practices To deliver primary care, practitioners work closely with nurses, health care assistants, managers, administrators and others involved with direct patient care (e.g. physiotherapists, chiropodists). This bulletin details only those staff employed directly by the practices. Please refer to the Data Quality statement in this bulletin for a detailed clarification of improvements to the data collection coverage. Due to these improvements, information prior to 2010 is not comparable. 16 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Full Time Equivalent General and Personal Medical Services: England 2004-14 Figure 9: Practice Staff 2004-2014 140,000 130,000 120,000 110,000 100,000 90,000 80,000 70,000 60,000 Headcount Full Time Equivalent 0 2004 2005 2006 2007 2008 2009 2010¹ 2011 2012 2013 2014 Year - at 30 September ¹ Prior to 2010 General Practice staff information was collected at an aggregated Primary Care Trust level with the completeness of such returns at practice level being unknown. Data prior to 2010 may not be directly comparable with subsequent years. The overall headcount of practice staff rose by 0.9% between 2013 (138,056) and 2014 to 139,352. FTE numbers rose by 1.4% from 2013 to 88,396 in 2014. Although the number of practices has fallen this year, patient numbers have continued to rise. Practice staff FTE for nurses combined with other direct care functions has increased by 1.9% in 2014 to 24,340 from 23,889 in 2013. Figure 10: Practice Staff by type 2004-2014 (FTE) 90,000 80,000 70,000 60,000 50,000 All Practice Staff Admin & Clerical All Nurses Direct Patient Care 10,000 Other 0 2004 2005 2006 2007 2008 2009 2010¹ 2011 2012 2013 2014 Year - at 30 September ¹ Prior to 2010 General Practice staff information was collected at an aggregated Primary Care Trust level with the completeness of such returns at practice level being unknown. Data prior to 2010 may not be directly comparable with subsequent years. Copyright 2015, Health and Social Care Information Centre. All rights reserved. 17

The number of FTE nurses working in practices has increased by 0.8% since 2013 with 15,062 in 2014. FTEs of other staff involved in direct patient care (including health care assistants) are now 9,277 showing a growth of 3.7% since 2013, continuing the longer term trend. Map 6 - Average Number of Patients per Headcount nurse at 30 September 2014 by Clinical Commissioning Group Note: figures used to plot all maps are available in the General Practice Detailed Tables 2014 available at: http://www.hscic.gov.uk/pubs/genpermssep14 18 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Headcount Leavers Headcount Joiners Headcount General and Personal Medical Services: England 2004-14 Joiners and Leavers Figure 11: Net change in Headcount GPs (excluding Registrars and Retainers) by Gender 2004-2014 1,750 Male Female All GPs 1,500 1,250 1,000 750 500 250 0-250 -500 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 Between 2013 and 2014, 3,048 GPs (excluding Registrars and Retainers) joined the profession. This represented 8.5% of the GP workforce (excluding Registrars and Retainers) in 2014. Of the 2013 GP workforce (excluding Registrars and Retainers), 2,787 (7.8%) left the profession between 2013 and 2014. Joiners to the 2014 workforce consisted of 1,942 females and 1,106 males. There continues to be more males leaving the profession than females. Figure 12: Headcount of GP (excluding Registrars and Retainers) Joiners and Leavers by Gender 2004-2014 1,750 1,250 750 250 250 750 1,250 1,750 F M F M F M F M F M F M F M F M F M F M 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 Copyright 2015, Health and Social Care Information Centre. All rights reserved. 19

UK Comparison of GP Workforce Since 2004, GP Headcount has increased across the four countries. Between 2004 and 2014 England has seen the largest increase in GP headcount (13.6%) with Scotland showing the smallest increase (8.6%). Overall practitioner numbers for the four countries combined have increased slightly over the last year. Wales has seen a decrease of 1.0% (20 headcount GPs) in the last year whilst the England, Scotland and Northern Ireland have all seen an increase. The number of GPs per 10,000 population has increased in England, Wales and Scotland since 2004. These figures are not yet available for Northern Ireland for 2014. Scotland has the highest number of GPs per 10,000 population at 8.1. Northern Ireland has the highest percentage of GPs aged 55 or over at 24.0% compared to the lowest percentage of 19.6% in Scotland. The percentage of GPs that are female has increased in all 4 countries between 2013 and 2014. More than half of all GPs in Scotland (53.3%) are female. 20 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Data Quality A full data quality statement can be found in the 2014 NHS Workforce Census Bulletin at http://www.hscic.gov.uk/pubs/nhsworkstatov14 Table Conventions Full time equivalent (FTE) figures appear rounded to the nearest whole number. Totals may not add to the sum of their components as a result of rounding. The following general notes apply to all tables; additional notes affecting individual tables are given as footnotes to the table. The following symbols have been used in tables:.. not available - zero. not applicable 0 more than zero but less than 0.5 General Practice and General Practitioners Data Sources The NHAIS (Exeter) General Practice Payments System, a computerised payment system of General Medical Practitioners in England, is the main source of General Practice and Practitioner information. It includes details of each practitioner s name, date of birth, gender, working hours/sessions, practice details and whether certain allowances are payable. Additional information about GPs not recorded on the system is supplied manually by Clinical Commissioning Groups (CCGs) via secure electronic data transfer. The data relates to the 30 September in each year. Population estimates for mid-year 2013 figures (based on 2011 Census) issued by the Office of National Statistics have been used to calculate the number of practitioners per 100,000 population. Methodology The Census headcount methodology changed in 2010. An explanation of the method used from 2010 onwards is available on the next page and in more detail in the 2014 NHS Workforce Census Bulletin at http://www.hscic.gov.uk/pubs/nhsworkstatov14 Copyright 2015, Health and Social Care Information Centre. All rights reserved. 21

A simple example of how the new headcount methodology for the Workforce Census data from 2010 and beyond will count a member of staff who works across 2 Practices, 0.2 of their time at Practice A and 0.8 of their time at Practice B, is shown in the table below: Headcount FTE Role / Contract count National 1 1 2 Regional 1 1 2 Practice A 1 0.2 1 Practice B 1 0.8 1 Headcount refers to individual staff in part or full time roles. Subtotals of headcounts such as NHS England Area Team totals are unlikely to add up to national figures. At national level an individual working two or more part time roles in more than one Area Team will be counted once but would appear in headcount figures at each of the Area Teams. FTE is the full time equivalent and is based on the proportion of time staff work in a role. Contract/role count is the total count of specific posts held/worked within a given organisational level. Some GPs may have multiple roles either within or across geographical organisations. Definitions This bulletin only includes those practitioners who are authorised to practice within England. All tables and figures in this bulletin exclude GP Locums. A General Practitioner is a medical practitioner who treats all illnesses and provides preventative care and health education for patients of all ages. All Practitioners include GP Providers, Salaried/Other GPs, Registrars and Retainers. Practitioners are All Practitioners excluding Registrars and Retainers. A GP Provider is a practitioner who has entered into a contract to provide services to patients. These practitioners were formerly known as Contracted and Salaried GPs. Following the introduction of the new GP contract in 2004, the Exeter computer system recording GP numbers was refined. Prior to 2004 all GPs on the Exeter system were classified as GP Providers, the revision allowed all GP types to be included. Previously, numbers of Other GPs, Registrars and Retainers came from Primary Care Trusts on separate returns. Therefore, in 2004 and 2005 some non-providers, but not all, were included on the system and will be included in the GP Provider figure for these years. From the 2006 census onwards, the Exeter system was able to identify those non-provider GPs. Salaried/other GPs work within partnerships and were formerly known as GMS or PMS Others. These practitioners are generally remunerated by salary. GP Retainers are practitioners who provide service sessions in general practice. They are employed by the partnership to undertake set sessions, being allowed to work a maximum of 4 sessions per week. 22 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

A GP Registrar is a fully registered physician who is being trained for general practice under an arrangement approved by the Secretary of State. A General Practice is an organisation which offers Primary Care medical services by a qualified General Practitioner who is able to 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. For the purposes of this bulletin 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 distinguish them from true general practices and as such these centres are included within this bulletin. A Single-Handed GP Provider is one who works alone without other partner practitioners, although a Salaried/Other GP, GP registrar or GP retainer may work in the practice. A Single-Handed Practice is a practice which has only 1 working (Provider or Salaried/Other) GP, although a GP registrar or GP retainer may work in the practice. The primary medical qualification used to identify the country of qualification is based on information held on each individual doctor on the GMC register. The countries are grouped into UK, European Economic Area (EEA) and Elsewhere. Historical figures are based on the current EEA membership for comparability. See Selected Country of Qualification groupings later in this section. NHS England is the preferred name for NHS Commissioning Board. NHS England s main areas of work are: Improving patient experience Commissioning Technology, systems and data Partnerships and relationships Direct commissioning Quality improvement and clinical leadership Our governing frameworks Patient safety Patient involvement Strategic and Operational Planning 2014 to 2019 Further information on NHS England is available at http://www.england.nhs.uk/ourwork/ NHS England Area Teams (ATs) are localised regions within NHS England. The role of area teams is to commission high quality primary care services, support and develop CCGs and assess and assure performance. They manage and cultivate local partnerships and stakeholder relationships, including representation on health and wellbeing boards. Clinical Commissioning Groups (CCGs) were established as statutory organisations from April 2013. CCGs are groups of GP Practices responsible for buying health and care services for patients, taking over the role from Primary Care Trusts. Copyright 2015, Health and Social Care Information Centre. All rights reserved. 23

Primary Care Trusts (PCTs) were free standing statutory bodies with their own budget for local health care. They commissioned the bulk of hospital and community health services for their local population and were able to provide health and other services. As a result of the Health and Social Care Act 2012, from 1st April 2013, responsibility for commissioning healthcare transferred away from PCTs to CCGs. General Medical Services (GMS) is the contract under which most GPs are employed. It is a national agreement between the provider and NHS England which sets out the financial arrangements, the services to be provided and support arrangements. Personal Medical Services (PMS) were first introduced in 1998. They allow the provider to negotiate a local agreement for the services they will provide and payments they will receive, taking into account specific local healthcare needs. Alternative Provider Medical Services (APMS) allow contracts to be bid for by the private, voluntary and public sectors. They offer greater flexibility in the nature of service provision which is decided in agreement between the provider and the commissioner. Full Time Equivalent (FTE) is a standardised measure of the workload of an employee. An FTE of 1.0 means that a person is equivalent to a full time worker, an FTE of 0.5 signals that the worker is half (part) time. Note: 1 FTE is equivalent to 37.5 hours. This measure allows for the work of part-time staff to be converted into an equivalent number of full time staff. In 2006, GP FTE data (for most GPs) was entered directly onto the Exeter system for the first time; consequently comparisons with previous years need to be treated with some caution. For 2005 and 2004 FTE factors were estimated from the results of the 1992-93 GMP workload survey using factors of 1.0 full time and 0.6 part-time. FTE Retainers have been estimated using a factor of 0.12 per session. Prior to 2004, FTE figures were estimated using factors of 1.0 full time, 0.69 three quarter time, 0.65 job share and 0.6 half time. Average number of Patients per Practitioner is the total number of patients registered at the practice divided by the headcount/fte of practitioners working at that practice. Joiners and Leavers A leaver is a GP who was working (as a GP Provider/Salaried/Other GP) at an English practice in one census but was not a GP Provider/Salaried/Other GP at an English practice the following year. A joiner is a GP who was working (as a GP Provider/Salaried/Other GP) at an English practice in one census but was not a GP Provider/Salaried/Other GP at an English practice the previous year. If a GP was working as a registrar at the 2013 census and then took up a position as a GP Provider/Salaried/Other GP they will be counted as a Joiner. Selected Country of Qualification groupings EEA is the European Economic Area excluding UK, as such comprises Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Irish Republic, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and Switzerland. South Asia includes Bangladesh, India, Maldive Islands, Nepal, Pakistan and Sri Lanka. 24 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

General Practice Staff Data Sources In 2014 93.0% of practices provided a Practice Staff Return, compared to 90.0% in 2013. Figures for the remaining practices were estimated to give a full census figure. The same methodology was applied in 2012 and 2013, and retrospectively to figures for 2010 and 2011 with the previously published data revised in 2012 to enable full comparability over the last 5 years. Details of the estimation process can be found in the methodology section. Prior to 2010 General Practice staff information was collected at an aggregated Primary Care Trust level with the completeness of such returns at practice level being unknown. Data prior to 2010 may not be directly comparable with subsequent years. Methodology All staff (excluding General Practitioners) employed by a practice are included in the Practice Staff Census. Further details of the staff and staff groups included can be found in the definitions below. Practices are required to provide contracted hours and headcount information aggregated for each staff group. Definitions Contracted Hours is the total aggregated number of hours worked by each staff group. Headcount is the simple count of actual people/staff working within a Practice regardless of the hours they may work. Full Time Equivalent (FTE) is a standardised measure of the workload of an employed person. An FTE of 1.0 means that the hours a person works is equivalent to a full time worker, an FTE of 0.5 signals that the worker is half time. This measure allows for the work of part-time staff to be converted into an equivalent number of full time staff. It is calculated by dividing the total number of hours worked by staff in a specific staff group by 37.5. Estimating missing data (2013-2014). This is an improved methodology from that used previously to better estimate data for practices for which information is not available. Those practices for which information has been received are split into 8 groups according to their registered patient size. An average full time equivalent and headcount per patient for each staff category is calculated for each group of practices. The size of those practices with missing data is then used to place them into one of the 8 groups and the relevant averages are used to estimate the missing data by multiplying the average by the number of registered patients. Estimates are used to produce aggregate totals. Estimating missing data (2010-2012). Those practices for which information was received in the relevant year are split into 8 groups according to registered patient size. An average full time equivalent and headcount for each staff category is calculated for each group of practices. The relevant average is applied to those practices with missing data according to the practice s registered patient size. Estimates are used to produce aggregate totals. Copyright 2015, Health and Social Care Information Centre. All rights reserved. 25

Nurses working in General Practice In 2013 the Nurse category was divided into 3 sub-categories: Prior to 2013 these categories were all classed as Practice Nurses: 1. Advanced Level Nurses includes Advanced Nurse Practitioner, Nurse Practitioner, Prescribing Nurse, Nurse Clinician, Nurse Manager, Practice Development Nurse, Physician Associate and Assistant Practitioner. These nurses have high levels of clinical skill, competence and autonomous decision-making. 2. Extended Role & Specialist Nurses includes Extended Role Nurses and practice nurses who have received additional training in a specialist area such as Diabetes, Asthma, Learning Disability, Mental Health and Sexual Health and includes Community Nurses or Midwives, Health Visitors, School Nurses etc. if they are directly employed by the Practice. 3. Practice Nurses include all other qualified nurses employed by the practice. Direct Patient Care: Anyone who is directly involved in delivering patient care but who is not a nurse or GP. This includes Health Care Assistants (HCAs), Physiotherapists, Pharmacists, Phlebotomists, Chiropodists, Dispensers, Counsellors, Complementary Therapists etc. Administrative/Clerical: Anyone who is involved in the administration or organisation of the GP Practice. This includes Practice Managers, Receptionists, Secretaries, IT/Computing Specialists, Link workers, Interpreters, General Office Staff etc. Other: Any paid/employed member of practice staff who is not included in any other staff group. For example Gardeners, Cleaners etc. 26 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Further Information Data tables providing information at National, Regional, Health Education England Local Education Training Board, NHS England Area Team, Clinical Commissioning Group and GP Practice level for 2014 and a time series for years 2004-2014 can be found at: http://www.hscic.gov.uk/pubs/genpermssep14 Other NHS Staff Bulletins This bulletin is one of four that make up the NHS Staff 2004-2014 publication, the others being: NHS Workforce: Summary of staff in the NHS: Results from September 2014 Census NHS Hospital and Community Health Services: Medical and Dental staff, in England 2004-2014, as at 30 September NHS Hospital and Community Health Services: Non-medical staff, in England 2004-2014, as at 30 September These are available at: http://www.hscic.gov.uk/workforce More detailed data on General and Personal Medical Services as well as Non-Medical Staff and Medical and Dental staff are also available from this website. Dental General Practice Data on General Dental Practitioners (high-street dentists) are available at: http://www.hscic.gov.uk/primary-care General Ophthalmic Services Data on the workforce within General Ophthalmic Services are available at: http://www.hscic.gov.uk/workforce Copyright 2015, Health and Social Care Information Centre. All rights reserved. 27

Index to Tables Table Description Table 1a: Table 1b: NHS Hospital & Community Health Service (HCHS) and General Practice workforce as at 30 September each specified year, headcount, 2004-2014 NHS Hospital & Community Health Service (HCHS) and General Practice workforce as at 30 September each specified year, full time equivalents, 2004-2014 Table 2a: General Medical Practitioners: analysis by gender and status, headcount, 2004-2014 Table 2b: Table 2c: General Medical Practitioners: analysis by gender and status, full time equivalents, 2004-2014 General Medical Practitioners: analysis by gender and status, contract count, 2004-2014 Table 3: Selected Practice statistics, 2004-2014 Table 4: Type of contract coverage of GMS, PMS & other, 2004-2014 Table 5a: Practitioners (excluding Registrars & Retainers) by country of primary medical qualification, 2004-2014 Table 5b: Registrars by country of primary medical qualification, 2004-2014 Table 6: Practitioners (excluding Registrars & Retainers) by age band, 2004-2014 Table 7: Practitioners (excluding Registrars & Retainers): joiners and leavers, 2004-2014 Table 8: Full-time Equivalent work commitment by GP type (excluding Registrars & Retainers) 2010-2014 Table 9: General Practice staff by type: Headcount & Full Time Equivalent, 2004-2014 Table 10: UK comparisons of GP workforce, 2004-2014 28 Copyright 2015, Health and Social Care Information Centre. All rights reserved.

Table 1a: NHS Hospital & Community Health Service (HCHS) and General Practice workforce as at 30 September each specified year England headcount & percentages 2004 2005 2006 2007 2008 2009 2010 1 2011 2012 2013 2014 Change 2013-2014 % change 2013-2014 Change 2004-2014 Average Annual % Total 1,260,860 1,298,202 1,284,261 1,272,884 1,308,774 1,365,303 1,387,191 1,361,533 1,358,295 1,364,165 1,387,692 23,527 1.7% 126,832 1.0% Total HCHS medical and dental staff (incl HPCAs) 86,996 90,630 93,320 94,638 98,703 102,961 103,912 105,711 107,242 108,732 110,632 1,900 1.7% 23,636 2.4% Total HCHS non-medical staff 1,030,800 1,063,121 1,038,368 1,027,299 1,060,629 1,110,138 1,109,195 1,083,637 1,075,035 1,078,425 1,098,170 19,745 1.8% 67,370 0.6% Total GPs 34,855 35,944 36,008 36,420 37,720 40,269 39,409 39,780 40,265 40,236 40,584 348 0.9% 5,729 1.5% Total GP Practice staff 6 112,254 112,094 119,642 117,375 114,483 114,268 136,831 134,177 137,290 138,056 139,352 1,296 0.9% 27,098 2.2% Professionally qualified clinical staff 622,720 643,219 643,906 645,933 661,993 683,703 687,009 686,747 687,810 692,157 701,872 9,715 1.4% 79,152 1.2% All doctors 2 117,806 122,987 126,251 128,210 133,662 140,897 141,326 143,836 146,075 147,807 150,273 2,466 1.7% 32,467 2.5% Consultants (including Directors of public health) 30,650 31,993 32,874 33,674 34,910 36,950 37,752 39,088 40,394 41,220 42,733 1,513 3.7% 12,083 3.4% Registrars 16,823 18,006 18,808 30,759 35,042 37,108 38,158 38,891 39,404 40,492 41,010 518 1.3% 24,187 9.3% Other doctors in training and equivalents 24,874 26,305 27,461 16,024 14,136 14,394 14,034 14,018 13,952 14,118 14,106-12 -0.1% -10,768-5.5% Hospital practitioners and clinical assistants (non-dental specialties) 2 4,045 3,587 3,077 2,848 2,761 2,333 2,148 1,782 1,547 1,254 1,013-241 -19.2% -3,032-12.9% Other medical and dental staff 10,604 10,739 11,100 11,333 11,854 12,176 12,223 12,292 12,302 11,983 12,081 98 0.8% 1,477 1.3% GPs total 34,855 35,944 36,008 36,420 37,720 40,269 39,409 39,780 40,265 40,236 40,584 348 0.9% 5,729 1.5% GPs (excluding retainers and registrars) 31,523 32,738 33,091 33,364 34,010 35,917 35,120 35,415 35,527 35,561 35,819 258 0.7% 4,296 1.3% GP Providers 28,781 29,340 27,691 27,342 27,347 27,613 27,036 27,218 26,886 26,635 26,183-452 -1.7% -2,598-0.9% Other GPs 2,742 3,398 5,400 6,022 6,663 8,304 8,319 8,585 8,898 9,153 9,885 732 8.0% 7,143 13.7% GP registrars 5,7 2,562 2,564 2,278 2,491 3,203 3,881 3,880 4,013 4,426 4,404 4,512 108 2.5% 1,950 5.8% GP retainers 770 642 639 565 507 471 419 365 321 284 262-22 -7.7% -508-10.2% Total qualified nursing staff 3 358,759 367,581 366,981 363,719 368,425 375,505 375,950 372,277 369,868 371,777 377,191 5,414 1.5% 18,432 0.5% Qualified nursing, midwifery & health visiting staff 336,615 344,677 343,184 340,859 346,377 353,570 352,104 348,693 346,410 347,944 353,359 5,415 1.6% 16,744 0.5% GP practice nurses 6 22,144 22,904 23,797 22,860 22,048 21,935 23,846 23,584 23,458 23,833 23,832-1 0.0% 1,688 0.7% Total qualified scientific, therapeutic & technical staff 8 128,883 134,534 134,498 136,976 142,455 149,379 151,607 152,216 153,472 154,109 155,960 1,851 1.2% 27,077 1.9% Qualified Allied Health Professions 65,515 67,841 67,483 68,687 71,301 73,953 74,374 74,647 74,902 76,163 77,947 1,784 2.3% 12,432 1.8% Qualified Healthcare Scientists 28,242 30,046 30,453 30,158 30,925 32,161 31,972 31,481 31,173 29,617 27,368-2,249-7.6% -874-0.3% Other qualified scientific, therapeutic & technical staff 35,126 36,647 36,562 38,131 40,229 43,265 45,337 46,167 47,490 48,429 50,728 2,299 4.7% 15,602 3.7% Qualified ambulance staff 4 17,272 18,117 16,176 17,028 17,451 17,922 18,450 18,687 18,645 18,734 18,673-61 -0.3% 1,401 0.8% Support to clinical staff 336,044 344,971 334,713 324,249 334,929 352,800 356,410 347,064 343,927 348,999 360,402 11,403 3.3% 24,358 0.7% Support to doctors & nursing staff 271,389 279,193 267,934 259,547 266,070 278,390 279,522 271,384 269,714 274,144 281,498 7,354 2.7% 10,109 0.4% Support to scientific, therapeutic & technical staff 55,025 55,715 54,307 53,259 55,792 60,048 62,726 62,057 61,345 61,312 64,502 3,190 5.2% 9,477 1.6% Support to ambulance staff 9,630 10,063 12,472 11,443 13,067 14,362 14,738 14,238 13,451 14,112 14,946 834 5.9% 5,316 4.5% NHS infrastructure support 211,489 220,387 209,387 207,778 219,064 236,103 233,342 219,624 215,071 211,185 212,123 938 0.4% 634 0.0% Central functions 99,831 105,565 101,860 100,177 105,354 115,818 116,846 109,315 106,696 104,130 106,178 2,048 2.0% 6,347 0.6% Hotel, property & estates 73,932 75,431 70,776 71,102 73,797 75,624 74,712 72,283 71,242 70,892 69,053-1,839-2.6% -4,879-0.7% Manager & senior manager 37,726 39,391 36,751 36,499 39,913 44,661 41,962 38,214 37,314 36,360 37,078 718 2.0% -648-0.2% Other non-medical staff or those with unknown classification 497 435 410 409 353 364 356 266 237 220 209-11 -5.0% -288-8.3% Other GP practice staff 6 90,110 89,190 95,845 94,515 92,436 92,333 112,985 110,593 113,832 114,223 115,520 1,297 1.1% 25,410 2.5% Notes: 1 The new headcount methodology is not fully comparable with data for years prior to 2010, due to improvements that make it a more stringent count of absolute staff numbers Headcount totals are unlikely to equal the sum of components. Further information on the headcount methodology is available in the Census publication. 2 In order to avoid double counting Hosptial Practitioners & Clinical Assistants (HPCAs) are excluded from the all doctors totals, as they are predominantly GPs that work part time in hospitals (applies to headcount data only). 3 Nursing and midwifery figures exclude students on training courses leading to a first qualification as a nurse or midwife. 4 In 2006 ambulance staff were collected under new, more detailed, occupation codes. As a result, qualified totals and support to ambulance staff totals are not directly comparable with previous years. 5 GP Registrar count from 2008 onwards represents an improvement in data collection processes and comparisons with previous years should be treated with caution 6 Practice staff figures for 2010 & 2011 were revised in 2012. Further details can be found in the data quality statement/methodology. This will affect any related totals and comparisons with years prior to 2010. 7 From 2012 GP Registrars have been removed from the GP Workforce collection where a duplicate record already exists on the Electronic Staff Record. Due to a change in coding practices in some regions GP Registrars are increasingly recorded on the ESR system rather than the GP Exeter Payment System. All these staff are not shown in the GP Registrar totals but are included in the HCHS Medical and Dental Registrars total 8 A reclassification of healthcare scientists in 2013/14 has led to a shift in numbers within qualified scientific, therapeutic and technical staff, this affects 2014 data. These statistics relate to the contracted positions within English NHS organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave. From 2011 the bank staff return was suspended (and formally ceased in 2013). All data (for all years) in these tables excludes bank staff From April 2013 Public Health England was excluded from workforce publications. Copyright 2015 Health and Social Care Information Centre. All rights reserved

Table 1b: NHS Hospital & Community Health Service (HCHS) and General Practice workforce as at 30 September each specified year England full time equivalent & percentages 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Change 2013-2014 % change 2013-2014 Change 2004-2014 Average Annual % change Total 1,043,378 1,078,007 1,073,751 1,066,616 1,100,875 1,151,269 1,173,248 1,155,885 1,153,579 1,163,568 1,187,606 24,038 2.1% 144,228 1.3% Total HCHS medical and dental staff 78,462 82,568 85,975 87,533 91,586 96,598 97,636 99,394 100,899 102,640 104,501 1,861 1.8% 26,039 2.9% Total HCHS non-medical staff 861,890 890,547 877,415 870,267 901,955 946,433 957,567 936,563 931,263 937,490 957,789 20,299 2.2% 95,899 1.1% Total GPs 31,021 31,901 33,384 33,730 34,043 36,085 35,243 35,319 35,871 36,294 36,920 626 1.7% 5,899 1.8% Total GP Practice staff 6 72,006 72,990 76,977 75,085 73,292 72,153 82,802 84,609 85,546 87,144 88,396 1,252 1.4% 16,390 2.1% Professionally qualified clinical staff 535,058 553,307 559,958 563,421 578,358 598,489 605,658 605,452 607,149 612,849 623,050 10,201 1.7% 87,992 1.5% All doctors 109,483 114,470 119,359 121,264 125,629 132,683 132,879 134,713 136,770 138,934 141,421 2,487 1.8% 31,938 2.6% Consultants (including Directors of public health) 28,141 29,613 30,619 31,430 32,679 34,654 35,781 36,965 38,197 39,014 40,443 1,429 3.7% 12,302 3.7% Registrars 16,112 17,313 18,180 30,175 34,272 36,700 37,527 38,134 38,489 39,407 39,846 439 1.1% 23,735 9.5% Other doctors in training and equivalents 24,542 25,981 27,242 15,875 14,026 14,517 13,869 13,860 13,773 13,991 13,939-52 -0.4% -10,603-5.5% Hospital practitioners and clinical assistants (non-dental specialties) 1,070 912 756 659 812 698 509 402 350 295 239-56 -19.1% -831-13.9% Other medical and dental staff 8,596 8,750 9,178 9,394 9,797 10,031 9,949 10,034 10,091 9,932 10,033 101 1.0% 1,437 1.6% GPs total 1,2 31,021 31,901 33,384 33,730 34,043 36,085 35,243 35,319 35,871 36,294 36,920 626 1.7% 5,899 1.8% GPs (excluding retainers and registrars) 28,308 29,248 30,931 30,936 30,675 32,111 31,356 31,391 31,578 32,075 32,628 553 1.7% 4,320 1.4% GP Providers 26,179 26,629 26,360 25,813 25,390 25,378 24,394 24,415 24,095 24,043 23,763-279 -1.2% -2,416-1.0% Other GPs 2,129 2,619 4,571 5,123 5,285 6,733 6,962 6,976 7,483 8,032 8,865 833 10.4% 6,736 15.3% GP registrars 5,7 2,454 2,435 2,190 2,409 3,055 3,659 3,718 3,784 4,138 4,093 4,175 82 2.0% 1,721 5.5% GP retainers 259 219 263 385 313 315 169 143 155 126 116-9 -7.5% -142-7.7% Total qualified nursing staff 300,403 308,205 310,383 308,516 313,879 320,469 323,783 321,143 319,755 322,635 328,577 5,942 1.8% 28,173 0.9% Qualified nursing, midwifery & health visiting staff 286,841 294,412 295,767 293,962 299,917 306,887 309,139 306,346 305,060 307,692 313,514 5,822 1.9% 26,674 0.9% GP practice nurses 6 13,563 13,793 14,616 14,554 13,962 13,582 14,644 14,797 14,695 14,943 15,062 119 0.8% 1,500 1.1% Total qualified scientific, therapeutic & technical staff 8 108,585 113,214 114,492 117,107 121,961 128,123 131,311 131,742 132,869 133,465 135,352 1,887 1.4% 26,767 2.2% Qualified Allied Health Professions 53,311 55,133 55,711 57,065 59,455 61,865 62,801 62,937 63,198 64,377 66,090 1,713 2.7% 12,779 2.2% Qualified Healthcare Scientists 25,960 27,527 28,004 27,756 28,445 29,571 29,507 29,061 28,760 27,287 25,273-2,013-7.4% -686-0.3% Other qualified scientific, therapeutic & technical staff 29,314 30,555 30,777 32,286 34,060 36,687 39,003 39,743 40,911 41,802 43,989 2,187 5.2% 14,675 4.1% Qualified ambulance staff 4 16,587 17,417 15,723 16,535 16,889 17,214 17,686 17,855 17,755 17,815 17,700-114 -0.6% 1,113 0.7% Support to clinical staff 271,347 278,994 273,202 265,454 275,701 291,194 297,548 290,590 289,165 295,298 306,555 11,257 3.8% 35,208 1.2% Support to doctors & nursing staff 218,605 225,220 218,087 212,116 218,189 228,768 231,933 225,858 225,585 230,949 238,666 7,717 3.3% 20,061 0.9% Support to scientific, therapeutic & technical staff 44,089 44,708 43,906 43,113 45,630 49,337 52,175 51,763 51,299 51,454 54,261 2,807 5.5% 10,172 2.1% Support to ambulance staff 8,653 9,066 11,209 10,225 11,882 13,088 13,440 12,970 12,282 12,895 13,628 733 5.7% 4,975 4.6% NHS infrastructure support 178,098 186,137 177,871 176,858 187,177 202,703 201,576 189,800 186,208 183,031 184,486 1,455 0.8% 6,388 0.4% Central functions 85,498 90,387 87,856 86,772 92,106 101,983 103,393 96,842 95,017 93,177 95,495 2,319 2.5% 9,997 1.1% Hotel, property & estates 56,593 58,201 54,975 55,131 57,135 58,211 58,090 56,344 55,541 55,267 53,827-1,440-2.6% -2,767-0.5% Manager & senior manager 36,007 37,549 35,041 34,955 37,937 42,509 40,094 36,613 35,650 34,588 35,164 577 1.7% -842-0.2% Other non-medical staff or those with unknown classification 432 373 359 351 308 311 307 231 205 189 181-8 -4.2% -251-8.3% Other GP practice staff 6 58,443 59,197 62,361 60,531 59,330 58,572 68,158 69,812 70,851 72,201 73,334 1,133 1.6% 14,891 2.3% Notes: 1 GP full time equivalent (FTE) data for 2004 and 2005 has been estimated using the results from the 1992-93 GMP Workload Survey. 2 From 2006 onwards GP FTE has been collected and therefore may not be fully comparable with previous years. 3 Nursing and midwifery figures exclude students on training courses leading to a first qualification as a nurse or midwife. 4 In 2006 ambulance staff were collected under new, more detailed, occupation codes. As a result, qualified totals and support to ambulance staff totals are not directly comparable with previous years. 5 GP Registrar count from 2008 onwards represents an improvement in data collection processes and comparisons with previous years should be treated with caution 6 Practice staff figures for 2010 & 2011 were revised in 2012. Further details can be found in the data quality statement/methodology. This will affect any related totals and comparisons with years prior to 2010. 7 From 2012 GP Registrars have been removed from the GP Workforce collection where a duplicate record already exists on the Electronic Staff Record. Due to a change in coding practices in some regions GP Registrars are increasingly recorded on the ESR system rather than the GP Exeter Payment System. All these staff are not shown in the GP Registrar totals but are included in the HCHS Medical and Dental Registrars total 8 A reclassification of healthcare scientists in 2013/14 has led to a shift in numbers within qualified scientific, therapeutic and technical staff, this affects 2014 data. These statistics relate to the contracted positions within English NHS organisations and may include those where the person assigned to the position is temporarily absent, for example on maternity leave. Full Time Equivalent (FTE) refers to the proportion of each role s full time contracted hours that the post holder is contracted to work. 1 would indicate they work a full set of hours, 0.5 that they worked half time. From 2011 the bank staff return was suspended (and formally ceased in 2013). All data (for all years) in these tables excludes bank staff From April 2013 Public Health England was excluded from workforce publications. Copyright 2015 Health and Social Care Information Centre. All rights reserved

Table 2a: General Medical Practitioners: analysis by gender and status, headcount, 2004-2014 England Headcount and percentages % change 2013-2004 2005 2006 2007 2008 2009 2010 (1) 2011 (1) 2012 (1) 2013 (1) 2014 (1) 2014 Average annual % change 2004-2014 Total All Practitioners 34,855 35,944 36,008 36,420 37,720 40,269 39,409 39,780 40,265 40,236 40,584 0.9 1.5 Practitioners (excluding Registrars & Retainers) 31,523 32,738 33,091 33,364 34,010 35,917 35,120 35,415 35,527 35,561 35,819 0.7 1.3 GP Providers 28,781 29,340 27,691 27,342 27,347 27,613 27,036 27,218 26,886 26,635 26,183-1.7-0.9 Salaried/Other GPs 2,742 3,398 5,400 6,022 6,663 8,304 8,319 8,585 8,898 9,153 9,885 8.0 13.7 GP Registrars (2)(3) 2,562 2,564 2,278 2,491 3,203 3,881 3,880 4,013 4,426 4,404 4,512 2.5 5.8 GP Retainers 770 642 639 565 507 471 419 365 321 284 262-7.7-10.2 Males All Practitioners 20,336 20,662 20,452 20,365 20,698 21,708 20,832 20,664 20,400 19,801 19,389-2.1-0.5 Practitioners (excluding Registrars & Retainers) 19,288 19,598 19,541 19,361 19,420 20,207 19,314 19,130 18,804 18,330 17,931-2.2-0.7 GP Providers 18,296 18,437 17,692 17,381 17,249 17,288 16,697 16,568 16,136 15,748 15,186-3.6-1.8 Salaried/Other GPs 992 1,161 1,849 1,980 2,171 2,919 2,761 2,791 2,813 2,716 2,885 6.2 11.3 GP Registrars (2)(3) 1,023 1,035 890 981 1,263 1,486 1,508 1,532 1,594 1,472 1,456-1.1 3.6 GP Retainers 25 29 21 23 15 15 12 6 4 4 5 25.0-14.9 Females All Practitioners 14,519 15,282 15,556 16,055 17,022 18,561 18,577 19,116 19,865 20,435 21,195 3.7 3.9 Practitioners (excluding Registrars & Retainers) 12,235 13,140 13,550 14,003 14,590 15,710 15,806 16,285 16,723 17,231 17,888 3.8 3.9 GP Providers 10,485 10,903 9,999 9,961 10,098 10,325 10,339 10,650 10,750 10,887 10,997 1.0 0.5 Salaried/Other GPs 1,750 2,237 3,551 4,042 4,492 5,385 5,558 5,794 6,085 6,437 7,000 8.7 14.9 GP Registrars (2)(3) 1,539 1,529 1,388 1,510 1,940 2,395 2,372 2,481 2,832 2,932 3,056 4.2 7.1 GP Retainers 745 613 618 542 492 456 407 359 317 280 257-8.2-10.1 Percentage of Practitioners (excluding Registrars & Retainers) who are female 38.8 40.1 40.9 42.0 42.9 43.7 45.0 46.0 47.1 48.5 49.9.... Practitioners (excluding Registrars & Retainers) per 100,000 population 62.9 64.9 65.3 65.7 66.6 69.8 67.8 67.8 66.9 66.5 66.5 0.0 0.6 Average No Patients per Practitioner (excluding Registrars & Retainers) 1,666 1,613 1,610 1,606 1,586 1,520 1,567 1,562 1,569 1,575 1,577 0.1-0.6 (1) The new headcount methodology is not fully comparable with data for years prior to 2010, due to improvements that make it a more stringent count of absolute staff numbers Headcount totals are unlikely to equal the sum of components. Further information on the headcount methodology is available in the Census publication (2) Registrar counts for 2008 onwards represent an improvement in data collection processes and comparisons with previous years should be treated with caution (3) There are an additional 190 (2014), 452 (2013) and 440 (2012) GP Registrars not included in this table, paid via the Electronic Staff Record System (ESR). These ESR records are included in the Medical and Dental Census. Data unavailable for years prior to 2012 Figures exclude GP locums Data as at 30 September each year Copyright 2015, Health and Social Care Information Centre. All rights reserved Copyright 2015, Re-used with the permission of The Office of National Statistics

Table 2b: General Medical Practitioners: analysis by gender and status, full time equivalents, 2004-2014 England Full Time Equivalent and percentages 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 % change 2013-2014 Average annual % change 2004-2014 Total All Practitioners 31,021 31,901 33,384 33,731 34,043 36,085 35,243 35,319 35,871 36,294 36,920 1.7 1.8 Practitioners (excluding Registrars & Retainers) 28,308 29,248 30,931 30,936 30,675 32,111 31,356 31,391 31,578 32,075 32,628 1.7 1.4 GP Providers 26,179 26,629 26,360 25,813 25,390 25,378 24,394 24,415 24,095 24,043 23,763-1.2-1.0 Salaried/Other GPs 2,129 2,619 4,571 5,123 5,285 6,733 6,962 6,976 7,483 8,032 8,865 10.4 15.3 GP Registrars (1)(2) 2,454 2,435 2,190 2,409 3,055 3,659 3,718 3,784 4,138 4,093 4,175 2.0 5.5 GP Retainers 259 219 263 385 313 315 169 143 155 126 116-7.5-7.7 Males All Practitioners 19,470 19,710 19,861 19,692 19,635 20,367 19,881 19,686 19,391 18,933 18,619-1.7-0.4 Practitioners (excluding Registrars & Retainers) 18,452 18,688 18,972 18,709 18,385 18,914 18,383 18,178 17,843 17,512 17,205-1.7-0.7 GP Providers 17,649 17,756 17,365 16,973 16,572 16,455 15,959 15788 15,347 15,033 14,543-3.3-1.9 Salaried/Other GPs 802 932 1,606 1,736 1,813 2,459 2,423 2390 2,497 2,479 2,662 7.4 12.7 GP Registrars (1)(2) 1,009 1,012 882 971 1,239 1,442 1,494 1506 1,545 1,420 1,411-0.6 3.4 GP Retainers 9 10 8 12 11 11 5 2 2 2 2 25.0-13.1 Females All Practitioners 11,551 12,192 13,522 14,038 14,408 15,718 15,361 15,632 16,480 17,361 18,301 5.4 4.7 Practitioners (excluding Registrars & Retainers) 9,857 10,560 11,959 12,227 12,290 13,197 12,974 13,213 13,735 14,563 15,423 5.9 4.6 GP Providers 8,530 8,873 8,994 8,840 8,818 8,923 8,434 8,627 8,748 9,010 9,220 2.3 0.8 Salaried/Other GPs 1,327 1,687 2,965 3,387 3,472 4,274 4,539 4,586 4,986 5,554 6,203 11.7 16.7 GP Registrars (1)(2) 1,445 1,423 1,309 1,438 1,816 2,217 2,224 2,278 2,592 2,673 2,764 3.4 6.7 GP Retainers 250 208 255 373 302 304 164 141 153 124 114-8.0-7.5 Percentage of Practitioners (excluding Registrars & Retainers) who are female 34.8 36.1 38.7 39.5 40.1 41.1 41.4 42.1 43.5 45.4 47.3.... Practitioners (excluding Registrars & Retainers) 56.5 58.0 61.0 60.9 60.0 62.4 60.5 60.1 59.5 60.0 60.6 1.0 0.7 per 100,000 population Average No Patients per Practitioner (excluding Registrars & Retainers) 1,856 1,806 1,723 1,732 1,759 1,701 1,755 1,762 1,765 1,746 1,731-0.9-0.7 Full Time Equivalent (FTE) data for 2004 and 2005 has been estimated using the results from the 1992-93 GMP Workload Survey; For 2004-2005 All GPs - Full Time 1.0 fte; Part time 0.6 fte For 2006-2014 FTE figures have been collected based on the number of sessions, hours or percentage each GP works. Therefore time series data may not be fully comparable FTE GP Retainers have been estimated using a factor of 0.12 per session for 2004 and 2005 For 2010-2014 Retainer FTE has been calculated on same basis as other doctors i.e. 9 sessions 1.0 fte, these figures are not directly comparable with preceding years (1) Registrar counts for 2008 onwards represents an improvement in data collection processes and comparisons with previous years should be treated with caution (2) There are an additional 190 (2014), 452 (2013) and 440 (2012) GP Registrars not included in this table, paid via the Electronic Staff Record System (ESR). These ESR records are included in the Medical and Dental Census. Data unavailable for years prior to 2012 Figures exclude GP locums Data as at 30 September each year Copyright 2015 Health and Social Care Information Centre. All rights reserved Copyright 2015, Re-used with the permission of The Office of National Statistics

Table 2c: General Medical Practitioners: analysis by gender and status, contract count, 2004-2014 England Contract Count & percentages 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 % change 2013-2014 Average annual % change 2004-2014 Total All Practitioners 34,855 35,944 36,008 36,420 37,720 40,269 40,762 41,467 41,789 41,663 42,253 1.4 1.9 Practitioners (excluding Registrars & Retainers) 31,523 32,738 33,091 33,364 34,010 35,917 36,344 36,982 36,974 36,960 37,420 1.2 1.7 GP Providers 28,781 29,340 27,691 27,342 27,347 27,613 27,615 27,942 27,598 27,403 27,066-1.2-0.6 Salaried/Other GPs 2,742 3,398 5,400 6,022 6,663 8,304 8,729 9,040 9,376 9,557 10,354 8.3 14.2 GP Registrars (1)(2) 2,562 2,564 2,278 2,491 3,203 3,881 3,995 4,114 4,491 4,419 4,570 3.4 6.0 GP Retainers 770 642 639 565 507 471 423 371 324 284 263-7.4-10.2 Males All Practitioners 20,336 20,662 20,452 20,365 20,698 21,708 21,630 21,638 21,254 20,613 20,309-1.5 0.0 Practitioners (excluding Registrars & Retainers) 19,288 19,598 19,541 19,361 19,420 20,207 20,051 20,054 19,633 19,135 18,839-1.5-0.2 GP Providers 18,296 18,437 17,692 17,381 17,249 17,288 17,103 17,060 16,622 16,272 15,793-2.9-1.5 Salaried/Other GPs 992 1,161 1,849 1,980 2,171 2,919 2,948 2,994 3,011 2,863 3,046 6.4 11.9 GP Registrars (1)(2) 1,023 1,035 890 981 1,263 1,486 1,567 1,578 1,617 1,474 1,465-0.6 3.7 GP Retainers 25 29 21 23 15 15 12 6 4 4 5 25.0-14.9 Females All Practitioners 14,519 15,282 15,556 16,055 17,022 18,561 19,132 19,829 20,535 21,050 21,944 4.2 4.2 Practitioners (excluding Registrars & Retainers) 12,235 13,140 13,550 14,003 14,590 15,710 16,293 16,928 17,341 17,825 18,581 4.2 4.3 GP Providers 10,485 10,903 9,999 9,961 10,098 10,325 10,512 10,882 10,976 11,131 11,273 1.3 0.7 Salaried/Other GPs 1,750 2,237 3,551 4,042 4,492 5,385 5,781 6,046 6,365 6,694 7,308 9.2 15.4 GP Registrars (1)(2) 1,539 1,529 1,388 1,510 1,940 2,395 2,428 2,536 2,874 2,945 3,105 5.4 7.3 GP Retainers 745 613 618 542 492 456 411 365 320 280 258-7.9-10.1 Percentage of contracts filled by Female practitioners (excluding Registrars & Retainers) 38.8 40.1 40.9 42.0 42.9 43.7 44.8 45.8 46.9 48.2 49.7.... This table represents a count of contracts and some doctors may have more than one contract; in September 2014 1,436 GPs appeared more than once, in 2013 there were 1,227 who appear more than once, in 2012 there were 1,353, in 2011 there were 1,482 GPs and in 2010 there were 1,224 such GPs (1) Registrar counts for 2008 onwards represents an improvement in data collection processes and comparisons with previous years should be treated with caution (2) There are an additional 190 (2014), 452 (2013) and 440 (2012) GP Registrars not included in this table, paid via the Electronic Staff Record System (ESR). These ESR records are included in the Medical and Dental Census. Data unavailable for years prior to 2012. Figures exclude GP locums Data as at 30 September each year Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 3: Selected Practice statistics, 2004-2014 England Numbers and percentages 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 % change 2013-2014 Average annual % change 2004-2014 Number of GP Practices 8,542 8,451 8,325 8,261 8,230 8,228 8,324 8,316 8,088 7,962 7,875-1.1-0.8 Total Number of Patients 52,527,737 52,817,500 53,283,787 53,588,174 53,944,734 54,609,309 55,019,190 55,308,092 55,736,847 56,007,348 56,469,999 0.8 0.7 Number of Patients per Practice 6,149 6,250 6,400 6,487 6,555 6,637 6,610 6,651 6,891 7,034 7,171 1.9 1.5 Patient Turnover Number of new registrations in previous 12 months.......... 4,806,810 5,014,290 5,126,398 5,136,449 5,123,577 5,266,113 2.8.. Number of de-registrations in previous 12 months.......... 4,142,235 4,604,409 4,837,496 4,707,694 4,853,076 4,803,462-1.0.. Number of Dispensing Practices 1,162 1,163 1,155 1,148 1,141 1,126 1,133 1,121 1,096 1,085 1,063-2.0-0.9 Number of Dispensing Patients............ 3,155,952 3,119,215 3,077,635 3,056,400 3,142,440 2.8.. Practices by size (Number of Practitioners) 1 1,949 1,828 1,717 1,594 1,408 1,266 1,203 1,147 921 891 843-5.4-8.0 2 1,625 1,560 1,438 1,424 1,413 1,452 1,450 1,423 1,384 1,349 1,265-6.2-2.5 3 1,188 1,127 1,121 1,133 1,147 1,130 1,174 1,191 1,197 1,139 1,135-0.4-0.5 4 1,083 1,060 1,073 1,078 1,068 1,057 1,077 1,083 1,061 1,046 1,043-0.3-0.4 5-9 2,520 2,631 2,687 2,729 2,869 2,932 3,002 3,020 3,051 3,027 3,041 0.5 1.9 10+ 177 245 289 303 325 391 418 452 474 510 548 7.5 12.0 Single Handed GP Provider (1) 2,285 2,176 2,222 2,125 2,003 1,915 1,809 1,746 1,480 1,404 1,369-2.5-5.0 Number of Practices where all Practitioners are Male 2,636 2,476 2,319 2,190 2,018 1,916 1,788 1,726 1,507 1,427 1,310-8.2-6.8 Number of Practices where all Practitioners are Female 516 496 459 447 411 375 397 397 369 380 406 6.8-2.4 Percentage of Practices with Male and Female Practitioners 63.1 64.8 66.6 68.1 70.5 72.2 73.8 74.5 76.8 77.3 78.2 1.2 2.2 (1) A Single Handed GP Provider is one who has no partners, although they may employ a GP Other, GP Registrar or GP Retainer Data as at 30 September each year Figures exclude GP locums Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 4: Type of contract coverage of GMS, PMS & other, 2004-2014 England Practice count, Contract count (1), Full Time Equivalent and percentages 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 % change 2013-2014 Number of GP Practices 8,542 8,451 8,325 8,261 8,230 8,228 8,324 8,316 8,088 7,962 7,875-1.1 of which the following contract types have been determined: APMS.......... 113 142 141 179 173 191 10.4 APMS administered by a Limited Company.......... 60 120 135 81 98 99 1.0 GMS.......... 4,538 4,519 4,553 4,451 4,339 4,421 1.9 GMS administered by a Limited Company.......... 16 19 28 7 6 7 16.7 PCTMS (3).......... 66 79 78 80 137.... PMS.......... 3,397 3,393 3,316 3,270 3,197 3,143-1.7 PMS administered by a Limited Company.......... 23 52 65 20 12 14 16.7 Practitioner Contracts (excluding Registrars APMS number.......... 412 836 961 969 960 1,016 5.8 and Retainers) (1)(2) APMS %.......... 1.2 2.3 2.6 2.6 2.6 2.7 4.3 GMS number 19,976 21,509 17,154 17,346 17,658 18,067 18,448 18,902 18,929 18,879 19,689 4.3 GMS % 63.4 65.7 53.2 52.6 52.4 51.8 51.0 51.4 51.4 51.2 52.6 2.8 PCTMS number (3).......... 161 237 216 236 468.... PCTMS % (3).......... 0.5 0.7 0.6 0.6 1.3.... PMS number 11,547 11,229 15,088 15,621 16,062 16,264 16,652 16,699 16,714 16,584 16,715 0.8 PMS % 36.6 34.3 46.8 47.4 47.6 46.6 46.0 45.4 45.4 45.0 44.7-0.6 FTE Practitioners (excluding Registrars & Retainers) (2) APMS number.......... 326 641 689 708 710 761 7.3 APMS %.......... 1.0 2.1 2.2 2.2 2.2 2.3 5.3 GMS number 18,004 19,275 16,146 16,161 16,048 16,289 16,071 16,225 16,285 16,510 17,319 4.9 GMS % 63.6 65.9 53.5 52.8 52.7 52.1 51.4 51.9 51.7 51.6 53.1 2.9 PCTMS number (3).......... 143 188 161 181 404.... PCTMS % (3).......... 0.5 0.6 0.5 0.6 1.3.... PMS number 10,305 9,973 14,052 14,421 14,386 14,502 14,346 14,194 14,296 14,396 14,548 1.1 PMS % 36.4 34.1 46.5 47.2 47.3 46.4 45.9 45.4 45.4 45.0 44.6-0.8 Patient Numbers (2) APMS number.......... 367,256 611,815 765,210 877,427 1,007,901 1,133,012 12.4 APMS %.......... 0.7 1.1 1.4 1.6 1.8 2.0 11.5 GMS number 33,976,253 35,152,210 28,793,861 28,692,961 29,000,814 28,893,978 29,219,621 29,635,222 29,646,815 29,500,793 30,431,416 3.2 GMS % 64.7 66.6 54.1 54.1 54.1 53.4 53.1 53.6 53.2 52.7 53.9 2.3 PCTMS number (3).......... 238,830 304,527 265,115 297,357 752,822.... PCTMS % (3).......... 0.4 0.6 0.5 0.5 1.3.... PMS number 18,551,484 17,665,290 24,449,975 24,379,827 24,604,767 24,644,040 24,883,227 24,642,545 24,915,248 24,745,832 24,905,571 0.6 PMS % 35.3 33.4 45.9 45.9 45.9 45.5 45.2 44.6 44.7 44.2 44.1-0.2 Average List Size per FTE Practitioner (excluding Registrars & Retainers) (2) APMS number.......... 1,125 954 1,111 1,240 1,420 1,488 4.8 GMS number 1,887 1,824 1,783 1,775 1,807 1,774 1,818 1,827 1,820 1,787 1,757-1.7 PCTMS number (3).......... 1,675 1,617 1,647 1,646 1,861.... PMS number 1,800 1,771 1,740 1,691 1,710 1,699 1,735 1,736 1,743 1,719 1,712-0.4 Fuller data on contract types is published here for 2009 onwards, data for 2008 and 2007 was published to a lesser level of detail in 2008 (and years previous) and data for 2006 has been revised from that previously published (1) Represents a count of contracts/roles (2) From 2009 includes contracts administered by a Limited Company (3) PCTMS contracts ceased to exist following the April 2013 restructure of NHS commissioning organisations in England Percentages have been calculated based on those Practices/GPs where the Contract type is known Figures exclude GP locums Data as at 30 September each year Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 5a: Practitioners (excluding Registrars & Retainers) by country of primary medical qualification, 2004-2014 England Headcount and Percentages 2004 2005 2006 2007 2008 2009 2010 (1) 2011 (1) 2012 (1) 2013 (1) 2014 (1) % change 2013-2014 Average annual % change 2004-2014 Practitioners (excluding Registrars & Retainers) 31,523 32,738 33,091 33,364 34,010 35,917 35,120 35,415 35,527 35,561 35,819 0.7 1.3 Of which Country of Qualification Group: UK 25,590 26,363 26,082 26,197 26,648 27,817 27,219 27,428 27,499 27,556 27,807 0.9 0.8 EEA 1,514 1,647 1,696 1,657 1,619 1,723 1,631 1,626 1,615 1,605 1,600-0.3 0.6 Elsewhere 4,419 4,728 5,313 5,510 5,743 6,263 6,233 6,305 6,397 6,388 6,403 0.2 3.8 Percentage breakdown (2) UK 81.2 80.5 78.8 78.5 78.4 77.7 77.6 77.6 77.4 77.5 77.7.. EEA 4.8 5.0 5.1 5.0 4.8 4.8 4.6 4.6 4.5 4.5 4.5.. Elsewhere 14.0 14.4 16.1 16.5 16.9 17.5 17.8 17.8 18.0 18.0 17.9.. of which Africa 2.0 2.3 2.5 2.6 2.7 2.9 2.9 2.9 3.0 3.0 3.0.. Asia - South 10.5 10.6 11.8 12.0 12.2 12.3 12.8 12.8 12.8 12.8 12.6.. Asia - Other 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3.. Australasia/Pacific 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.3 0.3 0.3.. Central America 0.1 0.1 0.1 0.1 0.2 0.2 0.2 0.2 0.2 0.2 0.3.. Europe - Other 0.1 0.1 0.2 0.2 0.3 0.3 0.3 0.3 0.4 0.5 0.5.. Middle East 0.5 0.6 0.7 0.7 0.7 0.8 0.8 0.8 0.9 0.8 0.8.. North & South America - - - - - 0.3 - - 0.1 0.1 0.1.. Data as at 30 September each year (1) The new headcount methodology from 2010 onwards is not fully comparable with previous years due to improvements that make it a more stringent count of absolute staff numbers Headcount totals are unlikely to equal the sum of components. Further information on the headcount methodology is available in the Census publication (2) Percentages are calculated for General Practitioners where Country of Qualification is known The EEA (excluding the UK) includes Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Irish Republic, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and Switzerland South Asia is made up of Bangladesh, India, Pakistan, Maldive Islands, Nepal and Sri Lanka Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 5b: Registrars by country of primary medical qualification, 2004-2014 England Headcount and Percentages 2004 2005 2006 2007 2008 (3) 2009 (3) 2010 (1)(3) 2011 (1)(3) 2012 (1)(3)(4) 2013 (1)(3)(4) 2014 (1)(3)(4) % change 2013-2014 Average annual % change 2004-2014 Registrars 2,562 2,564 2,278 2,491 3,203 3,881 3,880 4,013 4,426 4,404 4,512 2.5 5.8 Of which Country of Qualification Group: UK 1,627 1,563 1,425 1,267 2,144 2,721 2,647 2,683 3,059 3,280 3,585 9.3 8.2 EEA 139 128 102 92 131 122 142 155 161 138 124-10.1-1.1 Elsewhere 796 873 751 664 926 1,037 1,090 1,164 1,206 986 803-18.6 0.1 Percentage breakdown (2) UK 63.5 61.0 62.6 62.6 67.0 70.1 68.2 67.0 69.1 74.5 79.5.. EEA 5.4 5.0 4.5 4.5 4.1 3.1 3.7 3.9 3.6 3.1 2.7.. Elsewhere 31.1 34.0 33.0 32.8 28.9 26.7 28.1 29.1 27.2 22.4 17.8.. of which Africa 5.4 6.0 4.9 4.6 4.5 4.5 4.3 4.3 4.8 4.4 3.9.. Asia - South 19.9 22.7 23.0 23.0 20.2 17.7 18.9 18.7 17.3 13.8 10.6.. Asia - Other 0.8 0.5 0.4 0.6 0.6 0.5 0.6 0.9 0.8 0.6 0.6.. Australasia/Pacific 0.7 0.8 0.6 0.7 0.4 0.3 0.2 0.2 0.1 0.1 0.1.. Central America 0.8 0.7 0.7 0.9 0.6 0.5 0.6 0.7 0.5 0.5 0.4.. Europe - Other 1.0 1.0 1.1 0.9 1.1 1.2 1.7 1.9 1.8 1.0 0.8.. Middle East 2.1 2.0 2.3 1.7 1.5 1.9 1.7 2.1 1.7 1.7 1.2.. North & South America 0.3 0.2 0.1 0.3 0.1 0.2 0.1 0.3 0.2 0.2 0.2.. Data as at 30 September each year (1) The new headcount methodology from 2010 onwards is not fully comparable with previous years due to improvements that make it a more stringent count of absolute staff numbers Headcount totals are unlikely to equal the sum of components. Further information on the headcount methodology is available in the Census publication (2) Percentages are calculated for Registrars where Country of Qualification is known (3) Registrar counts for 2008 onwards represents an improvement in data collection processes and comparisons with previous years should be treated with caution (4) There are an additional 190 (2014), 452 (2013) and 440 (2012) GP Registrars not included in this table, paid via the Electronic Staff Record System (ESR). These ESR records are included in the Medical and Dental Census. Data unavailable for years prior to 2012. The EEA (excluding the UK) includes Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Irish Republic, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and Switzerland South Asia is made up of Bangladesh, India, Pakistan, Maldive Islands, Nepal and Sri Lanka Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 6: Practitioners (excluding Registrars & Retainers) by age band, 2004-2014 England 2004 2005 2006 2007 2008 2009 2010 (1)(2) 2011 (1) 2012 (1) 2013 (1) 2014 (1) Headcount % change 2013-2014 Practitioners (excluding Registrars & Retainers) 31,523 32,738 33,091 33,364 34,010 35,917 35,120 35,415 35,527 35,561 35,819 0.7 Under 30 507 472 527 472 397 478 402 388 362 378 446 18.0 30-34 3,259 3,525 3,569 3,631 3,569 4,061 3,945 3,979 4,027 4,045 4,120 1.9 35-39 4,610 4,579 4,529 4,591 4,834 5,304 5,279 5,491 5,592 5,754 5,920 2.9 40-44 6,146 6,174 5,979 5,797 5,551 5,633 5,290 5,266 5,328 5,470 5,691 4.0 45-49 5,805 6,062 6,303 6,446 6,498 6,715 6,407 6,207 5,991 5,750 5,552-3.4 50-54 4,769 4,953 5,124 5,261 5,596 5,892 5,934 6,126 6,214 6,186 6,184 0.0 55-59 3,899 4,147 4,148 4,099 4,173 4,272 4,265 4,304 4,413 4,510 4,492-0.4 60-64 1,783 1,945 1,972 2,068 2,266 2,296 2,280 2,231 2,121 1,964 1,840-6.3 65 and over 745 878 939 999 1,126 1,266 1,279 1,361 1,453 1,459 1,484 1.7 % Practitioners Under 30 1.6 1.4 1.6 1.4 1.2 1.3 1.1 1.1 1.0 1.1 1.2. Male Practitioners (excluding Registrars & Retainers) Under 35 11.9 12.2 12.4 12.3 11.7 12.6 12.4 12.4 12.4 12.5 12.8. 55 and over 20.4 21.3 21.3 21.5 22.2 21.8 22.3 22.3 22.5 22.3 21.9. 65 and over 2.4 2.7 2.8 3.0 3.3 3.5 3.6 3.8 4.1 4.1 4.2. Under 30 162 156 183 144 125 145 124 144 120 132 139 5.3 30-34 1,277 1,320 1,336 1,414 1,373 1,673 1,598 1,568 1,509 1,438 1,380-4.0 35-39 2,288 2,182 2,128 2,109 2,172 2,337 2,269 2,328 2,408 2,455 2,489 1.4 40-44 3,476 3,351 3,186 2,980 2,772 2,773 2,503 2,443 2,416 2,430 2,451 0.9 45-49 3,702 3,802 3,835 3,809 3,723 3,716 3,413 3,212 2,990 2,776 2,649-4.6 50-54 3,307 3,347 3,434 3,452 3,603 3,747 3,701 3,691 3,653 3,506 3,373-3.8 55-59 3,011 3,150 3,081 2,990 2,956 2,987 2,886 2,900 2,931 2,953 2,888-2.2 60-64 1,450 1,575 1,577 1,649 1,768 1,786 1,757 1,681 1,598 1,449 1,339-7.6 65 and over 615 714 781 814 928 1,043 1,038 1,106 1,162 1,167 1,179 1.0 % Male Practitioners Under 30 0.8 0.8 0.9 0.7 0.6 0.7 0.6 0.8 0.6 0.7 0.8. Female Practitioners (excluding Registrars & Retainers) Under 35 7.5 7.5 7.8 8.0 7.7 9.0 8.9 9.0 8.7 8.6 8.5. 55 and over 26.3 27.8 27.8 28.2 29.1 28.8 29.5 29.8 30.3 30.4 30.2. 65 and over 3.2 3.6 4.0 4.2 4.8 5.2 5.4 5.8 6.2 6.4 6.6. Under 30 345 316 344 328 272 333 278 244 242 246 307 24.8 30-34 1,982 2,205 2,233 2,217 2,196 2,388 2,347 2,411 2,518 2,607 2,740 5.1 35-39 2,322 2,397 2,401 2,482 2,662 2,967 3,010 3,163 3,184 3,299 3,431 4.0 40-44 2,670 2,823 2,793 2,817 2,779 2,860 2,787 2,823 2,912 3,040 3,240 6.6 45-49 2,103 2,260 2,468 2,637 2,775 2,999 2,994 2,995 3,001 2,974 2,903-2.4 50-54 1,462 1,606 1,690 1,809 1,993 2,145 2,233 2,435 2,561 2,680 2,811 4.9 55-59 888 997 1,067 1,109 1,217 1,285 1,379 1,404 1,482 1,557 1,604 3.0 60-64 333 370 395 419 498 510 523 550 523 515 501-2.7 65 and over 130 164 158 185 198 223 241 255 291 292 305 4.5 % Female Practitioners Under 30 2.8 2.4 2.5 2.3 1.9 2.1 1.8 1.5 1.4 1.4 1.7. Under 35 19.0 19.2 19.0 18.2 16.9 17.3 16.6 16.3 16.5 16.6 17.1. 55 and over 11.0 11.7 12.0 12.2 13.1 12.8 13.6 13.6 13.7 13.7 13.5. 65 and over 1.1 1.2 1.2 1.3 1.4 1.4 1.5 1.6 1.7 1.7 1.7. Age breakdown and percentages shown are for those GPs whose date of birth was known at the time of the census (1) The new headcount methodology from 2010 onwards is not fully comparable with previous years due to improvements that make it a more stringent count of absolute staff numbers Headcount totals may not equal the sum of components. Further information on the headcount methodology is available in the Census publication (2) GP numbers per age band in 2010 were adjusted slightly in 2012 as part of ongoing data quality improvement Data as at 30 September each year Figures exclude GP locums Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 7: Practitioners (excluding Registrars & Retainers): joiners and leavers, 2004-2014, Headcount Headcount and percentages Between 2004 & 2005 Between 2005 & 2006 Between 2006 & 2007 Between 2007 & 2008 Between 2008 & 2009 Between 2009 & 2010 Between 2010 & 2011 Between 2011 & 2012 Between 2012 & 2013 Between 2013 & 2014 Percentage of each age group Joining or Leaving Between 2013 & 2014 Leavers Joiners Leavers Joiners Leavers Joiners Leavers Joiners Leavers Joiners Leavers Joiners Leavers Joiners Leavers Joiners Leavers Joiners Leavers Joiners Leavers Joiners All 1,519 2,676 2,190 2,561 1,967 2,402 2,018 2,169 1,583 3,118 2,477 2,577 2,249 2,537 2,451 2,592 2,726 2,763 2,787 3,048 Under 30 38 298 58 356 55 296 36 260 26 318 51 282 26 309 33 284 31 304 27 359 7.1 80.5 30-34 227 882 333 864 266 855 242 844 170 1,028 317 963 315 969 287 979 313 1,022 296 1,107 7.3 26.9 35-39 236 537 315 501 238 511 266 473 196 642 350 584 297 578 350 572 389 652 399 718 6.9 12.1 40-44 175 385 249 350 182 323 217 273 161 402 260 312 200 266 245 291 255 350 284 372 5.2 6.5 45-49 134 240 176 213 167 198 210 156 127 289 236 189 186 185 208 188 200 186 222 226 3.9 4.1 50-54 142 108 146 112 152 72 157 74 130 151 204 109 230 104 215 113 275 123 239 129 3.9 2.1 55-59 243 100 394 77 419 56 383 40 331 125 464 46 461 45 510 77 583 55 697 61 15.5 1.4 60-64 190 61 339 41 286 41 328 24 277 73 354 47 324 33 364 40 382 27 352 25 17.9 1.4 65-69 97 35 130 27 133 33 119 16 116 54 164 33 138 19 133 19 192 5 166 13 16.6 1.3 70+ 37 27 48 20 69 17 60 9 49 36 77 10 71 13 92 22 98 9 96 4 20.9 0.8 Not Known - 3 2 - - - - - - - - 2 1 16 14 7 8 30 9 34.. as % all GPs 4.8 8.2 6.7 7.8 6.0 7.2 6.1 6.5 4.7 8.9 7.1 7.3 6.4 7.2 6.9 7.3 7.7 7.8 7.8 8.5 7.8 8.5 Female 638 1,490 998 1,423 817 1,355 856 1,235 660 1,640 1,049 1,506 1,011 1,509 1,131 1,551 1,221 1,735 1,285 1,942 Under 30 23 197 44 235 34 199 26 173 16 213 34 193 21 191 18 193 20 195 19 249 7.7 81.1 30-34 149 560 239 514 204 494 169 477 129 553 193 564 214 599 193 623 203 662 183 757 7.0 27.6 35-39 138 301 212 284 145 278 169 277 129 357 214 337 172 346 215 321 246 400 254 450 7.7 13.1 40-44 91 222 151 196 101 194 118 165 81 219 137 197 128 162 142 179 143 228 165 229 5.4 7.1 45-49 55 106 82 107 75 107 102 85 55 168 125 110 92 114 122 123 98 118 129 129 4.3 4.4 50-54 57 48 67 46 50 42 59 37 57 65 82 57 103 64 100 62 128 75 111 68 4.1 2.4 55-59 69 30 100 28 120 20 103 15 116 38 136 22 161 13 192 26 214 23 271 31 17.4 1.9 60-64 38 13 63 8 63 10 72 5 49 10 85 19 75 10 103 11 104 11 101 7 19.6 1.4 65-69 12 7 31 2 16 10 25 1 18 10 28 6 33 4 27 4 47 3 34 4 16.0 1.8 70+ 6 4 8 3 9 1 13 0 10 7 15 1 12 2 16 6 17 1 13 2 16.3 2.3 Not Known - 2 1 - - - - - - - - - - 4 3 3 1 19 5 16.. as % female GPs 5.3 11.5 7.7 10.6 6.1 9.7 6.1 8.6 4.6 10.7 6.8 9.5 6.4 9.3 6.9 9.3 7.3 10.1 7.5 10.9 7.5 10.9 Male 881 1,186 1,192 1,138 1,150 1,047 1,162 934 923 1,478 1,428 1,071 1,238 1,028 1,320 1,041 1,505 1,028 1,502 1,106 Under 30 15 101 14 121 21 97 10 87 10 105 17 89 5 118 15 91 11 109 8 110 6.1 79.1 30-34 78 322 94 350 62 361 73 367 41 475 124 399 101 370 94 356 110 360 113 350 7.9 25.4 35-39 98 236 103 217 93 233 97 196 67 285 136 247 125 232 135 251 143 252 145 268 5.9 10.8 40-44 84 163 98 154 81 129 99 108 80 183 123 115 72 104 103 112 112 122 119 143 4.9 5.8 45-49 79 134 94 106 92 91 108 71 72 121 111 79 94 71 86 65 102 68 93 97 3.4 3.7 50-54 85 60 79 66 102 30 98 37 73 86 122 52 127 40 115 51 147 48 128 61 3.7 1.8 55-59 174 70 294 49 299 36 280 25 215 87 328 24 300 32 318 51 369 32 426 30 14.4 1.0 60-64 152 48 276 33 223 31 256 19 228 63 269 28 249 23 261 29 278 16 251 18 17.3 1.3 65-69 85 28 99 25 117 23 94 15 98 44 136 27 105 15 106 15 145 2 132 9 16.8 1.2 70+ 31 23 40 17 60 16 47 9 39 29 62 9 59 11 76 16 81 8 83 2 21.8 0.5 Not Known - 1 1 - - - - - - - - 2 1 12 11 4 7 11 4 18.. % male GPs 4.6 6.1 6.1 5.9 5.9 5.4 6.0 4.9 4.8 7.5 7.3 5.6 6.4 5.4 6.9 5.5 8.0 5.6 8.2 6.2 8.2 6.2 A leaver is a GP who was working (as a GP Provider/Salaried/Other GP) at a practice in England in one census but was not a GP Provider/Salaried/Other GP at any English practice the following year A joiner is a GP who was working (as a GP Provider/Salaried/Other GP) at a practice in England in one census but was not a GP Provider/Salaried/Other GP at any English practice the previous year % of GPs leaving is calculated based on the census year in which the GP last appeared. It indicates the percentage of the workforce that left prior to the next census % of GPs joining is calculated using the census numbers of the year in which the GP newly appeared. It indicates the percentage of the current workforce who joined within the previous year Please note that if for example a GP was working as a registrar at the 2013 census and then took up a position as a Provider/Salaried GP they will be counted as a Joiner in 2014 Data as at 30 September each year Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 8: Full-time Equivalent work commitment by GP type (excluding Registrars & Retainers) 2010-2014 England Headcount and Percentages 2010 2011 2012 2013 2014 Total Males Females Total Males Females Total Males Females Total Males Females Total Males Females Number % Number % Number % Number % Number % Number % Number % Number % Number % Number % Number % Number % Number % Number % Number % Practitioners (excluding Registrars & Retainers) Under 0.25 FTE 318 0.9 103 0.5 215 1.4 325 0.9 104 0.5 221 1.4 333 0.9 110 0.6 223 1.3 279 0.8 83 0.5 196 1.1 278 0.8 87 0.5 191 1.1 0.25 to <0.5 FTE 2,743 7.8 636 3.3 2,107 13.3 1,587 4.5 403 2.1 1,184 7.3 1,484 4.2 408 2.2 1,076 6.4 1,236 3.5 341 1.9 895 5.2 1,203 3.4 358 2.0 845 4.7 0.5 to <0.75 FTE 2,973 8.5 735 3.8 2,238 14.2 5,080 14.3 1,204 6.3 3,876 23.8 4,847 13.6 1,119 6.0 3,728 22.3 4,378 12.3 973 5.3 3,405 19.8 4,078 11.4 848 4.7 3,230 18.1 0.75 to <1.0 FTE 4,404 12.5 1,669 8.6 2,735 17.3 4,497 12.7 1,737 9.1 2,760 16.9 5,051 14.2 2,003 10.7 3,048 18.2 4,523 12.7 1,806 9.9 2,717 15.8 4,164 11.6 1,679 9.4 2,485 13.9 1 and over FTE 24,682 70.3 16,171 83.7 8,511 53.8 23,926 67.6 15,682 82.0 8,244 50.6 23,812 67.0 15,164 80.6 8,648 51.7 25,145 70.7 15,127 82.5 10,018 58.1 26,096 72.9 14,959 83.4 11,137 62.3 GP providers Under 0.25 FTE 69 0.3 35 0.2 34 0.3 69 0.3 31 0.2 38 0.4 72 0.3 32 0.2 40 0.4 66 0.2 26 0.2 40 0.4 77 0.3 34 0.2 43 0.4 0.25 to <0.5 FTE 1,787 6.6 476 2.9 1,311 12.7 715 2.6 279 1.7 436 4.1 659 2.5 285 1.8 374 3.5 600 2.3 261 1.7 339 3.1 613 2.3 279 1.8 334 3.0 0.5 to <0.75 FTE 2,123 7.9 594 3.6 1,529 14.8 3,776 13.9 989 6.0 2,787 26.2 3,659 13.6 944 5.9 2,715 25.3 3,437 12.9 861 5.5 2,576 23.7 3,243 12.4 758 5.0 2,485 22.6 0.75 to <1.0 FTE 3,647 13.5 1,413 8.5 2,234 21.6 3,636 13.4 1,447 8.7 2,189 20.6 4,169 15.5 1,730 10.7 2,439 22.7 3,909 14.7 1,630 10.4 2,279 20.9 3,624 13.8 1,514 10.0 2,110 19.2 1 and over FTE 19,410 71.8 14,179 84.9 5,231 50.6 19,022 69.9 13,822 83.4 5,200 48.8 18,327 68.2 13,145 81.5 5,182 48.2 18,623 69.9 12,970 82.4 5,653 51.9 18,626 71.1 12,601 83.0 6,025 54.8 GP Other Under 0.25 FTE 318 3.8 120 4.3 198 3.6 342 4.0 128 4.6 214 3.7 325 3.7 108 3.8 217 3.6 262 2.9 81 3.0 181 2.8 245 2.5 71 2.5 174 2.5 0.25 to <0.5 FTE 1,032 12.4 195 7.1 837 15.1 999 11.6 191 6.8 808 13.9 894 10.0 155 5.5 739 12.1 690 7.5 106 3.9 584 9.1 648 6.6 114 4.0 534 7.6 0.5 to <0.75 FTE 1,066 12.8 269 9.7 797 14.3 1,668 19.4 428 15.3 1,240 21.4 1,456 16.4 344 12.2 1,112 18.3 1,197 13.1 278 10.2 919 14.3 1,139 11.5 269 9.3 870 12.4 0.75 to <1.0 FTE 794 9.5 281 10.2 513 9.2 968 11.3 360 12.9 608 10.5 925 10.4 304 10.8 621 10.2 661 7.2 208 7.7 453 7.0 587 5.9 195 6.8 392 5.6 1 and over FTE 5,109 61.4 1,896 68.7 3,213 57.8 4,608 53.7 1,684 60.3 2,924 50.5 5,298 59.5 1,902 67.6 3,396 55.8 6,343 69.3 2,043 75.2 4,300 66.8 7,266 73.5 2,236 77.5 5,030 71.9 This table shows the headcount numbers of GPs by their work commitment, where 37.5 hours a week = 1 FTE Note: A GP working 2 different roles with total combined FTE of 1.00, one as a GP Provider working 0.60 FTE and one as a GP Other working 0.40 FTE, will have their work commitment combined in the Practitioners (excluding Registrars and Retainers) data but their commitment in each role will be recorded in the data for the specific GP type. For the above example, a GP with total FTE of 1.00 broken down as 0.60 FTE as GP Provider and 0.40 as GP Other will be counted in the table as follows: Included once in the headcount total for Practitioners (excluding Registrars and Retainers) - 1 and over FTE category Included once in the headcount total for GP Providers - 0.50 to <0.75 FTE category Included once in the headcount total for GP Other - 0.25 to <0.50 FTE category Data as at 30 September each year Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 9: General Practice staff by type: Headcount & Full Time Equivalent, 2004-2014 England Headcount, Full Time Equivalent and percentages 2004 2005 2006 2007 (1) 2008 (1) 2009 (1) 2010 (3) 2011 (3) 2012 (3) 2013 (3)(4) 2014 (3)(4) % change 2013-2014 Total Practice Staff FTE 72,006 72,990 76,977 75,085 73,292 72,153 82,802 84,609 85,546 87,144 88,396 1.4 Headcount 112,254 112,094 119,642 117,375 114,483 114,268 136,831 134,177 137,290 138,056 139,352 0.9 FTE Practice Staff by type All Nurses 13,563 13,793 14,616 14,554 13,962 13,582 14,644 14,797 14,695 14,943 15,062 0.8 Practice nurses.................. 8,772 8,595-2.0 Advanced Level Nurses.................. 3,228 3,507 8.6 Extended Role and Specialist Nurses................ 2,943 2,960 0.6 Direct Patient Care 3,591 4,140 5,170 5,011 5,208 5,151 7,035 7,369 8,327 8,946 9,277 3.7 Admin & Clerical 53,290 53,517 55,116 53,679 52,112 51,233 58,666 59,714 60,326 61,223 62,194 1.6 Other 1,561 1,540 2,075 1,842 2,009 2,187 2,457 2,729 2,199 2,031 1,863-8.3 Headcount Practice Staff by type All Nurses............ 23,846 23,584 23,458 23,833 23,832 0.0 Practice Nurse.................. 14,809 14,423-2.6 Advanced Level Nurses.................. 4,333 4,734 9.3 Extended Role and Specialist Nurses.................. 4,691 4,675-0.3 Direct Patient Care............ 14,297 13,620 15,631 16,339 16,800 2.8 Admin & Clerical............ 91,894 89,957 91,447 91,623 93,037 1.5 Other............ 6,794 7,016 6,754 6,261 5,683-9.2 Percentage FTE Practice Staff providing Nurse and Direct Patient Care 23.8 24.6 25.7 26.1 26.2 26.0 26.2 26.2 26.9 27.4 27.5 - FTE Practice Staff per FTE Practitioner (excluding Registrars & Retainers) (2) 2.5 2.5 2.5 2.4 2.4 2.2 2.6 2.7 2.7 2.7 2.7-0.3 Headcount Practice Staff per Headcount Practitioner (excluding Registrars & Retainers) (2) 3.6 3.4 3.6 3.5 3.4 3.2 3.9 3.8 3.9 3.9 3.9 0.2 Breakdown of Number of Patients per FTE Staff All Nurses 3,873 3,829 3,646 3,682 3,864 4,021 3,757 3,738 3,793 3,748 3,749 0.0 Direct Patient Care 14,626 12,758 10,306 10,695 10,358 10,601 7,821 7,506 6,694 6,261 6,087-2.8 Admin & Clerical 986 987 967 998 1,035 1,066 938 926 924 915 908-0.7 Other 33,640 34,298 25,673 29,098 26,850 24,964 22,394 20,264 25,352 27,572 30,314 9.9 (1) 2007, 2008 and 2009 Practice Staff totals include imputed data based on previous censuses for a number of PCTs who did not submit returns. FTE figures for one PCT in 2007 and one in 2009 who did not submit returns have been calculated using the national average ratio of 1:1.6 from headcount figures (2) Figures prior to 2006 have been amended retrospectively in order to maintain a consistent methodology over the time series (3) Prior to 2010 data was collected at a simple aggregated total per PCT. From 2010 the data was collected at practice level. Data was returned for 72.7% of practices in 2010, 89.4% in 2011, 90.2% in 2012, 90.0% in 2013 and 93.0% in 2014. For those practices where data was not supplied an estimate has been made. Further information on the methodology is available in the Census bulletin (4) From 2013, the practice staff collection was changed to collect sub categories of nursing roles, definitions are available in the Census bulletin Data as at 30 September each year Copyright 2015, Health and Social Care Information Centre. All rights reserved

Table 10: UK comparisons of GP workforce, 2004-2014 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 GP headcount (i.e. persons) England (3) 31,523 32,738 33,091 33,364 34,010 35,917 35,120 (2) 35,415 35,527 35,561 35,819 Scotland (4) 3,970 4,033 4,111 4,195 4,234 4,269 4,268 4,278 4,285 4,257 4,311 Wales (1) 1,816 1,849 1,882 1,936 1,940 1,940 1,991 2,009 (7) 1,997 (7) 2,026 2,006 Northern Ireland (5) 1,073 1,084 1,110 1,128 1,148 1,156 1,160 1,160 1,170 1,171 1,211 GPs per 10,000 population England (3) 6.3 6.5 6.5 6.6 6.7 7.0 6.8 6.8 6.7 6.6 6.6 Scotland (4) 7.8 7.9 8.0 8.2 8.2 8.2 8.2 (6) 8.1 (6) 8.1 (6) 8.0 8.1 Wales (1) 6.2 (6) 6.3 (6) 6.3 (6) 6.5 (6) 6.5 (6) 6.4 (6) 6.6 (6) 6.6 (6)(7) 6.5 (6)(7) 6.6 6.5 Northern Ireland (5) 6.3 6.3 6.4 6.4 6.5 6.5 6.5 6.1 6.5 6.4.. (9) Percentage of GPs aged 55 or over: England (3)...... 22.3 (8) 22.3 22.5 22.3 21.9 Scotland (4)...... 18.4 19.5 19.5 19.5 19.6 Wales (1)...... 22.5 23.3 (7) 23.6 (7) 23.1 23.0 Northern Ireland (5)...... 22.0 21.1 24.4 24.8 24.0 Percentage of GPs that are female: England (3)...... 45.0 46.0 47.1 48.5 49.9 Scotland (4)...... 48.1 49.2 50.3 52.1 53.3 Wales (1)...... 41.5 42.8 (7) 44.3 (7) 46.6 48.6 Northern Ireland (5)...... 41.0 41.8 43.8 45.0 47.3 Sources: GMS Census (ex NHAIS/'Exeter'), ISD, HSCNI (1) Wales: as at 1 October 2009 (following LHB reorganisation) otherwise as at 30 September (2) New headcount methodology for 2010 onwards is not fully comparable with previous years data due to improvements that make it a more stringent count of absolute numbers. Previous years represent a count of contracts held by GPs (3) GPs excluding Registrars and Retainers (4) (5) Scotland: as at 1 October: comprising Performer, Performer Provider, Performer Salaried, Performer Locum Salaried, Performer Locum, Performer Rural Fellow and Performer Returner contracted GPs Data only includes what would have been Unrestricted Principals or Equivalents (UPEs) and Restricted GPs under old contracting terminology (6) Rate per 10,000 population updated to reflect the most up to date population estimates (7) Administrative errors have been identified relating to the 2011 and 2012 figures for Wales. Figures have been revised (8) GP numbers per age band in 2010 were adjusted slightly in 2012 as part of ongoing data quality improvement (9) Not Available. Northern Ireland population estimates not available for 2014 until June 2015. For information, in 2014 Northern Ireland had 6.3 GPs per 10,000 registered patients, however this figure is not comparable with other figures provided. GP workforce data for UK countries can be found at the following links: England: Scotland: Wales: Northern Ireland: http://www.hscic.gov.uk/ http://www.isdscotland.org/health-topics/general-practice/gps-and-other-practice-workforce/ http://www.statswales.wales.gov.uk/reportfolders/reportfolders.aspx?if_activepath=p,280,1200 Not available.

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