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. 2017 May 9;67(659):e428–e436. doi: 10.3399/bjgp17X690893
Theme Subthemes within narratives
Work intensification and morality: ‘It’s becoming very Big Brother’
  • NHS factors affecting GP stress

  • Quality and Outcomes Framework

  • Primary care as an NHS ‘marketplace’

  • Care Quality Commission inspections

  • Maintaining the ‘human’ connection with patients

  • Portrayal of GPs by the UK media and politicians

  • Patient empowerment, complaints culture, and defensive practice

Intensification and patient complexities
  • Competing demands

  • Pressure of time

  • Complexity of workload

  • Resources

  • Personal patient lists

  • The 10-minute consultation

  • The proposed 7-day working week

GP coping, work–life balance, and downsizing
  • GP coping

  • Impacts of GP stress

  • Work–life balance

  • Coping strategies

  • Limitations of resilience