A longitudinal qualitative study of the UK’s general practice workforce experience of COVID-19

Emily Burn* (Corresponding Author), Rebecca Fisher, Louise Locock, Judith Smith

*Corresponding author for this work

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The COronaVIrus Disease 2019 (COVID-19) pandemic has led to significant re-organisation of general practice in the United Kingdom and around the world. The general practice workforce has led changes to their services, often dealing with high levels of uncertainty. The way in which many practitioners consult has shifted significantly, and there has been an increase in the number of phone and online consultations. We know very little about how those working in general practice experienced the service reorganisation introduced in the first year of the COVID-19 pandemic.

The aim of this project was to describe the changes in the delivery of general practice in the United Kingdom in the first year of the COVID-19 pandemic. Furthermore, to explore primary care practitioners’ and managers’ experiences of change within general practice during this time and investigate shifts in perceptions of professional identities.

We conducted a longitudinal qualitative study that captured narrative accounts from 17 primary care practitioners and managers across England and Scotland. Each participant submitted narrative accounts in the first year of the COVID-19 pandemic using self-recorded or written contributions, or via an interview if preferred. These were analysed using a grounded theory approach, with thematic coding used to construct common themes.

Participants’ narratives describe the challenges COVID-19 presented to general practice. Responses mirror the shifts in the pandemic and its management – from an initial sense of autonomy but uncertainty, to a period of stability and patients’ increasing frustration. The re-organisation of general practice has affected practitioners’ views of their work and their role as clinicians. Participants’ narratives were framed profoundly by the importance of their relationships with patients. This analysis of practitioners’ and managers’ narratives highlights the need for further exploration of how to support the general practice workforce’s well-being longer term in a context of increased demand and significant change.
Original languageEnglish
Article numbere45
Number of pages7
JournalPrimary Health Care Research and Development
Early online date4 Aug 2022
Publication statusPublished - 4 Aug 2022

Bibliographical note

Acknowledgements. The authors would like to thank the participants within this study and The Health Foundation for supporting for this study.
Financial support. This study was supported by The Health Foundation, and staff time was provided by the University of Birmingham and the University of Aberdeen


  • COVID-19
  • patient
  • primary health care
  • qualitative research
  • Remote Consultations


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