Whanganui practice鈥檚 decade-long approach to addressing burnout

By Simone White, Senior Communications Advisor

13 October 2021

Category: Clinical

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Any GP in 麻豆视频入口 knows what administrative overload looks like, and how it happens. Patient鈥檚 needs are more complex and require more time, there鈥檚 a continuing GP shortage, and the health system demands more and more from the workforce. It鈥檚 easy to feel like there aren鈥檛 enough hours in the day.聽

Finding the time to see all of these patients is one thing. Finding the time to do all of the necessary and important follow-ups, referrals and paperwork is quite another.聽

Cue, Gonville Health Centre. Based in Whanganui, the centre has, for about the past ten years, been allocating specific paid admin time throughout the day for staff to use for administrative work, or as a buffer if appointments run overtime.聽

Clinical Services Manager Mistie Hemingway says clinical staff at the practice have half an hour allocated at the end of the morning, and another half an hour allocated at the end of the day. On top of this, they have dedicated peer review meetings, interdisciplinary team meetings as well as nurse and GP meetings.聽

鈥淭his time means the team are less likely to have to use their break times to catch up on their administrative work, and it certainly helps to lighten the load.聽

鈥淚 believe this does help to reduce burnout as it allows our clinicians to leave on time at the end of their workday and we all feel a sense of achievement when we鈥檙e on top of our workloads,鈥 says Mistie.聽

Burnout is a very real issue. In the College鈥檚 2020 burnout survey, nearly 31 percent of the respondents rated themselves as high on the burnout scale (up from 22 percent in 2018), and 21 percent working in rural hospital medicine rated themselves as being burnt out to some degree. Respondents who reported high burnout were more likely to be aged between 40 to 64 years, a practice owner or partner, and working fulltime.聽

Many of the issues respondents identified as causing a big or overwhelming effect were:聽

  • The increasing complexity of patient presentations (92 percent)
  • Barriers to timely patient, hospital, or other specialist referrals (78 percent)
  • The number of consultations per day (71 percent)
  • Significant numbers of patient consults running overtime for which respondents are not paid for (86 percent), and 55 percent of respondents said they do three or more consults a day at a reduced fee, or no fee.聽

When it comes to administrative tasks, 53 percent of respondents said they spend more than 90聽 聽minutes a day on 鈥榠nbox tasks鈥 and 85 percent spend more than 60 minutes a day on these tasks.聽

If your practice has implemented a way to increase work life balance and reduce burnout for staff, let us know by emailing communications@rnzcgp.org.nz 鈥 we鈥檇 love to hear from you.聽