NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges. Medical Leadership Competency Framework: Enhancing Engagement in Medical Leadership.
NHS, AMRC, 2010.
Goldberg, D, Gater, R, Sartorius, N, Ustun, T, Piccinelli, M, Gureje, O, et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med
1997; 27: 191–7.
Wu, H, Liu, L, Wang, Y, Gao, F, Zhao, X, Wang, L. Factors associated with burnout among Chinese hospital doctors: a cross-sectional study. BMC Public Health
2013; 13: 786.
Maslach, C, Schaufeli, WB, Leiter, MP. Job burnout. Ann Rev Psychol
2001; 52: 397–422.
Renzi, C, Di Pietro, C, Tabolli, S. Psychiatric morbidity and emotional exhaustion among hospital physicians and nurses: association with perceived job-related factors. Arch Environ Occup Health
2012; 67: 117–23.
Nash, LM, Daly, MG, Kelly, PJ, Van Ekert, EH, Walter, G, Walton, M, et al. Factors associated with psychiatric morbidity and hazardous alcohol use in Australian doctors. Med J Aust
2010; 193: 161–6.
Firth-Cozens, J. Predicting stress in general practitioners: 10 year follow up postal survey. BMJ
1997; 315: 34–5.
Shanafelt, T. Burnout and self-reported patient care in an internal medicine residency program. Ann Int Med
2002; 136: 358.
Shanafelt, T, Balch, C, Bechamps, G, Russell, T, Dyrbye, L, Satele, D, et al. Burnout and medical errors among american surgeons. Ann Surg
2010; 251: 995–1000.
Sutinen, R, Kivimäki, M, Elovainio, M, Forma, P. Associations between stress at work and attitudes towards retirement in hospital physicians. Work Stress
2005; 19: 177–85.
Probst, H, Griffiths, S, Adams, R, Hill, C. Burnout in therapy radiographers in the UK. Br J Radiol.
2012; 85: e760–5.
Roberts, S, Jaremin, B, Lloyd, K. High-risk occupations for suicide. Psychol Med
2012; 43: 1231–40.
Sainsbury Centre for Mental Health. Mental Health at Work: Developing the Business Case.
. SCMH, 2007.
Griffiths, S, Thorpe, A. Public health in transition: views of the specialist workforce. J R Soc Promot Health
2007; 127: 219–23.
Charlton, R. GP commissioning in England. Clin Med
2013; 13: 24–6.
Goldberg, D, Williams, P. A User's Guide to the General Health Questionnaire.
NFER-Nelson Publishing, 1988.
Maslach, C, Jackson, S. The measurement of experienced burnout. J Organ Behav
1981; 2: 99–113.
Sharma, A, Sharp, D, Walker, L, Monson, J. Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service. Psychooncol
2008; 17: 570–6.
Ramirez, A, Graham, J, Richards, M, Gregory, W, Cull, A. Mental health of hospital consultants: the effects of stress and satisfaction at work. Lancet
1996; 347: 724–8.
Wall, T, Bolden, R, Borrill, C, Carter, A, Golya, D, Hardy, G, et al. Minor psychiatric disorder in NHS trust staff: occupational and gender differences. Br J Psychiatry
1997; 171: 519–23.
Ramirez, A, Graham, J, Richards, M, Cull, A, Gregory, W, Leaning, M, et al. Burnout and psychiatric disorder among cancer clinicians. Br J Cancer
1995; 71: 1263–9.
Sharma, A, Sharp, D, Walker, L, Monson, J. Stress and burnout among colorectal surgeons and colorectal nurse specialists working in the National Health Service. Colorect Dis
2007; 10: 397–406.
Kapur, N, Appleton, K, Neal, RD. Sources of job satisfaction and psychological distress in GPs and medical house officers. Fam Pract
1999; 16: 600–1.
Guthrie, E, Tattan, T, Williams, E, Black, D, Bacliocotti, H. Sources of stress, psychological distress and burnout in psychiatrists: comparison of junior doctors, senior registrars and consultants. Psychiatr Bull
1999; 23: 207–12.
Benbow, S, Jolley, D. Burnout and stress amongst old age psychiatrists. Int J Geriat Psychiatry
2002; 17: 710–14.
Orton, P, Orton, C, Pereira Gray, D. Depersonalised doctors: a cross-sectional study of 564 doctors, 760 consultations and 1876 patint reports in UK general practice. BMJ Open
2012; 2: e000274.
McManus, I, Winder, B, Gordon, D. The causal links between stress and burnout in a longitudinal study of UK doctors. Lancet
2002; 359: 2089–90.
Kirwan, M, Armstrong, D. Investigation of burnout in a sample of British general practitioners. Br J Gen Pract
1995; 45: 259–60.
Kapur, N, Borrill, C, Stride, C. Psychological morbidity and job satisfaction in hospital consultants and junior house officers: multicentre, cross sectional survey. BMJ
1998; 317: 511–12.
Coomber, S, Todd, C, Park, G, Baxter, P, Firth-Cozens, J, Shore, S. Stress in UK intensive care unit. Br J Anaesth
2002; 89: 873–81.
Appleton, K, House, A, Dowell, A. A survey of job satisfaction, sources of stress and psychological symptoms among general practitioners in Leeds. Br J Gen Pract
1998; 48: 1059–63.
Newbury-Birch, D, Kamali, F. Psychological stress, anxiety, depression, job satisfaction, and personality characteristics in preregistration house officers. Postgrad Med J
2001; 77: 109–11.
Cartwright, K, Lewis, D, Roberts, C, Bint, A, Nichols, T, Warburton, F. Workload and stress in consultant medical microbiologists and virologists: a questionnaire survey. J Clin Path
2002; 55: 200–5.
Caplan, RP. Stress, anxiety, and depression in hospital consultants, general practitioners, and senior health service managers. BMJ
1994; 309: 1261–3.
Burbeck, R, Coomber, S, Robinson, SM, Todd, C. Occupational stress in consultants in accident and emergency medicine: a national survey of levels of stress at work. Emerg Med J
2002; 19: 234–8.
Soler, J, Yaman, H, Esteva, M, Dobbs, F, Asenova, R, Katic, M, et al. Burnout in European family doctors: the EGPRN study. Fam Pract
2008; 25: 245–65.
Bogg, J, Gibbs, T, Bundred, P. Training, job demands and mental health of preregistration house officers. Med Educ
2001; 35: 590–5.
Upton, D, Mason, V, Doran, B, Solowiej, K, Shiralkar, U, Shiralkar, S. The experience of burnout across different surgical specialties in the United Kingdom: a cross-sectional survey. Surgery
2012; 151: 493–501.
Sochos, A, Bowers, A. Burnout, occupational stressors, and social support in psychiatric and medical trainees. Eur J Psychiat
2012; 26: 196–206.
McManus, I, Keeling, A, Paice, E. Stress, burnout and doctors' attitudes to work are determined by personality and learning style: a twelve year longitudinal study of UK medical graduates. BMC Med
2004; 2: 29.
Paice, E, Rutter, H, Wetherell, M, Winder, B, McManus, I. Stressful incidents, stress and coping strategies in the preregistration house officer year. Med Educ
2002; 36: 56–65.
Tattersall, A, Bennett, P, Pugh, S. Stress and coping in hospital doctors. Stress Med
1999; 15: 109–13.
McManus, I, Jonvik, H, Richards, P, Paice, E. Vocation and avocation: leisure activities correlate with professional engagement, but not burnout, in a cross-sectional survey of UK doctors. BMC Medicine
2011; 9: 100.
Deary, I, Blenkin, H, Agius, R, Endler, N, Zealley, H, Wood, R. Models of job-related stress and personal achievement among consultant doctors. Br J Psychol
1996; 87: 3–29.
Thompson, N, Corbett, S, Larsen, L, Welfare, M, Chiappa, C. Contemporary experience of stress in UK Foundation level doctors. Clin Teach
2009; 6: 83–6.
Berman, R, Campbell, M, Makin, W, Todd, C. Occupational stress in palliative medicine, medical oncology and clinical oncology specialist registrars. Clin Med
2007; 7: 235–42.
Taylor, C, Graham, J, Potts, H, Richards, M, Ramirez, A. Changes in mental health of UK hospital consultants since the mid-1990s. Lancet
2005; 366: 742–4.
Office for National Statistics. Better or Worse: A Longitudinal Study of the Mental Health of Adults Living in Private Households in Great Britain.
Dunwoodie, DA, Auret, K. Psychological morbidity and burnout in palliative care doctors in Western Australia. Int Med J
2007; 37: 693–8.
Firth-Cozens, J. Emotional distress in junior house officers. BMJ
1987; 295: 533–5.
Surgenor, LJ, Spearing, RL, Horn, J, Beautrais, AL, Mulder, RT, Chen, P. Burnout in hospital-based medical consultants in the New Zealand public health system. NZ Med J
2009; 122: 11–8.
Tokuda, Y, Hayano, K, Ozaki, M, Bito, S, Yanai, H, Koizumi, S. The interrelationships between working conditions, job satisfaction, burnout and mental health among hospital physicians in Japan: a path analysis. Ind Health
2009; 47: 166–72.
Judge, T, Higgins, C, Thoresen, C, Barrick, M. The big five personality traits, general mental ability, and career success across the life span. Personnel Psychol
1999; 52: 621–52.
Clarke, D, Singh, R. The influence of pessimistic explanatory style on the relation between stressful life events and hospital doctors' psychological distress. Soc Behav Pers
2005; 33: 259–72.
Smith, R. Why are doctors so unhappy?
2001; 322: 1073–4.
General Medical Council. National Training Survey 2013: Key Findings.
Department of Health. Departmental Report: The Health and Personal Social Services Programmes.
Department of Health, 2008.
NHS Information Centre and Department of Health. Trends in Consultation Rates in General Practice 1995 to 2008: Analysis of the QResearch database.
NHSIC, Department of Health, 2009.
Office for National Statistics. What Does the 2011 Census Tell Us About Older People.
Royal College of General Practitioners. Patient Care Compromised as Funding for General Practice Slumps Across the UK.
Miller, K. Gendered nature of managerialism? Case of the National Health Service. IJPSM
2009; 22: 104–13.
Department of Health. Equity and Excellence: Liberating the NHS.
Department of Health, 2010.
Royal College of Psychiatrists. Mental Health and the Economic Downturn: National Priorities and NHS Solutions (Occasional Paper OP70).
Office for National Statistics. Suicides in the United Kingdom, 2011.
Fothergill, A, Edwards, D, Burnard, P. Stress, burnout, coping and stress management in psychiatrists: findings from a systematic review. Int J Soc Psychiatry
2004; 50: 54–65.
General Medical Council. The impact of the implementation of the European Working Time Directive (EWTD).
Health and Social Care Information Centre. Sickness absence rates in the NHS-August 2013.
General Medical Council. Doctors Health Concerns.
Dyer, C. GMC and vulnerable doctors: too blunt an instrument?
2013; 347: f6230.