General practice in UK newspapers: an empirical analysis of over 400 articles

Br J Gen Pract. 2019 Feb;69(679):e146-e153. doi: 10.3399/bjgp19X700757. Epub 2019 Jan 14.

Abstract

Background: In the context of the biggest GP workforce crisis since the NHS began, the alleged negative portrayal of UK general practice in the media is often cited as a reason for falling recruitment.

Aim: To explore how general practice and GPs are depicted in UK national newspapers.

Design and setting: A thematic analysis of all newspaper articles mentioning GPs or general practice published in the UK from late October 2016 to early October 2017 was undertaken, along with a sample of articles on hospital medicine.

Method: Articles were identified through the Lexin UK search engine; relevant titles were tabulated and data extracted. A preliminary coding scheme was developed through discussion and used to categorise data; additional codes and categories were added iteratively as the analysis progressed.

Results: In total, 403 articles on general practice or GPs were identified, and 100 on hospital specialists or specialties were sampled. Articles depicted UK general practice as a service in crisis, with low morale and high burnout, and leaving gaps in patient care. The traditional family doctor service was depicted as rapidly eroding through privatisation and fragmentation, with GPs portrayed as responsible for the crisis and the resulting negative impact on quality of care. Hospital specialties were also illustrated as under pressure, but this crisis was depicted as being the fault of the government. GP leaders interviewed in the press were usually defending their specialty; hospital doctors were usually sharing their expertise.

Conclusion: Newspaper portrayals of general practice are currently very negative. Efforts to influence the media to provide a more balanced perspective of general practice should continue.

Keywords: general practice; mass media; primary health care.

MeSH terms

  • Delivery of Health Care / standards*
  • Empirical Research
  • General Practice* / standards
  • General Practitioners*
  • Health Care Reform
  • Humans
  • Morale
  • Newspapers as Topic
  • Physician-Patient Relations
  • Politics
  • State Medicine / standards*
  • United Kingdom
  • Workforce