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Existing studies show that CHW services could be enhanced by measures regarding recruitment, workload and retention policies (Prasad and Muraleedharan 2007; Campbell and Scott 2011; Jaskiewicz and Tulenko 2012).
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"We have small partnerships that are becoming unviable because of issues of recruitment, retention, impossible workload, GP illness and 'single-handers' [GPs running a practice alone] retiring.
This produces, as for the recruitment, an even workload over time for mailings, especially for laboratory work to process follow-up blood samples without delay.
Although they were willing to help and had good contacts for recruitment, the additional workload required for the research proved unfeasible in most cases.
One main reason for this might be the challenging recruitment process; the workload of the nurses at MHCs was heavy and they did not offer the opportunity to take part in a study to all pregnant women.
Interviews with participant DeNDRoN managers highlighted the difficulties of incorporating care home recruitment into existing workloads.
For GPs to face the current challenges around workload and recruitment, we urgently need the planned increase in overall funding.
This would include reducing workload, improving recruitment and retention through salary improvements, and improving working conditions.
They will also consider what might follow if Ofsted were abolished – a radical proposal but one they believe could reduce gaming, lighten teacher workload and improve recruitment and retention, especially if allied to more coherent routes into teacher training.
Earlier this year, the government launched a review of teacher workload, after its recruitment target was missed for the fourth year in a row Talking in the staff room, Hill is uncomplaining about the 10-hour days she spends here, followed by two hours' planning and marking at home.
At a time when GP morale is at rock bottom, workload is increasing, recruitment is dropping and the exodus from the UK continues at an alarming rate, one would have thought that the career should be made more attractive, not less so.
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