Mean rating on scale, with 1 = no pressure and

5 = high pressure

Mean rating on scale, with 1 = no pressure and

5 = high pressure

GP principals

GP non-principals

PMS GPs

GP principals

GP non-principals

PMS GPs

Increased demands from patients

3.96

3.52

3.74

Being on call, waiting for calls

2.98

2.83

2.69

Inappropriate demands from patients

3.77

3.46

3.66

Insufficient resources within the practice

3.38

2.78

2.83

Dealing with problem patients

3.42

3.22

3.29

Dealing with conflict within the practice

2.55

2.11

2.77

Dealing with the terminally ill and their relatives

2.38

2.27

2.43

Long working hours

3.37

2.86

3.06

Dealing with earlier discharges from hospital

3.33

3.03

2.97

Paperwork

4.02

3.57

3.66

Worrying about patient complaints / litigation

3.44

3.26

2.94

Changes imposed from the HB / LHCC

3.47

2.79

2.91

24-hour responsibility for patients’ lives

3.11

2.89

2.64

Arranging hospital admissions

2.74

2.60

2.53

Working environment and surgery set-up

2.55

2.33

2.53

Finding a locum

3.00

2.15

2.66

Insufficient time to do justice to the job

4.01

3.63

3.89

Adverse publicity by the media

3.29

3.10

2.86

Fear of assault during visits

1.85

1.89

1.74

Lack of support within the practice

1.87

1.68

2.03

Interruptions by emergency calls during surgery

2.69

2.55

2.57

Emphasis on business ethics

2.31

2.06

2.06

Disturbance of home/family life by GP work

3.19

2.75

2.83

The pace of change within general practice

3.49

2.85

2.85

Dividing time between work and spouse / family

3.30

2.87

3.29

Professional isolation

2.23

2.36

2.03

Night visits

2.53

2.31

2.06

Increasing work loads

4.04

3.44

3.49

Unrealistically high expectation of role by others

3.42

3.12

3.20

Lack of appreciation from patients

2.80

2.64

2.60

Worrying about finances

2.73

2.56

2.46

Overall level of stress at work

3.07

2.76

2.82