Self-preservation comes at a cost: Why British National Health Service paramedics might be choosing a healthier, but poorer, retirement

Author:

Roy Deborah1ORCID,Weyman Andrew K1,Nolan Peter2

Affiliation:

1. Department of Psychology, University of Bath, Bath, UK

2. University of Leicester, Leicester, UK

Abstract

Objectives: To explore and portray the perspectives of National Health Service Ambulance personnel related to the latest rise in the National Health Service occupational pension age. Methods: Data gathering took the form of 35 in-depth interviews. A thematic analysis was used to characterise and articulate key concepts and meanings. The analysis applied interpretive techniques, as views expressed were from personal experiences, and allowed for an in-depth analysis of shared meanings. Results: The themes reported captured the desire of many Ambulance personnel to exit their employment well in advance of their retirement age, despite satisfaction gained from patient care. This early exit is being driven by increased worry that the work demands of the job are unsustainable, especially for older workers, as clinical responsibilities increase and their social support diminishes. Also, Ambulance personnel feel betrayed by their employers, because their retirement is being delayed further by another change in their pensionable age. Conclusion: There is an increased orientation for ‘living for today’ and indications of a willingness to sacrifice salary and pension income in order to protect their health in older age, which has implications for long-term financial and general well-being in retirement.

Funder

Medical Research Council

Publisher

SAGE Publications

Subject

General Medicine

Reference32 articles.

1. NHS England. High quality care for all, now and for future generations: transforming urgent and emergency care services in England (Urgent and Emergency Care Review End of Phase 1 Report). London: NHS England, 2013, 79 pp.

2. Weyman A, Meadows P, Buckingham A. Extending working life: audit of research relating to impacts on NHS Employees. London: NHS Employers, 2013, 149 pp.

3. Setting the scene for the paramedic in primary care: a review of the literature

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