title: Retention and future job intentions of graduate primary care mental health workers: a newly developed role in England.
abstract: OBJECTIVE
  Modernization of the English National Health Service (NHS) workforce has led to the introduction of a number of new roles. One such role is the graduate primary care mental health worker (PCMHW). Although generally successful in expanding primary mental health care, several challenges were raised by the initial implementation, including retention and development of effective career pathways for these workers. The aim of this study was to examine retention and future job intentions of graduate PCMHWs at the end of their one-year training.
  
  
  METHODS
  Mail surveys of the first cohort of graduate PCMHWs recruited in 2004 were conducted at the beginning and end of their 12-month training.
  
  
  RESULTS
  Satisfaction with training courses was generally low. Over half indicated they were likely to leave their graduate PCMHW post within the next few months. However, most intended to stay within the NHS.
  
  
  CONCLUSIONS
  After training, problems were highlighted in relation to the quality of the training programmes and lack of development of an effective career pathway. This has serious consequences for the viability of this initiative.
authors.affiliation: National Primary Care Research & Development Centre, University of Manchester, Manchester M13 9PL, UK. Elaine.F.Harkness@manchester.ac.uk
authors.forename: Elaine
authors.initials: E
authors.lastname: Harkness
authors.forename: Peter
authors.initials: P
authors.lastname: Bower
authors.forename: Linda
authors.initials: L
authors.lastname: Gask
authors.forename: Bonnie
authors.initials: B
authors.lastname: Sibbald
mesh_terms: D004493:Education; D004739:England; D006282:Health Personnel; D006801:Humans; D033182:Intention; D007588:Job Satisfaction; D008605:Mental Health Services; D010558:Personnel Loyalty; D011320:Primary Health Care; D011795:Surveys and Questionnaires