Objectives To report the numbers of consultant congenital cardiac surgeons and cardiologists who have joined and left UK practice over the last 10 years and explore the reasons for leaving. Methods Retrospective observational questionnaire study completed between 11 June 2019 and 1 July 2020 by UK level 1 congenital cardiac centres of 10-year consultant staff movement and reasons suggested for leaving UK practice. Results At survey completion there were 218 (202 whole time equivalent (WTE)) consultant cardiologists and surgeons working within level 1 centres made up of 39 (38 WTE) surgeons, 137 (128.5 WTE) paediatric cardiologists, 42 (35.5 WTE) adult congenital heart disease (ACHD) cardiologists. 161 (74%) consultants joined in the last 10 years of whom 103 (64%) were UK trained. There were 91 leavers giving a staff turnover rate 42% (surgeons 56%, paediatric cardiologists 42%, ACHD cardiologists 29%). Of those, leaving 43% moved to work abroad (surgeons 55%, paediatric cardiologists 40%, ACHD cardiologists 67%). Among the 65 reported reasons for leaving 16 were financial, 9 for work life balance, 6 to working conditions within the National Health Service (NHS) and 12 related to the profession in the UK including six specifically highlighting the national review process. Conclusions There has been a high turnover rate of consultant staff within UK congenital cardiac services over the last 10 years with almost half of those leaving moving to work overseas. Financial reasons and pressures relating to working in the NHS or the specialty in the UK were commonly reported themes for leaving. This has major implications for future planning and staff retention within this specialised service. All data relevant to the study are included in the article or uploaded as online supplemental information.

中文翻译：

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英国先天性心脏病服务的顾问人员配置：对离开者和加入者的 10 年调查

目标 报告在过去 10 年中加入和离开英国执业的先天性心脏外科医生和心脏病专家顾问人数，并探讨离开的原因。方法 回顾性观察问卷研究在 2019 年 6 月 11 日至 2020 年 7 月 1 日期间由英国 1 级先天性心脏病中心完成，涉及 10 年顾问人员流动以及建议离开英国实践的原因。结果 在调查完成时，有 218 名（202 名全时当量 (WTE)）顾问心脏病专家和外科医生在 1 级中心工作，其中包括 39 名（38 名 WTE）外科医生、137 名（128.5 WTE）儿科心脏病专家、42 名（35.5 WTE）成人先天性心脏病专家心脏病 (ACHD) 心脏病专家。过去 10 年有 161 名 (74%) 顾问加入，其中 103 名 (64%) 在英国接受过培训。有 91 名离职者，员工流失率为 42%（外科医生 56%，儿科心脏病专家 42%，ACHD 心脏病专家 29%）。其中，43% 的人搬到国外工作（外科医生 55%，儿科心脏病专家 40%，ACHD 心脏病专家 67%）。在报告的 65 个离职原因中，有 16 个是经济原因，9 个是工作生活平衡，6 个是因为国家医疗服务体系 (NHS) 内的工作条件，还有 12 个与英国的职业有关，其中 6 个特别强调了国家审查程序。结论 在过去 10 年中，英国先天性心脏病服务中的顾问人员流失率很高，其中近一半的人员离职并前往海外工作。与在 NHS 或英国专业工作相关的财务原因和压力是通常报告的离职主题。这对该专业服务的未来规划和员工保留有重大影响。与研究相关的所有数据都包含在文章中或作为在线补充信息上传。