Practice Managers

15 October 2013
24 October 2013
Health Education Wessex
Health Education
GP Training
GP Retainer
Training and
Approval of
Appraisal and
Who’s Who
GP School
GP Director and Head of School of Primary Care - Richard Weaver
Programme Manager - Fenella Williams
Recruitment and Assessment Administrators:
Patricia Abbott – Recruitment, Retained Doctors, PAY forms
Matthew Parker – ARCP, PAY Forms, Form R
Programme Administrators:
Jenny Gould – AD meetings, Career Advice, Wessex Insight,
Philippa Ricketts-Alighieri – GP STC, Trainer Approvals, Invoices
Clare Wedderburn
Simon Newton
Johnny Lyon-Maris
Sue Crane
Jen Seagrave
EJ Stamper
Jo-Anne Ireland
Sarah Cornelius
Andrew Wright
Theresa Lawrence
Rose Debell
Sara Segolo
Tracy Dickinson
Dee Blakey
Lisa Jordan
GP training
F1 and F2
Two years
ARCP Panels
Hospital rotations and
6 months in GP
qualified GP!
GP Recruitment
• 132 vacancies at ST1 for August 2013 in
• Stage 3 Assessment Centre in February
• Offers by beginning of March.
• Successful candidates appointed to three year
programme and Programme Directors allocate
• Round 2 held in May if required.
Trainees Paperwork
At the start of training
• Deanery Agreement to be signed by the trainee
and sent to the Deanery
• Form R – to be completed annually
Before going into a practice placement
• PAY form - for trainee salary and trainer’s grant.
• Educational Agreement between Trainer and
Trainee to be signed and held in the practice.
Contact: Patricia Abbott, Matthew Parker
Trainees Paperwork - cont
• GP Trainees are employed by the practice during their GP
• CoGPED/BMA Framework for a written contract for GP
trainees is on the website.
• The ST1/2 GP slot is separate from the third year GPR post,
even where the GP ST1/2 slot comes immediately before the
ST3 year and the trainee stays in the same practice. Each
slot requires a new contract and a new PAY1 form.
• Educational Agreement between Trainer and Trainee. To be
signed and kept in the practice.
Contact: Fenella Williams
Less than Full Time Training
• Trainee in a GP slot must first agree LTFT with
their Patch Associate Dean and their
Educational Supervisor.
• Trainee completes a PAY2 form and sends it to
the Deanery for approval.
• Once approved, the Deanery will send the PAY2
to the PPSA/SBS with a copy to the Patch
Office, Programme Manager and the Trainee.
Various kinds of leave
• Annual Leave depends on pay point:
• GP00 – GP02 is 25 days
• GP03 and above is 30 days
• Maternity Leave and Sick Leave – PPSA/SBS
• The Working Week and Study Leave - Richard
• Annual Review of Competence Progression
• All trainees must have a review every 12 months
• All trainees must have a review before
progressing to the next year of their training
• Busiest time is June (ST3) and July (ST1 and
ST2) – 380 trainees were reviewed in 2013
• Trainee and Trainee are notified 8 weeks before
panel and the Educational Supervisor’s Report
to be submitted on eportfolio 2 weeks before
ARCP continued
• Deanery checks all assessments on e-portfolio
• Panel reviews trainee’s e-portfolio and decides
whether they are progressing satisfactorily
• Unsatisfactory trainees invited to follow-up panel
2 weeks after main panel.
• If a trainer gives a trainee an unsatisfactory
outcome for the mid-year review, they are asked
to inform the Deanery.
ARCP Administrator – Matthew Parker
MRCGP has three components:
Trainee must pass all three parts to obtain CCT
Trainer Approvals
• GP applies to become a trainer and attends
Prospective Trainers Course
• Practice Visit by AD or deputy, GP Trainer and
their registrar – may include a Lay Advisor
• AD submits Visit Report and recommendation
for approval for GP STC
• GP STC grants approval and informs Trainer,
Practice Manager, Patch Office, PPSA/SBS and
the GMC
• Practice signs SLA with the Deanery for each
approval period.
Approval Cycle
• Trainer’s first approval is for one trainee year.
• During this period Trainer attends a New
Trainer’s Course.
• Another practice visit takes place and full
approval is granted by GP STC.
• Re-approval is then every three years with a
practice visit and the trainer attends the
Experienced Trainers Course.
Other Approvals
• Clinical Supervisor for Foundation Doctors
• Out of Hours Clinical Supervisor
• Retained Doctor supervisor
GP Retainer Scheme
• For qualified GPs who are unable to work full
time eg due to health or caring responsibilities
• Retainers work 2 – 4 sessions a week.
• They receive £310 per year for professional
expenses and up to £190 per year for courses
• Practice receives £58 per session from PCT
GP Retainer Scheme –
• Retained doctors must apply annually to remain
on the scheme – up to a maximum 5 years
(excluding maternity leave).
• Retained doctor sends their application form to
Patch Office for AD to sign and send it to the
Deanery for final approval.
• The Deanery will confirm funding with the Local
Area Team.
Contact: Patricia Abbott
Qualified GPs
• Induction and Refresher Scheme
• Wessex Insight
• Practice Based Small Group Learning
• PPSA and SBS make payments to practices
according to the NHS Directions as authorised
by the Deanery.
• Trainer’s Grant
• Trainee’s Salary
• Reimburse expenses:
• Travel
• Forms for expenses available from PPSA/SBS
PAY Forms
• PAY1 form – completed at least 6 weeks before the
trainee starts in post. Sets up trainee’s salary and the
trainer’s grant.
• PAY2 form – to be completed whenever there is a
change eg full time/part time; extension; period of sick
leave or maternity leave.
• PAY1 TG – for Trainer’s Grant only – used for Defence
Deanery trainees and the Induction and Refresher
• PAY forms must be sent to the Deanery for approval and
are then forwarded to PPSA (Hants and IOW) or SBS
(Dorset and South Wilts).
• Educational Agreement between Trainer and Trainee to
be signed and held in the practice.
Contact: Patricia Abbott, Matthew Parker
Maternity Leave
• Trainee must submit a PAY2 form with a
photocopy of their MATB1 certificate.
• Practice pays OMP if trainee is employed by
them 11 weeks before due date
• Practice pays SMP if trainee is employed by
them at the start of the15th week before due
date and has 26 weeks continuous employment
with the practice.
• OMP is paid to the practice by the PPSA/SBS.
• SMP is payable by the practice and 92% can be
reclaimed by the practice from HMRC.
Maternity Leave - continued
• Trainees whose contract will end after 11th week
before their due date should have their contract
extended and remain as an employee of the
practice until the end of maternity leave and they
have taken their accrued annual leave.
• Trainees should use any annual leave they have
already earned before going on maternity leave.
• They will accrue leave during maternity leave at
either 25 or 30 days per year pro rata.
• The accrued leave does not count towards
training time.
Sick Leave
• Practice must submit a PAY2 form with
photocopies of any sick notes whenever
absence exceeds self-certification period.
• For extended periods where date of return to
work is not known, send updates with
photocopies of sick notes to PPSA/SBS and the
• The trainee’s contract will be extended until the
end of their sick leave if it ends during their sick
What next?
• Newsletter for Practice Managers
• Website information for Practice Managers
• Handbook for Practice Managers
Any Questions?

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