GP Retainer Scheme Re- APPLICATION FORM

Part A: PERSONAL DETAILS(please print)

Surname / First Names
Home Address / Post Code
Home Telephone and or Mobile / Email
GMC Number / CCT or JCPTGP Number
Any new Qualifications since last application and Dates
Number of years completed on the Retained Doctor Scheme
One Year / Two Years / Three Years / Four Years / Total duration on the scheme is 5 years
MATERNITY LEAVE DATES (enter below all dates taken)

PRACTICE DETAILS (please complete one form for each practice)

Renewal Date / Number of Sessions per week / ( Normally 2-4 per week)
The Retainer Scheme starts on the 1st of a month / Total duration on the scheme is 5 years
Name of Educational supervisor / Approved as a GP Trainer / YES
NO / Last
Approval
Date
Practice Address / Approved as a Retained Doctor Educational Supervisor / YES
NO / Last Approval Date
Practice Code / Practice type / GMS or PMS
Practice Telephone / Mobile of RD/ES
Name of Practice Manager / Tel Direct Dial
Email for Educational Supervisor / Email for
Practice Manager

Part B: Work and Educational Arrangements

What is your normal work pattern?

NON-GENERAL MEDICAL SERVICES WORK

Please give details if applicable, to include number of hours per week and normal work pattern
Such work is undertaken subject to the advice of the Patch Associate Dean.
Approval will normally be given for work relevant to general practice, up to a maximum of 2 extra sessions per week.

EDUCATIONAL ARRANGEMENTS

Please give details of arrangements for your education within the practice
Please attach your current Personal Development Plan

ELIGIBILITY FOR SCHEME:

Please give personal reasons for continuing limited, paid employment, noting ages of children if applicable

CURRENT CAREER PLANS

Including future plans to return to more substantial general practice work; OR

If this is the last year of the scheme please outline your work plans on leaving the scheme

The duration of the scheme is for a maximum of 5 years. Retained Doctors retain employment rights with the practice at the end of the Deanery approved scheme.

Part C: SCHEME REQUIREMENTS

This section is part of the process ensuring that Retained doctors receive a fair deal under the scheme and are required for approval of a funded place.
These are requirements for Deanery approval of the Retained Doctor Scheme, regardless of Practice type / YES / NO
Do you have a BMA model Contract?
Are you allowed your educational entitlement? / See Appendix A
Have you a Personal Development Plan for your CPD?
Are you allowed your study leave entitlement with your practice?
What is your hourly rate of pay?
Are you allowed your annual leave entitlement?
When was your last annual appraisal? / Insert Date
Do you have a current eCRB check
Signature of Applicant / Date

Please give this form to your Educational Supervisor for completion of Part D

Part D: FOR COMPLETION BY THE EDUCATIONAL SUPERVISOR

I confirm that the information given in parts B) and C) are accurate and agree to the current National and Health Education Wessex Retainee Guidelines. Please comment on how you plan to supervise.
I confirm that I am aware that the Doctor employed by the practice under the Retained Doctor Scheme retains full employment rights as an employee of the practice when the scheme ends at 5 years under UK Employment Law
Signature of Educational Supervisor / Date
Please send this form to your Patch Associate Dean of Postgraduate General Practice Education attaching a copy of the Retained Doctors PDP to the appropriate Patch Office below
Dorset
Dorset GP Centre Bournemouth University, Royal London House, Christchurch Road, Bournemouth, Dorset,
BH1 3LT. / Mid-Wessex
Primary Health Care Education
University of Winchester
Winchester
SO22 4NR / Southampton
The Education Centre
Mailpoint 10, Level C
South Academic Block
Southampton General Hospital
Tremona Road
Southampton
Hants
SO16 6YD / Portsmouth and IoW
The Centre for Primary Care Education
Goddard Centre
St James' Hospital
Locksway Road
Portsmouth
PO4 8DL
01202 962165 / 01962 827596 / 023 8079 6751 / 023 9268 4977 or 4978
/ / / t
Dorset GP Centre / Primary Health Care Education / The Education Centre / The Centre for Primary Care

Part E: recommendation TO be completed by THE PATCH Associate Dean

IRecommend
Dr………………………………………………………………………………………………………………………………
For continuing membership of the Retained Doctor Scheme
Signature of Associate Dean / Date
Once Sections A – E have been completed, please send this form to GP Programme Administrator, GP School, Health Education Wessex, Southern House, Otterbourne, Winchester SO21 2RU
Part F: Approval TO be completed BY Health Education Wessex
I Approve Dr
…………………………………………………………………………………………………………………………………..
For continuing membership for one further year of the Retained Doctor Scheme
Signature of Director of GP Education and Head of School / Date
The Retained Doctor Scheme is for a maximum duration of 5 years and the Retained Doctor retains employment rights with the Practice at the end of the scheme

Appendix A: CPD

a.The GP Retainee is entitled to the pro rata full time equivalent of one protected session per week for Continuing Professional Development (CPD). Even a GP temporarily working only one session a week will be entitled to a minimum of 8 sessions of CPD per year. This provision is in line with the model salaried GP contracts within new GMS.

b.Leave is to be taken to attend CPD; or, if CPD sessions take place at a time when not normally working, can be taken as time off in lieu.

c.Personal Development Plans for Retainer Scheme GPs should be locally agreed dependent upon the needs of the individual GP and their post.

d.Some of the Retainee’s CPD sessions will be spent in the practice (e.g. practice clinical meetings, regular sessions with the educational supervisor, and practice audits all count as CPD time). However, not all of it may be used in this way; Retainees must be able to use it to fulfil their own personal educational needs as identified in their PDP.

Calculation for CPD

Basis of contract from GMS2

Full time as defined by clause 4 of the model standard contract terms and conditions:

“Full-Time General Practitioners will normally be contracted to work 37 ½ hours per working week (“contracted hours”), such hours being divided into nine nominal sessions. Such sessions may be divided up into specific working periods by mutual agreement.”

And Clause 50 states:

“At least four hours per week (pro rata) on an annualised basis shall be protected for activities

related to professional development as in the agreed job plan.”

4 sessions p.w.19 sessions CPD p/a

3 sessions p.w. 15 sessions CPD p/a

2 sessions p.w. 10 sessions CPD p/a

1 session p.w. 8 sessions CPD p/a

The table below is adapted from the BMA’s guidance document “Focus on Salaried GPs”:

No. of sessions per week / No. of sessions p/a / No. of
A/L*sessions p/a / No. of B/H*
sessions p/a / Remaining no.
of sessions / Sessions
of CPD / Clinical
Sessions
X / X x 52 / X x 6 / X/9 x 20 / y / Y/9=z / y-z
1 / 52 / 6 / 2 / 52- (6+2) = 44 / 8 † / 36
2 / 104 / 12 / 5 / 104-(12+5)=87 / 10 / 77
3 / 156 / 18 / 7 / 156-(18+7)=131 / 15 / 116
4 / 208 / 24 / 9 / 208-(24+9)=175 / 19 / 156

* A/L = Annual Leave: B/H = Bank Holidays

† Although according to the calculation this figure would be 5, Retainer Scheme GPs are entitled to a minimum of 8 protected sessions per year for CPD regardless of working hours.

(This Appendix is taken from Guidelines issued by the London Deanery)