Registration
NASGP Membership Application - Step 1 of 3:
Please complete the form and then click next.
Membership type
I would like to join the NASGP, and wish to make an online payment for one of the following:
GP Income >£10000 per annum | £69.00
GP Income <£10000 per annum | £38.00
Non-GP Individual | £69.00
Non-Commercial Organisation | £82.25
Commercial Organisation | £164.50
Personal information
Please provide us with your personal information.
Title:
First Name:
Last Name:
Gender:
Male
Female
Address 1:
Address 2:
Town/City:
County:
Postcode:
Email:
Telephone No:
(Optional)
Fax No:
(Optional)
Mobile No:
(Optional)
Login information
You will need your username to login to your NASGP account. We suggest using your email address as it is both easy to remember and unique. Your password must be at least 6 characters long and is case sensitive. Try to make it as unique as possible. We would encourage you to use a password that is different from other non-NASGP accounts.
Username:
Password:
Confirm password:
Security question
If you forget your username and/or password, we will use the answer from the security question to check your identity before emailing your login details to your registered email address.
Question:
Mother's maiden name
Name of your first school
Town/City of birth
Father's first name
Answer:
Membership information
Please fill in the relevant section.
I am a GP
On which Performer's List are you registered? Name of PCT:
--- Currently Applying
--- Currently Overseas
--- Not Registered
Adur, Arun & Worthing PCT
Airedale and Bradford Teaching PCT
Airedale PCT
Altnagelvin Hospital Trust
Amber Valley PCT
Anglesey Local Health Board
Armagh and Dungannon Hospital Trust
Ashfield PCT
Ashford PCT
Ashton, Leigh & Wigan PCT
Barking & Dagenham PCT
Barnet PCT
Barnsley PCT
Basildon PCT
Bassetlaw PCT
Bath & North East Somerset PCT
Bebington & West Wirral PCT
Bedford PCT
Bedfordshire Heartlands PCT
Belfast City Hospital Trust
Bexhill & Rother PCT
Bexley PCT
Billericay, Brentwood & Wickford PCT
Birkenhead & Wallasey PCT
Blackburn & Darwen PCT
Blackpool PCT
Blackwater Valley & Hart PCT
Blaenau Gwent Local Health Board
Bolton PCT
Bournemouth PCT
Bracknell Forest PCT
Bradford and Airedale PCT
Bradford City PCT
Bradford South & West PCT
Brent PCT
Bridgend Local Health Board
Brighton & Hove City PCT
Bristol North PCT
Bristol PCT
Bristol South & West PCT
Broadland PCT
Bromley PCT
Broxtowe & Hucknall PCT
Buckinghamshire PCT
Burnley, Pendle & Rossendale PCT
Burntwood, Tamworth & Lichfield PCT
Bury PCT
Caerphilly Local Health Board
Calderdale PCT
Cambridge City PCT
Cambridgeshire PCT
Camden PCT
Cannock Chase PCT
Canterbury & Coastal PCT
Cardiff Local Health Board
Carlisle & District PCT
Carmarthenshire Local Health Board
Castle Point & Rochford PCT
Causeway Trust
Central Cheshire PCT
Central Cornwall PCT
Central Derby PCT
Central Liverpool PCT
Central Manchester PCT
Central Suffolk PCT
Ceredigion Local Health Board
Charnwood & North West Leicester PCT
Chelmsford PCT
Cheltenham & Tewkesbury PCT
Cherwell Vale PCT
Cheshire West PCT
Chesterfield PCT
Chiltern & South Buckinghamshire PCT
Chorley & South Ribble PCT
City & Hackney PCT
Colchester PCT
Conwy Local Health Board
Cornwall and Isles of Scilly PCT
Cotswold & Vale PCT
Coventry PCT
Craigavon Area Hospital Group Trust
Craigavon Banbridge Community Trust
Craven, Harrogate & Rural District PCT
Crawley PCT
Croydon PCT
Dacorum PCT
Darlington PCT
Dartford, Gravesham & Swanley PCT
Daventry & South Northants PCT
Deeside LHB
Denbighshire Local Health Board
Derbyshire Dales & South Derbyshire PCT
Derwentside PCT
Devon PCT
Doncaster Central PCT
Doncaster East PCT
Doncaster West PCT
Dorset PCT
Down Lisburn Trust
Dudley Beacon & Castle PCT
Dudley PCT
Dudley South PCT
Durham & Chester Le Street PCT
Durham Dales PCT
Ealing PCT
Easington PCT
East & North Hertfordshire NHS Trust
East Berkshire PCT
East Cambridgeshire & Fenland PCT
East Devon PCT
East Elmbridge & Mid Surrey PCT
East Hampshire PCT
East Kent Coastal PCT
East Leeds PCT
East Lincolnshire PCT
East Staffordshire PCT
East Surrey PCT
East Yorkshire PCT
Eastbourne Downs PCT
Eastern Birmingham PCT
Eastern Cheshire PCT
Eastern Health and Social Services Board
Eastern Hull PCT
Eastern Leicester PCT
Eastern Wakefield PCT
Eastleigh & Test Valley PCT
Eden Valley PCT
Ellesmere Port & Neston PCT
Enfield PCT
Epping Forest PCT
Erewash PCT
Exeter PCT
Fareham & Gosport PCT
FCO
Flintshire Local Health Board
Foyle Trust
Fylde PCT
Gateshead PCT
Gedling PCT
Gloucestershire PCT
Grampian Health Board
Great Yarmouth PCT
Greater Derby PCT
Greater Glasgow PCT
Greater Peterborough PCP
Green Park Trust
Greenwich PCT
Guildford & Waverley PCT
Gwynedd Local Health Board
Halton and St Helens PCT
Halton PCT
Hambleton & Richmondshire PCT
Hammersmith & Fulham PCT
Hampshire PCT
Haringey PCT
Harlow PCT
Harrow PCT
Hartlepool PCT
Hastings & St Leonards PCT
Havering PCT
Heart of Birmingham PCT
Herefordshire and Gloucestershire
Herefordshire PCT
Hertfordshire
Hertsmere PCT
Heywood, Middleton and Rochdale PCT
High Peak & Dales PCT
Hillingdon PCT
Hinckley & Bosworth PCT
Homefirst Community Trust
Horsham & Chanctonbury PCT
Hounslow PCT
Huddersfield Central PCT
Huntingdonshire PCT
Hyndburn & Ribble Valley PCT
Ipswich PCT
Isle of Wight PCT
Islington PCT
Kennet & North Wiltshire PCT
Kensington & Chelsea PCT
Kingston PCT
Kirklees PCT
Kirklees PCT
Knowsley PCT
Lambeth PCT
Langbaurgh PCT
Leciestershire County and Rutland PCT
Leeds North East PCT
Leeds North West PCT
Leeds PCT
Leeds West PCT
Leicester City West PCT
Lewisham PCT
Lincolnshire South West PCT
Lincolnshire Teaching PCT
Lothian PCT
Luton PCT
Maidstone Weald PCT
Maldon & South Chelmsford PCT
Mansfield District PCT
Mater Hospital Trust
Medway PCT
Melton, Rutland & Harborough PCT
Mendip PCT
Merthyr Tydfil Local Health Board
Mid Devon PCT
Mid Essex PCT
Mid Hampshire PCT
Mid Sussex PCT
Middlesbrough PCT
Milton Keynes PCT
MOD
Monmouthshire Local Health Board
Morecambe Bay PCT
Neath Port Talbot Local Health Board
New Forest PCT
Newark & Sherwood PCT
Newbury & Community PCT
Newcastle PCT
Newcastle under Lyme PCT
Newham PCT
Newport Local Health Board
Newry and Mourne Trust
NHS Argyll & Clyde
NHS Ayrshire & Arran
NHS Borders
NHS Dumfries & Galloway
NHS Fife
NHS Forth Valley
NHS Grampian
NHS Greater Glasgow
NHS Highland
NHS Lanarkshire
NHS Lothian
NHS Orkney
NHS Shetland
NHS Tayside
NHS Western Isles
Norfolk PCT
North & East Cornwall PCT
North and West Belfast Trust
North Birmingham PCT
North Bradford PCT
North Devon PCT
North Dorset PCT
North East Essex PCT
North East Lincolnshire PCT
North East Oxfordshire PCT
North Eastern Derbyshire PCT
North Hampshire PCT
North Herts & Stevenage PCT
North Kirklees PCT
North Lincolnshire PCT
North Liverpool PCT
North Manchester PCT
North Norfolk PCT
North Sheffield PCT
North Somerset PCT
North Stoke PCT
North Surrey PCT
North Tees PCT
North Tyneside PCT
North Warwickshire PCT
North Yorkshire and York PCT
Northampton PCT
Northamptonshire Heartlands PCT
Northern Health and Social Services Board
Northern Ireland Ambulance Service HSS Trust
Northumberland PCT
Norwich PCT
Nottingham City PCT
Nottinghamshire County PCT
Oldbury & Smethwick PCT
Oldham PCT
Oxford City PCT
Oxfordshire PCT
Pembrokeshire Local Health Board
Plymouth PCT
Poole PCT
Portsmouth City PCT
Powys Local Health Board
Preston PCT
Reading PCT
Redbridge PCT
Redditch & Bromsgrove PCT
Rhondda Cynon Taff Local Health Board
Richmond & Twickenham PCT
Rochdale PCT
Rotherham PCT
Rowley, Regis & Tipton PCT
Royal Group of Hospitals and Dental Hospital Trust
Royston, Buntingford & Bishops Stortford PCT
Rugby PCT
Rushcliffe PCT
Salford PCT
Sandwell PCT
Scarborough Whitby & Ryedale PCT
Sedgefield PCT
Sefton PCT
Selby & York PCT
Sheffield PCT
Sheffield South West PCT
Sheffield West PCT
Shepway PCT
Shropshire County PCT
Slough PCT
Solihull PCT
Somerset Coast PCT
Somerset PCT
South & East Dorset PCT
South and East Belfast Trust
South Birmingham PCT
South Cambridgeshire PCT
South East Essex PCT
South East Hertfordshire PCT
South East Oxfordshire PCT
South East Sheffield PCT
South Gloucestershire PCT
South Hams & West Devon PCT
South Huddersfield PCT
South Leeds PCT
South Leicestershire PCT
South Liverpool PCT
South Manchester PCT
South Sefton PCT
South Somerset PCT
South Stoke PCT
South Tyneside PCT
South Wales
South Warwickshire PCT
South West Dorset PCT
South West Kent PCT
South West Oxfordshire PCT
South Western Staffordshire PCT
South Wiltshire PCT
South Worcestershire PCT
Southampton City PCT
Southend PCT
Southern Health and Social Services Board
Southern Norfolk PCT
Southport & Formby PCT
Southwark PCT
Sperrin and Lakeland Trust
St Albans & Harpenden PCT
St Helens PCT
Staffordshire Moorlands PCT
Stockport PCT
Suffolk Coastal PCT
Suffolk PCT
Suffolk West PCT
Sunderland Teaching PCT
Surrey Heath & Woking PCT
Surrey PCT
Sussex Downs & Weald PCT
Sutton & Merton PCT
Swale PCT
Swansea Local Health Board
Swindon PCT
Tameside & Glossop PCT
Taunton Deane PCT
Tayside PCT
Teignbridge PCT
Telford & Wrekin PCT
Tendring PCT
Thurrock PCT
Torbay PCT
Torfaen Local Health Board
Tower Hamlets PCT
Trafford North PCT
Trafford South PCT
Ulster Community and Hospitals Trust
United Hospitals Trust
Uttlesford PCT
Vale of Aylesbury PCT
Vale of Glamorgan Local Health Board
Wakefield District PCT
Wakefield West PCT
Walsall PCT
Waltham Forest PCT
Wandsworth PCT
Warrington PCT
Watford & Three Rivers PCT
Waveney PCT
Wednesbury & West Bromwich PCT
Welwyn & Hatfield PCT
West Cumbria PCT
West Essex PCT
West Gloucestershire PCT
West Hertfordshire PCT
West Hull PCT
West Kent PCT
West Lancashire PCT
West Lincolnshire PCT
West Norfolk PCT
West of Cornwall PCT
West Wiltshire PCT
Western Health and Social Services Board
Western Sussex PCT
Westminster PCT
Wiltshire PCT
Windsor, Ascot & Maidenhead PCT
Wirral PCT
Witham, Braintree & Halstead PCT
Woking Area PCT
Wokingham PCT
Wolverhampton City PCT
Worcestershire PCT
Wrexham Local Health Board
Wycombe PCT
Wyre Forest PCT
Wyre PCT
Yorkshire Wolds & Coast PCT
If other, please specify:
...and Sessional GP Group:
--- None
Aylesbury
Barking, Havering and Redbridge Non-Principals
Barnet and Enfield SDLG
BASD
Basingstoke Sessional GPs
Bath Locums and Assistants Group (BLAG)
Berkshire Sessional GPs
Bexley New Practitioners Group
Bishop`s Stortford Non-Principals
Borders Non-Principals Group
Borders Sessional GP Group
Bristol Association of Non-Principals
Bro Taf Non-Principal Group
Bromley Non Principals Group
Cambridge Non-Principals Group
Caritas Health Partnership. North East Wales
Central & West London Non-Principals Group
Cheltenham & Gloucester Non-Principals
Chester Sessional GP Group
Chesterfield
Chichester Non-Principal Group
Colchester Non-Principals
Cornwall Locum Group
Devon Non Principal Group
Dorset Association of Non Principals
Durham & Darlington NP Support Group
Dyfed Non-Principal Group
East Cheshire Non-Principals
East Sussex, Brighton & Hove Non-Principal group
Epsom
Essex Non-Principals
Exeter Sessional GP Group
Fareham and Gosport Non Principals Group
Fife Non-Principals
Forth Valley Non-Principals
Frimley Area Non-Principals Group
Glasgow Locum Group
Gloucestershire Sessional GP Group
Grampian Non-Principals
Greater Birmingham and Dudley Non-Principals
Greater Manchester Locum Group
Gwent Non-Principal Group
Hackney SDLG
Harenisca
Herefordshire Non-Principal Group
High Wycombe Non-Principals
Hillingdon Non-Principals
Hull Non-Principals
Isle of Wight Non-Principals
Islington Non-Principals
Kingston VTS
Lambeth Salaried and Freelance GP Forum
Leeds Sessional GP Group
Leicestershire Non-Principals
Lewes
Lincolnshire Non-Principals
Liverpool GP Forum
Lothian Association of Sessional GPs
Lothian Non-Principals Group
Maidstone Area Non-Principals
Manchester Sessional GPs
Medway Non-Principal Group
Mid Sussex Non-Principal Group
Morecambe Bay Non-Principals
Newham
Norfolk Non-Principal Group
North Camden Non-Principal Group
North Central London SDLG
North Cumbria Non-Principals Group
North Derbyshire Non-Principal Group
North Devon Associate GPs
North East Employed and Locum GPs Group
North Herts Independent Practitioners Group
North London Locum Group
North of Scotland Support Group
North Suffolk Non-Principal Group
North Wales Non-Principals
North West Anglia Non-Principals (NWANG)
North West NP Forum
Northamptonshire Non-Principals Group
Northern Ireland Sessional Doctors Association
Northern Ireland Sessional Doctors Association
Northern Ireland Sessional Doctors Association
Northumberland Non-Principals
Oxford NP Group
Pallant Medical Chambers Chichester
Pembrokeshire Non-Principals
Plymouth Non-Principals
Portsmouth Area Locums (PALS)
Powys Non-Principal Group
Primecare
Salisbury Non-Principle GP Group
Sefton Non-Principal GP Group
Shropshire Non-Principals Group
South East Staffs Non-Principal Group
South London Locum Group
South West London Locum Group
South West London Self Directed Learning Group
South-West Wales
Southampton Locum Group (SLOG)
St.Albans Learning Set
Swansea Freelance GPs
Swindon Area Locum Group
Tayside & North-East Fife Non-Principal Group
The Hillingdon Independent GP Group
Torbay Sessional GPs
Tower Hamlets Salaried and Freelance GP Forum
Tunbridge Wells Learning Set
Warwickshire Non-Principals
West Cornwall NP Group
West Essex Sessional GPs group
West London Non-Principal Group
West Middlesex VTS
West Surrey Non-Principal Group
West Surrey Too
West Yorkshire Non-Principals Group
Winchester Flexible Training Support Group
Windsor Non-Principals Group
Wirral Non-Principals Group
Worcester Non-Principals
York Non-Principals Group
If other, please specify:
What type of GP are you?
Registrar
Assistant
Freelance/Locum
Retainer
Principal
Associate
Deputy
Returner
FCS
Other
If other, please specify:
Many other medical organisations are keen to contact Sessional GPs. To date, the NASGP has agreed only to forward information to you on behalf of such organisations. This is time consuming and expensive. Therefore, in order to help the NASGP receive valuable income, please tick the following box if you consent to the NASGP passing your name and address to selected commercial medical organisations such as pharmaceutical companies, locum agencies etc.
I am not a GP
I am a non GP individual
Or
I represent a medical organisation
Or
I represent a commercial organisation