Since April 2013, when the responsibility for the management of performers lists transferred to NHS England, the new regulations required NHS England to remove GPs from a performers list where they have been suspended by the GMC, including GPs suspended under interim orders for suspension.
This was a significant change to the previous regulations, where the old PCTs were not required to take any action as a response to interim suspension orders.
Fortunately, the Department of Health now considers the impact of this aspect of the 2013 regulations to be disproportionate. The imposition of an interim suspension order is a neutral act (i.e. it is not intended to punish) and should not result in removal from the performers lists.
The Department of Health is now considering two alternative options for changes to the 2013 Regulations:
- Return to previous position of the previous regulations;
- Proposal that GPs suspended by an interim suspension order from the GMC should be automatically suspended from the performers lists.
What do you think of these proposals? Leave your comments below, and you can give your own response to the government too.
After nine painful weeks of going through the process of joining the Performer's list, NASGP member Mark de Kretser gives a helpful rundown of how to get through the application process. Mark provides some hints and tips, many of which we hope will avoid you having to discover the same many weeks into your application.
- The application form/guidance makes no mention of a face-to-face meeting to provide original documents and check ID or how or when to arrange this. This is best done once you have all the required documents ready and can be arranged by ringing your local Area Team (see NHS England National Performers List website for details).
- The application states that a DBS certificate should be provided, and links to the the DBS website which then states that individuals cannot apply for one! But in fact you can, and even use NHS England as a sponsor.
- The application form states that Level 3 child protection training is mandatory but implies that adult safeguarding and BLS training are not. This is completely incorrect as all three are apparently now mandatory, so to avoid being told this several weeks into the process, or worse still after your face-to-face meeting, we suggest including all evidence for this in your covering letter!
- You need to take a printed copy of the application form to your face to face meeting, as the form may not print properly and has boxes that won't accept a tick or a cross. This is a known issue, so we recommend just print out as best you can and use a pen to check any incomplete boxes.
- There is no mention anywhere of needing to provide a copy of original medical degree, but this is required. Again, add to your covering letter.
- The English language requirements section implies that unless you have a degree from a UK medical school you would have do IELTS, even despite being on a Scottish list or having been on the English list previously. Fortunately they should accept your JCPTGP certificate of equivalent experience.
- Although not stated, if a reference is to be supplied by email it must only come from an nhs.net email address unless they have the applicants written permission, as other email addresses are not considered secure.
We've provided this useful template to use as your covering letter.
But if you do get stuck, our experience is that the staff are easy to contact and are very helpful.
We'd love to know your experiences, and if you have any hints or tips that we can share with others, please add them to the comments section in this page.
As a GP working, or planning to work, in the UK, you need to go through a three-stage process.
Step 1 - join the GMC's GP register
- If you are applying to work as a GP (general practitioner or family physician) in the UK, as well as being licensed by the GMC, you'll also need to be on the GMC's GP Register.
- About the GMC GP register
Step 2 - join one of the four UK Performers Lists
- If you you're not already working, state your “intent to work” on your performers list application, outlining roughly how many sessions a week you plan to work from a particular date.
Step 3 - join the NHS appraisal process
- Your Area Team will assign you to a 'designated body', who'll oversee your appraisal and subsequent revalidation.
It's now a requirement of the Care Quality Commission CQC that every member of staff working in a GP practice has an up-to-date Hepatitis B status. The MPS have prepared a summary of why this is needed, as part of the CQC's Cleanliness and infection control (Outcome 8, Regulation 12) "People are cared for in a clean environment, and are protected from acquiring infections".
If you're a chambers locum or are employed as an agency locum, they'll no doubt otherwise notify every practice on your behalf. Otherwise it's a sign of a well organised locum to provide this in advance of working.
If you're employed by a practice as a salaried GP, you'll be entitled to free immunisation status checks and boosters if they're a good employer. As a locum, unless you can persuade a friendly practice, you'll have to arrange this yourself with your own GP as a private service.
Added to this, the Green Book states:
Healthcare workers in the UK and overseas (including students and trainees): all healthcare workers who may have direct contact with patients’ blood, blood-stained body fluids or tissues, require vaccination. This includes any staff who are at risk of injury from blood contaminated sharp instruments, or of being deliberately injured or bitten by patients.
As a GP, if you're exposed to continuing risk of infection, you should have a single booster dose of vaccine, once only, around five years after primary immunisation. Measurement of anti-HBs levels is not required either before or after this dose.
The Disclosure and Barring Service DBS check (used to be known as the Criminal Records Bureau CRB check) needs to be performed only once in order to appear on the National Performers list. Once on the Performers List, there is no requirement to have further DBS checks for the Performer's List as this is part of Performers List monitoring. The purpose of the national list in England is to allow GPs to move to different parts of England without having to apply to a local performers list.
DBS in England
- NHS SBS Greenwich
6 Mitre Passage
- Tel: 0208 5363000
Scotland, Wales and Northern Ireland
- DBS checks for other UK countries are usually done as part of the performers list application.
If you work for locum agencies, not only will they each need a DBS check, but they may also have their own internal reasons to insist on one as often as they like. In which case, you may like to use the annual DBS update service for £13 per annum (which must be applied for within 19 days of receipt of your certificate being issued).
Further information on DBS checks, which reinforce the above, is available from the Care Quality Comission CQC.
Yes. The PCSE website states " [As long as it can be ascertained via HEE or GMC website that the GP has completed their training]...there should be no reason why the trainee should not be permitted to practise independently whilst the administrative change in status is undertaken."