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  • NAO gives NHS vanguards a mixed review

    NAO gives NHS vanguards a mixed review

    Monday, 02 July 2018 16:45
  • Scotland to expand international recruitment for doctors and nurses

    Scotland to expand international recruitment for doctors and nurses

    Friday, 22 June 2018 16:07
  • GP trainee round 1 recruitment increases 10%

    GP trainee round 1 recruitment increases 10%

    Tuesday, 19 June 2018 17:53
  • Tier 2 visa cap relaxation for doctors welcomed

    Tier 2 visa cap relaxation for doctors welcomed

    Friday, 15 June 2018 18:39
  • England will lose more than 600 general practices by 2022, predicts BMA

    England will lose more than 600 general practices by 2022, predicts BMA

    Tuesday, 12 June 2018 12:03

A Resized GP Laptop Image cbAugust 24 2017

Health Education England has set out how targeted training for GPs should change, and if necessary be extended, following a consultation.

 Its proposals meant doctors who did not successfully complete their GP training would be supported in re-entering the training programme. It had also proposed taking into account previous experience of doctors from other specialties who want to train for general practice.

HEE’s consultation outcome document sets out responses and how the HEE has modified its initial proposals. Among the amended actions it intends to take now are that “HEE will consider further the implications of allowing European doctors who are eligible for GP registration, through having a mutually acceptable European specialist medical qualification to be permitted to apply for GP training in certain limited circumstances.”

Doctors with some previous training/experience will also be able to have this taken into consideration in certain circumstances which may reduce the overall GP training time. In addition its “proposal relating to supporting overseas doctors who need additional training to fulfil the GMC’s GP Registration requirements is now being taken forward as a separate proposal.”

The RCGP has expressed reservations. RCGP Chair Professor Helen Stokes-Lampard said: “We desperately need more family doctors practising in the UK, but not through the back door, and not at the expense of the trust and confidence patients have in their GP.”

Around 250 candidates could be eligible for Targeted GP Training according to these proposals, the RCGP has estimated. “That is those who have passed their Workplace Based Assessment, but have failed either the Applied Knowledge Test or Clinical Skills Assessment the maximum number of times, between 2010-2016. Compared to the thousands more GPs we need in the workforce, this is a modest number and it is important that we do not generate false hope for these ‘targeted’ candidates, as these proposed new measures would not guarantee their success.”

Prof Stokes-Lampard said the College “is open to any proposal that intends to safely increase the number of GPs practising in UK general practice – and we have cooperated fully and positively with HEE and others throughout this consultation process. But important recommendations from the College, such as a set time frame for the proposals, are not outlined clearly enough in this report, and will need to be addressed.

“Making changes to the assessment process is something we are open to – indeed, we have commissioned our own independent review of the MRCGP, which is currently underway. But change should not be taken lightly – and must be in the context of patient safety and evidence, not meeting targets.”

Dr Krishna Kasaraneni, BMA GP committee workforce lead, said the Association was pleased HEE’s review of evidence supports the BMA’s calls for personalised training. “There are a number of reasons why some trainees may fail their exams and the current system and time limits unfairly disadvantage some of the more diverse groups of doctors.

“It would be pointless to simply increase the number of attempts without targeted support. While it is important that the bar for qualifying as a GP remains at an appropriate level, doctors who have been unsuccessful in their assessments should be supported to re-apply for further training to help them to become independent practitioners in the future.”

Links:
HEE announcement       
HEE: ‘Targeted GP Training Proposal including Changes to Extensions to Training Consultation outcome’                 
RCGP comment                 
BMA comment  

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