This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

Advertisement for 'unqualified GP' post temporarily removed after outcry

The Challenge Fund pilot that invited FY2 doctors to apply for positions in GP practices has pulled its job advert ‘for editing’ after the RCGP called for urgent clarification over the use of untrained GPs.

Shropdoc said it was ‘sorry for any confusion’ caused by the advert for a community physician to provide the ‘full spectrum’ of GMS consultations.

But the doctors’ cooperative said the advert had now been taken down for editing and ‘will be re-posted in due course’.

The RCGP called for urgent clarification from Health Education England (HEE) after learning that FY2 doctors without specialty training were being recruited.

The successful candidate was expected to work across GP practices in Shropshire and Staffordshire as part of its Challenge Fund seven-day GP access pilot.

Candidates for the job, paying between and £30,002 and £39,693 depending on experience for a 40-hour week, needed to have ‘completed at least foundation year two’ but would work as a ‘senior member undertaking the full spectrum of GMS consultations’, the advert said.

The advert, titled ‘Prime Minister’s Challenge Fund community physician’, said: ‘This is an exciting opportunity for fully registered medical practitioners, having completed at least Foundation Year 2…

‘You will be based in a variety of practices in Shropshire and Staffordshire and will work as a senior member undertaking the full spectrum of GMS consultations, frail elderly experience both in practice and the community, educational attachments with SSSFT Dementia Service, and urgent care sessions via Shropdoc.

But concerns were raised over the level of training the community physician would receive, whether they would be supervised in their work and whether they would need a Certificate of Completion Training (CCT).’

RCGP chair Dr Maureen Baker wrote on Twitter: ‘Re “community physician” role. Asking @NHS_HealthEdEng 4 urgent clarification. Training or not? Supervision? CCT 4 independent work.

GPC education, training and workforce subcommittee chair Dr Krishna Kasaraneni said ‘crucially, these are not training posts’ and that the ad could ‘mislead doctors who may see this as a GMC accredited training programme’.

He said: ‘Only qualified GPs can provide certain types of care and we need to ensure the quality of patient care is protected and maintained…

‘These posts cannot be seen as a sort of replacement for GPs. The only way to meet rising demand and alleviate pressure on services is to address the funding and recruitment crisis crippling general practice.’

But after being approached by Pulse, Dr Russell Muirhead, Shropdoc chairman, said: ‘We are sorry for any confusion that has been caused as a result of this job posting, which was unfortunately released prematurely before final sign off by the senior directors. The advert has now been taken down for editing and will be re-posted in due course.’

He said the post was ‘a new development… aimed at doctors having completed FY2 posts who seek further experience in primary care before applying for specialist training in the normal way’ and stressed that the programme consisted of ‘supervised roles’.

He added: ‘This is not a specialist training position but does include education and training in elderly care and dementia via a university diploma course….

‘The aim of this initiative is to introduce and promote general practice and community care to newly qualified doctors at a time when doctors choosing to enter general practice is falling.’

A job description, still available, said the candidate will ‘make professionally autonomous decisions’ and determining the ‘best course of action or treatment’ based on their professional medical knowledge and that the community physician would be ‘accepting accountability for those decisions, seeking supervision and guidance as required’. They will also be expected to ‘prescribe or supply and administer medication and treatments’.

The position also involved two educational sessions a week with Keele University and Health Education West Midlands, which are ‘offering modules in dementia, frailty, health informatics, clinical effectiveness, leadership management along with access to the British Geriatric Society Diploma’, the advert said.

Readers' comments (46)

  • 4.20- this isn't fuss this is outrage. Because they need proper supervision and they need proper training. Apart from the meagre salary this is a dead end job leading nowhere. i HOPE THE DEFENCE ORGANISATIONS MAKE IT IMPOSSIBLE!

    Unsuitable or offensive? Report this comment

  • I have to admit as a GP member of Shropdoc I held my head in my hands when I read this. Its a disaster waiting to happen - for GPs, for patients and for the poor people recruited to these posts - if any are daft enough to touch with a bargepole.

    Unsuitable or offensive? Report this comment

  • If the GMC is seroius about protecting patients they will be hauling the members of SHROPDOC who dreamed up this nasty little advert before their tribunals.

    Unsuitable or offensive? Report this comment

  • There are already numerous FY2 posts in general practice. These (should) involve significant supervision. This advert is pitched at doctors who have completed at least FY2, but there is no guarantee they will have any general practice experience. It also hints at a greater level of responsibility. I did my first FY2 in GP and I did not consider myself at all a "senior member" of the practice team at all. The thought of junior doctors with little to no experience being considered such and left to get on with the job is disturbing. Good to see RCGP seeking clarification - will await this with interest.

    Unsuitable or offensive? Report this comment

  • F2s certainly work in GP but to my knowledge always in triainig practices and under the direct supervision of a named clinical superviser with an edicational superviser above that.

    Unsuitable or offensive? Report this comment

  • Is this the new plan for F2s who fail the asessments to get on to GP training programmes? Because they are the only doctors for whom a job like this makes any sort of sense. And these doctors need more supervsion, support and training than anyone else!

    Unsuitable or offensive? Report this comment

  • could this possibly be the beginning of a turn against the so called "leadership" such as RCGP AND BMA (I say this with a rather large pinch of salt because they've shown very little leadership in the last few years)
    If so it serves them right; bringing in "trainees" to fulfill this role is again "watering down" the expertise required to fulfill previously assigned roles -such as GP/ geriatrician;

    This of course would never have been allowed to happen if the " leadership " had maintained a united profession with its members interests; now if this is as it looks a way the doh might be using to bypass the bma/rcgp etc and make them even more irrelevant and of course bring in cheap labour to fulfill a job!!

    perhaps im reading this incorrectly however and like they keep saying at the RCGP "its never been a better time to become a GP"??

    Unsuitable or offensive? Report this comment

  • If this is allowed why do I need to revalidate ?

    Unsuitable or offensive? Report this comment

  • More the merrier.

    Unsuitable or offensive? Report this comment

  • To anon 4:20. These Drs have had no training in General Practice. The law states they may only be on the National GP Performers List if they are fully trained or are in training in an approved training practice.

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page50 results per page

Have your say