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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)

  • @4:15 you are correct. The collective that won the PMCF is out to make as much profit as possible and there are worse involved than Shropdoc-they are one of the more professional partners! Unfortunately there seems to be nothing anyone can do to stop this roller coaster. A certain practice in Staffordshire has been using FY2 and med student for years to see their patients-you can never see a partner, yet on the day access excellent. However highest referral rate in CCG-funny that and this model is a blueprint for roll out

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  • It will be interesting to see SHROPDOC's "corrected" advert. If it is very different it will betray their original intention.

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  • Doesn't matter what the advert says it's what happens in reality

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  • There are many practices using FY2 and ANPs to substitute for GPs and save money. What is very noticeable is that these tend to be the lowest qualified GPs doing this who are themselves disinterested in good quality care and form that group who clearly entered medicine for the financial aspects only

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  • I see nothing wrong with FY2s who are supervised working in practices(but not OOH services).
    The need to increase the GP Doctor count will need a change in GP training to encompass "on the job training", supervision and formal education.
    This is the only way we will be able to have sufficient doctors available in General Practice.

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  • I think it's quite clear and transparent really. Motto being get everything done on the cheap. If you view it like this primary care will be first line, ANP, PA, junior Dr's and then GP's prior to consultants. GP'S will become salaried posts. Slowly charges will be introduced as per Dentists. workload will increase +++.
    The other more interesting aspect is amalgamation of health and social care budgets while reducing social care funding will lead to these new boards and the politically savvy Councillors and their minions, clawing this back from the 'ring-fenced' healthcare budgets. so whole system care will be provided by who.....,yes GP'S in the new cheap and crap primary care system.
    unfortunately CCG'S run corruptly by local 'fatcats' filling their pockets and companies coffers while not acknowledging the reality of how Primary Care is about to be broken down beyond recognition. If monitor knee of some of these practices then most CCG's relevant people would have sleepless nights.

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