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Over 100 GP trainees set for £20k 'golden hello' to work in areas with shortages

Health education leaders will offer prospective GP trainees a £20,000 bursary if they’re willing to be placed in some of the most severely under-recruited regions.

The ‘golden hello’ will be given to 109 candidates who train in the seven areas with the lowest GP training fill rates, including Lincolnshire, Blackpool, the Lake District and Isle of Wight.

Trainees who work in these areas will be given a £20k lump sum at the start of their training placements, Health Education England (HEE) has said.

The financial incentive forms part of NHS England and HEE’s ten-point plan for the GP workforce and will be made available to GP trainees studying in Lincolnshire, East Cumbria, West Lakes, South Cumbria, Blackpool, Northern Lincolnshire (Scunthorpe & Grimsby) and Isle of Wight.

But GP leaders said there needed to be greater incentives, including the paying off of student loans, to make a real difference to these areas.

Under the scheme, prospective trainees who applied for the first round of GP training for the August 2016 intake have been offered the opportunity to apply for 109 bursaries by 12 February.

HEE highlights that schemes are struggling to recruit as a consequence of their remoteness from large cities, but say the quality of training is often better rated by trainees with many candidates choosing to stay on after training. But any trainee who fails to complete their placement will have to pay back the bursary.

The GP National Recruitment Office website states: ‘The new scheme will offer a one off bursary of £20,000 to GP trainees committed to working in one of 109 training places in England that have been hard to recruit to for the past three years.

‘These areas often have an extremely good track record for education, but are initially less popular simply because of their geographical location. However, those trainees that do come usually stay on after training, as they discover these locations’ hidden attractions.’

Pulse has catalogued the widening gaps in GP recruitment in recent years, which saw 40% of training places left unfilled in some regions despite HEE running three recruitment rounds and allowing failed applicants to reapply in the same year.

Dr Krishna Kasaraneni, chair of the GPC’s education, training and workforce committee, told Pulse: ‘We need to acknowledge that it’s not just about getting a trainee to an under-recruited area. Doctors will only consider a career in GP if they see it as something that is positive and the job is attractive - at the moment, it isn’t.

‘GPs made it clear at the Special LMC Conference that we need to look beyond the £20k golden handshakes and work towards payment of student loans as a means to address the recruitment crisis. The profession feel that incentives at that scale are needed to really make a difference.’

An NHS England spokesperson said: ’Although overall recruitment of GPs is increasing, we are determined to tackle the real problems that exist in certain parts of the country, which is why we are working with others including the BMA and RCGP to trial these bursaries following the success of a similar scheme in Leicester.’ 

Do golden handshakes work?

Golden Handshake - money - online

Golden Handshake - money - online

There is mixed evidence for the effectiveness of this type of financial incentive. NHS England’s primary care commissioning lead said last year that often merely create ‘bidding wars’. 

Pulse revealed last year that a £250,000 scheme, run by NHS Leicester City CCG offering trained GPs up to £20,000 to join practices, but only three out of 16 practices were able to find new GPs. As a result, the CCG recommended that the scheme be paused.

But Health Education England has to do something. There are recuitment gaps in some areas of England of up to 40% and these gaps are widening.

 

 

 

Readers' comments (18)

  • Will this work?It hasn't been an overwhelming success when tried before!

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  • £20.000 will make many GP trainees want to work in Hull indeed.

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  • Do you mean Hull is so bad that you can go to Hull for a year for £8K (minus 10K for tax and 2K for relocation), i.e. about £400 pounds effectively per month, sounds like lot of money!!

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  • Hull sounds like the worst place to be a GP in the country. An under-resourced bullying CCG intimately mixed with big aggressive providers wanting to take out the small boys.

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  • Might just about cover the salary difference when Hunt slashes banding for GPSTs in primary care jobs. Also, these people won't be retained. They're just as likely to flee to Oceania/Canada as anyone else, if not more, as they'll be exposed to an even more burnt out depressing state of affairs.

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  • Is this not clear evidence that if we refuse to work they will offer us more money?

    Ditch the contract comrades!

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  • We don't even have to refuse to work! All we need to do is work to blooming rule. Everyone will think we are uncaring and greedy but they will see our worth. People think we are lazy and overpaid anyway. Cardigans have to stop pretending that they care about every little sniffle, every fu@cking unreasonable request from the government etc. Also, stop lining your pockets and fiddling with the accounts! Jezza, take them out!

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  • JH - "I'll give you £20,000 to ruin you career. Mwahahaha."

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  • Working to rule means dealing with every patient need and that is defined by whether the patient feels they have a need. I am not making it up, that is what the contract says. So working to rule is what people are already doing. The problem is that the rules (the contract) are so ridiculously open-ended, hence the need for a completely new contract. Dentists don't have this problem so why do we?

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  • ? £ 20 K for repayment of student loan and Tax trap. NO GAIN

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  • Working to rule means working safely. 30 f2f contacts a day max, maybe 5 call-backs and ,if we are feeling generous, one or two home visits. Also, one or two sessions a week for admin and home by 18:00 every day. This is still a lot if done properly and safely. Happy GPs do a better job-healthier patients-cheaper for the government. Simple maths Jezza, simple maths.

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  • The Public and your Patients are behind you and do value the work you do.

    Dont get sucked into all the Tory Propaganda about how people think you are a lazy bunch and overpaid etc.

    The Propaganda and spin is designed to undermine your confidence in taking control of the situation.

    Your Junior doctors should be a model to you.

    The Public need you all to take a stand.

    You do that and they Will back you all the way.

    The Tory Press may try to distort reality, but when the cat is out of the bag.......

    You ever tried to force a cat back in?

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  • I don't get why the money isn't offered to qualified GP's to go work there? This way there is only a 'maybe' chance that they'll stay on but no guarantees.

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  • @Anonymous | Work for a Local authority02 Feb 2016 12:05pm

    'The Public and your Patients are behind you and do value the work you do.'

    The public care about the public and the public only' ie themselves. I am not saying all of them but if they really gave a toss then they would not be rude, attend a million times a week and demand drugs just because they are free. Not their fault I suppose but still rude and damaging to GPs MH non the less.
    Have you seen the difference between peoples behavior when the bar is free and when its not? Apply that to the NHS and you have the same result.

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  • £20k to work in hull is called a golden hello???

    More like a brown goodbye!

    I knew a partner who moved to a rural location down under and was offered £200k if he stayed for 5 years .

    The NHS can't compete anymore with what's on offer elsewhere.

    Hull needs to get its cheque book out if it really wants GPs, not this scandalous stingy offer that probably won't fool anyone.

    Face it folks the U.K. Just isn't serious about taking care of some of its brightest graduates.


    Ditch the country comrades!!

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  • RCGP should get serious as its red flag symptoms now .Trained GP who are in the situation that they could'nt meet the so called RCGP criteria and failed CSA exam by few marks are not safe doctors as per them .Please take care of these IMG and utilising them might be high time .Moreover,they are ready to take GP jobs in these rural areas as their career have been ruined and their skills have been locked beacuse of missing this bit.think seriously about those trained GPs!!!!!!!!!!!!!!!

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  • Is the cat really out of the bag? Two practices I know in different parts of the country both report Full-Time partner earnings of £200,000 p.a & £180,000 p.a - partners in one practice have a full day off per week & in the other half a day off per week with no on call. I am not saying that GPs are not "worth" such remuneration given the highly skilled & demanding work they do, but when GP earnings are published, as planned, will the public still be supportive of GPs taking industrial action?

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  • you can pay me as much as you like but i can't turn a 10 minute appointment into 60 mins.

    it's demand which is the issue. you could have 1000 GPs and pay them a million quid each but they can not physically handle the demand !

    1. population growth
    2. population demographics
    3. patient expectations
    4. massive increase in paper work etc etc

    demand is increasing more than supply in every area. you need to get ahead of the curve and oversupply in order to catch up i.e. we need 10,000 to 15,000 GPs by 2020.

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