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GP unable to begin role for three months due to red tape

A GP returning from a year abroad has been told he will have to wait three months before he take up a role at his practice, because of the red tape involved in getting back on to the UK performers list.

The GP had been offered work at a practice before he returned from a year in Australia, but has said that he was told it would take ‘at least 12 weeks’ to process the application, which he says has lost him £10,000 in earnings and has left the practice a GP short.

It comes as the RCGP and the GPC have lobbied the Government to change the rules regarding returning to the performers list, which the college says is preventing 5,000 GPs from returning and is exacerbating the workforce crisis..

In a blog for Pulse, the GP - who is going under the alias ‘GPforhire’ to protect his anonymity for fear of prolonging the delay - said that while the UK has ‘a shortage of GPs’, it has ‘no shortage of red tape’.

Coming back, he said the GMC application was ‘painless and quick’ but the performers list application has prevented him from work for several months, leading to a GP shortage in the practice that has hired him and to the loss of valuable income for the GP himself.

He tried to start the process of getting back on to the performers list while he was still in Australia, but NHS England said he had to be living in England before beginning the process, which required original utility bills and bank statements to prove his residence.

In order to remain on the performers list a GP has to do a minimum of sessions in a year, which is why GPforhire was instructed to cancel his membership upon leaving England.

GPforhire said that when he started the application in August, NHS England told him it could take up to 12 weeks to process.

He said: ‘I was instructed at the outset that it would take up to 12 weeks to process and they wouldn’t start the process until I could prove I was living in the UK.

‘I tried my best to start some of the process in Australia but it was a no-go. They wanted two original proofs of UK residency - a UK council tax bill and utility bill or bank account. I was going to be living with my parents for the first couple of weeks whilst we looked for somewhere to live so it would be at least that long before we had rental agreement - which didn’t count anyway. I would then have to wait for the correct forms of ID to come through the post.’

‘Once I had that bit of paperwork I could start, or so I thought. They gave me the wrong form to fill in - it was for their new electronic version that wouldn’t go live until September. I also need to pay £40 by cheque or postal order - cash or online payments must be too sophisticated or something.’

The GP said he is still waiting to hear on his application and that he is expecting to have lost £10,000 in earnings when it does get approved.

He said: ‘Currently my application form is sat in another teams office now, its waiting for someone to re-read it and then it will be passed on to the medical director to sign, it gets passed back, emailed back to the first team and they write to me to let me know I can start work. I expect by the time I am finally approved to work this will have cost me at least £10,000 in lost earnings, more if you count the lost pension contributions.’

GPC deputy chair Dr Richard Vautrey said: ‘Everybody seems to recognise that this is an unnecessary bureaucratic hurdle, which shouldn’t even be there, let alone having to be crossed… yet nothing very much seems to be being done about it. I think we need to address this as soon as possible. There is a recruitment crisis and any GP who is wanting to work in the NHS and has the necessary competency to do so should be enabled to do so as quickly as possible, not having unnecessary unhelpful barriers placed in their way.

‘One of the ways that have been suggested for getting around this [problem] would be to have Skype appraisals, or some form of way of keeping doctors in touch with the NHS when they go away. For those doctors who do go away usually for a short period of time who know they will come back at some point it seems very sensible to retain that link for that period. It shouldn’t be very difficult to put that in place and that would actually save us from a lot of those problems occurring when doctors return to the UK.’

The RCGP claimed this year that it had identified 5,229 GPs under the age of 50 who have left general practice in the past five years, including more than 3,000 GPs under the age of 40.

It said that these doctors are unable to return to general practice even if they wanted to as a result of rules governing the eligibility of GPs to practise in the UK being interpreted in a ‘bureaucratic’ way, which is effectively ‘disbarring’ them from the GP workforce and exacerbating the crisis in general practice.

Click here to read the blog


Readers' comments (9)

  • Absolute nightmare and you have my sympathies.
    I'm thinking of working abroad for a year or 2 and have decided to do it late 50s so I retire when I get back.
    It's the only way to avoid this risk.

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  • Now working in Australia and no way would I come back - GMC were overly bureaucratic just to de-register - so I ended up not paying the fee and getting off it that way. No doubt performers list would be a nightmare too. Anyone wanting to get out of UK needs to do it before the NHS pension scheme stops overseas transfers in april 2015.

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  • I once tried to do some Out of hours but eventually after submitting endless bank statements, further references, CVs, and mammoth amounts of documents even though I was an established locum at the time, eventually I gave up.....I just could not face the farce of all the red tape. The attitude was that I should be honoured to go through all this crap.
    I have come to the conclusion that Jeremy Hunt is a narcissistic fantasist and nothing we do or say will stop this man damaging the NHS in this country.
    I strongly advise the public to rise up and though complaints to their MP about him, hope that he is removed from office but to be honest it is all too little, too late.....rather like the management of Ebola

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  • I practised as a GP in Canada for 5 years and have to first apply for a CEGPR, then the performers' list. I am totally put off the entire process, and am currently working as a locum in hospital medicine where I am likely to remain...

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  • if you don't cancel GMC registration then you stay on the performers list surely best if not going for more than a year or two.

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  • 1:28 2014 "Jeremy Hunt is a narcissistic fantasist and nothing we do or say will stop this man damaging the NHS in this country."

    1995: Virginia Bottomley is a narcissistic fantasist and nothing we do or say will stop this woman damaging the NHS in this country.

    2003: John Reid is a narcissistic fantasist and nothing we do or say will stop this man damaging the NHS in this country.

    2009: Andy Burnham is a narcissistic fantasist and nothing we do or say will stop this man damaging the NHS in this country.

    2010: Andrew Lansley is a narcissistic fantasist and nothing we do or say will stop this man damaging the NHS in this country.

    Need I go on??

    Nothing changes but change and until we, collectively, change the way they keep changing then we will have to accept that change will always be the norm. Or we just all leave and then watch it change!!

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  • I too have been away for close to 16 months and its unbelievable how the various NHS England teams, LMC and even the Deaneries are completely oblivious to the exact steps to getting back on the performers list. At last count I had been referred to a different body 30 times and i'm still non the wiser. With all the NHS GP's I know exiting, i'm wondering if the stress of going back to work is worth it

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  • Same in Wales. Even worse if you missed the 2 year window period to return to UK general practice like me. I have had to enter the Returner scheme despite working as a full time GP in Australia for the last 5 years. 3 international airfares and time off work to do a security interview with the GMC; an MCQ exam including ethics paper (because somehow mine must have changed down under); and a clinical scenario exam. Then the same bureaucracy to obtain police clearance from the UK and Australia and now unpaid supervised practice for 3-6 months including videos and log books - I would guess this is costing me closer to £25000. I have returned for family reasons - you need to have good reasons to go through this!

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  • 3 months? It took me a YEAR to get through the bloody Returner Scheme (the new one, which is scarcely better than the old one). You can guess how much income I've lost. I had to get help from the Cameron Fund to avoid going bankrupt.
    The exams are set at entirely the wrong level and the quality of the examiners seems very variable. It's a farce.

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