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GP training financial incentives FAQ

 

The targeted incentive

Trainees who start the first post of their GP training programme will be eligible for the targeted incentive if they commence this first post in one of the following GP Training Schemes: 

  • Bangor GP Specialty Training Scheme (BCUHB) 
  • Dyffryn Clwyd GP Specialty Training Scheme (BCUHB) 
  • Wrexham GP Specialty Training Scheme (BCUHB) 
  • Aberystwyth GP Specialty Training Scheme (HDUHB) 
  • Pembrokeshire GP Specialty Training Scheme (HDUHB)
  • Trainees who complete their entire ST3 post in one of the following practices in Powys will also be eligible for the targeted incentive: 

    • Haygarth Medical Centre
    • Brecon Medical Group Practice – Ty Henry Vaughan 
    • Ystradgynlais Group Practice – Meddygfa Pengorof 
    • Builth Wells Medical Practice

    Trainees on the Gwent and Swansea Bay Schemes who commence the first post in their GP Training programme between 2017 up to and including February 2022 will be asked by the GP Programme Directors to express an interest in being placed in a training practice in Powys for their ST3 year. In the event that more than one trainee wishes to be placed in a Powys practice, allocation will be based on the trainee’s ranking from their overall selection score. 

The incentive payment is split in two payments of £10,000.

To be eligible to receive both of the £10,000 payments, the minimum amount of time a trainee would be required to train and work in one the targeted areas is 4 years. That is, 3 years full time GP training and 1 year post qualification working as a GP partner, or salaried GP in a practice or out of hours centre, within one of the Eligible Health Board Areas. 

Under the targeted incentive, the first £10,000 instalment will be paid to the trainee in their third monthly pay, apart from those trainees who have been selected to complete their ST3 post in one of the Powys practices identified in A9. Trainees who fall into this category will receive the first incentive payment in the first monthly pay that they receive after commencing their ST3 post within the targeted area. 

Eligible trainees will be required to sign and return the NHS Wales Incentive Scheme Terms and Conditions that stipulates the criteria for receiving the incentive before the payment is made. 

The second instalment of the targeted incentive will be paid when the individual has successfully completed their GP training and worked for 1 year in a substantive/fixed term post as a GP partner, or salaried GP in a practice or OOH centre within one of the Eligible Health Board Areas. In the event that the newly qualified trainee, who completed their training within one of the targeted areas, takes a locum post immediately after completing training while considering their career pathway, they can still be eligible for the second payment. This is on the provision that they take up a substantive/fixed term post as a GP partner, or salaried GP in a practice or OOH service within one of the Eligible Health Board Areas, for a period of at least 1 year within 6 months of completing their training.

In the event of a prolonged period of sickness post CCT, the situation will be considered on a case by case basis.  Please contact NWSSP by email - NWSSPSLE@wales.nhs.uk.

There is no expectation that an individual will train and work full time. If someone trains and works on a part time basis then they would still be eligible for the full incentive payment.

All trainees wishing to transfer to another scheme must meet the eligibility criteria for Inter or Intra Deanery Transfers (IDT). Further information is available

If the trainee meets the IDT eligibility criteria and there is space on the GP Training Scheme they wish to transfer to, provided they transfer into a GP Training Scheme within a targeted area in Wales, the targeted incentive will continue to apply. 

If a GP trainee in a targeted GP training Scheme leaves GP training to take up a training place in a secondary care specialty-training programme within a targeted area, they will no longer be eligible for the targeted incentive and money will be recouped as outlined in Q21 below. 

If a GP trainee moves to a GP Training Scheme in a non-targeted area within Wales, or to a GP training Scheme elsewhere in the UK, or resigns from the GP training Scheme for any other reason, the money will be recouped as outlined below in Q21.

If a GP trainee moves from a GP Training Scheme in a non-targeted area within Wales to a targeted GP Training Scheme they will not be eligible for the targeted incentive payment. 

No. This payment is not intended to be used in lieu of remuneration for salary or any other costs for employment.

There is no expectation that those who undertake a substantive/fixed term post as a partner, or salaried GP in a practice or Out of Hours service, within one of the Eligible Health Board Areas, will do so on a full time basis. Therefore, they would still be eligible to receive the second incentive payment.

It is anticipated that trainees will take up a substantive/fixed term position as a GP partner, or salaried GP in a practice or out of hours (OOH) service, in the same targeted Health Board boundary in which they trained. However, if they work in one of the other targeted areas they would still be eligible for the targeted incentive. 

If an individual trained within a non-targeted area and then obtained work, as a qualified GP, within a targeted area then they would not be eligible for the incentive payment. 

Individuals will need to evidence their year in practice in order to receive the incentive payment. This evidence will constitute of payslips covering the 12 month period and a letter from your GP practice / OOH centre confirming employment. Should you wish to discuss further please contact nwsspgpsingleleademployer@wales.nhs.uk

Recouping targeted incentives

Those who voluntarily exit the GP training programme by moving out of Wales, transferring to a GP training scheme in a non-targeted area, or move into another specialty will be subject to a proportion of the upfront payment of £10,000 being recouped.

Recouping of the incentive payment will:

  • be undertaken on the basis of what the trainee received after tax and national insurance; and

  • it will be set at a rate which is tapered according to the training year in which you leave, with more being recovered the earlier the individual exits the arrangements. This is in recognition of the fact that trainees provide a service whilst they train.

Repayment will be required by those who voluntarily exit the GP training programme by moving out of Wales; exit the GP training programme by moving to another specialty training programme or those who transfer to a GP training scheme in a non-targeted incentive area.

Recoupment of the first incentive payment will not occur in the event that the trainee reaches the end of their training programme but fails to pass one or more elements of the MRCGP.

No such recouping mechanism applies to the second incentive payment of £10,000, as this is payable at the end of the one year period worked in a substantive/fixed term post as a GP partner, or salaried GP in a practice or OOH service within one of the Eligible Health Board Areas.

The NHS Wales Shared Services Partnership will be responsible for paying and recouping the incentive payment on behalf of Velindre NHS Trust (Lead Employer). If you have any queries on this matter please contact nwsspgpsingleleademployer@wales.nhs.uk

Yes, the payments will be subject to income tax and national insurance.

The universal incentive

The intention of this incentive is to recognise the value and importance of GP training in Wales and help increase interest in and applications for, GP training in Wales so that the overall fill rate is increased.

It is applicable to all GP trainees who start the first post of their GP training programme in Wales between 2017 up to and including February 2022.

GP trainees are required to pass all elements of the Membership of the Royal College of General Practitioners (MRCGP) examination. Two elements of the MRCGP are the Remote Consultation Assessment (RCA) and the Applied Knowledge Test (AKT). The universal incentive payment will cover the cost of one sitting of the RCA and one sitting of the AKT (approximately £2,000). 

Individuals will only be eligible to claim for the costs of the first sitting of the RCA and AKT. No further reimbursement will be made in the event that the trainee has to undertake more than one sitting of either exam. 

Yes. The costs of the first sitting of the RCA and AKT can then be claimed for via the e-expenses system.