GP Career Plus

We have worked with Royal College of General Practitioners, British Medical Association and Health Education England to develop the GP Career Plus Scheme pilot which will result in the recruitment of approximately 80 GPs who are at risk of leaving the profession across 10 pilot areas.

Data shows that the number of GPs leaving in most ages groups particularly those aged 55–59 and 60-64, has risen over the last 10 years. Research that we have commissioned suggests that experienced GPs may remain practising if they had an opportunity to work more flexibly.

The 10 pilot areas will test a range of ways to offer greater flexibility and support for approximately 80 GPs to keep hold of the vital skills and experience of GPs on the verge of leaving general practice.

These GPs could:

  • Provide clinical capacity for practices to cover: vacancies; annual leave; parental leave; and sick cover.
  • Carry out specific types of work e.g. long term conditions, access hub sessions, home visits.
  • Provide leadership through: clinical training, individual mentoring and coaching, innovation and change leadership, support for practices in crisis.

The pilot will run for 12 months. NHS England will take stock after six months to test the principles and inform the remainder of the pilot. The pilot will help to define a model that local areas can use.

Pilot sites

NHS England is working with the following lead employers to develop the pilot.

NHS England Region CCG area Lead employer
1 Midlands & East NHS Birmingham CrossCity CCG Our Health Partnership
2 Midlands & East North Staffordshire CCG and Stoke-on-Trent CCG North Staffordshire GP Federation
3 Midlands & East NHS Great Yarmouth and Waveney CCG Various GP practices (NHS Great Yarmouth and Waveney CCG will facilitate the making of arrangements between the GPs and GP practices)
4 North NHS Vale Royal CCG and NHS South Cheshire CCG South Cheshire and Vale Royal GP Alliance
5 North NHS Lancashire North CCG Lancashire North GP Federation
6 North NHS Hull CCG City Health Care Partnership (CHCP)
7 South NHS Hastings and Rother CCG Integrated Family Healthcare Ltd
8 South NHS Somerset CCG Somerset Primary Healthcare Ltd
9 London NHS Newham CCG Newham Health Collaborative Ltd
10 London NHS Waltham Forest CCG Waltham Forest GP Federated Network (FedNet)

The lead employers will assess the demand and effectiveness of employing GPs through pooled arrangements, the most effective form of employer and the scope for a GP pool arrangement to become a sustainable model for local use.

If the model is proved to be successful it may be advocated for use by CCGs or providers to help support GP retention.

Further information

We are currently working with the lead employers to develop and test their employment models for the pilot.

If you have any questions please contact the Primary Care Workforce team at