WORKING LESS THAN FULL WORKING LESS THAN FULL TIME, RETURNERS AND TIME, RETURNERS AND RETAINERS RETAINERS LOUISE GAZELEY LOUISE GAZELEY
Mar 29, 2015
WORKING LESS THAN FULL WORKING LESS THAN FULL TIME, RETURNERS AND TIME, RETURNERS AND
RETAINERSRETAINERS
LOUISE GAZELEYLOUISE GAZELEY
WHY PART TIME?WHY PART TIME?
ChildrenChildren Health needsHealth needs Work-life balanceWork-life balance Portfolio careersPortfolio careers
PRO’SPRO’S Bring a different skill setBring a different skill set Prevents burnoutPrevents burnout Makes life a bit more Makes life a bit more
interestinginteresting Allows time for other Allows time for other
rolesroles
CON’SCON’S IsolatingIsolating Issues surrounding Issues surrounding
keeping up to date, keeping up to date, especially with respect especially with respect to revalidationto revalidation
Can feel as if ‘not doing Can feel as if ‘not doing anything well’anything well’
Lack of continuity for Lack of continuity for patientspatients
OPTIONS FOR PART TIME WORKOPTIONS FOR PART TIME WORK
PartnerPartner SalariedSalaried LocumLocum Job shareJob share OOHOOH Portfolio careerPortfolio career
THE RETAINER SCHEMETHE RETAINER SCHEME
BackgroundBackground
Set up in 1969, to allow doctors to Set up in 1969, to allow doctors to work part timework part time
Updated in 1999Updated in 1999 Organised by the Deanery for any Organised by the Deanery for any
doctor who has a need to work part doctor who has a need to work part timetime
OUTLINEOUTLINE
52 sessions per quarter, evenly spread 52 sessions per quarter, evenly spread throughout the period, i.e. 4 sessions per throughout the period, i.e. 4 sessions per weekweek
Practice needs to be an ‘approved practice’Practice needs to be an ‘approved practice’ Ideally 3 sessions per week minimumIdeally 3 sessions per week minimum Can be split over 2 practices if neededCan be split over 2 practices if needed Additional 2 sessions per week in ‘non-GMS’ Additional 2 sessions per week in ‘non-GMS’
workwork
DURATIONDURATION
Initially 5 yearsInitially 5 years Can be extended to 8 years with Can be extended to 8 years with
Deanery approvalDeanery approval Under exceptional circumstances can Under exceptional circumstances can
be extended to 10 yearsbe extended to 10 years
EDUCATIONEDUCATION
Paid time for CPDPaid time for CPD Quarterly Deanery study daysQuarterly Deanery study days Financial assistance towards covering Financial assistance towards covering
costs of courses etccosts of courses etc
ANNUAL REQUIREMENTSANNUAL REQUIREMENTS
Participate in NHS Participate in NHS appraisal/revalidationappraisal/revalidation
Annual application form for continued Annual application form for continued membership on the schememembership on the scheme
SUPPORTSUPPORT
Deanery-newsletter, regular study Deanery-newsletter, regular study days, small learning groups, days, small learning groups, educational supporteducational support
Practice-educational supervisorPractice-educational supervisor
PAYPAY
Salary scale is the same as BMA scale Salary scale is the same as BMA scale for salaried doctorsfor salaried doctors
Practices are reimbursed by NHS Practices are reimbursed by NHS England for each session workedEngland for each session worked
Deanery grant annually, towards Deanery grant annually, towards expensesexpenses
ADDITIONAL BENEFITSADDITIONAL BENEFITS
Working day should be convenient for Working day should be convenient for retainee doctor, e.g. surgery times retainee doctor, e.g. surgery times should fit in with childcareshould fit in with childcare
Entitled to take holiday when suits Entitled to take holiday when suits their needstheir needs
PRACTICE REQUIREMENTSPRACTICE REQUIREMENTS
Need to be approvedNeed to be approved Can employ more than one retainerCan employ more than one retainer Retainee should be allowed to attend Retainee should be allowed to attend
meetingsmeetings Allow protected time with the Allow protected time with the
nominated educational supervisornominated educational supervisor
THE FUTURE OF THE RETAINER THE FUTURE OF THE RETAINER SCHEMESCHEME
SFE 2013 states NHS England area SFE 2013 states NHS England area team must reimburse practicesteam must reimburse practices
Still unable to guarantee funding in Still unable to guarantee funding in South Yorkshire, but scheme thriving South Yorkshire, but scheme thriving elsewhere in Yorkshire and the elsewhere in Yorkshire and the HumberHumber
Longer term???Longer term???
INDUCTION AND REFRESHER INDUCTION AND REFRESHER SCHEME (formerly the Returner SCHEME (formerly the Returner
Scheme)Scheme)
WHO IS IT FOR?WHO IS IT FOR?
Qualified GP’s not working at allQualified GP’s not working at all Qualified GP’s working, but not in Qualified GP’s working, but not in
general practicegeneral practice GP away from work as a result of ill GP away from work as a result of ill
healthhealth EU GP’sEU GP’s
OVERVIEWOVERVIEW
If more then 5 years out of general practice you will need If more then 5 years out of general practice you will need a period of re-traininga period of re-training
If between 2 and 5 years not working the If between 2 and 5 years not working the recommendation to join the scheme may depend on recommendation to join the scheme may depend on individual circumstances, and some or all of the entry individual circumstances, and some or all of the entry assessmentsassessments
Before entry to the scheme must pass an entry MCQ and Before entry to the scheme must pass an entry MCQ and simulated surgerysimulated surgery
3-12 months3-12 months Funding stopped in 2006, but still limited number of Funding stopped in 2006, but still limited number of
placesplaces Unclear what will happen in the futureUnclear what will happen in the future
A WORD OF WARNING!A WORD OF WARNING!
THINK BEFORE TAKING A CAREER THINK BEFORE TAKING A CAREER BREAKBREAK
TOP TIPS FOR WORKING PART TOP TIPS FOR WORKING PART TIMETIME
Small study groupsSmall study groups Try to work on a day when meetings Try to work on a day when meetings
happenhappen Talk to your colleaguesTalk to your colleagues Stop for coffee!Stop for coffee! Get organisedGet organised Ring-fence timeRing-fence time
Any questions?Any questions?
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