Returning to clinical practice during the emergency
The GMC has granted temporary registration to additional doctors under its emergency powers, so that they are able to help with the coronavirus pandemic. This includes:
- 15,500 doctors who had given up their registration or licence to practise within the last three years
- nearly 6,800 doctors with a UK address who gave up their registration between three and six years ago
- a further 12,000 doctors with a UK address who are GMC registered, but who do not currently hold a licence to practise.
You will be advised that you have been added to the medical register. You will also be given an option to opt out if you do not wish to be on the register.
Returning to work in the NHS is entirely up to you. If you do not opt out:
- you will be asked to complete a short survey to help determine your skills and how you can assist the health service
- you will remain on the medical register with a license to practise for the duration of the emergency
- you won’t be charged to re-join the medical register
- you won’t need to revalidate during your temporary registration.
The GMC will share your details with the health service in the country of your registered address (England, Northern Ireland, Scotland or Wales). It will be for them to get in touch with you if they want to ask you to return to practice.
You should read the BMA’s advice for returning to clinical practice.
If you want to opt out now or any time in the future, you can:
- email: [email protected]
- call: 0161 923 6602
If you haven’t been contacted you can also email the GMC at [email protected] or call them on 0161 923 6602 to let them know that you would like to volunteer and to confirm your contact details.
The GMC will confirm whether you are eligible to return to the workforce.
For any retired doctors joining the BMA or any current retired members who are returning to work to support the fight against COVID-19, we are waiving your membership fees until 1 October 2020.
For existing members not opting out of temporary GMC registration, your membership will be automatically updated and you will make no further payments until 1 October 2020. We will email you to confirm this action has been taken.
New joiners pay nothing until 1 October 2020.
If you do have any questions, you can contact us at [email protected].
UK wide NHS performers list regulations
We are taking advice across the UK nations, about how doctors who used to work in one nation, may access the performers list for the nation in which they now reside, if different.
GPs in England wishing to return to general practice during the emergency
NHS England have invited GPs who left the performers list in the past three to five years to be put back on the performers list as an emergency registered practitioner.
In addition to this, a new category of registration is being offered for those who have been not been on the national performers list for five to 10 years which is being called fast track COVID-19 application (FTC19).
When a form has been received, NHS England will confirm whether you have been added to the list.
Primary care providers looking to secure your skills will need to see evidence that you are on the list as part of the governance arrangements that they will need to comply with.
If you do not hear from NHS England and you wish to offer your services, please email [email protected].
Delays with the performers' list
We are aware that there are significant delays where you may not be contacted for days or weeks while your details are being processed. If you are concerned about the process then you should email [email protected], though we encourage you to persevere with the process.
You are required to have a valid DBS certificate in order to work. If you have recently obtained or maintained one, a new certificate may not be necessary. In the event that a new DBS application is required, proposals are underway for a fast track service to get certificates.
Your pay and contract
We are working with NHS England and relevant devolved nations equivalents to ensure doctors returning to practice are returned in an appropriate manner and on appropriate terms. We will update this guidance as more information becomes available.
For support on contractual matters please contact [email protected].
For doctors returning to secondary care
If you are returning to work in a medical role you will be paid on the appropriate contract for the role you are fulfilling providing you return to the same responsibility.
If you want to return to a more junior role than the role you retired from, you should be paid at the top of the pay scale in the more junior role.
See more guidance from NHS Employers on terms and conditions for hospital doctors during COVID-19 in England.
The Government has suspended the rule that prevents NHS staff who return to work after retirement from working more than 16 hours per week.
They have also suspended rules on abatement and drawn down of NHS pensions that apply to certain retirees who return to work. This is to allow skilled and experienced staff who have recently retired from the NHS to return to work, and also allow retired staff who have already returned to work to increase their commitments if required, without having their pension benefits suspended.
Death in service cover
In England the government have announced a life assurance scheme for frontline health and care staff during pandemic. Families of eligible workers who die from coronavirus in the course of their frontline work will receive a £60,000 payment. This will be separate to the death in service benefits within the NHS pension scheme. Read our guidance on how the life assurance scheme works.
Wales have also announced a life assurance scheme similar to the England scheme.
Scotland has recently announced that all staff affected by COVID-19 as a result of providing frontline treatment for COVID-19 patients will receive the full lump sum and survivor’s pension benefits available under the terms of the NHS pension scheme. This will include both permanent and fixed-term staff who are not members of the pension scheme, NHS bank and locum staff. Read more from Scottish Government.
In Northern Ireland
We are still awaiting further updates on death in service cover in Northern Ireland.
If you die within five years of retirement, a balancing lump sum payment will be payable to your dependents, as well as a spouse’s pension, equal to the lesser of:
- 5 x pension less pension already paid or
- 2 x actual annual pensionable salary at retirement less any retirement lump sum claimed (for primary care doctors annual salary means is the average annual dynamised remuneration at retirement).
See more information on death in service benefits from NHS Employers.
Your indemnity cover
Indemnity for NHS clinical negligence liabilities relating to the coronavirus outbreak not covered by an existing indemnity are being provided for by the Government.
This will ensure that you are legally protected for the work you undertake as part of the COVID-19 response.
The type of work you can perform
Training authorities and employing organisations will determine the range of work you can do based on your skills and experience.
For example, an NHS employing organisation will make sure anyone asked to supervise others is adequately trained and competent to do so.
Your training requirements will be assessed based on what is being asked of you, your experience and skills, and how long you have been out of practice.
The type of work you may be able to undertake will vary and some work will carry more risk, for example you may be needed to work in:
- patient-facing roles, including remote consultations
- non-patient facing roles such as drug management tasks, lab results etc
- triage support in call centres / NHS111.
Once you are back on the medical register there will be no legal barrier to you undertaking training or supervisory roles.
Your employer must make sure that you have the support and training you need to practice safely.
Your employer must make sure that adequate support is given to your supervising doctor(s) to manage their additional workload.
GPs working for CCAS
NHSEI has been employing returning GPs on a standard contract with the COVID clinical advice service. Some GPs have then been utilised by local practices.
The standard contract being used does not mirror the standard salaried GP contract, and we do not consider it to provide appropriate rates of pay or conditions.
For support on contractual matters please contact [email protected].
Working outside your specialty
It is reasonable for you to be asked to work outside your specialty. However, you should work within your competence.
Your health and wellbeing
Your employer should particularly bear in mind those who are at higher risk of illness and consider whether it would be more appropriate for them to be deployed in low-risk settings. There is evidence that doctors and healthcare workers aged 60 and over are at a greater risk.
These workers could undertake patient assessments and consultations remotely, including from home. We have called on NHS England to develop a risk profiling framework to assist employers in conducting risk assessments.
If you have underlying long-term health conditions, you should let your line manager know if there is a worsening of your condition, as it might put you at greater risk.
The BMA has a 24/7 counselling line for doctors and medical students should you need support.
Your employer should also:
- make sure returning staff have access to a local OH service and receive basic OH screenings/assessments and necessary occupational immunisations if they are in contact with patients. Recent retirees are likely to have had appropriate OH screening previously
- provide a health and safety risk assessment if a worker’s health condition makes them more vulnerable to risks. Staff should inform their manager of any concerns
- pending the outcome of health assessment, provide increased supervision until a determination is made as to whether the employee will be able to cover the full range of their duties
- inform returning staff of the latest COVID-19 government and PHE advice for health professionals
- make sure staff receive a proper induction with their line manager and agree a plan for return, working hours, accommodating adjustments and any specific concerns, learning needs and required assessments
- signpost staff to wellbeing support services - including counselling and employee assistance programmes
- make sure staff with direct patient contact are familiar with necessary operating procedures and are trained in using equipment e.g. PPE
- ensure staff are looking after their wellbeing, take breaks, eat regularly, keep hydrated and have access to spaces where they can rest
- keep in regular contact and ensure staff are not feeling isolated if they work remotely.
For further information please visit the BMA’s health and wellbeing page and wellbeing support services.
The BMA has published guidance on health and wellbeing during the Covid-19 pandemic.
For more information see NHS Employers guidance on occupational health.
Your employer should:
- ensure staff have access to the IT tools and equipment they need to carry out their duties. They will need to have access to smartcards, systems, online consultation software, remote desktops, log-ins, and additional licenses may need to be purchased
- encourage remote consultations and home working for at-risk staff and ensure they receive the necessary induction and training to use any software and hardware. When working remotely, staff may require equipment such as headsets (with a mic), webcams, telephones, dongles, tokens, and laptops and access to the networks/WiFi
- in line with advice from NHSX, allow staff to use personal equipment if there is no practical alternative
- provide GDPR training where it is requested or deemed necessary. They should clearly outline what constitutes a breach of regulations and where an employer or employee is liable for this.
Read our guidance on video consultations and homeworking.
Raising concerns at work
If you have concerns about patient safety, you have a duty to raise those with management.
Read our guide to raising concerns for more information and support.
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