General Practitioners Committee General practitioner Junior doctor England GP practices

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Targeted Enhanced Recruitment Scheme (TERS)

NHS England, Health Education England, the BMA’s GP Committee and the Royal College of General Practitioners have been working together to support recruitment in areas to which it has traditionally been hard to recruit. This is one of a number of schemes being delivered to the support the recruitment, retention and return of GPs in England as part of the GP Workforce 10 Point Plan.

2017 applications

Following the launch of the £20,000 TER scheme in England in January 2016, 105 GP Trainees accepted posts in seven hard to recruit to areas. The scheme will be repeated again in 2017 with an increase in the number of training places to 144, and applications for these places are now being accepted. Foundation doctors in both Scotland and Wales can also apply to the scheme in certain regions.

Apply for a place in England in 2017 at the GP National Recruitment Office

The lists of areas covered by the scheme in 2017 are:

  • HE East Midlands - Lincolnshire
  • HE East Midlands - Sherwood Forest
  • HE East of England - Kings Lynn
  • HE East of England  - Great Yarmouth
  • HE North West - Blackpool
  • HE North West - South Cumbria
  • HE Northeast and North Cumbria
  • HE South West - North Devon
  • HE South West - Somerset
  • HE Wessex - Isle of Wight
  • HE West Midlands - Hereford
  • HE Yorkshire and the Humber

What’s on offer?

NHS England is offering £20K salary supplements to attract over 100 GP trainees to work in areas of the country where GP training places have been unfilled for a number of years. The new scheme will test whether additional financial incentives attract trainees to these parts of the country. The funding allocated to the scheme is up to a maximum of £2.18m.

This one year pilot scheme will be open to GP trainees committed to working for three years in one of 109 places spread across seven programme localities, which have been identified as having the hardest to recruit to training places in England.

The scheme is designed to relieve pressure on some of the GP practices in England currently facing the most severe recruitment challenges.


Hard-to-recruit training areas

Health Education England has identified 109 training places with the lowest fill rates between 2013 and 2015. These are:

  • South Cumbria
  • North West Lancashire (Blackpool)
  • East Cumbria
  • West Lakes
  • Lincolnshire
  • North and North East Lincolnshire
  • Isle of Wight


How were the training places identified for the scheme?

GP training directors identified those areas which had the lowest fill rates consistently over the last three years. To be fair to applicants, all posts advertised within the specific area have been included in the scheme. This led to the seven most hard to fill areas being identified which, on average, had a 50% or less fill rate for the last three years.


Scheme evaluation

The scheme will be evaluated over the summer of 2016 to determine its impact and effectiveness. The findings of this evaluation will feed into future planning on GP recruitment. This will involve a comparison of fill rates for the areas in the scheme compared to previous years’ data and a questionnaire asking applicants whether the scheme influenced their preference choices.


Key facts

  • Health Education England has been increasing the number of training posts since 2013 with the aim of reaching its mandate objective of 3,250 trainees entering GP training each year by August 2016
  • Overall GP fill rates increased 2% from just over 87 per cent in 2014 to nearly 89 per cent in 2015. 2,769 GP trainees entered GP training in 2015 – just under 100 more places filled compared with 2014
  • Recruitment figures mask significant regional variations. See recruitment figures.


FAQs for GP trainee applicants – GP National Recruitment Office