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TERS (Targeted Enhanced Recruitment Scheme)

NHS England, HEE (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.

2018 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 in 2016. 133 accepted posts in 14 hard to recruit areas in 2017. The scheme will be repeated again in 2018 with an increase in the number of training places to 265, 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 2018 via the GP National Recruitment Office


Where are the hard to recruit training places?

Locations identified by HEE and NHS England for posts commencing in August 2019 are listed below:

HEE Local Office Training programme Number of TERS posts
 East Midlands Boston and Lincoln 18
Sherwood Forest 12
 East of England Colchester and Ipswich 6
Great Yarmouth 6
King's Lynn 6
 North East North Cumbria 24
Rural and Coastal County Durham and North Yorkshire 33
 North West Blackpool 16
Lancaster 19
South Cumbria 8
 South West Devon 6
Plymouth 24
Somerset 12
Swindon 12
 Wessex Isle of Wight 8
 West Midlands Hereford 6
Shropshire 7
Staffordshire (East)  2
Staffordshire (North) 7
Staffordshire (South)  2
 Yorkshire and the Humber Clumber Park 8
Hull  34

Disclaimer: the information listed above may be subject to change and the number of TERS posts available in each location may not necessarily be equivalent to all posts available in the training programme. Applicants are advised to contact the relevant Local HEE Offices for further information. The appropriate contact details for each local office can be found via the HEE Recruitment and Programme details page

What’s on offer?

In 2016, NHS England offered £20K salary supplements to attract over 100 GP trainees to work in areas of the country where GP training places had been unfilled for a number of years. The scheme is testing whether additional financial incentives attract trainees to these parts of the country. The initial funding allocated to the scheme was up to a maximum of £2.18m. In 2018, the allocated funding is just over £5.5million. 

This scheme is open to doctors committed to training as a GP for three years in one of 265 places spread across 14 localities in England, which have been identified as having most difficulty filling their GP training places.

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


How were the training places initially identified for the scheme?

In 2016, GP training directors identified the areas that had the lowest fill rates consistently over the  previous three years. To be fair to applicants, all posts advertised within the specific area were 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 is being evaluated to determine its impact and effectiveness. The findings of this evaluation will feed into future planning on GP recruitment. The evaluation involves 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.


FAQs for GP trainee applicants – GP National Recruitment Office