While they are in the GP part of their training programme, GP specialty trainees (GP registrars) are typically employed by the practice directly. The practice then reclaims the cost of employing the trainee from Health Education England (HEE), often through the local education and training board (LETB).
What the practice can reclaim is outlined in the directions to HEE below. The directions do not dictate what a trainee must receive, but what a practice can reclaim should they choose to grant those payments to the trainees.
2014 directions (number 2) – 6 October 2014
The directions came in to force on 6 October 2014, notifying that NHS injury allowance now applies to GP registrars. The direction states:
- NHS injury allowance is to apply as part of the payments to be made under the scheme known as the GP Registrar Scheme in respect of which provision is made in the 2003 directions.
2014 directions – 1 April 2014
The directions came in to force on 1 April 2014, informing of a special provision regarding non-consolidated payments for GP registrars on the top of their pay point. The directions state:
- Health Education England must pay, in respect of the period commencing on 1 April 2014 and ending on 31 March 2015, a non-consolidated payment of £472.00 in 12 installments to a GP registrar to whom this direction applies.
- For the purposes of this direction, 'non-consolidated payment' means a payment which is non-recurrent and non-pensionable and which does not count as part of the GP registrar’s basic salary.
2013 directions (amendment) – 13 January 2014
The Department of Health published the directions to Health Education England (GP registrars) 2013 and directions to the National Health Service Litigation Authority (GP registrars) 2013 (amendment) direction 2013. These amending directions came into force on 13 January 2014.
The amendments include:
- the revised GP trainer’s grant previously omitted from the 2013 directions
- minor amendments to the table showing the GP registrar rates
- provision for HEE to pay the shortfall to GP trainers (before 31 March 2014) in respect of the period 1 April 2013 to 13 January 2014
- to pay the revised rate from 13 January 2014.
2013 directions – 1 April 2013
The 2013 directions inform GP practice employers in the NHS (England) of the direction to Health Education England and the National Health Service Litigation Authority concerning GP registrars. It became effective on 1 April 2013:
Directions to Health Education England (GP Registrars) 2013 and Directions to the National Health Service Litigation Authority (GP Registrars) 2013
Note that this is not a statement of entitlements for GP registrars when working in a practice environment as part of their training. The directions set out what a GP practice is entitled to claim for the duration of a GP registrar's placement, not what a GP registrar is specifically entitled to. The GP registrar pay scales are replicated for information in annex A of the latest Medical and Dental Pay and Conditions Circular.