I&R (Eng) - What’s the scheme?
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What’s the GP Induction and Refresher Scheme?

The NHS GP Induction and Refresher (I&R) Scheme provides a safe, supported and direct route for qualified GPs to join or return to NHS general practice.

It is designed for GPs who have previously been on the GMC Register and NHS England’s Medical Performers List (MPL) and would like to return to general practice after a career break, raising a family or time spent working abroad.

The scheme also supports the safe introduction of overseas GPs who have qualified outside the UK and have no previous NHS experience.

All GPs are required to be on NHS England’s MPL before they can practise. The I&R scheme has to be completed before GPs can be approved for full inclusion on to the MPL as an independent general practitioner. GPs not currently working in general practice can apply to return to the MPL for up to two years after which they will need to apply to join again and complete the GP Induction and Refresher Scheme.

Features of the I&R scheme include:

Dedicated practical support

  • For GPs joining the scheme there is one single point of contact through the GP National Recruitment Office (GPNRO)
  • There’s access to a dedicated account manager to help guide you through the entire process. They can provide support such as
    • advice on completing forms and paperwork
    • assistance with arranging occupational health assessments
    • advice on arranging indemnity
    • co-ordinating assessments and placements on your behalf

Tailored to your needs

  • The scheme includes a range of assessments including placements and simulated surgeries to support you on your journey to NHS general practice. These can be tailored to your needs, experiences and personal commitments.
  • We are working to make this much more flexible in the future. We are making efforts to review the length of placements for those doctors that perform well in the assessments.

Financial support

  • There’s a range financial support available too. This includes help with costs such as indemnity and a monthly placement bursary of up to £3,500. You can find out more about how you can get help with funding here.

More information about the scheme can be found on this website, by watching our short film, and reading our step by step guide and FAQs