TERS In England

Targeted Enhanced Recruitment Scheme in England
FAQs for GP Applicants (2022-23)

1. What is the Targeted Enhanced Recruitment Scheme?

The Targeted Enhanced Recruitment Scheme is an initiative that will offer a one off payment of £20,000 to GP Specialty Trainees committed to working in a select number of training locations in England that either have a past history of under-recruitment or are in under-doctored or deprived areas. This is one element of a National recruitment and retention strategy and has been expanded this year to reflect the fact that trainees who are attracted to these areas by the scheme usually stay on after training as they discover these locations hidden attractions.


2. Where are the hard the recruit training places?

Locations identified by Health Education England for posts commencing between August 2022 and February 2023 are listed below:

HEE Region / Office Training Programme Total No. of TERS posts
East of England Basildon 15
Colchester 22
Great Yarmouth 18
Ipswich 24
Kings Lynn 18
Peterborough 18
London Barking & Dagenham 4
Bexley 5
Brent 6
Croydon 5
Ealing 5
Enfield 4
Greenwich 4
Haringey 4
Havering 5
Hillingdon 6
Hounslow 6
Lewisham 5
Newham 6
Redbridge 6
Waltham Forest 6
Midlands - East Midlands Boston 25
Lincoln 20
Sherwood Forest 36
Midlands - West Midlands Hereford 22
North Staffordshire Moorlands 14
North Staffordshire Stoke on Trent 22
Shropshire (North Shrops and Oswestry) 7
Shropshire (South Shrops and Ludlow) 7
Worcester (Rural and Remote) 7
North East & Yorkshire - North East Durham and Tees Valley 71
North Cumbria 28
North East & Yorkshire - Yorkshire and Humber Hull 39
Northallerton 10
Northern Lincolnshire 29
Scarborough 10
North West Blackpool 22
East Lancashire 38
Morecambe Bay (Lancaster & South Cumbria) 26
South East - Kent, Surrey and Sussex Chatham (Medway) 3
Dartford Centre 1
Gravesend Centre 1
Gillingham (Medway) 4
Hailsham (East Sussex) 1
Hastings (East Sussex) 7
Swale (Medway) 4
Thanet (East Kent) 6
South East - Wessex Dorchester (Rural) 21
Isle of Wight 9
Portsmouth 32
South West Bristol, North Somerset & South Gloucestershire 3
Cornwall 6
Gloucestershire 4
North Devon 14
Plymouth 28
Somerset 12
Swindon 12
Torbay 3

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 be advised to contact the relevant Local Offices for further information. The appropriate contact details for each local office can be found via the Recruitment Leads & Programme Details page. Please also note that not all places will be advertised at once, recruitment rounds occur at different times though the year.


3. Why are these places so hard to fill?

There are a variety of reasons why these areas find it more difficult to attract trainees. Some are relatively remote from large towns, and as a result are not routinely used for medical school placement so are unfamiliar to doctors in training.

The quality of placements in such areas are at least equivalent to all other placements and are often more highly rated by trainees who work there. As these placements are often in smaller communities where a greater number of services need to be delivered locally rather than relying on large teaching hospitals, doctors working in these areas often receive an increased breadth of training and many more opportunities for diversification. Once you get there, you may well find that the lifestyle is much more relaxed than in our big cities.


4. How do I find out more about working in these areas?

Information relating to these areas is available via the Recruitment Leads & Programme Details page and by contacting the HEE Local Offices directly.


5. When will the payment be paid?

The payment will be paid upon starting the training post and will be administered by your employer on behalf of the local Health Education England office where the appointment is based. An agreement will be implemented between the trainee and HEE for the payment.


6. Is the payment subject to tax?

The HMRC have advised that these payments will be subject to tax. If you believe you should be exempt from this tax you are advised to take financial advice and speak to your local Tax office.


7. How do I apply for the scheme?

Those interested in the scheme should review their preferences within their GP application within Oriel prioritising a ‘hard to recruit to’ training place and resubmit their preferred training locations by the national upgrade deadline for the round in question. In the event that any of the hard to recruit training places are oversubscribed, standard recruitment and selection processes for training places will be applied.

Those who opt to defer entry into their training programme will not be eligible to receive TERS payments unless the deferment is for statutory reasons e.g. maternity leave.


8. What happens if I leave the scheme early?

You will only receive your payment once you have signed an agreement to complete the three year placement, with no relocation option. Should you need to leave your training place before completing your three year placement, you would need to make a pro-rata repayment of the payment.


9. How were the training places identified for the scheme?

Training places were identified by the Primary Care Deans based on consistently hard to fill places which may be for reasons such as rurality, deprivation and historically under doctored over the last four years. Capacity was a key consideration in these areas so as not to detrimentally effect the trainees' overall experience and offer support where required.