WORKING LESS THAN FULL WORKING LESS THAN FULL TIME, RETURNERS AND TIME, RETURNERS AND

RETAINERSRETAINERS

LOUISE GAZELEYLOUISE GAZELEY

WHY PART TIME?WHY PART TIME?

ChildrenChildren Health needsHealth needs Work-life balanceWork-life balance Portfolio careersPortfolio careers

PRO’SPRO’S Bring a different skill setBring a different skill set Prevents burnoutPrevents burnout Makes life a bit more Makes life a bit more

interestinginteresting Allows time for other Allows time for other

rolesroles

CON’SCON’S IsolatingIsolating Issues surrounding Issues surrounding

keeping up to date, keeping up to date, especially with respect especially with respect to revalidationto revalidation

Can feel as if ‘not doing Can feel as if ‘not doing anything well’anything well’

Lack of continuity for Lack of continuity for patientspatients

OPTIONS FOR PART TIME WORKOPTIONS FOR PART TIME WORK

PartnerPartner SalariedSalaried LocumLocum Job shareJob share OOHOOH Portfolio careerPortfolio career

THE RETAINER SCHEMETHE RETAINER SCHEME

BackgroundBackground

Set up in 1969, to allow doctors to Set up in 1969, to allow doctors to work part timework part time

Updated in 1999Updated in 1999 Organised by the Deanery for any Organised by the Deanery for any

doctor who has a need to work part doctor who has a need to work part timetime

OUTLINEOUTLINE

52 sessions per quarter, evenly spread 52 sessions per quarter, evenly spread throughout the period, i.e. 4 sessions per throughout the period, i.e. 4 sessions per weekweek

Practice needs to be an ‘approved practice’Practice needs to be an ‘approved practice’ Ideally 3 sessions per week minimumIdeally 3 sessions per week minimum Can be split over 2 practices if neededCan be split over 2 practices if needed Additional 2 sessions per week in ‘non-GMS’ Additional 2 sessions per week in ‘non-GMS’

workwork

DURATIONDURATION

Initially 5 yearsInitially 5 years Can be extended to 8 years with Can be extended to 8 years with

Deanery approvalDeanery approval Under exceptional circumstances can Under exceptional circumstances can

be extended to 10 yearsbe extended to 10 years

EDUCATIONEDUCATION

Paid time for CPDPaid time for CPD Quarterly Deanery study daysQuarterly Deanery study days Financial assistance towards covering Financial assistance towards covering

costs of courses etccosts of courses etc

ANNUAL REQUIREMENTSANNUAL REQUIREMENTS

Participate in NHS Participate in NHS appraisal/revalidationappraisal/revalidation

Annual application form for continued Annual application form for continued membership on the schememembership on the scheme

SUPPORTSUPPORT

Deanery-newsletter, regular study Deanery-newsletter, regular study days, small learning groups, days, small learning groups, educational supporteducational support

Practice-educational supervisorPractice-educational supervisor

PAYPAY

Salary scale is the same as BMA scale Salary scale is the same as BMA scale for salaried doctorsfor salaried doctors

Practices are reimbursed by NHS Practices are reimbursed by NHS England for each session workedEngland for each session worked

Deanery grant annually, towards Deanery grant annually, towards expensesexpenses

ADDITIONAL BENEFITSADDITIONAL BENEFITS

Working day should be convenient for Working day should be convenient for retainee doctor, e.g. surgery times retainee doctor, e.g. surgery times should fit in with childcareshould fit in with childcare

Entitled to take holiday when suits Entitled to take holiday when suits their needstheir needs

PRACTICE REQUIREMENTSPRACTICE REQUIREMENTS

Need to be approvedNeed to be approved Can employ more than one retainerCan employ more than one retainer Retainee should be allowed to attend Retainee should be allowed to attend

meetingsmeetings Allow protected time with the Allow protected time with the

nominated educational supervisornominated educational supervisor

THE FUTURE OF THE RETAINER THE FUTURE OF THE RETAINER SCHEMESCHEME

SFE 2013 states NHS England area SFE 2013 states NHS England area team must reimburse practicesteam must reimburse practices

Still unable to guarantee funding in Still unable to guarantee funding in South Yorkshire, but scheme thriving South Yorkshire, but scheme thriving elsewhere in Yorkshire and the elsewhere in Yorkshire and the HumberHumber

Longer term???Longer term???

INDUCTION AND REFRESHER INDUCTION AND REFRESHER SCHEME (formerly the Returner SCHEME (formerly the Returner

Scheme)Scheme)

WHO IS IT FOR?WHO IS IT FOR?

Qualified GP’s not working at allQualified GP’s not working at all Qualified GP’s working, but not in Qualified GP’s working, but not in

general practicegeneral practice GP away from work as a result of ill GP away from work as a result of ill

healthhealth EU GP’sEU GP’s

OVERVIEWOVERVIEW

If more then 5 years out of general practice you will need If more then 5 years out of general practice you will need a period of re-traininga period of re-training

If between 2 and 5 years not working the If between 2 and 5 years not working the recommendation to join the scheme may depend on recommendation to join the scheme may depend on individual circumstances, and some or all of the entry individual circumstances, and some or all of the entry assessmentsassessments

Before entry to the scheme must pass an entry MCQ and Before entry to the scheme must pass an entry MCQ and simulated surgerysimulated surgery

3-12 months3-12 months Funding stopped in 2006, but still limited number of Funding stopped in 2006, but still limited number of

placesplaces Unclear what will happen in the futureUnclear what will happen in the future

A WORD OF WARNING!A WORD OF WARNING!

THINK BEFORE TAKING A CAREER THINK BEFORE TAKING A CAREER BREAKBREAK

TOP TIPS FOR WORKING PART TOP TIPS FOR WORKING PART TIMETIME

Small study groupsSmall study groups Try to work on a day when meetings Try to work on a day when meetings

happenhappen Talk to your colleaguesTalk to your colleagues Stop for coffee!Stop for coffee! Get organisedGet organised Ring-fence timeRing-fence time

Any questions?Any questions?

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