1. WORKING LESS THAN FULL TIME, RETURNERS AND RETAINERS LOUISE GAZELEY

2. WHY PART TIME? Children Children Health needs Health needs Work-life balance Work-life balance Portfolio careers Portfolio careers

3. PROS PROS Bring a different skill set Bring a different skill set Prevents burnout Prevents burnout Makes life a bit more interesting Makes life a bit more interesting Allows time for other roles Allows time for other roles CONS CONS Isolating Isolating Issues surrounding keeping up to date, especially with respect to revalidation Issues surrounding keeping up to date, especially with respect to revalidation Can feel as if not doing anything well Can feel as if not doing anything well Lack of continuity for patients Lack of continuity for patients

4. OPTIONS FOR PART TIME WORK Partner Partner Salaried Salaried Locum Locum Job share Job share OOH OOH Portfolio career Portfolio career

5. THE RETAINER SCHEME

6. Background Set up in 1969, to allow doctors to work part time Set up in 1969, to allow doctors to work part time Updated in 1999 Updated in 1999 Organised by the Deanery for any doctor who has a need to work part time Organised by the Deanery for any doctor who has a need to work part time

7. OUTLINE 52 sessions per quarter, evenly spread throughout the period, i.e. 4 sessions per week 52 sessions per quarter, evenly spread throughout the period, i.e. 4 sessions per week Practice needs to be an approved practice Practice needs to be an approved practice Ideally 3 sessions per week minimum Ideally 3 sessions per week minimum Can be split over 2 practices if needed Can be split over 2 practices if needed Additional 2 sessions per week in non-GMS work Additional 2 sessions per week in non-GMS work

8. DURATION Initially 5 years Initially 5 years Can be extended to 8 years with Deanery approval Can be extended to 8 years with Deanery approval Under exceptional circumstances can be extended to 10 years Under exceptional circumstances can be extended to 10 years

9. EDUCATION Paid time for CPD Paid time for CPD Quarterly Deanery study days Quarterly Deanery study days Financial assistance towards covering costs of courses etc Financial assistance towards covering costs of courses etc

10. ANNUAL REQUIREMENTS Participate in NHS appraisal/revalidation Participate in NHS appraisal/revalidation Annual application form for continued membership on the scheme Annual application form for continued membership on the scheme

11. SUPPORT Deanery-newsletter, regular study days, small learning groups, educational support Deanery-newsletter, regular study days, small learning groups, educational support Practice-educational supervisor Practice-educational supervisor

12. PAY Salary scale is the same as BMA scale for salaried doctors Salary scale is the same as BMA scale for salaried doctors Practices are reimbursed by NHS England for each session worked Practices are reimbursed by NHS England for each session worked Deanery grant annually, towards expenses Deanery grant annually, towards expenses

13. ADDITIONAL BENEFITS Working day should be convenient for retainee doctor, e.g. surgery times should fit in with childcare Working day should be convenient for retainee doctor, e.g. surgery times should fit in with childcare Entitled to take holiday when suits their needs Entitled to take holiday when suits their needs

14. PRACTICE REQUIREMENTS Need to be approved Need to be approved Can employ more than one retainer Can employ more than one retainer Retainee should be allowed to attend meetings Retainee should be allowed to attend meetings Allow protected time with the nominated educational supervisor Allow protected time with the nominated educational supervisor

15. THE FUTURE OF THE RETAINER SCHEME SFE 2013 states NHS England area team must reimburse practices SFE 2013 states NHS England area team must reimburse practices Still unable to guarantee funding in South Yorkshire, but scheme thriving elsewhere in Yorkshire and the Humber Still unable to guarantee funding in South Yorkshire, but scheme thriving elsewhere in Yorkshire and the Humber Longer term??? Longer term???

16. INDUCTION AND REFRESHER SCHEME (formerly the Returner Scheme)

17. WHO IS IT FOR? Qualified GPs not working at all Qualified GPs not working at all Qualified GPs working, but not in general practice Qualified GPs working, but not in general practice GP away from work as a result of ill health GP away from work as a result of ill health EU GPs EU GPs

18. OVERVIEW If more then 5 years out of general practice you will need a period of re-training If more then 5 years out of general practice you will need a period of re-training If between 2 and 5 years not working the recommendation to join the scheme may depend on individual circumstances, and some or all of the entry assessments If between 2 and 5 years not working the recommendation to join the scheme may depend on individual circumstances, and some or all of the entry assessments Before entry to the scheme must pass an entry MCQ and simulated surgery Before entry to the scheme must pass an entry MCQ and simulated surgery 3-12 months 3-12 months Funding stopped in 2006, but still limited number of places Funding stopped in 2006, but still limited number of places Unclear what will happen in the future Unclear what will happen in the future

19. A WORD OF WARNING! THINK BEFORE TAKING A CAREER BREAK THINK BEFORE TAKING A CAREER BREAK

20. TOP TIPS FOR WORKING PART TIME Small study groups Small study groups Try to work on a day when meetings happen Try to work on a day when meetings happen Talk to your colleagues Talk to your colleagues Stop for coffee! Stop for coffee! Get organised Get organised Ring-fence time Ring-fence time

21. Any questions? 21