The Lead Employer for General Practice trainees in the east of England is St Helens and Knowsley Teaching Hospitals NHS Trust. GP trainees will be employed for the duration of their General Practice training by St Helens and Knowsley Teaching Hospitals NHS Trust. This will give trainees consistent terms and conditions for their employment, although trainees will need to comply with the work place policies in each post that they work.

The Lead Employer will handle any employment issues and provide a contract of employment to cover the duration of GP training. Each trainee will receive an offer of employment from the Trust before starting their first post and  should receive a contract of employment within eight weeks of their start date. All absences including sick leave, maternity leave etc must be reported to St Helens and Knowsley Teaching Hospitals NHS Trust as their employer.   This is a trainees' responsibility as otherwise it may lead to them being paid incorrectly.

The offer of employment is separate from the allocation of a place on a training programme which they will receive from HEE. The contract of employment sets out the main terms and conditions of service including pay, annual leave, notice periods and the details of the out of hours work that you will be expected to carry out.

St Helens and Knowsley NHS Teaching Hospitals NHS Trust will contact trainees in regard to completing pre-employment checks, occupational health information, the Disclosure & Barring Service (previously CRB), relevant commencement of employment forms, bank details and immigration status.

Shared Services Website & Contact Information

As your employer St Helens and Knowsley Teaching Hospitals NHS Trust want to ensure you can access all of the information you need and keep in touch with the developments and the benefits open to you as an employee. In order to access our policies and processes please visit:

Host Trusts and GP practices can now access rotation and management information via the ESR system (including confirmation that pre-employment checks are complete, any health restrictions, attendance management issues etc).

If you require any further information or clarification of any of the Lead Employer policies and processes please direct any queries to

Contact Information 

General Queries -

Payroll -

Business Mileage & Expenses -

Pensions -


Medical Indemnity

All information regarding Medical Indemnity can be found on the Lead Employer Website:

Disclosure and Barring Service

A new DBS check will be required at the start of your training programme.  This is required for pre-employment check purposes and for your application for the National Performers List.

From June 2013 changes to the CRB system were introduced. The details can be found at here.

Part of the new system is the ability for an individual to subscribe to the DBS update system. This means that a doctor on a longer training programme can apply once in their training programme and the check will be portable.

The new service has significant benefit for the employee. The responsibility for paying the cost of the DBS check now lies with the employee. The Disclosure and Barring Service (DBS) update service lets trainees keep their DBS certificates up to date online and allows employers to check a certificate online. There is no reimbursement for the fee paid for the update service.

National Medical Performers List
Important update for GP registrars due to join the National Medical Performers List from August 2017


Please see the attached guidance (click on PDF image) from NHS England and Health Education England (HEE) for GP registrars who are due to join the National Medical Performer List from August 2017.

Trainees commencing their registrar placements between August 2017 and January 2018 (inclusive) will not need to complete and submit an application form.

  • - Health Education England (HEE) will provide NHS England with details of their latest intake of GP registrars for inclusion on the performers list.
  • - The NHS England RO will approve the list and then advise PCSE which GP registrars will need to be added to the list.
  • - PCSE will then notify each trainee of their inclusion by email.  The email will provide confirmation of entry on to the NPL whether or not the registrar appears on the electronic NPL.
  • - Please note that PCSE have a three month grace period, from the trainee’s GP placement start date, in which to contact the trainee to confirm inclusion to the performers list. 

If you do not receive your confirmation email, please contact the HEE in the first instance to confirm that the correct contact information has been passed onto NHS England and PCSE. 

Please note HEE cannot confirm inclusion on the list – HEE can only confirm that the correct details have been passed across to NHS England.  Final confirmation will come from PCSE.

If you have any queries please contact:

While this notice is targeted to our new  August 2017 GP cohort, please note that this process has been in place since August 2016.  Therefore, all GP registrars who commenced their programmes from August 2016 onwards will have been subject to this process.
Please also Note that it is the policy of NHS England that all trainees must subscribe to the DBS Update Service.
More can be found here

Change of Status - GP Registrar to qualified GP

Information to newly qualified GPs can be found here 

Study Leave

All information on GP Study Leave can be found here. 

Wednesday, 14 August, 2019
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Wednesday, 14 August, 2019