The Lead Employer

As of 1 February 2017 the Lead Employer for General Practice trainees is St Helens and Knowsley Teaching Hospitals NHS Trust. As a GP Trainee joining the Programme, you will be employed for the duration of your General Practice training by St Helens and Knowsley Teaching Hospitals NHS Trust. This will give you consistent terms and conditions for your employment although you will need to comply with the work place policies in each post in which you work.

St Helens and Knowsley NHS Teaching Hospitals Trust will handle any employment issues and provide a contract of employment to cover the duration of your General Practice Training. Each Trainee will receive an offer of employment from the Trust before starting the first post and you should receive a contract of employment within eight weeks of your start date. All absences including sick leave, maternity leave etc must be reported to St Helens and Knowsley Teaching Hospitals NHS Trust as your employer.   This is your responsibility as otherwise it may lead to you being paid incorrectly.

The offer of employment is separate from the allocation of a place on a training programme which you will have already received 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 you with 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.

StH&K Website -
General Queries -
Payroll - Sam Newman, Payroll Officer -
Business Mileage & Expenses -
Pensions - Sue Derbyshire, Pension Officer -
HR Direct

St Helens have recently informed us that their HR Direct is currently down. Until it has been fixed please direct all queries to


As your employer St Helens and Knowsley Teaching Hospitals NHS Trust want to make sure you can access all the information you need and keep in touch with developments and the benefits open to you as an employee.

HR Direct is St Helens and Knowsley Teaching Hospitals NHS Trust's online information-sharing portal where Hosts and Trainees can access our policies and processes:

To login into this site as a Trainee please use the login details below:

Username and Password: leademployer

Host Trusts will be given individual log ins and GP Practices will use the generic log in above. Host Trusts and GP Practices will be able to access rotation and management information (including confirmation that pre-employment checks are complete, any health restrictions, attendance management issues etc.)

Professional Indemnity Insurance

For those joining the GP Training Programme from August 2013, HEE have arranged and paid for Professional Indemnity cover for the full three years of your GP training. This will ensure adequate and appropriate indemnity is in place for your entire programme whether in hospital or general practice.


Each Trainee will need to provide proof of membership with a medical defence organisation. This is a mandatory requirement and you will not be able to see patients without it. The provider will contact you directly to provide you with confirmation of cover.

HEE have arranged your professional indemnity with Medical and Dental Defence Union of Scotland (MDDUS). MDDUS are an independent mutual organisation offering expert medico-legal advice, dento-legal advice and professional indemnity for doctors, dentists and other healthcare professionals throughout the UK.

Please see our short FAQ sheet attached to the left.  For further information please visit their website -

Pre August 2013 or Opt out Trainees

If a Trainee began their training prior to August 2013 or has opted out of the MDDUS cover. it is their responsibility to source appropriate cover. The Trainee will be reimbursed for this cover if they send evidence to 

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 

Honorary Contracts

The GP School have now launched an electronic process for our Honorary Contracts

**Paper based forms will be accepted until 5 December 2016 when the process will become fully electronic**

The main contract of employment is issued to the trainee by St Helens and Knowsley Teaching Hospitals NHS Trust. This will contain information on annual leave and study leave entitlement, salary, incremental date, HR policies etc.

Honorary Contract -

It is the responsibility of the practice to arrange for the honorary contract to be completed with the trainee.  This must be returned to HEE no later than one month after the placement starts. If you are unsure of your GP Trainees placement dates, please contact your local Medical Education Centre.   If you have any queries relating to annual leave entitlement please contact the Lead Employer.

It is the responsibility of the practice to arrange for the honorary contract to be completed with the trainee.  This consists of three parts; the first being the secondment to the practice; the second and third are the educational and trainer’s agreements. This must be returned to HEE no later than one month after the placement starts. If you are unsure of your GP Trainees placement dates, please contact your Medical Education Centre.

Please be advised that we require one honorary contract per placement.  For example, if a trainee has a 4 month innovative placement followed by a 4 month full time placement, we will require one contract per placement. 

We require one honorary contract per training year.  For example, if a trainee has a 12 month post, 6 months in ST2 and 6 months in ST3.  We will require one contract for the first 6 months placement and then another contract for the second 6 month placement.

We require one honorary contract per 12 month period.  For example, for an 18 month placement, we will require an honorary contract for the first 12 months of the placement and then a second contract for the remaining 6 months, to be received by the office on or after the placement start date.

Should a trainee be granted an extension of training with the same practice then we will NOT require a further honorary contract.  We will just require an email informing us of the extension, detailing the placement dates and the advised WTE percentage.  Please note that this only applies to ST3 trainees who have received an extension past the set 3 years of training.

If your trainee is on an Innovative Post (ITP), this is classed as a full time GP post at 100% and the trainers grant will be paid at this rate to the practice. They are not working less than full time. Please ensure this is reflected on the honorary contract.

Please note that if your trainee is working less than full time (LTFT), please ensure that they have received approval from HEE.  If your trainee does not have LTFT approval then the training grant will not be paid.   For further information on LTFT please visit their webpage or contact the LTFT team at

Template -


Please ensure that you save the form locally and open the original electronic claim form in Adobe Acrobat or Adobe Reader (not in a web browser or in PDF Previewer as the digital ID field will be disabled).  You will need to set up a digital ID, however, this set-up process only needs to be completed once.  If you have any queries or require assistance with setting up a digital ID please do not hesitate to contact the GP School Administrator.

Step by step guidance for setting up a Digital ID can be found here:

Digital ID set up guide - Click Here

If required, Adobe Reader is available to download for free here:

Download Adobe Acrobat Reader Free - Click Here

Essential guidance for MAC users can be found here:

Electronic form guidance for MAC users - Click Here we strongly recommend MAC users follow this guidance to ensure the form has opened with the correct software prior to completion.

Trainers Grant -
The trainers grant will be paid directly to the practice from HEE. Once you have returned the Honorary Contract to the GP School, this will be authorised. The reason for this is to ensure the trainee is placed with an approved trainer and practice. We also need to ensure the placement dates are correct and match our records.

We now pay the trainers grant in full for placements up to 12 months. For example, if you have a trainee for a six month period, you will receive the full six months grant in one payment.

Invoice/Payment -

You will receive an e-mail from the GP School which confirms authorisation of the honorary contract and to submit your invoice (template will be provided on the e-mail) to SBS Wakefield. The payment will be made via BACS directly into the practice bank account.

Please submit your invoice to SBS Wakefield as soon as you receive authorisation from the GP School. We will no longer be chasing you to submit an invoice; therefore this could result in you missing out on these allowances.  

Please note that these invoices MUST be received within the correct financial year in order for them to processed and paid.

Trainees may of course leave a placement in general practice early for a variety of reasons. HEE will make the full payment for the stated period as a benefit to practices’ cash flow. If for whatever reason the trainee is removed we would expect outstanding monies to be repaid to HEE promptly.

Occupational Health Referrals

It is important to involve a trainee's employer in any occupational health referral so that appropriate information can be shared by the trainees employer where necessary with placement providers and HEE. St Helens and Knowsley Teaching Hospitals NHS Trust as a lead employer have generally not received information where TPDs have referred to local providers. Equally The GP school view is that TPDs have experienced inconsistent levels of understanding and consequently advice from occupational health providers.

Therefore this new system should simplify the arrangements for TPDs when seeking occupational health advice. Referrals will be assessed by St Helens and Knowsley Teaching Hospitals NHS Trust's occupational health department and appointments arranged at one of four participating departments around the East of England. This should minimise inconvenience for trainees while concentrating experience amongst a smaller group of occupational health physicians. The new arrangements should promote greater expertise and consistency.

Please therefore do NOT make any occupational health referrals to your local Trust from now onwards, instead contact St Helens and Knowsley Teaching Hospitals NHS Trust via the details below. Should any further local occupational health referrals be made they will no longer be funded.    

Karen Brayley, Head of Health, Work and Well-Being

01514 301985 –

Study Leave

Study Leave Guidance Notes

Study leave enables trainees to direct their own learning, meet their educational needs as set out in their personal development plan and cover the wide range of knowledge and skills required by the RCGP curriculum.

Study Leave Entitlement and Funding

As a GP trainee you have an annual study leave entitlement of 30 days of which 15 days are allocated to the half-day release programme. 

Study leave funding is allocated to each training post. The study leave funding should be utilised by trainees to meet the requirements of the MRCGP curriculum which have not been provided elsewhere. There should be an appropriate PDP objective in your ePortfolio prior to the study activity and a reflective learning log entry afterwards.

Individual requests to access this study leave funding can be made for up to a maximum of £600 per training post.  This funding is available per year of full-time training.

Part-time trainees are entitled to study leave and a study leave budget on a pro-rata basis.  If you have any queries relating to study leave funding then please contact The GP School.

Study Leave Requests

Hospital Based Posts: While working in a hospital post you will have to follow the local trust’s procedure to apply for study leave using the trust’s application form. The course will need approval from the DME or Clinical Supervisor.

Practice Based Posts: The study time out should be approved by the practice manager to ensure that this fits in with the clinical rotas and that at the course approved by your Educational Supervisor.

Study Leave Claiming Process (GP Trainees under the Lead Employer STHK)

Please note that if you are using Chrome you may be unable to open this form in browser (you will still be able to download and open locally).

Please be advised that you must provide ALL of the following information for your study leave and expenses claim form in order for your claim to be processed -

- an electronically signed study leave claim and expenses form (click PDF image to download)

- a copy of the certificate of attendance

- a copy of any relevant receipts

- a copy of the approval email from the GP Practice OR the request form from the Medical Education Department (hospital posts only)

This information will then need to be submitted to the GP School at with the subject field 'Study Leave Claim' followed by your name.  

Please note that you must submit your expenses within one month of the course/event date and within the correct financial year in order for them to processed and paid.  Any claims received outside of these dates will not be paid.

The GP School will process your claim form within three months of the date of receipt of your study leave and expenses claim form.  Once HEE approval has been given you will receive a confirmation email and the GP School will forward the details onto the Lead Employer who will include these funds in the next available payroll.

If you have any queries please contact:

Travel Expenses

What can you claim?

The St Helens and Knowsley Lead Employer Service have implemented an e-Expenses solution for HEE EoE Medical Trainees.

The e-Expenses system is accessible from any internet connected device, from laptops to smartphones and tablets. This system is to be used to create, submit and manage travel claims, and should be used for any claims for official business mileage, covering the following:

  • Home to duty mileage for GP Trainees

Maximum of 20 miles per day, only applicable should the trainee need the use of their vehicle for home visits on the same day.

  • Out of Hours Cover (OOH)

Separate claims will be required should OOH cover multiple locations to ensure the correct approver receives the claim.

  • Call Outs whilst on call

The system should not be used to claim Excess Travel, or Study/Course Expenses. Please contact for any Excess Travel enquiries, and refer to the Study Leave section on this webpage.

The system will hold your home address details, and your current location of work (base), and will calculate the shortest distance from point to point. Journeys need to be entered per day and should include each leg of the journey by entry of postcodes and addresses.

What are the rates?
Regular User Up to 1,000cc 1,001 - 1,500cc Over 1,500cc
Annual lump sum £508 £626 £760
Up to 9,000 miles 29.7p/mile 36.9p/mile 44p/mile
Thereafter 17.8p/mile 20.1p/mile 22.6p/mile
Standard User (no lump sum payable) Up to 1,000cc 1,001 - 1,500cc Over 1,500cc
Up to 3,500 miles 37.4p/mile 47.3p/mile 58.3p/mile
Thereafter 17.8p/mile 20.1p/mile 22.6p/mile
 Public transport: 24p per mile
 Passenger rate: 5p per mile for each passenger
For example:

Home to practice = 14 miles return Home to postgraduate centre = 30 miles return

Claimable travel expenses = 30 - 14 = 16 miles.

How to Use e-Expenses

In order to be given access to the e-Expenses system please complete the 096 e-Expenses New User Set Up document (as below). This needs to be fully completed and signed off by the claimant and their current approver. Relevant vehicle checks (Business Insurance and MOT) need to be confirmed by the approver, or electronic copies should be sent with the scanned completed form to

Upon receipt of the completed form, it will be processed by the e-Expenses Team. Login credentials will be created and provided, and a guidance document (as below) will be emailed for the claimants’ reference.

The system will hold your home address details, and your current location of work (base), and will calculate the shortest distance from point to point. Journeys need to be entered per day and should include each leg of the journey by entry of postcodes and addresses.

Please note that the previous method of submission via spreadsheet will no longer be accepted.

Any queries regarding business mileage and expenses must be directed to the approver of your claim in the

first instance.

Should you have any queries concerning the e-Expenses system please email providing as much detail as possible in elation to your query and a response will be provided as soon as possible.