Advice on becoming a GPwER (GP with specialist interest - GPwSI)

Wednesday, March 1, 2023

A GPwER (formerly known as a GPwSI or a GP with special interest) is a practising GP with a UK licence who takes on a role outside of their primary care duties. The extended role typically occurs under a separate contract outside of your usual setting, enhancing your earning potential. It will be in addition to the care you provide to patients as part of your general practice.  

The GPwER role requires additional training, where you develop and utilise new skills. It gives you the ability to focus in on certain areas of interest and add more variety to your role. It also provides you with the opportunity to grow your professional portfolio, bringing with it a range of career opportunities.  

If you’re thinking about becoming a GP with an extended role, we’ve outlined what is involved and how to become a GPwER, along with answers to some frequently asked questions.

The move from GPwSI to GPwER: what’s the difference?

The new name of GPwER, which was introduced in 2015, applies to anyone who would have previously fallen under the GPwSI definition.  

The intention of creating the original GPwSI role was to allow GPs to relieve pressure on services with intermediate care. The main difference between the role of GPwSI and a GPwER is that the GP professional is now accredited rather than the setting or service they work within. 

What is defined as an extended role?

There are a range of positions that are classed as extended roles. Example GPwER roles can be in: 

  1. Teaching or training  
  2. Research 
  3. Occupational medicine 
  4. Minor surgery 
  5. Dermatology 
  6. Cosmetic procedures 
  7. Mental health 
  8. Cardiology 
  9. Sports medicine 
  10. Emergency medicine 
  11. Dermatology 
  12. Women’s health 

In order to be a GPwER, you would need to maintain your general practice role. 

How do I become a GP with an extended role?

GPwER requirements 

There are certain requirements that need to be in place in order to become a GPwER. You will need to possess the following: 

  • A Certificate of Completion of Training (CCT) or an equivalent qualification 
  • Current GP registration 
  • A licence with the GMC 
  • Completed a minimum of 40 core GP sessions within the last 12 months 
  • Evidence of continued practice in a primary care role on a performers list (or equivalent) 
  • Active engagement in an annual medical (whole scope of practice) appraisal 

As a GPwER, you also need to be able to show that you are meeting the requirements of your extended role. This includes keeping online records of the following: 

  • Evidence of knowledge and core skills relevant to your extended role 
  • Your experience and supervised training in the specialty, with details of the associated supervisor/s 
  • Positive feedback around your communication and ability to work in a team, along with commentary on your standard of performance in the extended role 
  • A structured reference from your clinical supervisor 

GPwER accreditation

Accreditation can be used to show your competence for certain extended roles.  

If an accreditation process is available, it should be provided as a collaboration between primary and secondary care, with assessment standards that meet the needs of all parties involved. Continued competence can then be demonstrated through an annual medical appraisal and revalidation process. This means you won’t need to be reaccredited each year. 

GPwER continued competence 

A portfolio of evidence is essential during your annual medical (whole scope of practice) appraisal and revalidation. It shows that you are maintaining relevant knowledge, skills and competencies.  

Your annual appraisal portfolio should contain the following:

  • CPD undertakings  
  • Quality improvement activity (QIA) 
  • Significant events 
  • Patient feedback 
  • Colleague feedback 
  • Complaints and compliments  

It is also recommended that you include a description of the governance arrangements in place for the service you are providing as GPwER, along with a note on how you would respond to patient safety issues or concerns. 

Within your appraisal portfolio, you should be answering these four questions: 

  • What do you do in this part of your scope of practice? 
  • How do you keep up to date for this part of your scope of practice? 
  • What review have you done of this part of your scope of practice and what difference has it made? 
  • What feedback have you received on this part of your scope of practice and what difference has it made? 

If you meet all the requirements and answer these four questions within your portfolio, you will gain the revalidation necessary to maintain your GPwER status each year. 

Find your next GP opportunity with GP World

At GP World, we have a wide range of opportunities for GP professionals. With long-term relationships with an array of healthcare providers, we can bring you roles that will give you the career advancement you’ve been looking for. 

Whether you’re searching for locum, permanent or fixed-term job opportunities, we will get to know your skills, experience and preferences, so that we can help you find your next perfect role.  

Register your interest or get in touch today to discuss how we can help you take the next exciting steps in your career. 


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We connect GPs with exciting job opportunities at some of the UK’s biggest healthcare organisations. We can help manage your job search, so you can focus on doing the work you love.  

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