*Please note these rotations may be subject to change*

Posts marked 'innovative' (*) are unlikely to attract banding, however they are interesting posts with clinic work etc. included

ITP –  Integrated training posts are rotations with a split working week with time spent in General Practice and a specialty. You will have a clinical supervisor in each of the two elements of the job. In an ITP, each working week will be made up of two days in General Practice, two days in the specialty and one day of educational activity. The working week will mirror that of General Practice with limits on the amount of antisocial work as per the 2016 trainee GP contract. 

Community Post – Community-focused specialty post where the majority of the working week is spent working with outpatients (i.e. patients who attend from, and return to home) or in a community setting separate from an acute trust. The working week may include a proportion of on call work.  

If you have any particular disability arrangements or reasonable adjustments which must be considered, please ensure this is discussed with the patch team(s) well in advance when browsing the available rotations.  Please contact GPRecruitment.SW@hee.nhs.uk who will put you in contact with the relevant team to discuss your needs in relation to the rotations available in this recruitment round.

If you have any questions about the rotations please contact GPRecruitment.SW@hee.nhs.uk. Please do not contact the patch teams directly as they do not receive a final list of new starters until all rotations have been allocated which will be the end of April 2023.

During the general practice component of your training you will be working in the community. As well as seeing patients in the surgery you will also visit patients in their own homes, in community hospitals and in nursing homes. You are also likely to attend meetings and teaching sessions in places different from your own surgery. Similarly hospital rotations may involve work at different sites within the trust. It is essential that you are able to get to these places. If you do not have a driving licence, please ensure that you have appropriate alternative transport arrangements in place.

You will be expected to be able to attend emergencies and provide domiciliary care which may include out of hours visits if you are based in a GP training practice or in some secondary care posts at any time during your training programme. If you are not a car driver, you are expected to provide a car and driver at your own expense in order to meet this requirement. Relying on public transport, bicycles and taxis is not normally acceptable.

Please be reminded that when you submitted your application you agreed to the following - 

I agree that I am able to provide emergency and domiciliary care at any time during my training programme. If, for any reason, my licence ceases to be valid or I no longer have access to a vehicle, I agree to provide a vehicle or vehicle and driver at my own expense so that I may continue to fulfill this requirement unless, if I am unable to drive for medical reasons, my employer is able to make other reasonable adjustments to the job or to this requirement.

GP Training in Plymouth 

The structure of GP training in Plymouth includes 12mo hospital-based secondary care rotations in ST1, with your ST2 year being made up of a 6mo placement based purely in a GP practice as well as a 6mo Integrated Training Post (ITP). ITPs are 6moposts where half the working week is spent in primary care and the remainder in a speciality or community setting, such as GUM, Dermatology or Pain Clinics, Community Mental Health Teams and care home medicine etc. ITPprovide an opportunity to gain experience in an additional speciality field without having to do a full 6mo rotation. 

During your ST1 year you will have the opportunity to express a preference for your ITPAlthough we cannot guarantee that everyone will get their first choice, we will take your preferences into account, alongside your previous experience and the secondary care posts you will have completed during ST1. 

Your ST3 year will be spent wholly in a GP practice. Mid-way through your ST2 year you will be offered the chance to preference the geographical area in which you would prefer to be placed. 

We are very lucky in Plymouth to be surrounded by beautiful coastline and moorland, but this means that our GP practices are spread over a wide distance ranging from the city centre, to more rural areas such as East Cornwall, Tavistock and West Devon and the South Hams. We have a limited number of urban practices, soit is possible that you will need to travel to practices outside of central Plymouth, and be able to undertake home visits in those areas; we strongly recommend that you have access to your own transport as these areas may not be accessible via public transport. Other than for medical  reasons, if you do not drive, you will be expected to provide a car and driver at your own expense as a condition of your training, 

The majority of our hospital-based secondary care posts are based at either Derriford Hospital or Mount Gould Hospital 

We are excited to be offering Health Equity Focussed Training(HEFT); these up to six innovative posts will provide Doctors in Training (DiTs) with the opportunity to train with inspirational GPs serving our region's most socioeconomically deprived communities across all three years of training. By undertaking one of these posts. you will gain the knowledge & skills to offer great primary care to struggling communities and vulnerable groups and develop your own areas of interest. 

For more information, please see here

To find out more about the Plymouth programme, please see here

If you intend to apply for shortened GP training, either via Accreditation of Transferrable Competencies (ATC) or the Combined Programme (CP) route, or think you may apply for Less than Full Time training, we suggest that you consider preferencing rotations made up of 6mo posts in ST1.

 

Plymouth (TERS)

Aug 2024 – July 2025 (ST1)

Aug 2025 – July 2026 (ST2)

Aug 2026 – July 2027 (ST3)

Rotation 3 (TERS)

6mo Community Healthcare of the Elderly

6mo Obs & Gynae

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 4 (TERS)

4mo Emergency Medicine

4mo Psychiatry

4mo Obs & Gynae

6mo Pure GP

6mo ITP

General Practice

12 months

Rotation 6 (TERS)

4mo Diabetes Medicine

4mo Community Healthcare of the Elderly

4mo Psychiatry

6mo Pure GP

6mo ITP

General Practice

12 months

Rotation 9 (TERS)

4mo Obs & Gynae

4mo Paediatrics

4mo Emergency Medicine

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 12 (TERS)

4mo Community Healthcare of the Elderly

4mo Emergency Medicine

4mo Paediatrics

6mo Pure GP

6mo ITP

General Practice

12 months

Rotation 13

(TERS)

(HEFT)

6mo Obs & Gynae

6mo Emergency Medicine

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 14

(TERS) (HEFT)

6mo Psychiatry

6mo Obs & Gynae

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 15 (TERS)

4mo Paediatrics

4mo Emergency Medicine

4mo Community Healthcare of the Elderly

6mo Pure GP

6mo ITP

General Practice

12 months

Rotation 16 (TERS)

4mo Community Healthcare of the Elderly

4mo Cardiology

4mo Obs & Gynae

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 17

(TERS)

(HEFT)

6mo Community Healthcare of the Elderly

6mo Respiratory Medicine

6mo Pure GP

6mo ITP

General Practice

12 months

Rotation 18

(TERS)

(HEFT)

6mo Emergency Medicine

6mo Community Healthcare of the Elderly

6mo Pure GP

6mo ITP

 

General Practice

12 months

Rotation 19 (TERS)

4mo Otolaryngology

4mo Community Healthcare of the Elderly

4mo Emergency Medicine

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 20

(TERS)

(HEFT)

3mo AMU

3mo Renal Medicine

6mo Psychiatry

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 22 (TERS)

6mo Obs & Gynae

3mo Renal Medicine

3mo AMU

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 23 (TERS)

4mo Respiratory Medicine

4mo Obs & Gynae

4mo Community Healthcare of the Elderly

6mo Pure GP

6mo ITP

General Practice

12 months

Rotation 24 (TERS)

4mo Emergency Medicine

4mo Obs & Gynae

4mo Respiratory Medicine

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 26 (TERS)

3mo Renal Medicine

3mo AMU

6mo Community Healthcare of the Elderly

6mo ITP

6mo Pure GP

General Practice

12 months

Rotation 27

(TERS)

(HEFT)

6mo Psychiatry

6mo Healthcare of the Elderly

6mo Pure GP

6mo ITP

General Practice

12 months