A GP with Extended Role (GPwER) undertakes a role that is beyond the scope of GP training and the MRCGP and requires additional training. The term GPwER includes those previously referred to as GPs with Special Interests (GPwSIs).
RCGP Guide to GP Clinical Extended Roles
The RCGP Guide to GP Clinical Extended Roles has been developed by the RCGP to help GPs demonstrate competence in extended scopes of clinical practice. It is relevant to all clinical specialisms and employers and service commissioners are encouraged to refer to this document. Due to local service variation, GPs planning to deliver a service as a GPwER are advised to establish requirements with the relevant employer and service commissioner.
RCGP Guide to GP Clinical Extended Roles
If you are an RCGP member, you may wish to use our Mentoring Platform to connect with others with an interest or experience in your chosen extended role area.
Accreditation of GPwERs in dermatology
The RCGP, British Association of Dermatologists (BAD) and the Primary Care Dermatology Society have agreed a process for the continued delivery of national GPwER accreditation in dermatology. Preparations are underway for its re-launch and further information will be available on these pages soon.
Answers to common questions
What is a GP with an Extended Role (GPwER)?
A GPwER (previously called GP with a Specialist Interest or GPwSI) is a GP who undertakes, in addition to their core general practice, a role that is beyond the scope of GP training and the MRCGP and requires further training. The extended role is typically undertaken within a contract or setting that distinguishes it from standard general practice and/or it is an activity offered for a fee outside of care to the registered practice population (teaching, training, research, occupational medicals, medico-legal reports, cosmetic procedures, etc).
Is GPwER accreditation mandatory?
In accordance with GMC requirements, a GP must evidence that they have acquired the necessary capabilities to practise safely and effectively in their extended role. In addition to this, they must demonstrate evidence of continued competence through the annual (full scope of practice) medical appraisal process. Although unlikely that an accrediting body could mandate an accreditation, local bodies (such as employers and commissioners) will determine the requirements for a GP to provide an extended service to patients.
Useful links
RCGP Supporting Information for Appraisal and Revalidation guidance
Contact us
If you have questions about GP extended roles, please contact gpwer@rcgp.org.uk