The Induction and Refresher Scheme Portfolio route

If you are returning to general practice in response to COVID-19, you can find information and guidance about returning to practice on our dedicated COVID-19 page.

Welcome to the Portfolio route, a pathway to the Induction and Refresher Scheme. We are delighted that you are considering returning to practice in England, and we want to make this transition as easy as possible.

The Portfolio route is designed for: 

  • doctors who have previously worked independently and unsupervised as a general practitioner in the UK and have had a break of up to ten years from NHS general practice, while working as a general practitioner overseas, and now want to return to work in England
  • doctors who moved overseas to work as a general practitioner soon after gaining their CCT or CEGPR in the UK and have had a break of up to ten years from NHS general practice, while working as a general practitioner overseas, and now want to work in England

If you've had a break and not worked as a GP in the NHS for two years or more, you will need a short period of refresher training which must be completed before re-joining NHS England's Medical Performers List.

Refresher training is offered by the Induction and Refresher Scheme and is managed by Health Education England and the GP National Recruitment Office (NRO). You will not have to pay for your refresher period. First, you must register with the GP National Recruitment Office.

There are two ways of applying to the Induction and Refresher Scheme

  • The standard route involves an initial assessment of multiple choice questions to determine your level of entry to the scheme
  • The Portfolio route involves preparing a portfolio of documents to demonstrate that you have maintained your GP skills while working as a general practitioner overseas and how you have kept up to date with changes in NHS practice.

The NRO will tell you whether you are eligible for either of these routes and if NHS England agrees that you can take the Portfolio route, the NRO will tell you how to apply and submit your portfolio. They will also tell us you have chosen this route.

The Portfolio route was first introduced in England. However, with the consent of the relevant home nation Induction and Refresher Programme, it may be applied in all four nations of the UK.

Eligibility for the Portfolio route

To be eligible for Portfolio route application to the Induction and Refresher Scheme, you must satisfy the following criteria:

  • Hold JCPTGP certificate, CCT, CEGPR or GP qualification awarded in the EEA allowing direct entry to the GMC GP Register
  • Hold GMC full registration with a licence to practise or have made an application to the GMC to restore your licence to practise. (If you have given up your GMC registration and your licence to practise please read the notes below*)  
  • Be included on the GMC GP Register
  • Have at least a year's experience working unsupervised as a general practitioner in the NHS while on the Medical Performers List or its predecessors with a minimum of one successful GMC approved or UK military appraisal, OR gained a CCT or CEGPR and entered the GP Register within the 12 months prior to leaving the UK
  • Have had a break of not more than ten years from NHS general practice at the time of applying with the last five years working as a general practitioner overseas
  • Any career breaks (such as maternity or other personal or statutory leave) from clinical practice in the ten year period do not exceed three years in total and do not exceed 15 months in the three years immediately preceding application 

The evidence which you collect for your portfolio can be useful for your revalidation appraisal in the future.

* If you have given up your registration altogether (not just your licence to practise) please provide evidence of your registration status in the country where you practise currently. You do not have to show that you have begun to restore your registration before your Portfolio route application is considered. You will need to restore your registration and licence before you begin your Induction and Refresher Scheme general practice placement. However, do bear in mind that Restoration applications usually take between one and three months to process. You will be required to attend an identity check at the GMC offices in London or Manchester within three months of your application for restoration being approved. If you are applying from overseas you will need to make sure that you can return to the UK in time for your identity check and avoid having to make a special visit for this.

Application fee

There is no application fee for this route if you are returning to work in England; the cost of processing your application will be met by NHS England. If you plan to return to Scotland, Wales or Northern Ireland, you will need to pay an application fee of £975 to the College which will be reimbursed by the respective government agency after you have completed the Induction and Refresher Scheme.

Help with relocation costs and other support for doctors returning to practice in England

NHS England will help with many of the costs associated with return to NHS general practice in England, including:

  • A relocation package worth up to £18,500
  • A bursary of up to £3,500 during your placement of up to four weeks in general practice
  • Help towards indemnity costs and other fees such as GMC registration and Disclosure and Barring Service checks
  • Help with visa costs and arranging visa sponsorship for UK trained non-EEA general practitioners and their families
  • The cost of your occupational health check reimbursed in full

Steps to making an application via the Portfolio route 

Complete the first stage of registration for the Induction and Refresher Scheme which includes an interview with the Health Education England (HEE) Induction and Refresher Lead for your chosen area of England. Your interview and career review can be done remotely.

NHS England is asked to approve your application to the Induction and Refresher Scheme via the Portfolio route.

With NHS England approval and guidance from the NRO, apply online to the Royal College of General Practitioners.

Begin collecting evidence for your portfolio.

Download templates for your evidence from our website. See the 'How to make your application' section below.

Your application form is checked by the College to make sure that you meet the criteria to apply.

The College sends an email within five days to confirm that you are eligible and inviting you to submit your portfolio when your evidence is ready.

 Submit your portfolio via OneDrive or email.

The College sends you an email to confirm that your portfolio of evidence has arrived.

The College evaluates your portfolio and makes a recommendation to your HEE Induction and Refresher Lead. The recommendation is in the form of a short report. This takes six weeks from the date the College receives your complete portfolio.

The  HEE Induction and Refresher Lead reviews the College recommendation with the Medical Director of the local NHS England Team. They agree the final outcome and action.

If your application has been successful, your case is reviewed by the Medical Director or Responsible Officer of the Regional Team for entry to the Induction and Refresher Scheme, induction modules and a placement of up to four weeks in general practice.

If your application has been unsuccessful, the HEE Induction and Refresher Lead will write to you, explaining the reasons and enclosing feedback from the College. You may be advised to consider applying through the standard route.

How the portfolio of evidence is evaluated

Your portfolio should document the work you have been doing since you last worked in NHS general practice.

The evaluators will look for evidence which shows your personal involvement in an activity, your reflection on it and details of any subsequent change to your practice resulting from the activity. An example would be a report of a significant event and documentation of change in your practice processes which followed.

The evaluation will consider the GMC's four domains of Good Medical Practice and how far this standard has been maintained by you while working in general practice overseas.

The evaluators will also consider whether you have kept up to date with changes in primary care in England and NHS systems and processes that affect general practice. Online learning modules about general practice organisation and medico-legal frameworks in the UK can provide useful evidence.

The portfolio is sent to a panel of three evaluators, senior members of the College experienced in making portfolio-based assessments. It takes six weeks to complete the evaluation and provide a report to the HEE Induction and Refresher Lead.

Contact us

If you have any questions about the Portfolio route, contact our GP Specialist Applications team on:

Tel: 020 3188 7656

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