Diversify your GP career

General practice allows you to combine clinical practice with other interests such as politics, research, and medical education. Or, perhaps you wish to develop an extended role by providing an additional specialist service in your community, or go further afield in a wide range of clinical areas from cardiology, dermatology, and minor surgery to mental and sexual health.

Developing a portfolio career

"Portfolio GP" is a term which commonly describes a GP who holds multiple roles. Most GPs will have a primary clinical role - as locum, salaried or partner GP - and it's becoming common to see members taking on additional roles alongside this to diversify their skills and experiences.

Hosted by Dr Sophie Lumley, a First5 salaried GP and Training Programme Director in Shropshire, the GP+ Careers podcast is a series of short interviews with a standardised format. It's designed to point people in the right direction and showcase what’s possible. Sophie will ask a series of questions to each of her guests about what their role entails, how they got into it, and any top tips they have for those considering a similar path.

You can look forward to the release of a new podcast episode each month, available exclusively here and through all main podcast platforms. Browse this page to explore and listen.

Latest episode: GP+ Urgent Care 

Join us this month as Sophie speaks with Dr Maisun Elftise, a GP and Consultant in Integrated and Community Care working in an urgent care setting in Coventry. She highlights the improved work-life balance she gained in a shift-based model that eliminates traditional administrative burdens like practice lists and blood result follow-ups. Maisun also discusses her passion for tackling health inequalities and provides practical advice for GPs looking to explore this career path.

"I felt fulfilled. I felt everyone was happy with the care that they were provided. I felt like I saved lives. I made people better. This is my highlight and that's why I want to be a GP. That's why I want to continue to be here working in urgent care. We're making a difference. We should be proud of who we are as GPs."

Top Tips 

Try the role before committing

Do locum shifts or shadow at an urgent care centre to see if the fast-paced environment and variety of walk-in cases suit your style of practice.

Leverage your existing GP training

You do not necessarily need a specific diploma or advanced training to begin working in urgent care; however, you can build confidence through resources like the RCGP “One Day Essentials in Urgent Care” or the Diploma in Urgent Care from the Royal College of Surgeons in Edinburgh.

Focus on the work–life balance benefits

The shift-work model allows you to leave on time, and without a practice list you avoid accumulated admin such as blood results or letters to follow up.

Utilise professional networks

Join the RCGP Urgent Care Special Interest Group (SIG) to find mentoring, support, and connect with a community of GPs working across diverse settings.

Appreciate the clinical safety net

Working in a setting attached to a hospital provides added security, with specialist teams and emergency equipment readily available if a patient becomes higher risk.

Protect your well-being

Remember that “no is a full sentence”. Ensure your roles fit your current stage of life and avoid feeling pressured to take on every opportunity at once.

GP+ Dermatology

In this episode of the GP+ Careers podcast, Sophie interviews Dr John Diamond, a GP based in Northern Ireland as he shares his journey of developing an extended role in dermatology to tackle Northern Ireland’s multi-year secondary care waiting lists. Drawing on his experience with the Cardiff diploma and the GPECs elective service, he provides practical advice on finding a clinical "spark," collaborating with colleagues, and starting small within your own practice.

"The satisfaction I get comes from helping patients I know would otherwise face long waiting lists, and actually fixing the problem and making them better. I can think of dozens of patients where that’s happened: people with severe eczema, acne or psoriasis, or a rash no one else could diagnose. Because of my additional knowledge, I’ve been able to identify the condition and treat it. That gives me huge satisfaction."

Top Tips

Establish your foundation first

Spend your first four or five years in general practice settling into the business of partnership and getting to know your patient population before pursuing a specialised niche.

Invest in formal, high-quality qualifications

Pursue specialised education, such as the Cardiff diploma in practical dermatology, but be prepared for the time commitment; a rigorous academic diploma can require approximately 10 hours of study per week for a full year.

Observe secondary care clinics voluntarily

Before investing heavily, reach out to local consultants and ask to sit in on their clinics. As dermatology is highly visual, this firsthand exposure helps you determine if the discipline, which offers a "clean" break from complex social or mental health issues, truly suits you.

Collaborate to build services

Avoid working in isolation; instead, gather a group of like-minded colleagues. Pair with those who have complementary strengths, particularly those skilled at lobbying for funding and navigating administrative hurdles, as their persistence is often what gets a service off the ground.

Start small and focus on patient impact

You don't need a regional service to be effective; simply enhancing skills for your own practice list is invaluable. Addressing inflammatory conditions locally provides immediate relief to patients who might otherwise face secondary care waiting lists as long as six or seven years.

GP+ Child Health

This episode of the GP+ Careers podcast features Dr. Amina Al-Yassin, a First5 GP who has built a dynamic portfolio focused on child health. Dr Al-Yassin details her experience balancing clinical sessions with strategic leadership roles at Barnardo’s and as a Clinical Lead for local children’s services. Listeners will discover how to navigate spin fellowships, engage with community Child Health Hubs, and leverage their unique GP skills in specialist settings like CAMHS. 

"The highlight of my role is the ability to transform systemic failures into proactive solutions that improve care on a population level. For instance, after a tragic childhood asthma death in my borough, we were able to use our strategic position as a borough clinical leadership team to develop a locally enhanced service (LES) to ensure such gaps are closed for other families. It is incredibly rewarding that when we identify a problem in the system, we have the platform to find creative ways to make a difference and launch clinics that directly benefit our community."

Top Tips

Leverage spin fellowships for protected time

If you are early in your career, look into spin fellowships. These schemes are designed to improve GP retention by providing protected time (usually one or two sessions a week) to develop a special interest or an extended role. Dr Al-Yassin used this to work within a Child and Adolescent Mental Health Service (CAMHS), gaining frontline experience in neurodevelopmental assessments and medication management. This protected headspace is helpful when first developing a new area of expertise.

Prioritise practical experience over formal certificates

While additional qualifications like the Diploma in Child Health or the Diploma in Child and Adolescent Mental Health are available, they are not always prerequisites for extended roles. Dr Al-Yassin emphasizes that the skills you already possess as a GP i.e. being well-versed in both physical and mental health across all ages, are unique and highly valuable. Learning on the job, showing enthusiasm, and maintaining a holistic perspective often count for more than a certificate.

Engage with local Child Health hubs

Investigate whether your local area or Integrated Care Board (ICB) has established child health hubs. These are community-based clinics where paediatricians and GPs work together in the same room to provide specialist input for families. If you cannot work in one immediately, ask to sit in on clinics or participate in their virtual Multi-Disciplinary Team (MDT) meetings, which often include health visitors, school nurses, and therapists.

Connect through Special Interest Groups (SIGs)

Networking is essential for discovering opportunities that may not be widely advertised. Joining RCGP Special Interest Groups, such as the Adolescent Health SIG, connects you with like-minded colleagues who share insights on vacancies, projects, and educational opportunities. Other helpful networks include groups focused on health inequalities or neurodiversity. You can also seek further support through the RCGP mentoring programme.

Blend strategic leadership with Clinical Practice

A portfolio career allows you to balance "big picture" strategic work with direct patient care. Roles in organisations like Barnardo’s or as a Clinical Lead for a borough involve looking at population health needs and designing systemic solutions, such as asthma care pathways. Maintaining some clinical GP sessions is beneficial because it keeps you connected to the realities and hardships of patients, which in turn informs and improves your leadership decisions.

Establish firm professional boundaries

One of the primary challenges of a portfolio career is "overspill," where work from one role leaks into another or into your personal time. Strategic and leadership roles often require more time than the paid sessions suggest. To avoid burnout, it is important to be self-aware and block out time for downtime and family, ensuring that your varied interests do not encroach on your personal life.

GP+ NHSE Clinical Advisor

In this episode of the GP+ Careers podcast, host Dr Sophie Lumley is joined by Dr Maria Mastrantonio, a Clinical Advisor to NHS England's regional team in the south west. Maria explains her specific role overseeing a team of GP reviewers who handle patient complaints made directly to NHS England about primary care services. The episode also covers Maria's career path to this leadership role, the flexible nature of the reviewing work for other GPs, and advice for those interested in similar portfolio careers and leadership positions within NHS England.

“A highlight of the role for me is doing a clinical review and feeling that you were fair to the doctor, fair to the patient and feeling job satisfaction and a job well done from doing that”.

Top tips

Just say yes to opportunities

Maria strongly recommends adopting the mindset to "just say yes" when an opportunity arises, even if you doubt your ability to do it. Saying yes allows you to build up a body of experience that will help you move into new roles. Her own role as Clinical Reviewer began with a chance email that was sent to GP appraisers, and she thought "why not" go for the opportunity.

Actively hunt for opportunities

Be aware of your emails and bulletins because job opportunities frequently appear in them. For formal NHS England roles, Maria advises checking NHS jobs. You can also use word of mouth to find people working for NHS England or the Integrated Care Board (ICB).

Gain practical experience in leadership and complaints

Acquire relevant experience under your belt first. For those interested in review roles, Maria suggests a great starting point is getting involved in complaints within your own practice to learn how medical defence organisations suggest responding. Additionally, seeking out any leadership roles (within or outside the practice) or becoming an appraiser can provide helpful supportive skills.

Leverage existing skills and education

Recognise that you bring all your prior experiences into new roles. For example, having an educational background can help frame clinical reviews around learning needs rather than just right or wrong answers. Even if a new venture (like a medical school role) doesn't work out, the failures become your best learning experiences and are great to discuss in an interview.

Network regionally and seek mentorship

Find out who the Clinical Advisors are in your region because processes and roles differ regionally and ask them for mentorship or for details on how they entered their positions. If finding clinicians proves difficult on websites, look for programme managers within the regional offices, as they are excellent contacts who can signpost you or provide clinician contact details.

Be flexible and try new things

Nothing in career diversification is "set in stone". If a new role isn't what you expected, you can step down and try something else. Start by trying roles like medical school teaching or offering a session at VTS (Vocational Training Scheme), as these can be stepping stones to leadership roles.