Later Career and Retired Members

"Lifelong learning, lifelong connections"


Make even more of your membership by joining our community. Network and connect with your peers, take advantage of our guidance when preparing for retirement from clinical practice, look after yourself personally and professionally, get your voice heard on a national level and help us shape the future of general practice.


Who we are and what we do


Your later career options


Essential information


Personal stories


Community and getting involved


Your wellbeing

Who we are and what we do

The Later Career and Retired Members (LCARM) Committee is made up of elected LCARM faculty leads throughout the UK. We are here to represent the interests of later career and retired members and - through the LCARM Chair - act as the conduit for local matters to be raised at our national meetings.

Mona Aquilina: Later Career and Retired Members Chair

I worked as a GP partner in Lewisham, South London for 30 years. After I left my practice I did sessional work in a homeless practice and I am now an Emergency Registered Practitioner volunteering to help with the Covid-19 pandemic. I was a GP trainer. I am now a tutor to refugee doctors and a mentor to NHS doctors.

In my role as LCARM Chair I am working to ensure that the RCGP encourages and supports later career and retired GPs to use their many transferrable skills in innovative ways. It is also important to help them retain lifelong social networks within the GP community. The College has a role here and with helping in the transition to retirement.

I am privileged to work with an excellent team of LCARM Faculty leads. We believe that later career and retired GPs need to be valued and their expertise utilised.

Get in touch

Meet the committee

  • Dr Martin Wilkinson - Midland lead

I was a GP for more than 30 years and formerly West Midlands Director for GP Education. I thought I had retired once but returned to support the Covid19 GP response service on NHS111 plus continue as a GP appraiser. I am happy to support GPs in their late careers and transition into retirement as it opens up new opportunities. Retirement is rarely a one way journey!

  • Vacant LCARM lead role - Leicester lead
  • Dr Marilyn Horner - Vale of Trent lead
  • Julian Marsden - Beds and Herts lead
  • Richard Marriott - East Anglia lead
  • Vacant LCARM lead role - Leicester lead

  • Dr Martin Rich - Essex lead

I worked as a full time GP partner in Hockey Essex for 29 years. I have welcomed and benefited from contact with the college since taking the membership examination in 1983. In retirement I hope to help and support late career and retired members and to promote the college as a lifelong membership and family.

  • Dr Michal Greville - North East London lead

I have been a practicing GP for more than 40 years. I have been a trainer since 1985 and joined what is now HEE as an associate director in 1994 and have had the privilege through that appointment of working in Georgia and being secretary of UKCEA. I am also a long serving LMC representative. I have been faculty chairman and provost. I am still working as a part time GP trainer.

  • Dr Ian Jutting - South East Thames lead

Ian was a GP senior partner and GP trainer in Tonbridge, Kent for 28 years before retiring in 2015. He is a faculty board member and Later Career and Retired Members Lead.

  • Dr Mona Aquilina - South London lead

GP partner in Lewisham 30 years and GP trainer. Retired from clinical practice 2017. Returned as clinician to help with COVID-19 pandemic 2020. Current roles-Tutor, Building Bridges London, supporting refugee doctors to restart their careers; Mentor to NHS professionals. Hon Secretary, Lewisham BMA division.

  • Sam Samartunga - South West Thames lead

I qualified as a GP, but changed careers to work in and with the healthcare sector in a number of varied roles. I have been a member of the RCGP and Board Member of the SW Thames Faculty for 25 years and am currently the Education Lead and the LCARM Lead for the SW Thames Faculty.  I am particularly keen on encouraging more Later Career GPs to join the LCARM group.

  • Dr Helen Crawley - Thames Valley lead

Although Helen has been a member of RCGP for over 30 years, it is only in the past 6 years that she has actively engaged with the College, working for RCGP in Primary Care Development, in International, and joining her faculty as LCARM representative. Helen is a salaried GP on the retention scheme. She has worked as a partner, as a locum, and in educational roles. 

  • Dr Susan Horsewood-Lee - North and West London lead

  • Dave Crick - Humber and the Ridings lead

Dave has a heart for pastoral care and wellbeing of healthcare workers. He was a GP for over 30 years in Hull, Yorkshire nearly 20 years of which was in a Christian partnership so benefitted from Christian pastoral support. Being the Hull York Medical School Link for Christian Medical Fellowship (since mid noughties) with a monthly Open House for students and also hosting for weekly Christian Junior Doctor support group since 2013 (continues via Zoom) has allowed pastoral care to be part of those roles.

  • Alan Fortune - North East England lead

Alan is currently North East Faculty Board Provost and LCARM rep. He has been a GP in Alnwick for over thirty years, with special interest in obstetrics and gynaecology. He is a past examiner for RCGP. His other interests include climbing mountains and hills, vegetable gardening, and supporting Newcastle United.

  • Dr Anita Campbell - South Yorkshire North Trent lead

Anita Campbell is a retired GP principal from Sheffield. Previous roles have included GP Trainer, various management roles and Team Leader for the GMC. She works now as a GP Appraiser, a coach and a mentor. She is a member of Greener Practice which works towards a sustainable NHS.

  • Dr Jude Danby - West Yorkshire co-lead

Qualifying in North London, Jude moved to Yorkshire in search of a sustainable lifestyle. Retiring from partnership in a multicultural Bradford practice after 27 years. Hats included Trainer, Appraiser, Mentor and LMC. Speaking against the illusion of choice and for equitable funding. Now a freelance GP and "COVID-19 conscript".

  • Ed Bylina - West Yorkshire co-lead

  • Ashley Liston - Cumbria lead
  • Dr Simon Hargreaves - Mersey lead
  • Vacant LCARM lead role - North West England lead

Please contact your local faculty to enquire about this vacant LCARM lead role.

  • Dr Michael Smyth - Northern Ireland lead
I have spent 30 years as a GP principal and trainer in Co. Fermanagh. Leadership roles included chair of local GP Association, Rural forum member and  RCGPNI council membership until 2016. I transitioned to sessional work before retiring. I found little information for those transitioning into retirement. Therefore, I am keen to represent NI on LCARM group to help rectify this.

  • Dr John Wynn-Jones - Rural lead

  • Dr Elaine McNaughton - East Scotland lead (
  • Vacant LCARM lead role - North East Scotland lead
  • Vacant LCARM lead role - North Scotland lead
  • Vacant LCARM lead role - South East Scotland lead
  • Dr Sharon Russell - West Scotland lead (
Please contact your local faculty to enquire about these vacant LCARM lead roles.

  • Dr Graham Rawlinson - Severn lead

We recognise there is a need for inclusion of all our GPs facing a change in their careers or who have already retired, not just members.

We have much to contribute within and outside the profession and I hope we can support you and act as a network for everyone to keep in touch and find out what opportunities there are for a change of role.
  • Dr Tim Howard - Wessex lead

I was previously Member of Family Practitioner Committee, Family Health Services Authority, and Director, Dorset Health Authority. I have experience as a Trainer and briefly a Royal College examiner. My special interest is in obs and gynae and latterly ‘heartsink’ patients. I took early retirement to become involved with medical regulation and standards as Associate Member GMC. I became a Chair of Fitness to Practice Tribunals, and first medical director of independent Medical Practitioner Tribunal Service. I now concentrate on grandchildren, garden, sailing and a little ad hoc mentoring of troubled doctors.

  • Vacant LCARM lead role - Tamar lead

Please contact your local Faculty to enquire about this vacant LCARM lead role.

  • Dr Rob Morgan - Wales lead

I currently hold a salaried post within a surgery in South Wales where I was a GP principal for 24 years. This current role now means I have more time to continue working as a GP appraiser and as RCGP Wales Vice chair. I am a Welsh Learner.

Essential information

There is a lot to consider as you approach the later stages of your career, including planning for your retirement.

We have compiled a list of essential information and links to further guidance below, having taken into consideration many of the frequently asked questions members have at this time in their career.

Retirement and Life membership

If you are considering retiring or have already retired, there is no need to end your relationship with the RCGP. The following options are available:

  • Retired membership: If you have fully retired and relinquished your licence to practice and no longer participate in the annual appraisal cycle, you will get a 75% discount on our full membership fee
  • Life membership: Alternatively you can apply for Life membership by paying a lump sum equal to three times the full annual subscription fee for the current membership year. Life membership payments are tax deductible, provided payment is made during the retirement year while still in employment. If you have reached 40 years continuous membership or are age 70 by 1 April, you will automatically be awarded Life Membership or Life Associateship. No further membership fees will be due.
  • Associate and lapsed memberships: If you're a fully GMC registered medical practitioner and have completed vocational training for general practice, but have not passed the MAP or MRCGP assessments, then Associate membership is the option for you. If you are a lapsed member you can apply for reinstatement (PDF file, 895 KB).


You may wish to apply for Fellowship, looking at a summation of your career in General Practice. RCGP awards fellowship in recognition of a significant contribution to medicine, and general practice in particular.

Fellows are ambassadors for RCGP. Fellowship is an honour and mark of achievement recognising a significant contribution to:

  • health and welfare of the community
  • science or practice of medicine
  • aims of RCGP, or any organisation which benefits general practice.

Taking a career break

If you are considering taking a career break from general practice or you are returning to practice in the UK after a period away, the BMA have a web page dedicated to providing career break advice for GPs.

Joining or returning to NHS general practice in England

It is possible to enter or return to NHS general practice later in your career or after a period of retirement.

The NHS GP Induction and Refresher (I&R) Scheme is designed to provide a safe, supported and direct route for qualified GPs to join or return to NHS general practice.

The scheme can be tailored to meet your needs, experiences and personal commitments and also includes financial support. It is available to:

  • UK trained GPs returning to the UK from working or volunteering abroad
  • UK trained GPs taking a gap of over two years from clinical work as NHS GP
  • GPs from abroad

Retention scheme

There is support available if you are seriously considering leaving general practice through the National GP Retention Scheme. The scheme is a package of financial and educational support to help doctors, in England, who might otherwise leave the profession, remain in clinical general practice.

The scheme is open to doctors who meet ALL of the following criteria:

  1. Where a doctor is seriously considering leaving or has left general practice (but is still on the National Medical Performers List) due to:
    a. Personal reasons – such as caring responsibilities for family members (children or adults) or personal health reasons OR
    b. Approaching retirement OR c. Require greater flexibility in order to undertake other work either within or outside of general practice.
  2. And when a regular part-time role does not meet the doctor’s need for flexibility, for example the requirement for short clinics or annualised hours.
  3. And where there is a need for additional educational supervision. For example, a newly qualified doctor needing to work 1-4 sessions a week due to caring responsibilities or those working only 1-2 sessions where pro-rata study leave allowance is inadequate to maintain continuing professional development and professional networks.

Changing your status on the GMC register and giving up or restoring your licence to practice or registration

Care should be given when changing your status on the GMC register and giving up or restoring your licence to practice or registration. If you provide medical services you need a licence to practice - this may include jobs that do not involve direct patient contact. It is important to check the GMC guidelines and seek advice from your current responsible officer before giving up your licence.

Leaving or changing your status on the Performers' List

Leaving the Performers' List

Coming off the Performers' List can be much easier than getting back on. If there is any chance at all that you will wish to see patients in the future, consider remaining as a locum whilst you think about your options. The decision-making process may be difficult so discussions with friends, colleagues, your appraiser or LMC may be helpful.

Primary Care Support England's Performers' Lists webpage provides further information.

Making a change

To change your status (e.g. from locum to salaried), registered address or place of work on the Performers List download the National performers lists change notification form.

Support if you undertake a low volume of NHS general practice clinical work

A guidance document is available from NHS England: Supporting doctors who undertake a low volume of NHS General Practice clinical work.

This includes information on appraisals and the form to complete if you are undertaking less than 40 NHS GP sessions per year.

Mentoring: Supporting mentors scheme

This is a scheme supported by national funding, delivered by ICSs/STPs, aimed at supporting GPs through creating an opportunity to develop mentoring skills, and to working in a different way. The overarching aim is to retain experienced GPs working in primary care through creating this portfolio working opportunity, while supporting less experienced GPs through high quality mentoring.

Commitment: Three clinical sessions and one mentoring session per week, with mentoring training leading to mentoring qualification.

For more details about local availability, check with your local PCN.

Supporting Mentors Scheme Guidance for 2020/21 from NHS England.

Information for freelance GPs

The National Association of Sessional GPs provide information and support to those working as freelance GP locums.

Advice on pensions

The key resource for information and advice on pensions is the BMA pensions web pages.

Contact your BMA Local Medical Committee (LMC)

BMA LMCs are local committees of NHS GPs which represent their interests, in their localities, to the NHS health authorities.

Personal stories