BSW

GP Starter

Pack

Dr Joanne Sinclair Special thanks to Dr Lucy Clayton and Dr Kirran Bilkhu June 2020

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Contents Sec>on

Topic Page No.

1. Introduc,on 3

2. Essen,als for prac,cing as a GP in the UK

4

3. Pointers for induc,on

7

4. IT/Computer Tips 9

5. Preparing your doctor’s bag

10

6. Keeping up to date

11

7. Personal and Career Development

14

8. Sources of support

15

9. Guide to Appraisal and Revalida,on

17

10. GP Pensions 21

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1: Introduc>on

Congratula,ons on comple,ng your training and welcome to the world of General Prac,ce!

It can feel quite daun,ng becoming a fully independent prac,,oner without the safety-net of formal de-briefs and educa,onal supervisors.

This resource pack aims to help equip you with the informa,on you need to transi,on smoothly into life as a newly qualified GP.

Care has been taken to ensure it is relevant and up to date at the ,me of wri,ng, but please do check with each organisa,on directly and follow the website links.

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2: Essen>als for prac>cing as a GP in the UK

To work as a fully-fledged GP in the UK you need to have the following in place.

1. CCT (cer,ficate of comple,on of training) from RCGP 2. To be on the GMC’s specialist GP register 3. To be on the Na,onal Performer’s List 4. To have indemnity to cover your work.

Ge#ng your CCT You must apply to both the GMC and RCGP for your CCT. The GMC will invite you to apply to them in the last four months of your training programme. This will be via the email address the GMC hold for you.

You will usually have your final educa,onal supervisor mee,ng in May (if you are on an August/August training programme) – this comes around very quickly a_er the mid-year review which is usually February ,me. It is worth no,ng you need to have all your OOH shi_s done, or at least booked by this mee,ng. Also make sure things like QI projects are finished. At the same ,me as the final educa,onal supervisor mee,ng the final clinical supervisor mee,ng also needs to be completed and all areas must be marked as ‘competent’. Your porfolio will then be checked by a local Training Programme Director (TPD) and finally by the HEE ARCP panel.

Once your ARCP is approved (outcome 6) in an email from HEE, you need to log in to your RCGP eporfolio and ‘accept’ the ARCP outcome. You can then press the bugon which allows you to ‘apply for CCT’. The RCGP then send you a confirmatory email and they contact the GMC with a ‘recommenda,on’. You will get an email from the GMC a couple of weeks later.

Ge#ng on the GMC GP register You also need to apply for your CCT through your GMC login (the email from the RCGP should remind you to do this). Go to your GMC login -→my registra,on →my applica,ons You then need to pay for your CCT (about £420) and they will send you your cer,ficate a few weeks later.

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Changing status on Na5onal Performers List As a GP prac,sing in the UK you must be on the na,onal performers list (NPL). The performers list essen,ally provides an extra layer of reassurance for the public that GPs, den,sts and op,cians who prac,ce in the NHS are suitably qualified and have passed other relevant checks such as with the DBS and NHS Li,ga,on Authority.

You need to update Primary Care Support England (PCSE) when your circumstances change e.g. when you change from a registrar to a fully qualified GP (and whenever your details change e.g. if you become a partner, change name or place of work). This process used to be long and laborious and included downloading and filling in forms by hand. Thankfully it has now moved online which will hopefully mean it is much simpler and quicker! PCSE online is the new plaform for submission and approval of performer list changes and applica,ons. In the future the aim is to include informa,on about pensions on the same plaform.

If you have any problems with PCSE online, you can use the online form or contact their customer support centre on 0333 014 2884.

The revalida,on team are updated by PCSE and then contacted me via email the following day. You can s,ll work if you have updated PCSE but your NPL status hasn’t been updated yet so don’t panic!!

Indemnity The government’s state backed clinical negligence scheme for general prac,ce came into opera,on on 1 April 2019. It provides cover for clinical negligence issues associated with NHS pa,ent care that occurs on or a_er this date.

What it covers – NHS work only (in England), everyone from recep,onists to pharmacists to GPs, cover is automa,c (no need to apply) and no payments are required. Scheme is operated by NHS resolu,on

What it doesn’t cover – private work, inquests, regulatory and disciplinary proceedings, employment and contract disputes, non-clinical liabili,es. Any claims rela,ng to incidents before the 1st April will need to be reported to you

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MDO. You s,ll need to be covered by an MDO to cover you for non-NHS work e.g. death cer,ficates/crem forms

Below is a link to a helpful video: hgps://resolu,on.nhs.uk/services/claims-management/clinical-schemes/clinical-negligence-scheme-for-general-prac,ce/

Run-off cover Medical negligence claims can arise many years a_er the original incident. You need to check if you have occurrence-based cover (most GPs have this) or claims made over. Occurrence based cover means that you are protected for any claims that take place during your period of indemnity with that provider (even a_er you cease your membership). Claims made cover means you are only covered for incidents which occur within a specific agreed ,meframe. If you only have claims made cover, you may need to purchase addi,onal ‘run-off cover’ in order to provide you with back-dated protec,on.

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3: Pointers for Induc>on

Arranging a proper induc,on is good prac,ce to ensure safety and will ul,mately reduce the number of queries saving ,me all round.

Building/out and about • Keycodes for doors/FOB/car park pass • Satnav - ensure this is working to save ,me and stress • Emergency bag/equipment - where to locate it and what is in it • Emergency telephone number for the prac,ce - e.g. if running late/off

sick to avoid having to go through recep,on

Room • Panic bugon • List of internal and external phone numbers including acute care

numbers and language line code • Equipment - check the clinical equipment you have, and need is working,

and PAT tes,ng is up to date! • See IT/computer ,ps for more specific advice

Policies and procedures Every prac,ce does things differently, and things change quickly. As well as reading the usual policies and procedures ask for an induc,on/locum pack. If this is not available, try to familiarise yourself with the following: • Repeat prescrip,ons • Referrals - 2 week waits, rou,ne and changes in forms etc. • Legers and coding • Results - procedure for ac,oning and buddying • Tasks - secretaries, recep,on/admin, who deals with what • QOF - reminder of how to access templates and update on changes • How the prac,ce communicates with each other - ensure you are on the

mailing lists for appropriate email/no,fica,ons

Documents to consider having ready For locums: • ID - passport/driving licence, proof of address.

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• Original GMC cer,ficate • Proof of recent DBS check (number if available) • Leger of being on a Performers List • Original Primary Degree Cer,ficate and qualifica,ons • Proof of immunisa,ons, including Hep B • Your Terms and Condi,ons

For all: • Indemnity Insurance • Level 3 Safeguarding/Adult Safeguarding • Basic Life Support Training • Car insurance (for Business use) for home visit

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4: IT/Computer Tips

Taking a ligle ,me to have things set up in advance can save ,me in consulta,ons and avoid unnecessary hold ups and glitches.

General • Smart card - email your number to the prac,ce to ac,vate in advance • Computer - have a run through computer (and printer) prior to seeing

your first pa,ent • Printer paper - who is responsible for loading this (and where it is kept)

Logins • Windows login, Clinical system login, ICE/test reques,ng, Intranet,

Dicta,on, NHS email, Blue Stream • Consider logins for GP access, Choose & Book, Adastra • Instant messaging system - familiarise yourself with this • Ask to be included onto email circulars/update lists

Referral Procedures Ask the secretaries the correct method for 1) referrals 2) advice and guidance forms 3) guidelines for individual specialty 4) service restric,ons 5) acute care numbers and protocols 6) 2WW referrals 7) community referrals 8) safeguarding.

Prescribing Guidance • For local prescribing guidelines and formularies hgps://prescribing.wiltshireccg.nhs.uk/formulary

References: NASGP induc;on advice h=ps://www.nasgp.org.uk/spip/

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5: Preparing your doctor’s bag

Different prac,ces will have different equipment available for salaried and locum GPs. Most locum GPs re-stock their own doctor’s bags whereas salaried GPs may be able to use prac,ce supplies. It is worth considering what you need for a typical surgery or home visit. Some useful items are listed below.

Stethoscope Otoscope Ophthalmoscope BP machine Tendon hammer Gloves Tongue depressors Thermometer Pulse oximeter Phlebotomy kit and sharps bin Urine dips,cks Urine pots Glucometer Peak flow meter Lubricant jelly Alcohol hand gel Pregnancy tests Swabs

Emergency drugs Some GPs carry a selec,on of emergency drugs. The exact drugs may depend on your area (e.g. proximity to A+E services and 24-hour pharmacists) and the medical condi,ons you are likely to come across. Some prac,ces supply their regular GPs with a supply of medica,ons, but if you are a locum you will need to re-stock your own by doing a private prescrip,on. If you plan to carry controlled drugs you must take measures to safeguard these appropriately.

Further informa,on can be found at hgps://locumorganiser.com/geqng-started/doctors-bag/.

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6: Keeping up to date

Without weekly VTS teaching to keep you up to date, you will need to start ac,vely seeking out CPD. The good news is there are a huge variety of op,ons available, so you just need to choose which suits you best!

Aim for 50 hours of CPD a year. Pick an appraisal toolkit provider to log your learning and hours. Some examples are;

• GP Toolkit (free) • Clarity • Fourteen Fish

NQGs (Newly Qualified GPs) email bswccg.traininghub@nhs.net This new scheme offers lots of CPD opportuni,es; ▪ Peer-to-peer support ▪ Webinars and Educa,on Trust membership ▪ Virtual PBL group (for you to discuss individual PUNS & DENS) ▪ Experienced Mentor

The new BSW Training Hub website has lots of informa,on in the GP sec,on hgps://bswtraininghub.nhs.uk/professional/gp/ As well as informa,on on local training events hgps://bswtraininghub.nhs.uk/training-calendar/

Bath GP Educa5on & Research Trust - provides con,nuing educa,on for GPs and Nurse Prac,,oners hgps://www.bathgped.co.uk/

Swindon Educa5on Trust - provides high quality educa,onal events for GPs working and training within the Swindon, Wiltshire and Cirencester area. hgps://www.swindongpeduca,on.co.uk Or email kim.taylor18@nhs.net for more informa,on.

As well as the websites above, it may be helpful to keep on mailing lists locally for updates on learning events e.g. RCGP, LMC, BSW CCG, Appraisal and revalida,on. See links below.

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• BSW CCG updates bswccg.primarycare@nhs.net • Appraisal and revalida,on team updates - england.revalida,on-

support@nhs.net • LMC updates / webinars - office@wessexlmcs.org.uk hgps://www.wessexlmcs.com/wessexlmcsvideopodcasts • RCGP updates - updates@rcgp-news.com

E-learning • RCGP Essen,al Knowledge Updates

hgps://elearning.rcgp.org.uk/ • Clinical Modules on doctors.org.uk hgps://www.doctors.net.uk/educa,on • BMJ

hgps://www.bmj.com/uk/educa,on • COVID- 19 resources;

BSW Rapid Training Guide for GPs hgps://bswtraininghub.nhs.uk/covid-19/ • Safeguarding;

hgps://www.e-lw.org.uk/programmes/safeguarding-children/ hgps://www.wessexlmcs.com/presenta,onstohelpbuildyourlevel3safeguardinghoursrequirement

• GP Technology - e-GPlearning supports clinicians with technology, enhanced primary care and learning: hgps://egplearning.co.uk

Also consider non-clinical learning through Blue Stream, indemnity providers, GMC and defence organisa,ons. All offer e-learning modules and bulle,ns.

Podcasts A fantas,c, ,me efficient way to learn on the go, take a ligle ,me to prepare in advance and you can learn while on the move:

• NB Medical do a free weekly podcast with all the latest on COVID-19; hgps://www.nbmedical.com/NBPodcasts • BMJ Podcast; hgps://www.bmj.com/archive/podcasts • 2 Paeds in a Pod

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• RCGP eLearning podcasts • Wessex LMC hgps://www.wessexlmcs.com/wessexlmcsvideopodcasts • GP Podcast by Ockham Healthcare for all the latest on changes in GP • BBC Radio 4 Inside Health • You are not a Frog (wellbeing) • Primary care knowledge boost - via pod bean • GP Notebook updates • Fontanelle (excellent paeds podcast) • eGP learning - pod blast (General prac,ce technology innova,on) • DTB podcast

Social media Great for keeping up to date with current issues in GP o_en with a stream of cases posted by GPs with feedback and advice, a chance to reflect on how you would do things: • Facebook groups - Resilient GP, Tiko’s GP group, Physicians mums, • Twiger/Instagram - follow who you find inspira,onal (reflect on it and

put it in your appraisal toolkit!) • Interna,onal Medical graduates – Facebook group and website hgps://

theukimg.co.uk.

Webinars A great way to learn interac,vely from the comfort of your own home, there are increasing numbers of these including: • NB medical hgps://www.nbmedical.com/NBListWebinars • Red Whale hgps://www.gp-update.co.uk/webinars • BSW CCG webinars (details through CCG email updates and TeamsNet)

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7: Personal and Career Development

The first five years of General Prac,ce can be the most rewarding and the most challenging in equal measure. In Bath and North East Somerset, Swindon and Wiltshire, there are lots of opportuni,es to develop the career that you want.

NQGs (Newly Qualified GPs) email bswccg.traininghub@nhs.net This new scheme offers lots of CPD opportuni,es; ▪ Peer-to-peer support ▪ Webinars and Educa,on Trust membership ▪ Virtual PBL group (for you to discuss individual PUNS & DENS) ▪ Experienced Mentor

The new BSW Training Hub website has lots of informa,on in the GP and resources sec,ons hgps://bswtraininghub.nhs.uk/professional/gp/ As well as informa,on on local training events hgps://bswtraininghub.nhs.uk/training-calendar/

Next Gen GP An exci,ng opportunity for those wishing to develop their leadership skills further. Originally designed by three GP trainees this now runs in different areas na,onally, invi,ng inspiring speakers to offer their insights on leadership and change in General Prac,ce. To find out further details and find details of applica,on for the next course running locally see the website; hgps://www.nextgenera,ongp.co.uk/

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8: Sources of support

GP wellbeing and stress management is increasingly being recognised as vital for improving morale, resilience and ul,mately op,mising quality of care.

Prac>>oner Health This free confiden,al service offers ,mely and comprehensive healthcare for doctors and den,sts on a self-referral basis. The service is available to all doctors and den,sts who are on the GMC/GDC register (or have been within the last 12 months) in England.

NHS Prac,,oner Health can help with any mental health or addic,on issue which may be affec,ng your working life. Opening hours: Mon-Fri 8am-8pm and Sat 8am-2pm Telephone: 0300 030 3300 Email: prac.health@nhs.net Website: www.prac,,onerhealth.nhs.uk

LMC Pastoral Support Network A core part of the role of Wessex LMCs is pastoral support.

The LMC offers one to one support for GPs and Prac,ce Managers. Like everyone they might face a range of situa,ons from both challenges in the prac,ce to those in the rest of life. The LMC aims to support and develop individuals as they progress through their careers to support your prac,ce and YOU. hgps://www.wessexlmcs.com/pastoralsupport

NHS Southwest coaching If you are a frontline NHS worker, and feel you would benefit from having a safe space to talk things through then get in touch. It offers a safe, confiden,al, non-judgemental space where you can be heard, gain feedback and ques,oned to help your thinking in challenging ,mes.

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It can help you to:

• Ground, mo,vate and support yourself and your teams • Priori,se in a pressured and fast moving environment • Be flexible in your leadership style to the demands of the situa,on • Reflect, resource and remain resilient in challenging ,mes

30-60 minute virtual coaching sessions providing a safe confiden,al space that you may need just to off load. Please email your request to: dee@southwestcoaching.co.uk for availability.

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9: Guide to Appraisal and Revalida>on

What is revalida>on and why is it important? Revalida,on was introduced in 2012 and applies to all doctors who wish to retain their license to prac,ce in the UK. Revalida,on consists of an annual appraisal with an appraiser, and a 5 yearly revalida,on where all your appraisals will be taken into account by the responsible officer. There have been some recent updates to the requirements for the annual appraisal and the changes aim to minimise prepara,on ,me which is good news! Below is a link to some helpful guidance from NHS England: hgps://www.england.nhs.uk/mids-east/wp-content/uploads/sites/7/2018/08/guidance-on-prepara,on-for-medical-appraisal-for-gps.pdf

Guide to appraisal The key to a stress-free appraisal is to prepare well in advance! Hopefully this guide will give you some useful ,ps.

Choosing an electronic appraisal toolkit You can use any ‘GMC approved’ toolkit. They are all equally as good for appraisal purposes but some offer different things. Some are free and others are not. • GP tools hgps://www.gptools.org/ • Clarity hgp://www.clarity.co.uk • FourteenFish hgp://wwww.fourteenfish.com

Booking an appraisal The revalida,on team will contact you with an appraisal month and an appraiser (usually 3-4 months a_er you qualify). It is then up to you to contact your appraiser to arrange an appraisal mee,ng. Best to do this sooner rather than later as things like annual leave can otherwise make this tricky. The venue is usually your GP prac,ce or your appraisers GP prac,ce and the appraisal mee,ng itself generally takes 2-3 hours.

Appraisal Prepara>on In general, as with most things, it is best to start preparing early. One of the most useful ,ps is to log your CPD ac,vi,es at the ,me of doing them (or soon

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a_er). You can then see how much you have done so far that year and in which areas. It is also good to make a list of interes,ng cases which have caused you to learn or reflect – even if you don’t write a formal entry, as it will act as a reminder for nearer the ,me. Generally, you don’t need to upload cer,ficates except for mandatory training (i.e. safeguarding and BLS). You need to submit all your evidence 2 weeks before the date of your appraisal.

(NB: Following the “so_ reboot of appraisal” in light of COVID-19, strictly speaking no QIA or pa,ent feedback are REQUIRED annually at the ,me of wri,ng this, but some evidence would be useful and ideally include the following sec,ons)

Sec>ons of Appraisal toolkits (taken from Clarity) Professional Profile This is self-explanatory – you need to enter your personal details, qualifica,ons and memberships. You also need to explain your scope of work i.e. what roles you hold. This includes clinical and non-clinical, paid and voluntary roles – anything that you do as a medical professional.

PorJolio/AMP In this area you can log anything, but it won’t automa,cally be uploaded to your current appraisal. It also contains any data you have saved in the AMP app. You can add things to your current appraisal at any ,me.

Appraisal This area contains everything that will contribute to your next appraisal. Your appraiser will be able to see everything here (but nothing in your porfolio/AMP area). I personally find it easier to add entries directly to my appraisal area and therefore keep everything in one place.

Last year’s PDP For your first appraisal you can use the PDP agreed at your final educa,onal supervisor mee,ng.

CPD ac;vi;es You need 50 CPD points per year. Each hour of ,me spent on CPD is 1 point. CPD can be subjec,ve and so it is a good idea to have 55-60 points CPD to

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cover you if your appraiser feels you have been ‘over generous’ in alloca,ng yourself points!

CPD comes in many guises. Anything from self-study, to professional conversa,ons, to conferences and formal teaching will count. It is a good idea to have a variety of CPD modali,es covering a variety of topics, and importantly covering your whole scope of work. You only need to formally reflect on ONE CPD event per year (although you can reflect on more if you wish).

Quality improvement ac;vi;es

There are various types of quality improvement ac,vi,es. You only need to reflect on ONE per year (however you can reflect on more if you wish).

• Case reviews – this could be a complex or unusual case which resulted in a discussion amongst colleagues/change in procedure or policy

• Audits – one audit/quality improvement project to be completed every 5-year cycle

• Prac,ce development – include any changes made to prac,ce policies or procedures

• PUNS/DENS – ‘pa,ent unmet needs’ and ‘doctor educa,onal needs’. Think of any cases which have prompted a learning need for you, e.g. if you have wrigen for some advice and guidance/discussed a complex with another colleague, done some CPD as a result of a case.

• Research and teaching – this may or may not be relevant to you

Significant events Only record significant events which have reached GMC level here. Other significant events can be recorded as ‘learning events’

Learning events Use this sec,on to record any significant events which have not reached GMC level.

Pa;ent and colleague feedback Ideally you complete one formal MSF and one formal PSQ every 5-year cycle. MSF and PSQ can be generated easily through most appraisal toolkits eg. Clarity.

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Complaints/Compliments You need some evidence of informal pa,ent feedback at each annual appraisal. This can be done informally e.g. you can use cards or legers from pa,ents. If a recep,onist passes on a message from a pa,ent, ask them to put it in a task and then take a screenshot. (It must be anonymised before uploading to your porfolio)

Minor surgery log It is good prac,ce to keep a log of any procedures you undertake. Instead of logging each individual procedure; upload a single spreadsheet.

Review of GMC domains This sec,on requires you to summarise evidence rela,ng to each of the GMC domains:

Knowledge, skills and performance • Develop and maintain professional performance • Apply knowledge and experience to prac,ce • Record work clearly legibly and accurately

Safety and Quality • Contribute and comply with systems to protect pa,ents • Respond to safety risks • Risks posed by your health

Communica>on, Partnership and Teamwork • Communicate effec,vely • Work collabora,vely with colleagues • Teaching, training, suppor,ng and assessing • Con,nuity and co-ordina,on of care • Establish and maintain partnership with pa,ents

Maintaining trust • Show respect for pa,ents • Treat colleagues and fairly and without discrimina,on • Act with honesty and integrity

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10: GP pensions

PCSE online is responsible for managing the following GP pension processes:

• Respond to GP pension queries

• Receive es,mates of profit for principal and non-clinical partners,

salaried

• GPs to determine contribu,ons and ,er rate

• Receive GP year end actual profit cer,ficates on NHAIS

• Record solo and locum forms on NHAIS

• Make deduc,ons from remunera,on

• Process refunds or addi,onal payment requests via NHAIS monthly

• Update members’ records on NHAIS and via NHS Pensions Online or

manually for joiners, updates, leavers and re,rements

• Obtain pension es,mates and confirm membership as required

• Process re,rement applica,ons

• Liaise with widows/widowers for death benefits applica,ons

• Administer addi,onal pension applica,ons for prac,,oners

• Receive and process cheques, send to NHS SBS for banking and send

remigances to stakeholders

• Receive and process form A and B from Locums

• Receive and process GP Solo form from GP’s

• Recover employee pension contribu,ons from the GP registrar

payment (in specific areas) Link to the universal online enquiries form

for any pension query can be found at the link: hgps://

pcse.england.nhs.uk/contact-us/

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For Locums GP locums pensioning for GMS, PMS, APMS or appraisal NHS work should: Submit A&B forms to the PCSE online enquiries form using appropriate reference number.

Complete part 1 of the GP Locum A form and send with invoice to the GP prac,ce to sign and pay.

Locums should also complete Locum B form and make the appropriate payment using the specified reference number (see link below). Deadline is 10 weeks from the last day worked during a period of engagement to claim. Further details can be found at the link below: hgps://pcse.england.nhs.uk/services/gp-pensions/

Freelance GP locums in NHS Pension Scheme terms are those working under a contract for services and depu,sing for an absent GP or engaged on a temporary basis. Type 2 medical Prac,,oners must be employed or engaged under a more permanent basis by the prac,ce.

As you would no longer complete forms A and B, the surgery would inform PCSE of your es,mated income and collect scheme employee contribu,ons directly from you. They would then forward these plus employer contribu,ons directly to PCSE. At year end you would have to complete the assessment form.

For everyone Every year, GPs are required to submit either a Type 2 Medical Prac,,oner Self- Assessment of Tiered Contribu,ons Form or Annual Cer,ficate of Pensionable Profit Cer,ficate. Prac,ces are required to submit Es,mate of GP (and non-GP) Providers.

NHS Pensionable Profits/Pay

The table below summarises what needs to be completed, by whom and the deadline for submission.

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These forms are required so that PCSE can make any necessary adjustments to ensure the correct pension deduc,ons are made from your prac,ce in the following financial year (from April).

NB - if off on maternity leave you may be asked to complete an addi,onal maternity leave form. Once complete, please submit these forms via the online enquiries form or post to Primary Care Support England, PO Box 350, Darlington, DL1 9QN.

A full guide to the pensioning process can be found at: hgps://www.nhsbsa.nhs.uk/member-hub/informa,on-prac,,oner-locum-and-non-gp

Total Rewards Statements TRS are available to NHS Pension Scheme members working in NHS organisa,ons who use the electronic staff record system (ESR). It provides an overview if your pension benefits each year. The statements are released in August each year and rely on employers providing up to date informa,on to NHS pensions by 31 May.

Form To be completed and submiged to PCSE by

Deadline for submission to PCSE

Type 2 Medical Prac,,oner Self- Assessment of Tiered Contribu,ons Form

Annual Cer,ficate of PensionableProfitCer,ficate

Salaried/Assistant GPs (Type 2)

GP Partners and non-GP (Type 1) Limited company/partnership/single hander

28 February

28 February

Es,mate of GP (and non- GP) Providers NHS Pensionable Profits/Pay

GP Practices 1 March

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A TRS summarises an individual employee’s employment package, including: • basic pay • allowances • pension benefits for NHS Pension scheme members

You can access your statement online through 'ESR employee self-service' or 'GOV.UK Verify' or telephone 0300 330 1351.

Reference: hgps://www.nhsbsa.nhs.uk/employee-sec,on

Please be aware this informa,on may be subject to change over ,me. It is recommended to use the links and contacts provided to help find the most up to date informa,on.

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