{"id":2840,"date":"2023-12-13T12:32:18","date_gmt":"2023-12-13T12:32:18","guid":{"rendered":"https:\/\/gp-training.hee.nhs.uk\/bristol\/?page_id=2840"},"modified":"2024-01-29T15:19:47","modified_gmt":"2024-01-29T15:19:47","slug":"the-working-week-as-a-gp-trainee","status":"publish","type":"page","link":"https:\/\/gp-training.hee.nhs.uk\/bristol\/gp-training\/trainees\/the-working-week-as-a-gp-trainee\/","title":{"rendered":"The Working Week as a GP Trainee"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Guidance for Full Time and LTFT Doctors in Training<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prior to starting your GP practice placement, your supervisor should agree a work schedule with you. Below is guidance in compiled from the Severn Deanery School of Primary Care, RCGP, and the GMC-approved RCGP curriculum.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Click on the arrow heads below to show the answers to the FAQs. The subsections are titled to aid navigation.<\/p>\n\n\n\n    <nav class=\"nhsuk-contents-list\" role=\"navigation\" aria-label=\"Headings on this page\">\n        <h2 class=\"nhsuk-u-visually-hidden\">Contents<\/h2>\n        <ol class=\"nhsuk-contents-list__list\">\n\n\t\t\t\n                <li class=\"nhsuk-contents-list__item\">\n                    <a class=\"nhsuk-contents-list__link js-scroll-to\" href=\"#nhs-block-anchor-3\">Hours and structure of the working week<\/a>\n                <\/li>\n\n\t\t\t\n                <li class=\"nhsuk-contents-list__item\">\n                    <a class=\"nhsuk-contents-list__link js-scroll-to\" href=\"#nhs-block-anchor-9\">Less than full time (LTFT) working<\/a>\n                <\/li>\n\n\t\t\t\n                <li class=\"nhsuk-contents-list__item\">\n                    <a class=\"nhsuk-contents-list__link js-scroll-to\" href=\"#nhs-block-anchor-16\">Annual Leave<\/a>\n                <\/li>\n\n\t\t\t        <\/ol>\n    <\/nav>\n\t\n\n\n<h2 class=\"wp-block-heading\" id=\"nhs-block-anchor-3\">Hours and structure of the working week<\/h2>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-c7c0c35f24c65aa92e9c32cdde29bde9 is-layout-flow wp-block-details-is-layout-flow\"><summary>How many hours is a GP trainee\/registrar contracted to work whilst in a <strong><em>GP training post<\/em><\/strong>?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-6e50e5c90f1a145546487e0be42f7d28 wp-block-paragraph\">40 hours per week at full time equivalent. For trainees working less than full time (LTFT) this is adjusted on a pro-rata basis (i.e. an 80% WTE trainee is contracted to work 32 hours per week).<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-ff39dc4942ae5a37d2a5b40a1092a07f is-layout-flow wp-block-details-is-layout-flow\"><summary>How is the working week structured?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-c36b171bddce015998269c658f25d2ba wp-block-paragraph\">In theory, the 40 hour working week is divided into 10 x 4 hour nominal sessions (7 clinical and 3 educational) but this does not fit well with most GP working days (often 8.30am to 6.30pm) so it is easier to think about it in terms of hours. See below for more information.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-6a1956e86d3315afa29108ea38588c28 is-layout-flow wp-block-details-is-layout-flow\"><summary>What activities should be included in trainees\u2019 contracted hours?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-f8574b3b35020452c55282e1adaf0fe0 wp-block-paragraph\"><strong>28 hours clinical activity, with 1 hour of clinical admin time for every 3 hours of patient contact.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Clinical activity time includes: booked appointments, unscheduled care (duty doctor), any home visits. This works out to 21 hours direct patient contact and 7 hours clinical admin.<\/li>\n\n\n\n<li>Debrief time: during each session of direct patient contact, adequate debrief time should be included in the work schedule. As a guide: many deaneries use example GP training rotas (see <a href=\"https:\/\/primarycare.peninsuladeanery.nhs.uk\/assets\/AA-Peninsula-and-Severn-files\/GP\/GPtrainRot.docx\">here<\/a>) which include a 30 minute debrief slot per session. However, the precise ratio of debrief to direct patient contact time is not stipulated in the 2016 contract, nor in the NHS Employers Guidance for work scheduling.It is expected to vary according to the experience of the Doctor in Training and should be agreed between the DiT and their supervisor.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-bb3ddcf4fa9400a5bc34328f8cc3dfdd wp-block-paragraph\"><strong>12 hrs educational activity, split as follows:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>4 hours external structured education (induction days, half-day release on Wednesdays, timetabled Education Provider Organisation [EPO] sessions). These are deducted from total study leave allowance (see <a href=\"https:\/\/gp-training.hee.nhs.uk\/bristol\/gp-training\/trainees\/leave\/study-and-professional-leave-guidance\/\">here<\/a> for further details on study leave).<\/li>\n\n\n\n<li>4 hours practice based structured teaching (this includes supervisor tutorials, joint surgeries, practice based learning events, some induction activities).<\/li>\n\n\n\n<li>4 hours independent educational activity\/self-study. These sessions are not deducted from study leave allowance.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-5f4f9e391f08fd65f8cda1e8be8ebbed wp-block-paragraph\">Not every week will be the same once study leave, annual leave and public holidays etc. are taken into account, so over a 12 month ST3 year there should be approximately:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>44 x 4 hour External Structured Teaching Sessions &#8211; (deducted from study leave allowance)<\/li>\n\n\n\n<li>44 x 4 hour Practice based structured education (2 of 4 hours protected)<\/li>\n\n\n\n<li>44 x 4 hour Independent education activity sessions<\/li>\n\n\n\n<li><strong>N.B. <\/strong>For ST1 or ST2 trainees on GP placements on a 6 month post &#8211; these numbers would be halved.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-a55901b3175129c0b52a7e14e6ab0352 wp-block-paragraph\">For trainees working&nbsp; Less Than Full Time (LTFT) please see below.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-437ad16a1639910aaead3555805cdbee is-layout-flow wp-block-details-is-layout-flow\"><summary>How is out-of-hours (OOH) work (i.e. Brisdoc shifts for Bristol patch trainees) accounted for in the contract?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-9085d98081da6c74d0f11cf45206d321 wp-block-paragraph\">Time worked during out of hours shifts should be deducted from the trainee\u2019s clinical activity time and taken as leave by the trainee as time in lieu.<\/p>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-8b1348a52358c4d9b8f18e22a90b8206 wp-block-paragraph\">How this time in lieu is taken is decided by agreement between the trainee and their host practice. This may be taken back per shift worked (i.e. a 4 hour shift worked in OOH may be claimed back as a session of additional leave), or by taking a number of shorter working days over the course of several months (i.e. three 4-hour OOH shifts may be accounted for by the trainee working one hour less per week over a 12 week period).<\/p>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-6ac4810283844f746b268aa04a86756b wp-block-paragraph\">There is no set minimum or maximum amount of OOH shifts a trainee can undertake. Doctors are not required to do a specified number of hours\/shifts worked OOH &#8211; only that the UUSC exposure overall (both in-hours and OOH) should be sufficient.<\/p>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-81d48d7de6c97de92c7db2a3e5222d44 wp-block-paragraph\">The following page is up to date as of July 2023 and contains further detail on UUSC requirements: <a href=\"https:\/\/primarycare.peninsuladeanery.nhs.uk\/about-us\/gp-specialty-trainees\/uusc\/\">https:\/\/primarycare.peninsuladeanery.nhs.uk\/about-us\/gp-specialty-trainees\/uusc\/<\/a><br>See also: <br><a href=\"https:\/\/primarycare.severndeanery.nhs.uk\/training\/trainees\/uusc\/\">https:\/\/primarycare.severndeanery.nhs.uk\/training\/trainees\/uusc\/<\/a><br><a href=\"https:\/\/www.rcgp.org.uk\/mrcgp-exams\/wpba\/urgent-unscheduled-care\">https:\/\/www.rcgp.org.uk\/mrcgp-exams\/wpba\/urgent-unscheduled-care<\/a><\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-29b1e5aa045184107c04eafa3bb236e3 is-layout-flow wp-block-details-is-layout-flow\"><summary>Where can I find more information on the working week?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-4a98a00ce0a5f92597c1af2762f1843d wp-block-paragraph\"><a href=\"https:\/\/primarycare.severndeanery.nhs.uk\/training\/trainees\/the-working-week-and-the-new-junior-doctor-contract-njdc\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/primarycare.severndeanery.nhs.uk\/training\/trainees\/the-working-week-and-the-new-junior-doctor-contract-njdc\/<\/a><\/p>\n<\/details>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nhs-block-anchor-9\">Less than full time (LTFT) working<\/h2>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-f9836fa7ec1953f5434969dcc2f3fe10 is-layout-flow wp-block-details-is-layout-flow\"><summary>I am a trainee working LTFT. How should the split of clinical and educational activities be adjusted according to my contracted working hours?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-515ff81c13b568d55bdbef059ddee7c3 wp-block-paragraph\">The work schedule for a LTFT GP trainee in a practice placement should reflect the same <strong>proportion<\/strong> of clinical and education sessions as a full-time work schedule.<\/p>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-0c01e625310bc95e735f3968574b8043 wp-block-paragraph\">The work schedule should ensure that LTFT trainees are able to receive the proper proportion of the intended training opportunities in the placement.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-eb47492c1f194970e6178a2bd5e69b41 is-layout-flow wp-block-details-is-layout-flow\"><summary>How is study leave allowance adjusted for LTFT trainees?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-2768b2f261e957c202f6f6dec44504ed wp-block-paragraph\">Per 12 month period, LTFT trainees have a pro-rata allowance which is calculated according to their % working time equivalent. For example, an 80% WTE trainee is allocated 24 days; a 60% WTE trainee is allocated 18 days.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-f2cf24f0f825d28ce6828fb934e74dec is-layout-flow wp-block-details-is-layout-flow\"><summary>What should trainees be doing if there is no external structured teaching (i.e. half-day release on Wednesdays) during the week?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-54443efde451bc70e837e88e5c62098c wp-block-paragraph\">For full-time trainees: you are not expected to be in clinic as it is your educational time. <\/p>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-b48d5748e0223ffd6ba600973ba9ab28 wp-block-paragraph\">As per the School of Primary Care website, activities may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Teaching Programme Induction days<\/li>\n\n\n\n<li>Timetabled Education Provider Organisation (EPOs such as BGPERT, SGPET, GGPET)<\/li>\n\n\n\n<li>Topic Teaching<\/li>\n\n\n\n<li>AKT and CSA courses provided by local RCGP Faculty<\/li>\n\n\n\n<li>Careers Fair<\/li>\n\n\n\n<li>Attending ST3 practice for ST2 trainees<\/li>\n<\/ul>\n\n\n\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-993e5ea382ae0b5dba5ba1ea63b847ce wp-block-paragraph\">For less than full time trainees, this depends on the stage of training, your work schedule, and the proportionate split of clinical vs. educational time which has been allocated within your work schedule. See &#8220;How should LTFT trainees plan their attendance at half-day release&#8221; below for further information.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-692aacb470936244b55a48af8abb2c00 is-layout-flow wp-block-details-is-layout-flow\"><summary>How should LTFT trainees plan their attendance at half-day release?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-596cd8e74113d5ffa10f819846eed27b wp-block-paragraph\">For ST3s there are, broadly speaking, two possible approaches. This should be decided upon in agreement with their educational supervisor. Whichever their approach, the minimum attendance expected at half-day release education sessions is 70% for that particular training year.&nbsp;<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>ST3s can attend every half-day release over a 12 month period. <br>This may be preferable to many trainees, as attending half-day release from August to August keeps trainees within one peer group throughout. <br>As described in the study leave section, this roughly amounts to 15 days study leave over the 12 months. <br>There may be some variation in this figure according to when the DiT takes annual leave. <br>Upon completion of the initial 12 months, a LTFT trainee may need to transition to either performing clinical activities on Wednesday afternoons (the usual time for half-day release) <strong>OR<\/strong> independent educational activity\/self study for the remainder of their ST3 training, with the agreement of their educational supervisor. This&nbsp;decision will be determined by the structure of their work schedules and which activities, up to that point, had been disproportionately affected by their half-day release attendance.<br>This is based upon the GMC-approved RCGP curriculum which states that ST3 training should be 12 months duration at whole time equivalent. <br>See: <a href=\"https:\/\/www.rcgp.org.uk\/your-career\/qualifying-as-a-gp\/cct-guidance\/training-guidance\">https:\/\/www.rcgp.org.uk\/your-career\/qualifying-as-a-gp\/cct-guidance\/training-guidance<\/a><\/li>\n\n\n\n<li>Alternatively, ST3s can attend 30 half-day release sessions over the total duration of their training year or rotation, amounting to a total of 15 days of their total study leave allowance.<br>For example:<br>An ST3 working at 60% WTE described above would attend approximately 30 half-day release education sessions over the course of the total 20 month ST3 GP placement.<br>If this approach is taken, then the Wednesday afternoons when the ST3 has elected to&nbsp;<strong>not<\/strong>&nbsp;attend teaching will either need to include an alternative form of education session (e.g. independent self-study), or may need to include some sessions performing clinical activities. This decision should be made in consultation with their educational supervisor, with the aim to achieve the best proportionate split between clinical and educational activities, considering the trainee&#8217;s work schedule across the full ST3 training year.<\/li>\n<\/ol>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-51fbe7695c061494fc6b5de848982660 is-layout-flow wp-block-details-is-layout-flow\"><summary>How should rest breaks be accounted for in the working day?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-f9ba26e3d2a50aa5010aca890caeb611 wp-block-paragraph\">Trainees now get a paid 30 minute break for every period of work over 5 hours. This is often allocated as a lunch break.<br>Practically speaking, this should be deducted from the clinical activity, or the educational activity, depending on the particular structure of that working day. This is in order to prevent the working day from being inappropriately extended to allow for breaks.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-40283c24d2b98a342691cb7745bcbcb8 is-layout-flow wp-block-details-is-layout-flow\"><summary>Where can I find more information on Less Than Full Time working?<\/summary>\n<ul class=\"has-nhs-black-color has-text-color has-link-color wp-block-list wp-elements-3394ae7c80d93c11cd90fa014152f0a2\">\n<li><a href=\"https:\/\/www.primarycare.severndeanery.nhs.uk\/training\/trainees\/less-than-full-time-working-policy-2022\/\">https:\/\/www.primarycare.severndeanery.nhs.uk\/training\/trainees\/less-than-full-time-working-policy-2022\/<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.nhsemployers.org\/articles\/work-scheduling-templates-2016-junior-doctors-contract\">https:\/\/www.nhsemployers.org\/articles\/work-scheduling-templates-2016-junior-doctors-contract<\/a><\/li>\n<\/ul>\n<\/details>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nhs-block-anchor-16\">Annual Leave<\/h2>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-c3864b1bfef1d2e2b1142e21640f0154 is-layout-flow wp-block-details-is-layout-flow\"><summary>Is the practice responsible for monitoring a trainee&#8217;s annual leave or is it the Lead Employer?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-79ee552480d4a5d193e6dde43f343df8 wp-block-paragraph\">&nbsp;It is the responsibility of the trainee to keep track of their annual leave and ensure you take only what you are entitled to, but it is recommended that practice also keeps a separate record of your annual leave, as it does for its other staff.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-88b93443c570a51baa1b48ad537fd754 is-layout-flow wp-block-details-is-layout-flow\"><summary>Is it better to calculate leave in hours or days<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-9289eb8d722936471df00f23124aa120 wp-block-paragraph\">As all days are not equal length (<em>some trainees may choose to work 4x 10-hour days, others 5&#215;8 hour days, but both work 40 hours weeks and are entitled to the same amount of annual leave<\/em>), it makes sense to record annual leave in hours \u2013 27 or 32 days (depending on length of service) x 8 hours = 216 or 256 hours.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-ae094cf7385f6d6124e8c92f47e46e33 is-layout-flow wp-block-details-is-layout-flow\"><summary>How should I account for taking time off in lieu (TOIL) after I have done an Out Of Hours (OOH ) shifts?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-0d9a76d134415ad28b8aa91b39c9512c wp-block-paragraph\">It should be a straightforward conversion. If you do a 6-hour OOH clinical shift you are entitled to take 6 hours off from your standard rota clinical hours.&nbsp; If your shift is entirely observing another clinician, with no direct clinical work, then the time should be deducted from the educational time in the week.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-d38eec7af481cf47572d06fe16f36c40 is-layout-flow wp-block-details-is-layout-flow\"><summary>How do I account for my educational sessions if I take several days leave?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-b8567137f3470fe680d8ffedacfacf80 wp-block-paragraph\">It is important to remember to include your educational time in your leave calculations e.g. if your 4 hours of independent study time is on a Thursday morning, and you are taking a Wednesday and a Friday off as leave, then your practice will assume that you are also taking off your 4 hrs of study time as leave too. If this is not the case, then this will need to be explained to your practice in advance of your leave, with a clarification of what work you are doing during your study time (your practice may ask for verification of this afterwards).<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-bfce893896a37617d7d94521abf642aa is-layout-flow wp-block-details-is-layout-flow\"><summary>If I overrun in my clinic, can I claim for toil\/hours back?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-01a37c54a9179147453db380f9687b33 wp-block-paragraph\">You cannot claim for TOIL\/hours back, but discuss with supervisor re: appointments, time management, your clinic\/surgery structure, work schedule and so on. It is important to ensure that your supervisor sits down with you and you jointly agree on a work schedule at the start of their placement.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-89817c1c72ed08175a6c07b429fd05e8 is-layout-flow wp-block-details-is-layout-flow\"><summary>How much notice do I need to give for annual leave?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-0d1aa160ed2a583e970a3f407143bddb wp-block-paragraph\">This needs to be agreed with the practice. Many expect to be given at least 6 weeks notice. Although you\u2019re supernumerary, you need to give advanced notice of any type of leave, depending on how the practice is run.<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-a584be5ed0bcc02a43401b0746abacbe is-layout-flow wp-block-details-is-layout-flow\"><summary>Does a trainee\u2019s annual leave allowance carry over from a previous placement?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-4d17a125e37a47807550c42d56b4f5c1 wp-block-paragraph\">A trainees annual leave allocation is proportional to the length of their placement. For example, a 6 month placement would have 50% of their annual leave allocated.&nbsp; This is also easier when calculated in hours<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-nhs-dark-blue-color has-text-color has-link-color has-medium-font-size wp-elements-ee4e2ec5824c191b6c40ca3167de6ade is-layout-flow wp-block-details-is-layout-flow\"><summary>What if there are any issues or disagreements?<\/summary>\n<p class=\"has-nhs-black-color has-text-color has-link-color wp-elements-c52aa9584132cca95ed0393acacde544 wp-block-paragraph\">Communication, respect and mutual flexibility between trainee and practice is to be encouraged. If the issue cannot be resolved then it should be taken to your supervisor, then the lead employer (for Severn trainees, this is Gloucester Hospitals NHS Foundation Trust).<\/p>\n<\/details>\n","protected":false},"excerpt":{"rendered":"<p class=\"nhsuk-card__description\">Guidance for Full Time and LTFT Doctors in Training Prior to starting your GP practice placement, your supervisor should agree [&hellip;]<\/p>\n","protected":false},"author":189,"featured_media":0,"parent":73,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":"","_members_access_role":[],"_members_access_error":"","_links_to":"","_links_to_target":""},"class_list":["post-2840","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Working Week as a GP Trainee - Bristol GP Training Scheme<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gp-training.hee.nhs.uk\/bristol\/gp-training\/trainees\/the-working-week-as-a-gp-trainee\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Working Week as a GP Trainee - 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