GP Training

Before training starts

HEE Wessex will send you a conditional offer letter two months before you are due to start your training. This includes the Form R which you must complete to register onto the GP training programme and so that we can issue your National Training Number (NTN).

You will then be able to register with the Royal College of General Practitioners (RCGP) as an Associate in Training (AiT) and set up your trainee Portfolio.

The trainee Portfolio

In Wessex, since February 2020, we are fortunate to have been using the new FourteenFish Portfolio as a pilot. The new portfolio is more intuitive and allows evidence to be gathered more easily and the requirements are much more clear.

If you are having problems with the Portfolio, then please click ‘help’ at the bottom right of the screen when you are logged in to the Portfolio.

Medical Performers List

All GP Trainees must have applied to join the Medical Performers List (MPL) before they start their first placement in a practice. This is a professional requirement. Trainees who have not submitted their application will not be permitted to start work in the practice and are at risk of not being paid during this time.

The application process for GP trainees going into a practice in August 2020 is under review and we are awaiting further information.


This section is to ensure that GP trainees are aware of the specific requirements and resources available for their Annual Review of Competency Progression (ARCP). Information and guidance on the ARCP process can be found on our Accreditation and Revalidation pages which must be used in conjunction with this page.

Specific GP evidence and documents required for ARCP are in addition to the documents stated on the Accreditation and Revalidation pages.

The Annual Review of Competence Progression (ARCP) is a fundamental part of GP training. It is used to review each trainee’s progress throughout their training and decide on an outcome. To have an ARCP you must have completed an up-to-date educational supervisors report (ESR) and Form R (to be saved in the compliance passport area of the Portfolio).

You will have an ARCP at least once per year. If you are less than full time (LTFT) or have had some statutory leave, it is possible you will have more than one ARCP per year as we will need to review your evidence when you transition from ST1-2 and ST2-3, as well as on an annual basis. Between ARCPs, you will be expected to do at least one more ESR (likely to change to interim (shorter) ESR in August).

Your next ARCP date should be visible in the top right of your portfolio so please make sure all evidence is submitted 2 weeks before this date.  If you think this ARCP date may be wrong, please contact the GP team.

The annual review of competency progression (ARCP) panel look at all the evidence that is located in the trainee Portfolio.

For the exact requirements for GP training, you should frequently refer to the RCGP website mrcgp-workplace-based-assessment-wpba.aspx

Do not forget that to complete your GP training you will need to pass a tripos of assessments. You must continually engage with workplace-based assessments (WPBA), and pass both the applied knowledge test (AKT) and clinical skills assessment (CSA) exam.

From Dr Jonathan Rial, GP Associate Dean for ARCP

Enhanced learning opportunities for GP trainees

In Wessex we have a long history of offering opportunities for trainees to broaden their knowledge of the NHS and how it works.  Some examples of these are:

In-practice fellowships – working with the CCGs across Hampshire, Dorset and the Isle of Wight, in ST3, to allow you to understand more about how CCGs and health systems work, but in addition to voice your clinical thoughts as the current workforce, to guide key decisions; working with the RCGP Wessex faculty guiding the offer the faculty makes to its members and experiencing how the RCGP works 

Wessex has strong links with both clinical and education research, working as an academic clinical fellow with the unit in Southampton medical school or with the programme directors.  Wessex presents at national and international conferences every year and we encourage our trainees to get involved 

We ask for trainees to be integrally involved with the trainers’ courses, to make sure we are meeting the needs of trainees and to take into account developments in new ways of working

If you are specifically interested in medical education or quality improvement in the NHS on a broader basis than just GP the deanery runs medical education and quality improvement fellowships.

From Professor Johnny Lyon-Maris, GP Associate Dean for Southampton and Jersey Patch

Professional support

The deanery also has a strong network of professional support. We offer exam up-skilling courses, assessment for specific learning difficulty (such as dyslexia), GP specific exam courses and personal support if you are having difficulties with your educational programme.

Please explore the Wessex Professional Support and Wellbeing Unit (PSW) pages for further information.

Urgent and Unscheduled Care (UUC) Policy (Primary Care)
Less Than Full Time Training for GP Trainees

In order to provide clarity and consistency across Wessex GP School, please note that LTFT posts for GP trainees will only be offered at 60 or 80% in the majority of cases unless exceptional circumstances apply such as an occupational health assessment, when consideration will be made on a case by case basis.  

We will continue to honour posts offered or currently being worked by trainees at different percentages so this will only apply to future posts in the Deanery. 

From August 2022 the Reference Guide for Postgraduate Foundation and Specialty Training in the UK (Gold Guide) for less than full time specialty trainees will change with the introduction of a Category 3 into the guidance. Guidance and application process for GP Trainees applying under Category 3.

Information and guidance on LTFT Training and the process to apply can be found on our Less Than Full Time Training Pages