This agreement is made the day of nineteen hundred and

between Dr A Carr (hereafter called the ‘trainer’) of Beechwood Surgery in the county of Gwent medical practitioner of the one part, and Dr E Mamhoud (hereinafter called the ‘GP registrar’).

A. The parties are both practitioners fully registered with the General Medical

Council, the trainer being in general medical practice at Beechwood Surgery,

371 Chepstow Road, Newport, South Wales.

B. The trainer, having been appointed as a trainer by the regional general practice

subcommittee, and the GP registrar, being desirous of becoming a GP in general practice, both agree to the establishment of this contract upon the terms

and conditions hereinafter.

1. The trainer undertakes to employ the GP registrar for the purpose of teaching

and advising on all matters appertaining to general medical practice for a period

of six months from the day of

nineteen hundred and unless the agreement if previously terminated under the

provision of clause 2.

2. This agreement can be terminated by the GP registrar giving one month’s notice in writing to the trainer or by the trainer giving one month’s notice in

writing to the GP registrar, and such notice may be given at any time.

3 (a) The trainer shall pay the GP registrar a salary and a car allowance at the

rates laid down from time to time in the Statement of Fees and Allowances payable to general medical practitioners in England and Wales under the National Health Service. All payments will be made

in arrears at the end of each completed calendar month.

(b) The GP registrar will be subject to the NHS superannuation regulations,

and the trainer will deduct from the GP registrar’s salary and account to

the proper authority for all contributions or other payments for which

the GP registrar is liable under these regulations.

4. Both parties shall become and remain members of a recognised medical defence

body at their own expense for the period of this agreement.

5. (a) Save where the GP registrar is required to provide or assist a practice

with an educational presentation, or for the GP registrar’s own educational benefit, he/she shall not be required to perform duties which

will result in the receipt by the practice of private income, unless an

arrangement to the contrary is entered into before the commencement

of the GP registrarship. Any such agreement to the contrary shall specify the extent and nature of the duties which may be required to be

undertaken.

(b) Any specific or pecuniary legacy or any gift of a specific chattel shall be

the personal property of the GP registrar.

6. (a) The GP registrar’s hours of work in the practice, the GP registrar

programme and regular periods of tuition and assessment shall be a agreed between the trainer and the GP registrar, making provisions for

appropriate day release and other commitments in accordance with the

advice of the regional general practice advisory committee, or equivalent.

(b) The GP registrar’s hours of work in the practice, both during and outside normal working hours shall not exceed the average hours work in the practice, both during and outside normal working hours, of full-

time members of the partnership, or a one in four rota (whichever is the

lesser), and shall not exceed 56 hours of continuous duty. Periods of

study leave (including day release) should be included as time spent in

the practice for the calculation of average hours worked. Appropriate

reductions in hours of work should be stated explicitly for part-time

GP registrars.

(c) GP registrar’s are supernumerary to the usual work of the practice and

should perform no out of hours work for the first month of their training period. However, the GP registrar may accompany the trainer

on his/her night calls. Similarly the GP registrar should not be used as a

substitute for a locum in the training practice.

(d) Time spent by GP registrars in clinics etc should be equal to or less than

he average of full-time members of the partnership.

Leave

7. (a) The GP registrar shall be entitled to five week’s holiday during the

period of twelve months in the practice and pro rata for shorter periods,

and statutory and general national holidays or days in lieu.

(b) The GP registrar shall be entitled to thirty days approved study leave,

including attendance at a day release course, on full pay and allowances

during the period of twelve months in the practice and pro rata for

shorter periods. Additional study leave may be negotiated between the

GP registrar and trainer subject to approval by the regional adviser in

general practice.

(c) If the GP registrar is absent due to sickness, the trainer will pay over to

him/her such sums as the trainer may receive for the GP registrar’s

salary and board and lodging in accordance with the statement of fees

and allowances.

Any payment under the statutory sick pay scheme will be offset against

the GP registrar’s entitlement as stated above.

The GP registrar shall notify the trainer of any absence due to sickness on the first day of sickness. A self-certification form should be completed for any sickness absence lasting for seven days or less. If the illness lasts for more than seven days the GP registrar must first notify his/her absence and also request a self-certification form which should be posted to the practice at the end of the first week of absence. It the absence continues beyond seven days a medical certificate should be submitted. Any accident or injury arising out of the GP registrar’s employment must be reported immediately to the doctor on duty.

(d) A GP registrar who is absent on maternity leave shall, if she fulfills the

qualifying conditions in respect of maternity leave set out in the

Statement of Fees and Allowances, be entitled to be paid by the trainer,

as part of her emoluments, such sums as she receives for the

GP registrar’s salary during her maternity leave.

(e) If the GP registrar elected is to represent other GP registrar’s on

recognised bodies or to attend the Annual Conference of Representatives of LMC’s the GP registrar shall be given facilities

including special paid leave, to undertake such functions and to attend

appropriate meetings. The GP registrar shall obtain the consent of

his/her trainers to each absence of duty but consent shall not be

with unless there are exceptional circumstance in the reasonable opinion

of the trainer.

8. (a) The trainer will install a telephone at the GP registrar’s place of

residence and pay the rental and such proportion of the cost of calls that

represent the use for and behalf of the practice.

(b) The trainer will organise and fund the message taking facilities required

for the GP registrar when on call.

(c) The trainer undertakes to provide cover either by himself/herself or by

one of his/her partners whenever the GP registrar is on duty.

(d) The GP registrar undertakes to care for, be responsible for, to maintain

and, if necessary, replace and return any medical equipment and supplies to the trainer at the end of the training period.

9. (a) In consultation with the trainer, the GP registrar may arrange to

undertake any duties or professional activities outside of those of the

practice whether remunerated or not. The trainer’s agreement to any

arrangement should not be unreasonably withheld.

(b) The GP registrar shall apply himself/herself diligently to the educational

programme and to service commitments and other matters as directed by the trainer in accordance with the advice of the general practice

advisory committee.

(c) The GP registrar shall keep proper records of attendances, visit by and

to any patients and all other such records as are reasonably required by

the trainer.

(d) The GP registrar shall preserve the confidentiality of the affairs of the

trainer, of his/her partners, of the patients and all matters connected

with the practice with the exception of the provision of certain

information which may be requested by the regional general practice

subcommittee.

(e) The GP registrar will be required to live at an agreed address during the

time of training in the practice.

(f) The GP registrar will provide, maintain and pay all the running costs of suitable transport to enable him/her to carry out his/her responsibilities

under this agreement.

10. For a period of one year, following completion of the training programme, the

GP registrar, unless practicing in the trainer’s practice will not:

(a) accept on his/her own NHS lists any patient who during the training

programme was on the NHS lists of the trainer or one of his/her partners.

(b) attend or treat in the capacity of a general medical practitioner any such

patient as is mentioned in (a) above.

(c) recommend any such patient to seek inclusion on the NHS lists of any

medical practitioner other than the trainer and his/her practice.

This clause shall be effective only in relation to such patients who during the period of the training programme resided within a radius of 2 miles from the building known as and each of the subclauses (a), (b) and (c) shall be separately enforceable as if each were independent covenants.

11. Any dispute between the parties or those in any way representing them

concerning this arrangement or the employment of the GP registrar or anything

arising from the agreement shall be referred to a sole arbitrator under the

Arbitration Acts 1950 and 1979 nominated by the secretary of the British

Medical Association, providing always that any dispute relating to education

and training shall be referred to the regional adviser in general practice for

referral to the general practice subcommittee of the regional postgraduate

education committee whose decision shall be final and binding on all parties

concerned.

12. The terms of this contract will be subject to the terms of service for doctors as

set out from time to time in the National Health Service (General Medical and

Pharmaceutical Services) Regulations.

As witness the hands of the parties hereto this day and year first before written.

Signed and delivered by the said....................................................................................

In the presence of.........................................................................................................

Position........................................................................................................................

Signed and delivered by the said....................................................................................

In the presence of.........................................................................................................

Position........................................................................................................................

PUBLIC HOLIDAYS

The leave entitlements of practitioners in regular appointments are additional to ten days statutory and public holidays to be taken in accordance with Section 2 of he General Council Conditions of Service an amended, or days in lieu thereof. In addition, a practitioner who in the course of his or her duty was required to be present in hospital between the hours of midnight and 9am on a statutory or public holiday should receive a day off in lieu. Where the need of the service permit, locums should be allowed statutory and general national holidays or days in lieu in the same way as

practitioners in regular appointments.