Midlands GPA Programme

Following a competitive bid process, LTH in collaboration with all 11 Midland based training hubs were awarded the NHSE contract to deliver accredited GPA programmes across the whole of the Midlands.

We host a monthly Midlands GPA community of practice call via Teams please use the following link to join us:


Calls will be held on the following dates throughout 2024. These are voluntary. All GPAs welcome, whether on an accredited course, having completed an accredited course or working in a GPA role in practice. These will be drop-in sessions for people to bring questions, share experiences and support each other, hosted by our clinical lead, Dr David Peachey.

May 20th: 11am -12pm
June 17th: 11am -12pm
July 15th: 11am -12pm
August 19th: 11am -12pm
September 16th: 11am -12pm
October 14th: 11am -12pm
November 18th: 11am -12pm

For any queries or further information please contact Helen Hughes – Programme Manager or Dr David Peachey Clinical Lead: licb.lthmidlandsgpa@nhs.net

General Practice Assistants

General Practice Assistants (GPAs) are an ARRS funded role. They perform routine admin and clinical tasks on behalf of GPs. Staff can be recruited as GPA Trainees and Apprentices and receive on the job training.

For a more detailed Job description please visit:

In addition, GPAs need to:

  • Have an annual individual performance review.
  • Track and record evidence of their experience and progress against the national competency framework.
  • Inform the lead GP of any concerns about their role and request professional development where needed.
  • Be aware of own professional boundaries and what to do when they are reached.
  • Recognise and escalate patient concerns to relevant staff as necessary.


There is a national NHS England competency framework https://www.e-lfh.org.uk/programmes/general-practice-assistant/ for GPAs which covers the core competencies expected of the GPA role. This is structured into 5 domains; Care, Administration, Clinical, Communications and Managing Health Records. These domains contain 58 competencies. GPAs need to be able to build a portfolio of evidence which demonstrates they have the required skills, knowledge and behaviours to fulfil the role and promote clinical thinking and reflection.

A GPA will need clinical supervision and observation undertaking tasks. A GP will need to sign off evidence to the GPA portfolio to confirm that the GPA meets the competency requirements.

They are expected to be able to deliver a combination of administrational and basic clinical duties:

  • Arrange appointments, referrals and tests for patients.
  • Complete simple observations/investigations as directed, e.g. urinalysis, taking blood pressure, ECGs, Phlebotomy.
  • Prepare patients prior to seeing GP – taking a brief history and undertaking basic observations.
  • Complete core elements of forms for GPs to approve e.g. clinical investigation requests, insurance forms, benefits applications.
  • Explain treatment procedures to patients.
  • Help GPs liaise with outside agencies, e.g. contacting and waiting for on-call secondary care doctor for advice/admission to enable the GP to continue seeing patients.
  • Sort clinical post and prioritise for the GP – signpost post as required to other members of staff.
  • Extract information from clinical letters that needs coding and add this into patient notes. Support with QOF coding.

There are two accredited routes:

The Lincolnshire Apprenticeship Programme

Lincolnshire Training Hub (LTH), in collaboration with the Learning and Development Apprentice Centre, is offering a GPA training package incorporating the Level 3 Customer Service Practitioner Apprenticeship and individual clinical skills which will facilitate achievement of the NHS/E GPA framework aligned skills and competencies.

To find out more and apply Apprenticeships – Lincolnshire Training Hub

University of Derby Accredited Programme

Lincolnshire Training Hub (LTH), in collaboration with the University of Derby is offering a Level 4 GPA accredited course, incorporating NHS/E GPA framework aligned skills and competencies.

Course Duration:
9 months

Entry requirements:
Must be employed in a GPA role. Priority will be given to those who have been
employed the longest.

Delivery method:
Blended learning

The learner will need to submit evidence of their learning, matched to the GPA
competency framework. The majority of learning will be done at the learner’s own
practice, with the support of your own practice team, supported by a GP Mentor within your own practice, who is responsible for assessing your competency.
Upon successful completion, you will gain:

10 university credits.

Useful Dates

CohortExpression of Interest DeadlineEnrolment Cut OffInduction Date
419th July 202423rd August 202423rd September 2024
5TBCTBCJan 2025


Please note to complete enrolment you will need to:-

Complete the expression of interest here. Expression of interest to be submitted via link below:

Once you have received approval complete the UOD steps below:

Application for the GPA Accredited Course from the university of Derby – Process