General Practitioners with Extended Roles

A GPwER (previously called GP with a Special Interest or GPwSI) is a GP who undertakes, in addition to their core general practice, a role that is beyond the scope of GP training and the MRCGP and requires further training. The extended role is typically undertaken within a contract or setting that distinguishes it from standard general practice and/or it is an activity offered for a fee outside of care to the registered practice population (teaching, training, research, occupational medicals, medico-legal reports, cosmetic procedures, etc).

RCGP guide to GP clinical extended roles

The RCGP Guide to GP Clinical Extended Roles has been developed by the RCGP to help GPs demonstrate competence in extended scopes of clinical practice. It is relevant to all clinical specialisms and employers and service commissioners are encouraged to refer to this document. Due to local service variation, GPs planning to deliver a service as a GPwER are advised to establish requirements with the relevant employer and service commissioner.

RCGP guide to GP clinical extended roles (PDF file, 440 KB)

If you are an RCGP member, you may wish to use our mentoring platform to connect with others with an interest or experience in your chosen extended role area.

Answers to common questions

Does the RCGP accredit GPs with extended role?

The RCGP does not accredit GPs with Extended Roles (GPwERs), but (with the Primary Care Dermatology Society) we are supporting the British Association of Dermatologists to provide an accreditation programme for dermatology GPwERs.

The RCGP Guide to GP Clinical Extended Roles will guide external organisations in the development of specialty-specific frameworks against a common RCGP standard. We advise that GPs seeking accreditation in an extended role speak to the relevant service commissioner and employer to understand local requirements.

Useful links

Contact us

If you have questions about GP extended roles, please contact