There is currently no formal UK pathway by which a GP with an interest in neurodiversity could become a GP with Extended Role (GPwER, previously known as GP with a special interest or GPSI). The RCGP publishes frameworks for those wishing to become a GPwER in a variety of areas, but they do not specify what qualifications or competencies are needed. The ADHD Framework, created by Dr Heidi Phillips (Chair of BAND), with help from Dr Peter Mason, Dr Georgina Brown, Dr Chris Schramm, Dr Elizabeth Stonell and Dr Sarah Michaels, was published in March 2024.
The RCGP framework emphasises the importance of working in a multi-disciplinary team, with access to secondary care services as well as allied professionals such as speech and language therapy, occupational therapy and educational psychology. A GPwER usually works autonomously; exact governance arrangements would be a matter for the organisation delivering the service. The degree of supervision and mentoring needed would usually reduce over time, as the GPwER gains experience, but the GPwER should always have access to a psychiatrist for case discussion if needed. GPwER roles should be included on the main GP appraisal, which has to cover the entire scope of work that the GP does.
The RCGP does not involve itself in issues to do with terms and conditions for GPs with an extended role, but there is precedent in other areas for GPwERs who work autonomously to be paid on a par with consultants. GPs have expertise in a holistic model of care, considering the whole person and the whole lifespan, which lends itself well to working with neurodiversity.
Several associates of B4ND already work within NHS or private neurodevelopmental clinics via various pathways, the common themes of which are: training, mentoring and supervision. Please see our ‘Courses’ page in the subscription area for information on courses available for those who would like to start working as a GPwER, or expand their knowledge to help with a GPwER role that they already have.
For more information and to join an increasing network of clinicians in similar roles, please consider joining us (see our members area)
