GP Placement Confirmation Form

Department of Primary & Community Care Education

Health Education England working across Kent, Surrey and Sussex

For GP Trainees who are employed under the Single Employer Acute Trust Arrangement and hosted by a GP Training Practice.

A seperate form must be completed for each GP placement

1. GP Specialty Training Registrar (GPStR)
2. GP Trainer
The GPStR's GP Trainer in the practice where the Trainee is to be employed
3. Type of Training Post
Please selection appropriate option below to indicate the type of training post to which you have been appointed to. If the post is an ITP post, please fill in the section marked with the asterisk (*).
4. Period of Training
If at any time either of the dates below should change you must inform HEE KSS as soon as possible.
5. Declaration