For 2018 GP ST1 applicants to HESW we are able to offer Global Health Fellowship Opportunities as OOPE;


Global Health Fellowships

We are planning to offer 24 or more Fellowships across the southwest, however actual numbers may depend on the popularity of the GHF Programme nationally and the availability of posts in Africa.

The SW has been offering Global Health Fellowship for a number of years. The Programme is both well established and popular. We aim to actively engage with all our GHFs during the 4 years of their Training Programme. 

GP Training duration will be extended to 4 years with a 12 month placement in South Africa arranged by AHP (Africa Health Placements) after satisfactory completion of GP ST2 (ARCP outcome 1) 3 months unpaid Study Leave taken as OOPE is available to attended the Dip in H&TM Course at the Liverpool School of Tropical Medicine after ST2 further extending the training duration to 4 years plus 3 months. NHS employment benefits can be protected during OOP.  

Study Leave

Study Leave will also be made available to attend the Cheltenham Crash Course in Overseas Medicine during ST2. The course fees may be claimed from the Study Leave Allowance as part of the new process from 01/09/2019. All GH Fellows are invited to two teaching days per year; travel costs to attend can be claimed via the study leave process. 


The overseas Global Health Placements will be arranged by AHP and will be paid at rates broadly equivalent to an NHS salary (R650,000 ZAR). Successful applicants will be given the opportunity to travel and work overseas with a colleague, spouse, partner and young children. Please note that AHP charge ALL (includes UK, US and EU Doctors) Global Health Fellows a professional fee for their Human Resources and Employment services.

Successful GHFs will remain with their chosen GP Training location and rotation. GH opportunities are spread equally across the HESW geography. All successfully appointed GHFs are guaranteed to return from their overseas deployment to a GP ST3 post.

It is not possible to work “less than full time” (LTFT) during a 12 month deployment overseas.


Additional information for Fellowships

All GHFs joining the HESW GHF Programme will be allocated a GH Mentor who will usually be an AHP/GHF Alumni. They will help support through the 4 of more years of GP and GH Training. Additionally they will be invited to join a GH WhatsApp Group and meet informally with the GH Lead (Robin While) for coffee in either Bristol (Clifton) or Devon (Darts Farm) roughly every 3 months. This is a useful opportunity to meet colleagues and share experiences and questions. There are also mandatory GH Study Days twice a year covering all GHFs in the SW, Thames Valley, Wessex and KSS. ACCS and other speciality Trainees are also invited. 

GHFs are expected to keep a Reflective Diary using their Eportfolio during their deployment. There is no requirement to share confidential reflections with their ES in the UK. The HEE Guidance for Trainees planning to work overseas offers good advice about the requirements for GMC registration, the RCGP and ARCP etc. There is no requirement for an assessment of competencies. GHFs should upload an Out Of Programme (OOP) Supervisors Report (Form R) to their Eportfolio. The OOP Supervisor report is here GHFs may wish to complete a Quality Improvement Project during their deployment but only if timely and appropriate. We will attempt to visit ALL SW GHFs during their deployments in SA.

GH Applicants with Primary Medical Degrees from outside the UK may not be eligible for registration with the HPCSA (SA GMC) without sitting a series of examinations. 

Applicants holding a Tier 2 Visa at the time of planned departure are eligible to apply for a GHF but should contact for guidance.


When Can I Apply?

Applications for Global Health Fellowships will be made normally a month or so after starting ST1, we will send out an application form to all successfully appointed GPST1s across Severn and Peninsula.


How do I Apply?

Following a successful application submission, your application will be reviewed to ensure you meet eligibility criteria and if we have more applications in an area than places available your GPNRO National ranking score will be used to determine the successful applicant.

Appointments to a Severn or Peninsula Global Health Fellowship are made via a competitive process and the responses to the questions in the completed application form will be reviewed. Please note that all applicant's national rankings obtained at GP selection stages 2 & 3 will be taken into consideration during competitive selection. 

Successful candidates will be paid up to R650,000.00 ZAR PA (salary in pound sterling depends on the exchange rate) during their time working in South Africa; and will be supported by both the School of Primary Care and AHP to have a life changing experience as well as the opportunity to make a significant difference to the health of a rural community. The School of Primary Care recognises that these placements benefit individual trainees, global health and the NHS.

Placements will normally be in rural level 1 resource poor SA Hospitals. The placements could be anywhere in SA (after discussion and agreement with the GHF) but most likely in KwaZulu Natal (KZN) or the Transkei region of the Eastern Cape (EC) - we try to deploy GHFs in pairs or groups for mutual support. We are currently trying to source a limited number of similar posts in Uganda but at local Ugandan rates of pay. SA deployments offer access to Mozambique, the Drakensberg Mountains, the Battlefields and the Wild Coast in the EC. Connecting flights to Cape Town (Table Mountain and the Wine-lands) and Johannesburg (Kruger Park) are both frequent and reasonably priced.  

The rural hospitals provide primary and secondary care through out-patient clinics, GP surgeries and basic surgical services. There are also rural outreach clinics which are accessed by 4x4 vehicles. The hospitals have male, female and children’s wards. Training will be available for unfamiliar procedural skills such as spinal anaesthesia or caesarean sections.


Who are Africa Health Placements?

From August 2017 all placements will be with Africa Health Placements (AHP). Africa Health Placements is an organisation with a mission: to support and enhance healthcare systems in Africa, by finding, placing and retaining the right people for the job.

Africa Health Placements offer a range of services, which are delivered free of charge, and range from finding the most suitable position and location (based on your skills and preferences), to managing the completion of all regulatory requirements, to ensuring that you settle in comfortably. AHP have a competent team of professional recruiters to assist you with your registrations, work permits, placement and orientation at a choice of facilities throughout underserved areas of South Africa and Zambia. Posts with AHP also attract an attractive salary. Dr Robin While, the Chair of the School Board and former GP and Associate Postgraduate GP Dean, will provide some in-country support from Cape Town. He will also be able to visit you in your hospital with members of the AHP team.


HEE's Global Health Guidance for Doctors/Trainees Planning to Work Overseas

HEE has published an informative and helpful guidance document for doctors planning to work overseas in a Global Health capacity. To access the document please use this link


Life after Global Health Placements

Discussions have recently taken place with Professor Tony Redmond who works as the Head of the UK Emergency Response to international Humanitarian Disasters and is the pioneer of UK Med. Following these discussions we are pleased to say all GH Fellows who graduate from our programmes will have the opportunity to deploy overseas with the World Health Organisation (WHO) alongside Prof Tony Redmond’s Emergency Medical Team’s (EMT) at a Level 1 FMT. Deployment is subject to attending a two week pre-deployment course. Details of the EMT scheme are in the Blue Book, a link for which is here.

Details of our willing successful alumni will be passed onto Professor Redmond’s team at point of completion of their GP training - the link to his website can be found here.

Further details regarding the WHO's EMTs can be found here


A day in the life of a rural primary care doctor

One of our Severn Trainees who was recently on placement in South Africa has written a blog about the daily life of a GP Global Health Trainee. It provides a wonderful insight into the types of experiences our trainees have and of the rewarding impact their presence has on a resource poor element of society. Please take the time to read this by clicking this link. 


Still unsure what a Global Health Fellowship is really about?

Read some of the real experiences of our OOPE Trainees

Please use the hyperlinks on this page to provide you with more information.

*Post numbers are indicative and subject to change.