Training Hubs

Why take part?

PiPC is a fully supported academic development pathway of 3 years duration, designed for paramedics.  In response to workforce demands, the PiPC uniquely offers the option for participating GP practices to move from providing a student placement to employing their student at any point across the programme duration.  We therefore anticipate that the programme will be of particular interest to those practices and integrated cares systems looking to take advantage of the GP DES reimbursable role offer.

The PiPC project was launched by HEE in the South West during 2019 with 27 trainees. They are currently employed in emergency and primary care (in and Out of Hours) across the South West and participate by reducing their contracted hours (usually to 0.6 – 0.8 w.t.e) so as to access practice placements one day per week and a nominal one day’s academic study.

PiPC enables individuals to develop into, and manage their portfolio careers.  Throughout the pathway the trainee will work part-time with their employer (most likely the ambulance Service) and undertake practice-based learning part-time within the primary care placement.  The ambition of PIPC is that students will become a part-time employee cross both and continue to work beyond the programme as a cross-sector clinician.

PiPC trainees can be:

  • Experienced post-registration paramedics already working in primary care, who seek a structured development pathway.
  • Experienced post-registration paramedics working in the emergency care sector, who wish to move work in primary and/or urgent care (In or Out-of-Hours)

The PiPC programme is cross-matched to the HEE Advanced Clinical Practitioner (ACP) Framework. Trainees evidence their clinical development using an e-portfolio specially designed by Clarity Informatics. Their skills are assessed at the end of Year 2 using the Diploma in Primary and Urgent Care (Dip.PUC) exam. Which is administered by the College of Paramedics and delivered by St Georges, London.

Trainees are supported and managed through the local training Hub by means of two part-time supporting roles at a ratio of 1 to 15-20 trainees:

  • Education Coordinator: Oversees the progress of trainees, pastoral support and liaison with practice placements and university, and manages the PiPC programme locally on behalf of the Training Hub
  • Clinical Fellow: An experienced ACP who provides support for clinical learning, liaison with GP supervisor, and group learning opportunities.

Students self-fund tuition fees using the Governments Postgraduate Masters Loan.

Training Hub costs (supporting roles and practice tariff) are being funded by HEE.

Training Hubs that are successful in applying to participate in PiPC will need to ensure that:

  • They are prepared to commit the necessary resources for pre programme recruitment and selection activities against the project time line to support a Quarter 3 and 4 PiPC programme start date.
  • They have access to sufficient teaching GP practice placements (preferably those teaching post foundation trainees).
  • That GP practice clinical and managerial staff aware of the basic elements of the PiPC programme and are supportive of paramedic trainees.
  • Are willing to engage with and manage PiPC trainees in accordance with project recommendations and guidance.
  • Have sufficient capacity to manage the PiPC project while working up the local infrastructure (e.g. prior to recruitment of the Education Coordinator and Clinical fellow roles).
  • They are prepared to commit the necessary resources for pre programme recruitment and selection activities against the project time line to support a Spring 2021 PiPC programme start date.

HEE supports this project by payment of the non-medical placement tariff to participating practices. Also, by providing a second tier of clinical supervision and trainee support provided via Training Hubs. The combination of practice-based learning, student self-finance and local Training Hub support combines to provide a high-quality and cost-effective method of workforce development.

Please follow these steps to express your interest in participating in the PiPC programme.  Please ensure that the expressions of interest are uploaded by 31st July 2020.  If your Expression of Interest is accepted we will confirm this to successful sites by 31st August 2020.

  1. Read the Full PIPC Expression of Interest Letter or Easy Read Version
  2. Download and save the Expression of Interest Form
  3. When you have completed the form please upload it here, enter your contact details below and click submit at the bottom of the page.

Or alternatively, complete the online form 


How many General Practices/PCN’s does your Training Hub support?

How many of the General Practices are GP Training Practices (GP trainees rather than F1/F2 )?

Which Ambulance Trust covers your geographical area?

What is the projected number of ‘Community Paramedics’ required to support the PCN needs within your area?

Are you aware of how many paramedics are already working within Primary Care your area?

Of these are you able to identify potential recruits with sufficient clinical and educational experience to provide the function of Paramedic Clinical Fellow?

Do you have sufficient capacity to support the early PiPC project activities?


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What HEE funding is included in this offer for Training Hubs?

This information is set out in the offer letter. HEE will be supporting the PiPC Paramedic Clinical Fellow and Education Coordinator roles and placement tariff (paid directly to participating placement providers by HEE). Aside from this direct funding, the HEE PiPC programme team will provide a comprehensive guidance and on-call enquiry support throughout the PiPC ‘make ready’ process.

Are the academic course fees included?

Discussions are ongoing regarding whether funding will be available to support learner academic fees. However, at this time learners are expected to use the Student Finance England Postgraduate Masters Loan to support academic fees component of this programme. Students are made aware of this requirement as part of the application process

Could we support the academic fees from other NHS/HEE funding allocations?


Yes. The programme team have already received enquiries from Training Hubs, CCG’s and STP’s that are considering supplementing the HEE PiPC offer by sponsoring the academic fee component; in some cases, this is being used as a recruitment strategy to support new PCN workforce models.


How much are the academic course fees?


The total course academic course fees are £6,700.


Can this programme be used to upskill and/or standardise scope of practice for the paramedics already working in Primary Care in my area?


Yes. The programme is designed to be flexible enough to accept students at any point in their career in any of the primary/urgent/emergency sectors. In some respects, supporting a paramedic already working in primary care is simpler, given that there will not be the need to source the a new primary care placement.  In these circumstances, Training Hubs should agree a primary supervisor within the practice who is willing to support their staff member through the programme and to commit to provide effective clinical supervision plus designated time to learn within the employment contract.


Can we have access to the e-learning portfolio/appraisal tool which accompanies the PiPC programme?


Yes, this is available directly from Clarity informatics at:


Can apprenticeship level transfer be used to support this programme?


Yes. This is being explored currently. Subject to Levy transfer it is possible to utilise an ACP apprenticeship in the context of an employed trainee clinician.


Do PiPC Paramedics have to complete the programme before being employed by a PCN/GP Practice?


No, it is important to recognise that PiPC was designed to support the challenges presented by the GP DES. Consequently, PiPC students can be employed at any time during the programme. At the point when a potential employer feels ready to make an offer of employment we recommend that a joint decision to proceed is discussed between, the employer, student and training hub.  Should a trainee switch to employment it is important that this includes effective ongoing clinical supervision and time for the trainee to continue with their academic and practice-based leaning.


What level of support will my Training Hub receive from the HEE PiPC programme team?


During the support period (May – December 2020) the PiPC programme team will provide a comprehensive package of support including a project timeline, milestone targets, HR recruitment/selection pack and guidance for trainees and practices. Throughout the support period you will be able to contact the team via email with specific questions and requests for support. If common support needs are identified the PiPC programme team will publish general updates.


When will we be told if we have been selected as part of the HEE PiPC phase 2 project?


PiPC adopts a national recruitment approach to both learners and Interested Training Hubs. At this time, HEE is uncertain of the level of interest from either prospective trainees or Training Hub sites. The application window for Training Hubs will close on 31st July 2020.  Following this we anticipate a two-week consultation, with feedback being provided to Training Hubs on the 31st August 2020.


How will participating Training Hubs be selected?


The PiPC programme team will make recommendations to the PiPC Project Executive Team as to which sites will best serve the project aims. At this time, funding exists for 9 training hub sites.


At this time, selection will be based on a number of factors including (but not isolated to), Whether there is sufficient PiPC learner interest in your area

Whether there is sufficient general practice placement provision to support trainee interest.


Our Training Hub already has the posts required to support PIPC, can we run the PiPC programme independent of the this offer?


The PiPC programme team are aware of variation in the maturity of Training Hubs across the country. We recommend that if you are sufficiently staffed to incorporate PiPC into your existing teams, then you should continue to apply but state your position within the expression of interest form. The programme team will correlate this information and feed back to the project executive for consideration.


Can PiPC students manage their own patient lists from day one?


No, it must be remembered that this is a training programme and as such student participants should be supported to learn at a pace relative to their own individual needs. Trainees develop at different rates depending on a range of factors. Of primary importance to the PiPC process are the two support roles (Clinical Fellow and Education Coordinator) who in discussion with the GP supervisor can keep track of the students progress and make recommendations to the pace and level of responsibility the student can take at any given point on the programme.