NHS England winter indemnity scheme applications

The scheme operates between 1 October 2018 and 31 March 2019. Funded indemnity is only available for additional OOH or extended access sessions performed between these dates. 

You should have agreement from your OOH provider to apply for additional OOH sessions under this scheme.

The scheme doesn't operate retrospectively and you must apply for additional OOH or extended access indemnity before any work is carried out. If you've done any additional OOH or extended access sessions (beyond those already notified to us) before submitting an application to the scheme, contact us to adjust your membership records and make payment if needed.

For frequently asked questions, visit the NHS England website.

Scope of the 2018 Scheme

Indemnity for additional OOH or extended access sessions paid for by the Winter Indemnity Scheme is available to current MDU GP members who successfully apply using our application form.

Additional funded sessions for an OOH provider are not available where other sessions for that provider are indemnified elsewhere (either by the provider or through another indemnifier).

OOH sessions added by members to their MDU membership record before the start date of the scheme, or not via the dedicated application form, will not be paid for by the scheme.


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Eligible sessions that can be funded under this scheme

Eligible sessions are additional OOH or extended access sessions.

To be covered by this scheme, only the part of any activity falling within the NHS time frames can be applied for. NHS England have advised the scheme covers additional sessions in the following settings and during the times stated below:

  • Extended access 6.30pm to 8pm (Monday to Friday) or 8am to 8pm (Saturday, Sunday and bank holidays)
  • OOH 6.30pm to 8am (Monday to Thursday), Friday 6.30pm to Monday 8am and bank holidays
  • OOH in Integrated Urgent/Unscheduled Care settings 6.30pm to 8am (Monday to Thursday) and Friday 6.30pm to Monday 8am and bank holidays

The winter indemnity scheme is not intended to cover any urgent/unscheduled care sessions during core general practice hours (i.e. Monday to Friday between 8am and 6.30pm, except bank holidays).

These sessions must be worked between 1 October 2018 and 31 March 2019 inclusive. Further details can be found at NHS England.

OOH in this context refers to the provision of unscheduled care to patients not registered with the healthcare provider – and where the majority of patients are accessing care on a non-routine, same-day or walk in basis. It can include sessions undertaken for NHS 111.

The criteria for extended access work would be that the consultations are for:

  • Pre-booked patients (can be same-day appointments) from the local area
  • Access to full GP records
  • Case mix of patients in line with routine in-hours GP care
  • Any referrals from NHS 111 or other services are screened to exclude emergencies

How to apply to the scheme

If you're an MDU member and eligible to add OOH or extended access sessions funded by the Winter Indemnity Scheme 2018, please complete our application form to apply to add sessions to your membership record.

When you submit your application form, you can work the requested sessions pending our confirmation that your application has been accepted, as long as we have not previously declined to indemnify any aspects of your GP work.

If we have previously declined to indemnify aspects of your work, wait for our confirmation before you start the requested sessions.


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Recording sessions worked in the scheme

To confirm the additional sessions indemnified under the scheme we need you to keep a record. Please use our log to record the sessions you work and at the end of the scheme we will ask you for a copy. This is a requirement of scheme participation.

If you want to change the number of sessions submitted, or you intend to work for other providers than those already notified to us, you will need to complete another application form. Your new application, once accepted, will replace your initial application.

By submitting an application form you confirm that you have read and understood the terms and conditions of this scheme.