Primary care team protection - England and Wales

MDDUS provides advice and representation for non-GP members within the practice and primary care network, with a choice of two membership products

Benefits of membership

Practices and primary care networks have peace of mind that all non-GP staff are protected and can seek advice and support for the work that they undertake. Choose from two levels of membership: basic Primary Care Team Professional Advice Protection (PCT-PAP), or add enhanced Primary Care Team Regulatory Protection (PCT-RP). They provide the following range of benefits.

  • Free access to a confidential support and counselling service – Your Halo: Emotional Wellbeing. The service is available to support MDDUS members 24/7 and provided in partnership with healthcare rm
    Find out more
  • Advice and support to non-GP staff including practice nurses, nurse practitioners, advanced nurse practitioners, paramedics, physiotherapists, emergency care practitioners and administrative staff.
  • Advice and support with complaints relating to clinical practice indemnified by the Clinical Negligence Scheme for General Practice (CNSGP) or General Medical Practice Indemnity (GMPI)
  • Register all regulated non-GP members of the practice team with MDDUS and apply for protection for non-regulated staff such as HCAs and phlebotomists
  • Initial consultation
    Enhanced PCT-RP membership provides access to assistance with regulatory matters for regulated non-GP practice members
  • Access to indemnity for regulated non-GP practice members for a range of non-NHS work undertaken on behalf of the practice including travel clinics, medicals, insurance forms, certificates and report writing
  • PCT-PAP is free when all GP partners are MDDUS members. Competitive prices are also available for practices where this does not apply

Our practice has had excellent support from MDDUS for both small and large issues. Thank you for your help when needed over the years.

Practice Scheme for 6 years, from West Yorkshire

Find out more

For more information about Primary Care Team Professional Advice Protection or Primary Care Team Regulatory Protection, contact our membership services team on



Click for answers to commonly asked questions regarding these practice team products. 

Read FAQs
  • Which members of the practice team qualify for these products?

    Primary Care Team - Professional Advice Protection (PCT-PAP) is a practice-level product. Therefore, with appropriate consent, the practice manager or other appointed representative of the practice can register regulated non-GP members of the practice team in order to extend access to advice and support with complaints, in respect of clinical practice indemnified by CNSGP/GMPI and for access to indemnity for limited additional work listed under PCT-PAP.

    Primary Care Team - Regulatory Protection (PCT-RP) is an individual extension that provides associate membership of MDDUS, giving regulatory protection to regulated clinicians who are not GPs. This is available only to clinical staffs that are regulated by one of the following organisations:

    • NMC
    • Pharmaceutical Council
    • Healthcare Professions Council.
  • Are these products automatically provided or is there an application process?

    Primary Care Team - Professional Advice Protection – providing access to advice and support, and indemnity for the work listed in Q12, can be immediately granted to practice staff once we have received a completed PCT data capture form.

    Primary Care Team - Regulatory Protection – an online application form is required for those who wish to be considered for access to assistance with regulatory matters. Even if these individuals were listed within a DPS or other scheme prior to the introduction of CNSGP, they will still be required to complete an application form, as they had not previously completed the underwriting process. Such associate applicants will be subject to underwriting review, based on incidents disclosed/work being undertaken. We will not automatically be seeking a letter of good standing from their previous MDO, but our underwriting team may request this in some cases.

  • How does the PM notify MDDUS of the names of those who require these products?

    (a) The PM should complete the MDDUS data capture form for those who only require the the Primary Care Team - Professional Advice Protection product and email to

    (b) Those who require the Primary Care Team - Regulatory Protection product in addition to advice and support should complete an online application form.

  • Can the practice purchase assistance with regulatory matters only and not the advice, support and indemnity?

    No, the Primary Care Team - Professional Advice Protection product must be purchased in conjunction with Primary Care Team - Professional Advice Protection. Close
  • Do these products provide full membership of MDDUS?

    Those registered for access to advice, support, and indemnity (Primary Care Team - Professional Advice Protection) will not become a member of  MDDUS. Those who apply and are accepted by MDDUS for the regulatory assistance will become associate MDDUS members. Close
  • Can these products be backdated to 1 April 2019?

    In order to backdate our products to 1 April 2019, we would require a retrospective indemnity form to be completed and reviewed by our underwriting department. This document can be requested from Close
  • Only one of our GP partners is not an MDDUS member and as he is retiring soon he doesn’t want to change provider. Can we, therefore, quality for free access to advice and support?

    We require 100 per cent of the GP partners to be in membership in order for the fee to be waived. Close
  • Our PM/nurse/other non-GP is a partner in the practice, what membership category do they require?

    We offer independent subscriptions for the partners listed below. These individuals would be required to complete a full member application form.


       100% GP partners <100% GP partners
     PM partner  £95 £382
     Nurse (or any other regulated) partner £472 £472
  • Why do we need these products now that CNSGP/GMPI are in place?

    The state-backed schemes will provide all providers of NHS primary medical services with access to indemnity should a patient be awarded compensation. CNSGP/GMPI, however, do not provide access to support, advice or representation should a member of the practice team have any concerns or questions, or should they be reported to their regulatory body. Close
  • How often do I need to let you know if there are changes regarding who requires these products?

    It is important that you notify MDDUS, as soon as possible, to any changes in your non-GP regulated practice team. You can make these changes by logging into your MDDUS online member account and updating the "schemes" section. Close
  • Not all of my nurses want access to advice or representation as some are already with the RCN. Is it possible to buy cover for some and not all of them?

    Whilst the practice must register all regulated staff for advice, support and indemnity (PCT-PAP), individuals may choose whether or not to purchase the enhanced product, PCT-RP, allowing representation with regulatory matters. Close
  • What are the next steps to secure cover?

    Should you wish to secure either of these products then the following steps must be taken:

    Step 1. Confirm that your non-GP regulated team only undertake duties listed below and within the aggregate income threshold:

    • Travel clinic - travel advice and vaccinations
    • Medicals for pre-employment, sports and driving requirements (HGV, PSV etc.)
    • Life insurance reports and medicals
    • Insurance claim forms
    • Private sick notes
    • Private certificates, e.g. fitness to attend court/sit exams etc.
    • Vaccination certificates
    • Passport countersignatures
    • Report writing (for NHS patients but non-GMS/PMS work), e.g. for court purposes.

    If they undertake duties not included in this list please email with full details. These will be shared with the MDDUS underwriting team to enable assessment of your circumstances.

    Step 2. PCT-Professional Advice Protection: complete the MDDUS PCT data capture form and email it to

    Step 3. PCT-Regulatory Protection: complete an online application form.


For registration, or any login issues, please visit our login page.