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Life As A Locum. Dr Ajay Sharma. Why Locum?. Explore different practices and areas Gain skills and experience while finding the perfect job/prefect practice Flexibility Income source if nothing sorted before completion. Preparation for locum work.

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Life as a locum

Life As A Locum

Dr Ajay Sharma


Why locum
Why Locum?

  • Explore different practices and areas

  • Gain skills and experience while finding the perfect job/prefect practice

  • Flexibility

  • Income source if nothing sorted before completion


Preparation for locum work
Preparation for locum work

  • Start organising well before completion of training

  • Look out for emails/flyers for locum work

  • Documents before starting work

    • CCT

    • GP Register inclusion

    • PCT Performers list inclusion

    • MDU/MPS subscription

    • CV focused on locuming


Preparation for locum work1
Preparation for locum work

  • Get Equipped

    • Doctor Bag

    • Mileage log book

    • Smartphone/PDA/Diary

    • Sat nav /A to Z

    • Business card

  • Financial stuff

    • Self Employed / Limited company

    • Accountant services

    • Income Protection

    • Bank Account/Cheque book/Pay in slips

    • Pension forms/paying into NHS pension


CV

  • Keep it short

  • Essential information

    • GMC Number

    • PCT Performers list inclusion

    • Contact details

  • Clinical systems used

  • Other information like CHS/DFFP/Minor surgery etc

  • Referees


Finding work
Finding Work

  • Emails

    • VTS Coordinator

    • Practice manager

    • Colleagues

  • BMJ careers / GP magazine

  • Locum Agencies

  • Send CV with cover letter to practices in target area

  • Networking

    • Pennine YPG meeting

    • ? Website for locums

    • Be available on phone/email easily


Booking work
Booking work

  • Establish details of work

    • Date/timings/length of session/consultation times/no of patients

    • Clinical system used

    • Visits/Admin work/On call

    • Rates

  • Get confirmation in writing and acknowledge booking it

  • Book work in diary/calendar immediately


Locum rates
Locum Rates

  • Talk to Practice manager/Trainer/Other locums to know local rates

  • Establish your rate

    • Hourly rate

    • Sessional rate

    • Day rate

    • Extra work – visits/on call/admin etc

  • Negotiation skills

  • Never post rates on public forums (anticompetitive)


Tips for day of work
Tips for day of work

  • Locum Pack

  • Common stuff like

    • Med3, Med5

    • Investigation forms

    • Letter heads

    • Dictaphone/tapes

  • Computer / clinical system login details

  • Few phone numbers

    • Reception

    • Admin

    • Practice manager

  • Patient/Staff toilets

  • Tea/Coffee room

  • Fire alarms/exits

  • Panic alarms/button


Getting paid
Getting Paid

  • Invoicing

    • Last working week

    • Computerised

    • Clear details of the sessions/ work done, amount to be paid, bank account details

    • BACS/Cheque payments

    • Softwares like pennyperfect/Office accounting/Sage accounting

  • Pension forms

    • GP Locum A form


Management
Management

  • Set time aside for managing your locum practice

  • Invoicing

  • Collate GP Locum A forms

  • Complete GP locum form B

  • Pension contribution

  • Keep all documentation organised for tax and pension purpose


Paying taxes
Paying Taxes

  • Gross payments

  • Set aside 35-40% for tax purposes

  • Pay NI contributions by direct debit

  • Record of all business expenses (original receipts)

  • Keep Mileage logs

  • Accountant


Cpd revalidation
CPD/Revalidation

  • NHS Appraisals Toolkit

  • Reflective log of educational events/courses/meetings

  • Significant events/Audits/complaints

  • Appraisal

  • Book courses/education events in your calendar to avoid clashing with session bookings


Holidays
Holidays

  • Block days in Diary/calendar well in advance

  • Essential to destress yourselves


Pitfalls of locuming
Pitfalls of Locuming

  • Isolation

  • Appraisal difficulties

    • Patient feedback

    • Peer reviews

    • Audits

    • Prescribing data

  • PCT communication

  • No Sickness/maternity benefits


Useful links
Useful Links

  • Register as Self Employed

    • http://www.hmrc.gov.uk/selfemployed/iwtregister-as-self-employed.htm

  • NHS Pensions – GP Locums

    • http://www.nhsbsa.nhs.uk/Pensions/2665.aspx

  • National Association of Sessional GPs

    • http://www.nasgp.org.uk/



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