The life of a locum gp
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The Life of a Locum GP. Lynda Carter. Objectives. YOURS how you personally had gone about finding locum work/getting yourself and your CV known etc any forms you needed to fill in/who you needed to liase with to be above board and legit!

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Objectives
Objectives

YOURS

  • how you personally had gone about finding locum work/getting yourself and your CV known etc

  • any forms you needed to fill in/who you needed to liase with to be above board and legit!

  • if your 'technique' changed or if you would do anything differently should you do it again

  • financal aspects of being a locum


Objectives1
Objectives

MINE!

  • Pros and Cons of Locuming

  • Models Of Working

  • Getting Started

  • Branding your career

  • Career development


The plan
The Plan!

  • Pros and Cons

  • Models

  • Finding Work

  • Organising: terms and conditions

    rates

  • Administration: paperwork and equipment

  • Finances: tax, NI, pension

  • Getting Started

  • Career Development


Why locuming works for me
Why Locuming Works For Me

  • FLEXIBILITY!!!

  • Variety – location, type of work

  • Discontinuity (Less to take home)


Why locuming might not be for you
Why Locuming Might Not Be For You

  • Insecurity

  • Lack of benefits

  • Isolation

  • More new patients

  • Loss of continuity


Models of working
Models of Working

  • Self employed as freelance

  • Agency work

  • Locum Chambers

    www.pallantmedical.org.uk

    www.yorkshiremedicalchambers.co.uk

  • Limited Company (no NHS pension)


Finding work
Finding Work

  • Use your practice manager!

  • Network – meetings / friends

  • Consider personal phone calls / visiting practice managers

  • Business cards / own website?

  • www.gplocum.org – Lancs / Manc / Cumbria

  • [email protected]

  • [email protected] – Bradford and Airedale and N. Yorks

  • Leeds Sessional GP Group [email protected]

  • www.locum123.com

  • Agencies


Organising work terms and conditions or none
Organising Work – Terms and Conditions (or none?)

  • Bookings –email / mobile / diary / online

  • Booking form – parking / phone number

  • Sessions – appointment length, number of appointments, administration from consultations, visits

  • Repeat prescriptions (NASGP article)

  • Non NHS work

  • Late cancellation charges / late payment charges


Organising work rates
Organising Work - Rates

  • Negotiate – think hols / SL / sick leave / indemnity

  • Short term vs long term work

  • Off peak vs peak


  • Local rates

  • Competition Act1998 – Office of Fair Trading

  • MedEconomics survey Feb 2009 – GP

  • Yorkshire Daily £340 - £700

    Half day £200 - £350

    2 hours £120 - £198 Hourly £60 - £88

  • http://www.healthcarerepublic.com/search/management/private_fees/news/937332/Locum-Rates/


What you need to get started
What You Need To Get Started

  • CCT

  • GMC

  • Primary Performer’s List confirmation letter

  • Medical Indemnity

  • CRB check

  • CV!

  • Serology


Equipment
Equipment

  • Doctors Bag

  • Drugs

  • Computer

  • Phone / internet


Finances
Finances

  • Get an Accountant!

  • Banking – get a business account

  • Use software - Penny Perfect

    www.pennyperfect.co.uk

  • Register as self-employed with HMRC (within 3 months of starting work)

    http://www.hmrc.gov.uk/working/intro/selfemployed.htm#1

  • Complete DD for NI class 2

  • NI class 4 gets paid when tax is paid

  • Sickness insurance / income protection


Financial records
Financial Records

Income

Expenses

  • Car – mileage (home to practice / visits / meetings) or insurance, breakdown, repairs, tax

  • Equipment

  • Home as office

  • Telephone / internet

  • Computer

  • Courses (abreast of developments)

  • Indemnity / GMC / BMA / RCGP

  • Pension / Gift Aid


Pension
Pension

  • From 1 April 2013, GP practices will take on the costs of locum employer’s pension contributions in England and Wales, which have until now been paid by Primary Care Organisations (PCO).

  • The current funding for General Medical Services (GMS) practices will be transferred into Global Sum Equivalent payments. An average GMS practice with around 7,000 patients will receive an extra £1,000 a year as a result.

  • It is for the NHS Commissioning Board (NHSCB) to decide how locum pension costs will be handled for Personal Medical Services (PMS) and Alternative Provider Medical Services (APMS) practices


Pension1
Pension

  • The new Locum form A clearly distinguishes between the actual fee, the pensionable pay (which is 90% of the fee), and the employer contributions which are 14% of the pensionable pay. This is so that it is crystal clear to all parties that the 14% employer contributions paid by the practice from 01/04/2013 are separate and in addition to the invoiced fee/pensionable pay

  • http://www.lmc.org.uk/visageimages/newsletters/GPC/LocumEmployersPensionContributions.pdf?campaign=wizemail&dm_i=JW0,1DC91,6NF9B7,4NA2O,1


Pension2
Pension

  • Form A – one from each practice

    http://www.nhsbsa.nhs.uk/Documents/Pensions/GPLocum_A_(V7)_-_03.2013.pdf

  • Form B – one per month (needs to be submitted by the 7th of the following month to WYCSA or equivalent)

    http://www.nhsbsa.nhs.uk/Documents/Pensions/GPLocum_B_(V7)_-_03.2013.pdf


The start of each session
The start of each Session..

  • Arrive early

  • Locum Pack

  • Computer system and Passwords

  • Check room – pxs, sick notes

  • Calling patients

  • Bloods

  • CXRs

  • Referrals

  • Who do you ring


Career development
Career Development

  • OOH / prison work / AE / medical journalism / education

  • Appraisal / Revalidation

  • PDP

  • Medical Update and other meetings

  • LMC

  • Leeds Sessional GP group

    [email protected]

  • BALM

    [email protected]


Branding your career usp
Branding your career / USP

What a Personal Brand is about

  • Self awareness

  • Authenticity and personal integrity

  • Developing your unique selling point

  • Helping you gain a competitive advantage


What do i wish i d done differently
What do I wish I’d done differently?

  • Computer record keeping

  • Accountant

  • Business account

  • Not worried about not getting enough work

  • Don’t accept too much work

  • Negotiation re pay

  • Sickness insurance


Resources
Resources

  • [email protected]

  • NASGP

    www.nasgp.org.uk

  • Robbie Coull - Locum Doctor Survival Guide

    https://www.locum123.com//index/html/survival_guide

  • Penny Perfect

    www.pennyperfect.co.uk

  • LMC

    www.yorlmcltd.co.uk

  • RCGP

    www.rcgp.org.uk

  • Medicalupdate.co.uk


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