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
slide11

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

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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