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This is Your Future

This is Your Future. SO PLEASE THINK VERY CAREFULLY. Searching for the Practice of your choice. Where, if you could choose, would you like to settle in Practice for the next 5 years? What do you feel that you need to do before settling down?

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This is Your Future

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  1. This is Your Future SO PLEASE THINK VERY CAREFULLY

  2. Searching for the Practice of your choice • Where, if you could choose, would you like to settle in Practice for the next 5 years? • What do you feel that you need to do before settling down? • What factors will influence or could dictate your place of settling down?

  3. Searching for your Next or Long Term Job • How do you find out about possible jobs? • How do you find out the details and inside stories of a potential Practice? • How do you find out what they may be looking for? • How can you find out if they are what you are looking for?

  4. Details of Your Ideal Practice Number of Drs:- Sex, Age, W.T.E., Ext Interests Setting:- Inner City, Rural , Semi-Rural, Mixed Size:- Patient Numbers and Ethos of Care Special Features:- Teaching, Local Hospital, Medical admin, Ext Attachments Dispensing:- Dispensing or non dispensing (personally administered items)

  5. Factors Affecting Your Workload • Make up of medical staff profile • Details of patient profile • Setup and ethos of the Practice • Education Commitment • Outside interests of all doctors • Factors evident from the 1yr and/or 5yr plan

  6. Ethos of practice • Towards the Patients • Towards Staff • How to draw the line between money and ethics • Does the Local Doctor or the Local Practice have a roll in your area?

  7. Lets Talk Pennies • What might I expect to earn as a Partner? • What might I expect as a Salaried Practitioner? • What might I expect as a Locum? • What might I expect as an OOH practitioner? • What might I expect as an entrepreneur?

  8. Buy In or Not Buy In • Legal/financial status of the Practice Premises • How does the Practice cover the expense? • NHS Logistical arrangements to provide facilities for all patients • NHS Financial agreement which ensures the provision of Premises • If I buy in where will I get the money? • How can I repay the loan? • What happens if I leave? • What happens if I don’t buy in?

  9. How Does the Practice Actually Work? • Who actually runs a Practice? • How is legal probity ensured? • How may the new plans impinge on the autonomy of our future Practices?

  10. Practice Finance • What is the effects of QOF? • Patient participation groups • Extended Hours • Basket of Services • Enhanced Services

  11. Practice Finance – cont • Target Payments – childhood immunisations • Dispensing/Personally administered items

  12. Take care of the penniesand the pounds take care of themselves • The Wise man he say “Income – Expenditure = Profit” • Profit represents that amount of money to be distributed amongst the partners. • How is the money distributed • Income • Expenditure

  13. Is CQC Friend or foe? • What is CQC? • How does it, or how will it work? • What may it mean to us?

  14. Let’s Peek into the Possible Future • Little change from present, may be a little tighter • Is OOH going to return to Primary Care? • Government wholesale buy out of individual Practices and run as secondary care. • Private sector takes over a progressively larger percentage of primary care • Private insurance takes over a larger part of primary care

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