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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
slide5
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/