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Dive into "Locuming Made Simple" by Dr. Manjit Purewal and Dr. Lynsey Fielden, designed to equip you with essential insights for becoming a successful locum. This guide covers critical aspects like preparation, financial management, record-keeping, and common pitfalls in locum work. You'll learn how to decide if locuming is right for you, prepare your CV, navigate the administrative workload, and recruit the right professionals to manage your finances. Embrace the flexibility and enjoy the benefits of locum work with expert advice!
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Locuming Made Simple by Dr Manjit Purewal Updated by Dr Lynsey Fielden, 2007
Aims • Gain insight into preparation needed to become a successful locum • Gain insight on financial issues and record-keeping • How to enjoy locum work
Objectives • Decide whether locuming is really for you • Be aware of steps required to set up as a locum • Know what administration work is involved and how to keep on top of it
Objectives (2) • Have an idea how to recruit an accountant, keep records for the tax man • Be aware of other financial issues e.g. income protection • Be aware of pitfalls common to locums
SUMMARY OF LOCUMING PREPARATION/CV MAKING CONTACT BOOKING ON THE DAY (doing the job) INVOICING OTHER THINGS Equipment Accountant Tax & finances Leave
Preparation • Start early • Define where/what/when? • Performers’ list • Supplementary lists ?still exist • Documents & Paperwork
Preparation (2) • WYCSA/PCT locum list • CV and contacting surgeries • Inland revenue • Equipment • National Association of Non-Principals (NANP) & other locums
C.V. • Keep it short • Precise information • What lists are you included in - minor surgery, child health, obstetric list • Referees • CLEAR CONTACT DETAILS
Booking Work • When/how long for? • Computer system • How many patients/visits? • Admin. work/other clinics • On-call • Details of surgeries, e.g. start times, breaks • Fees • Get confirmation in writing
On the day • Locum pack? • Basic essentials, e.g. computer • Locating equipment/forms • FP10’s/MED3’s/etc. • How does the system/service run • Delegation • On-call sessions • Say ‘no’ if appropriate
Record Keeping • Discuss with your accountant • Keep all receipts • Set time aside for this each week/month - makes sending out invoices a lot easier • KEEP ON TOP OF IT
Invoices • Keep them simple & headed • Use computer • Be precise about what you have done • Make sure the figures are clear • Remember if it looks messy or complicated then your payment may be delayed
Fees • You must have a base to start from • Speak to other locums • Ask the practice manager what they normally pay • Vary rates e.g. for surgery only, on-calls, etc. OR hourly/sessional rate • Learn the art of negotiation
RECOMMENDED LOCUM RATES • The Office of Fair Trading ruled BMA-suggested locum rates anti-competitive in 1999. • Locums and Practices must negotiate rates. (Medeconomics August 2004)
Tax • Find an accountant and discuss • Set up a (high interest) savings account • Save about 1/3 of your monthly earnings • Don’t touch it until after you receive your tax bill! • Make payments twice a year (Jan & July)
USEFUL WEB ADDRESSES • Institute of Chartered Accountants of England & Wales: www.icaew.co.uk • NHS Pensions: www.nhspa.gov.uk • National Association of Non Principals: www.Nanp.org.uk
Tax (2) • Don’t be fooled by low tax returns in first year • PAY TAX ON TIME (31st Jan deadline) - otherwise you will be fined and charged interest!
Other Finances • National Insurance – class II & III • ‘NHS Superannuation scheme’ - filling in of Locum form A & B and submitting with pension contribution • Income protection
Extras • Equipment needed • Expenses • Long-term locums • Locum agencies • Cancellation policy • Details of other locums • Continuing Personal Development • Appraisal
POTENTIAL PITFALLS • Being poorly organised • Abuse by practices • Income - unpaid leave - hidden costs • CPD • Isolation • NOT BEING ABLE TO SAY NO
ENJOYING IT! • Good preparation • Own boss • Flexible – leave, working patterns • Income • Gain insight into workings of different practices • Good way of finding the right practice for you in the future - networking
Locuming Made Simple • Preparation is key • Finances & record-keeping • ENJOYABLE!