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Salaried General Practitioner - PowerPoint PPT Presentation


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Salaried General Practitioner. Definition . Fully qualified GP who is employed by a practice, PCT or alternative provider of medical services (APMS). There is a contract of employment with the employer and by virtue of being an employee, accrues employment rights. . GMS / PMS / APMS.

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definition
Definition
  • Fully qualified GP who is employed by a practice, PCT or alternative provider of medical services (APMS).
  • There is a contract of employment with the employer and by virtue of being an employee, accrues employment rights.
gms pms apms
GMS / PMS / APMS
  • Employed by
    • GMS practice : Obliged to give you a standard BMA contract
    • PMS practice : Not obliged to offer you a standard BMA contract, but you are advised to ask for comparable terms of employment
    • APMS : Not obliged to give you anything.
advantages
Advantages
  • No need to invest.
  • Minimum terms and conditions of employment if in a GMS contract e.g. Paid annual leave, sickness and maternity benefits.
  • Regular income and work.
  • Benefits from being in one place i.e. continuity with patients, training and development, team building etc.
  • Well defined job with boundaries.
  • Focus on clinical work and don’t have the responsibilities of a partner.
  • Flexibility.
  • Protected CPD time
  • Route to partnership.
  • Leaving the practice is less complex.
disadvantages
Disadvantages
  • Not as flexible as a locum.
  • Not a partnership wage.
  • May not be able to influence decisions, have a say or control of the running of the business.
  • May not have opportunities to pursue an area of interest if practice decides against it.
  • Potential conflict with partners
  • Risk of exploitation
  • Can be dismissed or made redundant
good option
Good option
  • Just completed training and feel unprepared or lack the confidence of career being a partner or unsure of what you want to or where you want to work.
  • Have domestic responsibilities and don’t want the burden of a partnership.
  • At retirement stage to reduce workload
  • Portfolio GPs who want to maintain regular clinical skills.
how to find a job
How to find a job
  • High availability of salaried post compared to partnerships.
  • Training practice.
  • Word of mouth.
  • Advertisements e.g. BMJ, Pulse, PCT.
  • Being proactive and approaching practices.
negotiation
Negotiation
  • Visit the practice and asked to be shown around.
  • Meet some of the partners and staff.
  • Discuss type of work you’ll be undertaking and your role within the practice.
  • Agree acceptable job plan.
  • Agree salary and medical defence subscriptions contribution.
  • Written employment contract covering satisfactory terms and conditions i.e. leave, pensions, pay increases, sickness and maternity benefits, disciplinary action, termination etc. -ADVISABLE TO SEND OFF CONTRACT TO BMA FOR CHECKING.
  • Mentorship / progress reviews?
job plan
Job Plan
  • Negotiate and set out job plan
    • Clinical sessions – length, no. of patients, appointment times etc.
    • Specialist roles and responsibilities
    • Telephone consultations
    • Home visits
    • Extended hours or on-call duties
    • Path lab results
    • Letters and post
    • Attendance at meetings
    • Personal CPD time
what you need to be a salaried gp
What you need to be a salaried GP
  • GMC licence to practice
  • On GP register
  • PCT performers list
  • Medical Protection Insurance
bma model contract
BMA model contract
  • Full time 37.5 hours = 9 sessions of 4 hours 10mins.
  • Annual salary for full time 09/10 £53,429 -£80,355 pro rata (range set out by doctors and dentist review body -DDRB).
  • Entitlement to 1 session out of 9 for Continuing Professional Development (CPD) activities and protected annual appraisal.
  • 6 week holiday per annum pro-rata
  • Pensioned in the NHS pension scheme.
  • Annual pay uplift, at least in line with DDRB recommended increase, may be incremental increase or bonus pays as well.
  • Entitlement to sickness and maternity benefit etc.
personal experience
Personal experience
  • Taken on as a salaried GP by my training practice.
  • 9 sessions – 8 clinical and 1 CPD
  • Annual salary £70,000
  • GMS practice, so follows BMA model contract, did send off contract to BMA to be checked
  • Clinical work is equivalent to partners
  • Involved in debriefing of GP registrars, diabetes lead and occasional chairing of palliative care meetings.
  • Attendance at practice meetings.
  • Mentorship.