Transcript The Life of a Locum GP - Lynda Carter

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!
 if your 'technique' changed or if you would
do anything differently should you do it again
 financal aspects of being a locum
Objectives
MINE!
 Pros and Cons of Locuming
 Models Of Working
 Getting Started
 Branding your career
 Career development
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
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Why Locuming Works For Me
FLEXIBILITY!!!
 Variety – location, type of work
 Discontinuity (Less to take home)
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Why Locuming Might Not Be For
You
Insecurity
 Lack of benefits
 Isolation
 More new patients
 Loss of continuity
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Models of Working
Self employed as freelance
 Agency work
 Locum Chambers
www.pallantmedical.org.uk
 Limited Company (no NHS pension)
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Finding Work
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Use your practice manager!
Network – meetings / friends
Consider personal phone calls / visiting practice
managers
Business cards / own website?
www.gplocum.org – Lancs
[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?)
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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
Negotiate – think hols / SL / sick leave /
indemnity
 Short term vs long term work
 Off peak vs peak
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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/L
ocum-Rates/
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What You Need To Get Started
PMETB CCT
 GMC
 Primary Performer’s List confirmation
letter
 Medical Indemnity
 CRB check
 CV!
 Serology
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Equipment
Doctors Bag
 Drugs
 Computer
 Phone / internet
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Finances
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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/selfemployed/iwtregisteras-self-employed.htm
Complete DD for NI class 2 (£2ish per month)
NI class 4 gets paid when tax is paid
Sickness insurance
Financial Records
Income
Expenses
 Car – mileage (home to practice / visits / meetings)
or insurance, breakdown, repairs, tax
 Equipment
 Home as office
 Telephone / internet
 Computer
 Consumables
 Courses (abreast of developments)
 Indemnity / GMC / BMA / RCGP
 Pension / Gift Aid
Pension
Form A – one from each practice
 http://www.nhsbsa.nhs.uk/Documents/Pen
sions/GPLocumA.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/Pen
sions/GPLocumB.pdf
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The start of each Session..
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Arrive early
Locum Pack
Computer system and Passwords
Check room – pxs, sick notes
Calling patients
Bloods
CXRs
Referrals
Who do you ring
Career Development
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OOH / prison work / AE / medical
journalism / education
Appraisal
www.appraisals.nhs.uk
PDP
Medical Update and other meetings
LMC
Leeds Sessional GP group
[email protected]
Setting up your own Sessional GP group
Branding your career / USP
What a personal Brand is about
 Self awareness
 Authenticity and personal integrity
 Congruence
 Developing your unique selling point
 Helping you gain a competitive advantage
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
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Resources
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[email protected]
NASGP
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