The Life of a Locum GPThe Life of a Locum GP

Lynda Carter

ObjectivesObjectivesYOURShow 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

ObjectivesObjectives

MINE!Pros and Cons of LocumingModels Of WorkingGetting StartedBranding your careerCareer development

The Plan!The Plan!Pros and ConsModelsFinding WorkOrganising: terms and conditions ratesAdministration: paperwork and

equipmentFinances: tax, NI, pensionGetting StartedCareer Development

Why Locuming Works For Why Locuming Works For MeMe

FLEXIBILITY!!!Variety – location, type of workDiscontinuity (Less to take home)

Why Locuming Might Not Be Why Locuming Might Not Be For YouFor You

InsecurityLack of benefitsIsolationMore new patients Loss of continuity

Models of WorkingModels of WorkingSelf employed as freelanceAgency workLocum Chambers www.pallantmedical.org.ukLimited Company (no NHS

pension)

Finding WorkFinding WorkUse your practice manager!Network – meetings / friendsConsider personal phone calls / visiting

practice managersBusiness cards / own website?www.gplocum.org – LancsSusan.Gibson@eastlancspct.nhs.ukmary.mackenzie@yorlmcltd.co.uk –

Bradford and Airedale and N. YorksLeeds Sessional GP Group

kdpollock@doctors.org.ukwww.locum123.comAgencies

Organising Work – Terms Organising Work – Terms and Conditions (or none?)and Conditions (or none?)

Bookings –email / mobile / diary / onlineBooking form – parking / phone numberSessions – appointment length, number

of appointments, administration from consultations, visits

Repeat prescriptions (NASGP article)Non NHS workLate cancellation charges / late payment

charges

Organising Work - RatesOrganising Work - RatesNegotiate – think hols / SL / sick

leave / indemnityShort term vs long term workOff peak vs peak

Local ratesCompetition Act1998 – Office of

Fair TradingMedEconomics survey Feb 2009 –

GPYorkshire Daily £340 - £700

Half day £200 - £3502 hours £120 - £198 Hourly £60 - £88

http://www.healthcarerepublic.com/search/management/private_fees/news/937332/Locum-Rates/

What You Need To Get What You Need To Get StartedStarted

PMETB CCTGMCPrimary Performer’s List

confirmation letterMedical IndemnityCRB checkCV!Serology

EquipmentEquipmentDoctors BagDrugsComputerPhone / internet

FinancesFinancesGet an Accountant!Banking – get a business accountUse software - Penny Perfect www.pennyperfect.co.ukRegister as self-employed with HMRC

(within 3 months of starting work) http://www.hmrc.gov.uk/selfemployed/iwtregister-as-self-employed.htm

Complete DD for NI class 2 (£2ish per month)

NI class 4 gets paid when tax is paidSickness insurance

Financial RecordsFinancial RecordsIncomeExpensesCar – mileage (home to practice / visits /

meetings) or insurance, breakdown, repairs, tax

Equipment Home as officeTelephone / internetComputerConsumablesCourses (abreast of developments) Indemnity / GMC / BMA / RCGPPension / Gift Aid

PensionPensionForm A – one from each practicehttp://www.nhsbsa.nhs.uk/

Documents/Pensions/GPLocumA.pdfForm 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/Pensions/GPLocumB.pdf

The start of each Session..The start of each Session..

Arrive earlyLocum PackComputer system and PasswordsCheck room – pxs, sick notesCalling patientsBloodsCXRsReferralsWho do you ring

Career DevelopmentCareer DevelopmentOOH / prison work / AE / medical

journalism / educationAppraisal www.appraisals.nhs.ukPDPMedical Update and other meetingsLMCLeeds Sessional GP group kdpollock@doctors.org.ukSetting up your own Sessional GP

group

Branding your career / Branding your career / USPUSP

What a personal Brand is aboutSelf awarenessAuthenticity and personal

integrityCongruenceDeveloping your unique selling

pointHelping you gain a competitive

advantage

What do I wish I’d done What do I wish I’d done differently?differently?

Computer record keepingAccountantBusiness accountNot worried about not getting

enough workDon’t accept too much workNegotiation re paySickness insurance

ResourcesResources lyndamunro@doctors.org.uk 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