Presentation on theme: "Definition Fully qualified GP who is employed by a practice, PCT or alternative provider of medical services (APMS). There is a contract of employment."— Presentation transcript:
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 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 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 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 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 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 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 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 GMC licence to practice On GP register PCT performers list Medical Protection Insurance
BMA model contract Full time 37.5 hours = 9 sessions of 4 hours 10mins. Annual salary for full time 13/14 £54,319 -£81,969 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 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 Become a GP trainer. Diabetic and IT lead for the practice. Attendance at practice meetings. Mentorship.