2 What I do currently Finished registrar year in Edinburgh August 2008 Locum sessions in Tayside, Fife, Forth ValleyOOH work Tayside and FifeMedical Education Fellow 0.5 wte
3 Pros Independence, you choose when & where Ability to work in variety practicesMore clinical, less paperworkSelf employed benefitsStill able to contribute towards NHS Pension schemeCan mix with special interestGood introduction into general practice outside your training practiceHome is your base. Tax back for all self employed work related journeys, Portion of mortgage if you use a study partly for work.
4 Cons Inconsistency of work. “Quiet periods” Lack of employee benefits LonelyLimited control of working conditions (but can protect by terms and conditions)Payment delaysKeeping accounts
5 Challenges Different organisational practices Blood tests/xrays/physio/ecgetcReferralsComputers, Coding and QOF?Professional standingSetting rates -“Cartel”Getting startedAppraisal
6 Practicalities Getting started Pension Tax Obtaining work Organisation First day
7 Getting started August comes around quickly Most are already registered with RCGP as AiTsPay £700 to PMETBApply for CCT through e-portfolio as soon as ARCP signed offPMETB send confirmation to GMCYour CCT should arrive before the 1st August (6 weeks)GMC updates registration up to 2 weeks beforePMETB write to youE-portfolio – message on home page to electronic sign your agreement to ARCP panel descision. Then apply CCT button under AKT/CSA result page (progress to certification)
8 Need GMC GP registration AND CCT to be added to the performers list Decide on host performers list and contact primary care services for an application formSelect to be added to other areas in ScotlandAshludie hospitalCannot work for a practice or OOH until on performers listDefence cover ?how many sessionsDoctors bagGMC – call to check that PMETB have sent CCT. Ask when this will go on-line as this can be printed. Paper certificate will follow.Recommend asking if you can complete and return the application form well in advance as they need signed references. Then send or hand deliver your CCT when it arrives. They will just call/check GMC website.England – performers list for each region.
9 Pension Can be superannuated as a locum Get forms from www.sppa.gov.uk For every practice ask them to fill in superannuation form AEnd of month fill in superannuation form B and send it off with a cheque and form As to:Practitioner Services Division Bridge View 1 North Esplanade west Aberdeen AB11 5QFMust be there by 7th of the month (max 10wks)NHS pay employers contribution so worth doingPractitioner services – depending on host performer listKeep photocopies of form Bs
13 Obtaining Work Independently Advertisements CV ShootEarly July, short, accurate contact details, GMC,MDUCold-callingAdvertisementsLocum groups/performers listsAgencies –non pensionable (not Scotland)
14 OOH Fife OOH JoyceKelly@fifepct.scot.nhs.uk Random s with shifts for base or car in St Andrews, Kirkcaldy, Dunfermline, GlenrothesTayside OOHShifts go live approx 2 months in advance ….mad scrambleTexts with last minute requestsTayside interview
15 Obtaining Work Check emails regularly Practices/OOH emails NHS.net on CVSome will phoneAnswer machine and mobile essentialSchool holidays peakNovember-January quietDon’t forget to take time off
16 Organisation Keep an accurate diary Paper/electronic/both Some practices write/ for confirmation others don’tConsider invoicingI use a paper diary and have outlook on my laptop (linked to phone)Check duties,pay,computer systemUltimately you are self employed so you charge what you think your work is worth. (esp if being offered long term locums)Rate setting is illegal. Fixing makes it difficult to ever get a pay rise. However without some guide the risk is out-bidding locums driving prices down.Tayside – the chairman of locum group s practices to tell them his personal rates. Practices use this as a guide as to what to offer and will not therefore be expecting to pay less.Half day – 195 – 170. full day –
17 First DayAlways take GMC and medical defence certificate (CCT) to every new practicePractice will keep copy for next timeCopy Form AArrive on timeLocum packPx pad, Med3, dictaphone, how to get bloods, any self referal services, toilets, coffee room, write in notes/computer, outside line, receptionMemory stick/ certificatesComputer systems – may have to go for training
18 Support and Information Tayside locum groupNASGPLASGPDoctors.net forumRCGP advice for sessional GP appraisalNHS Pension AgencyHM Revenue & customshelpline for the newly self employedOr start your own small study/support groupRCGP for sessional GP appraisal advice
19 Finally DON’T PANIC! Work will start to come in GPs will always take holidays/get sick/get pregnant/go on coursesGood opportunity to take time off and recover from registrar yearEnjoy different practicesNO EXAMS!!