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Being a GP Locum Dr Emma Wilson GP Locum. What I do currently Finished registrar year in Edinburgh August 2008 Locum sessions in Tayside, Fife, Forth.

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Presentation on theme: "Being a GP Locum Dr Emma Wilson GP Locum. What I do currently Finished registrar year in Edinburgh August 2008 Locum sessions in Tayside, Fife, Forth."— Presentation transcript:

1 Being a GP Locum Dr Emma Wilson GP Locum

2 What I do currently Finished registrar year in Edinburgh August 2008 Locum sessions in Tayside, Fife, Forth Valley OOH work Tayside and Fife Medical Education Fellow 0.5 wte

3 Pros Independence, you choose when & where Ability to work in variety practices More clinical, less paperwork Self employed benefits Still able to contribute towards NHS Pension scheme Can mix with special interest Good introduction into general practice outside your training practice

4 Cons Inconsistency of work. “Quiet periods” Lack of employee benefits Lonely Limited control of working conditions (but can protect by terms and conditions) Payment delays Keeping accounts

5 Challenges Different organisational practices Blood tests/xrays/physio/ecgetc Referrals Computers, Coding and QOF ?Professional standing Setting rates -“Cartel” Getting started Appraisal

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 AiTs Pay £700 to PMETB Apply for CCT through e-portfolio as soon as ARCP signed off PMETB send confirmation to GMC Your CCT should arrive before the 1 st August (6 weeks) GMC updates registration up to 2 weeks before

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 form Select to be added to other areas in Scotland Ashludie hospital Cannot work for a practice or OOH until on performers list Defence cover ?how many sessions Doctors bag

9 Pension Can be superannuated as a locum Get forms from For every practice ask them to fill in superannuation form A End 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 5QF Must be there by 7 th of the month (max 10wks) NHS pay employers contribution so worth doing

10 GP Locum Form A

11 GP Locum Form B

12 Tax & National Insurance Register as self-employed – tax reference number AccountsIncome Expenses/subscriptions Mileage Keep receipts Set aside monthly proportion (1/3) Yearly tax return ?Accountant

13 Obtaining Work Independently CV Shoot Early July, short, accurate contact details, GMC,MDU Cold-calling Advertisements Locum groups/performers lists Agencies –non pensionable (not Scotland)

14 OOH Fife OOH Random s with shifts for base or car in St Andrews, Kirkcaldy, Dunfermline, Glenrothes Tayside OOH Shifts go live approx 2 months in advance ….mad scramble Texts with last minute requests

15 Obtaining Work Check s regularly Practices/OOH s NHS.net on CV Some will phone Answer machine and mobile essential School holidays peak November-January quiet Don’t forget to take time off

16 Organisation Keep an accurate diary Paper/electronic/both Some practices write/ for confirmation others don’t Consider invoicing I use a paper diary and have outlook on my laptop (linked to phone) Check duties,pay,computer system

17 First Day Always take GMC and medical defence certificate (CCT) to every new practice Practice will keep copy for next time Copy Form A Arrive on time Locum pack Px pad, Med3, dictaphone, how to get bloods, any self referal services, toilets, coffee room, write in notes/computer, outside line, reception

18 Support and Information Tayside locum group NASGP LASGP Doctors.net forum RCGP advice for sessional GP appraisal NHS Pension Agency HM Revenue & customs helpline for the newly self employed

19 Finally DON’T PANIC! Work will start to come in GPs will always take holidays/get sick/get pregnant/go on courses Good opportunity to take time off and recover from registrar year Enjoy different practices NO EXAMS!!

20 Questions?


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