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.

 Any questions…?