25/04/2014Dr Andrew Mowat1 Practice Structure and Organisation An Introductory overview

25/04/2014Dr Andrew Mowat2 General Practice Independent Contractor Employed by LHA Provide General Medical Services OR Personal Medical Services Demand-led Service secure long-term contract taxation advantage

25/04/2014Dr Andrew Mowat3 Independent Contract GMS or PMS Core Services Item-of-Service payments Target payments Drug/Dispensing payment Reimbursement

25/04/2014Dr Andrew Mowat4 Partnership Partnership Agreement (contract) Teamworking Trust mutual support buddying covering duties sharing workload Rotas

25/04/2014Dr Andrew Mowat5 Partnership Strengths/Weaknesses Roles Chemistry Numbers/divisions Bonding/cohesion Flexibility/tolerance

25/04/2014Dr Andrew Mowat6 Holiday Rota

25/04/2014Dr Andrew Mowat7 Structure

25/04/2014Dr Andrew Mowat8 Roles Practice Manager Practice Nurse Dispenser Receptionist Secretary Data Clerk

25/04/2014Dr Andrew Mowat9 Attached Staff District Nurses Health Visitors Palliative Care Nurse Midwife Podiatrist

25/04/2014Dr Andrew Mowat10 Other close contacts Podiatrist Mental Health/Drug Abuse Gynaecologist Chiropractor Homeopath Audiologist

25/04/2014Dr Andrew Mowat11 GP Registrar Roles & Responsibilities Supernumerary Protected training time Self-directed learning

25/04/2014Dr Andrew Mowat12 Premises Health Centres Cost-Rent Scheme PFI/LIFT Equity Partners Use of space Long-term return

25/04/2014Dr Andrew Mowat13 NHS Primary Care Structure Department of Health (DoH) NHS Executive (NHSE) Regional Health Authority (RHA) (Trent) Local Health Authority (LHA) (Lincolnshire) Primary Care Group (Trust) (East Lindsey)

25/04/2014Dr Andrew Mowat14 East Lindsey PCG Determines local health needs Deploys resources to meet needs Holds Prescribing/Staff budgets Clinical Governance

25/04/2014Dr Andrew Mowat15 Taxation Schedule D self-employed expenses wholly and exclusively … Schedule E PAYE tax code given expenses wholly and necessarily

25/04/2014Dr Andrew Mowat16 Professional Expenses