life after gpvts - health education england · background after vts ad-hoc locum work for 4/12...
TRANSCRIPT
LIFE AFTER GPVTS
31st May 2017
Becky Clapham
GP Fellow Dermatology
Objectives
Introduction
Locum work
CVs
Finances
Contracts
Partnership
Future of General Practice
Background
After VTS Ad-hoc locum work for 4/12
Partner for 1 year
Locum regular and ad-hoc 18/12
Salaried for 1 year
GP Fellow
THE PERFECT JOB?
Type of Work
Partner vs locum vs salaried
Full time vs part time
Where?
When?
Short and long term goals
Checklist
CCT + GMC GP register
Performers List
Indemnity Insurance
HMRC- Self employed
Hepatitis B status
DBS certificate
Job Hunting
Word of mouth
LMC website – GP recruit
BMJ/ Pulse
Locum Agency
OOH
PARTNERSHIP
Partnership (1)
Self employed
Responsible for ‘day to day’ running of the surgery
Clinical
Financial
Managerial
Partnership (2)
Type of practice
Partner demographics
Patient demographics
Staff
Management
Partnership (3)
Written agreement
Premises – buying in
Mutual assessment period
Parity
Income/ Practice Accounts
Salaried Jobs
Employed
Fixed time table and salary
BMA salary contract – sick pay/maternity leave
Tax, NI and pension contributions
But less autonomy
LOCUM WORK
Terms & Conditions
Consider – Negotiating pay – day or hourly rate
Payment by Cheque or BACS
3 or 4 hour sessions, pts per session
?charge for admin time
On-call
Visits
Repeat prescriptions
Cancellation fee
Terms and conditions
Sample:
Locum Guide form Shanker http://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=
0CDEQFjAA&url=http%3A%2F%2Ficmnro.wm.hee.nhs.uk%2FPortals%2F5%2FPresentations%2FThursday%2520Sessions%2FLocum%2520Guidefrom%2520Shanker.pdf&ei=RqFyU9KAJNSw7AaVkYHwBQ&usg=AFQjCNEDo8GJX2nY1Tz_X7wJmUDRc5Ad7Q&sig2=87o-SVFZlvZ6wIpJTROuGw&bvm=bv.66699033,bs.1,d.d2k
Advice packs for freelance GP locums
Part of the RCGP First5 initiative
Seeking locum work
Sample covering letter as a freelance locum
Dear
My name is Dr …………….and I am writing to introduce myself as a
freelance GP.
I am available to provide locum cover to practices in and around XXX
area. I enclose a copy of my GP Profile as well as my terms and
conditions which I hope you will find competitive.
If you would like to engage my services or indeed would like any more
information, then please contact me on 01234 567890 or email
[email protected]. I would be very happy to provide references upon
request..
Yours sincerely
Attach your full CV
Attach your GP Profilehttp://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0CC8QFjAA&url=http%3A%2F%2Fwww.londondeanery.ac.uk%2Fgeneral-practice%2Ffiles%2Fcountdown-to-practice%2Fmi_advice_pack_for_locums.pdf&ei=x5FyU6_bJKaq0QXWpoDAAQ&usg=AFQjCNEelBOP5HoBzWpnggQcuc4isYW6Dg&sig2=5HkWPr_NSjAtMyxtPKWrCA&bvm=bv.66330100,d.d2k
Alternative jobs
OOH
UCC
University walk in
Hurley Group
Commissioning jobs
Private work : BUPA, CQC, Telemedicine
Family planning
Teaching
E-learning – RCGP
On the day
Arrive early
Passwords
Name plate
Call system
Emergency medication
List of important telephone numbers
Named contact/ PM telephone number
Peer Groups
First 5 essentials events
Herts sessional GPs Peer learning Group
Lead- Daniela Clear [email protected]
St. Albans & Harpenden Medical Society
Contact - Taylor Lavena (RWG) West Hertfordshire [email protected]
Hertfordshire New Practitioners Group
www.hertsnewpractitioners.wordpress.com
GP Chambers
http://www.nasgp.org.uk/chambers/
Locum organisers
Locum organisers
Locum organisers
Finances, CV’s and Contracts
Becky Clapham
Finances
Limited company
Pension and forms
What you can claim tax on e.g. CSA
Self-employed and mortgage application
Accountants
Locum organiser/invoicing
Maternity and allowance
OOH and MDU
Things to Claim
Mileage (keep a record of postcodes)
Car tax, Insurance (class II), Repairs/services, AA/RAC
Subscriptions – MDU/MPS, BMC, BMA, faculties etc
Books and periodicals
Courses and conferences
Use of Home – electricity, phone and internet
Equipment – Medical, computers, desks
Lunches
Pension
If you are freelance (not a Ltd. Co) you can pay into the NHS pension scheme
Must do within 10 weeks
Pensionable pay is 90%
The practice pays 14.38% and you contribute 12.5-13.5% depending on gross earnings
Send locum form A with invoice for the month
Locum form B includes all the practices for the month that have done a form A
Pension Forms
PSU finance Charter House
MPAVC’s=added years
NHSPS number is unique pension number
Need to try and predict earnings to decide tiered rate
Host NHSCB / LHB = performers list
Host NHSCB / LHB / BSO Ref. Number = GMC number
https://www.nasgp.org.uk/nhs-superannuation/
CV’s
Tailored to job – are you “a fit” for the surgery and job
Covering letter
Documents needed when organising locum: CV
GMC cert (CCT cert)
Performers list letter
CRB
MDU/MPS/MDDUS certificate
Hep B status
Smartcard number
Contracts
BMA model contract if salaried in a GMS practice
Partnership deeds are not covered by BMA but they will check them for you – read every line!
Locum – Can do but usually done informally by e-mail. Think about cancellation charge if more ad-hoc
Other Jobs
Working abroad
Ship doctor
Prison doctor
Medico-legal work
Public health
OH
Management
Tips and summary
Locum Negotiate
Set clear terms and conditions
Salaried BMA contract
Partnership Written agreement a must
Can leave if not right
Tips and summary
Expenses and Accounts
Don’t forget appraisal work
Don’t be afraid to ask for help
Remember to look after yourself
Work life balance
Questions?
GOOD LUCK and ENJOY