SYGN evening – 16/10/12
“How to survive general practice”
Use our GP website for:
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Referral forms
Online referrals
Consultant directory
Education meetings
Consultant presentations
www.spiregatwick.com/gpinfo
Becoming a GP
how to survive post VTS
Robin Partridge Gupta
robinpgupta@gmail.com
Bit about me
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Qualified from St Georges 2002
PRHO, 3yrs medical SHO, 1yr AE Registrar
East Surrey VTS shortened scheme Aug07-09
2009 to 2011 ad hoc locum and salaried locum
Offered Partnership August 2010
Started full time Partnership September 2011
E-portfolio: It never ends!
• PCT decide which one you have to use
• Surrey uses RCGP: currently free.
• http://www.rcgp.org.uk/revalidation_eportfolio_home.aspx
• They will allocate your appraiser if don’t
hassle them +++. Abigail Holm for Surrey
Abigail.Holm@surreypct.nhs.uk 01372 201 631
• CPD points, Courses, audits, significant events,
PSQ, MSF, PUNS and DENS.
REVALIDATION STARTS NOW
Things you should already have
• GMC: GP register, Local PCT: Performers list
• HMRC registered as self employed + class 2 NI
http://www.hmrc.gov.uk/working/intro/selfemployed.htm
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Defence Union letter, CV, Letter about yourself
A5 picture card for patients?
Calendar, Invoice program, Sat-nav
Doctor’s Bag
Job options
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Locum
Choose what work
Choose pay
Holiday when want
Money better
Find long term job in
good place / trial
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Salaried
Regular income
Sick, study, maternity
and holiday pay
Member of a team
Tax and pension
deducted before paid
May be tied to place for
length of contract
Locuming: The annoying things
• Still have revalidation
• No sick leave or study leave and no pay if
don’t work
• Have to look for work
• Negotiating rates and work
• Easy to work too much
• Save for tax man AGHHHH
Getting Jobs
• Ask your practice manager to spread word
• Canvas local/wanted surgeries with CV + letter
to manager
• Network with VTS to email if people needed.
Word of mouth is huge
• Locum agencies
• PCT locums
• Out of hours
Future Job Options
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Long term locum
Sessional locum: Work regular session like salaried but as locum
Chamber locum: Group of locums who sell services
Salaried
Partner
Media doctor
Cruise Ship Doctor: Good pay, see the world
Private Doctor: In surgery or for companies
Pharmaceutical Industry
Go back to hospital
Rio 2016?
How to get ahead
• When work make time to chat and get along with the manager,
reception and any non doctor staff. Manager will get your name out
locally and if any jobs coming up in surgery you will get opportunity.
• If work regular get involved - go to meetings, education events,
nights out. Take out extra duties - audit, practice meeting agendas review of drugs/notes (these should be quick and not take up ages
of “unpaid time”). Be willing and open to areas of need at the
surgery - nursing homes, contraception, partners retiring in next
few years, salaried Dr’s leaving / pregnant.
• By doing above people see you are interested and keen and easy to
get on with. Bit extra work now pays later.
• WARNING: Practices can try to overburden you. Negotiate on
rates, work and load.
Rates
London
South East
Coast
Mine
Weekly rate
Day rate
Half day inc
visits
Two-hour
surgery
In hours per
hour
£1,000£2,500
£300-£700
£180£337.50
£140-£230
£40-£100
£2,473£2,500
£450-£500
£200-£250
£130-£150
£60-£90
£300-£520
£170-£350
£130-£200
£60-£90
£450
£200-£250
£410-550
£250
£70
£200-225*
My rates: I charge ½ day or full day rates +/- visits. £50 extra for visits or
“on-call”.
Often when start locum job work is light then gets heavier and take on more
duties. At that time may need to re-negotiate.
My jobs
• 1st job at local surgery through my practice manager to
cover partner annual leave for few weeks. Extra shifts
later for sickness and annual leave.
• 2nd job at my reg practice 6 month extended to 1 year
maternity locum. Then asked to stay on with view to
partnership.
• 3rd Job word of mouth via practice manager few days a
week to permanent work. Heavily involved in
partnership and took over EMI nursing home
• 4th Job via VTS mass email. One day then offered 4
months 1.5 days then more regular days.
Overview of jobs
Job
number How Got Job
1
Prac manager
2
Reg job
3
Prac manager
4
VTS e-mail
AM Clinic Pm Clinic
Half Day
Full day
2.5hrs
2hrs
£205
£410 or £450 with visits
3hrs
2hrs
£225
£450 with visits
2.5hrs
3hrs
£200
£410 or £450 with visits
2.5
2
£225
£410 or £450 with visits
1+4: Low work load, easy job
2: Heavy work but thinking long term job offer. Renegotiated £550 for full day
with nursing home cover when days I work reduced
3: Started off easy with large lunch break to go swimming but work increased
and paperwork heavy, practice meetings, audits, took over Nursing Home
would have been back up partnership practice. Renegotiated £450 a day with
£500 if visits or on-call
Negotiating Tips
 Decide on your minimum worth
 If a job is quiet and easy review situation
 If thinking about job there, may take lower pay or do extra for
nothing
 If work hard, get involved, patients + staff like you (very
important and huge importance) you will be able to negotiate
easily
 If work load changes monitor and then discuss, they may
prefer to take work away or pay more.
 Write an e-mail or letter detailing matter
 Do not let it affect your work, it is business
Locuming
• Calendar, Invoice, Get paid, Pension A+B, if
OOH C+D, mileage.
• Penny Perfect: £29 a year BUY
IT
-locumorganiser.com £12 a month
• Pension: Pay to Surrey PCT ND. Amount varies
on income, added years ect. You can claim
back tax on this with self assessment.
Tax Rebates
• REBATES: GMC, BMA, MDU/MPS, all
subscriptions journals, work items (bag, steth,
otoscopes ect).
• Phone costs
• Stationary, printer costs
• If have study used for work can claim % back
on heating/mortgage ect I would not.
• Pension: Private and NHS (if locum)
Motoring expenses: http://www.hmrc.gov.uk/rates/travel.htm
• 2011-2012: 45p per mile for 1st 10,000 then 25p per
mile (on your business miles not all). Work out your
business to personal miles. Accountant get you to do
typical month record.
• OR can claim all car costs ie servicing, MOT, road tax,
RAC/AA, tyres, any service parts, Petrol - need to
keep all receipts (VAT receipt on petrol). You then
again claim back business %. Can claim depreciation
or interest on loan as well depreciation max £3000 a
year
In summary
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GMC, Performers list, Defence union
HMRC + self employed + self assessment
Best jobs word of mouth
Penny Perfect program
Get an accountant
Spend time with staff and have fun
Go to meetings and get involved
Have fun and enjoy life