Tips for Success in a GP Career and Practice Selection Process
"Explore valuable insights on choosing the right GP job, developing your career, dealing with challenges, and finding job opportunities. Understand the role of Local Medical Committees, negotiate effectively, and balance your needs with practice ethos. Enhance your chances of job satisfaction and career progression in the healthcare sector."
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Welcome to Reality Rachel McMahon Freelance GP Sessional GP Rep, LMC Secretary
Overview What job do you want? How to find a job? How to get a job? What to do to make the job a success? How to develop your career? What to do if it s not going well?
What is an LMC? Represent your views Go between with the BMA Negotiate local payment schemes Advice about contracts General support Advertise jobs www.clevelandlmc.org.uk rachelmcmahon@nhs.net jackie.jameson@nhs.net
What job do you want? Location Travelling time Hours of work Control over working patterns Control over the way the practice works Security of income Your own room Continuity of care Patient demographics Size of practice Peer support
A GP career is a marathon, not a sprint.
What job do you want? Partner Salaried GP Retention Scheme GP Fellowship Scheme Locum Out of Hours Other roles
EVERYTHING IS NEGOTIABLE
How to choose a practice? Remember what it is YOU want. Balance your wants What does the practice want?
Practice ethos job adverts Friendly, well organised practice that is looking for a highly motivated and dynamic individual to join our cohesive team Large supportive GMS training practice (30,000 patients) Our team fosters resilience through safer working, mutual support and a bit of fun Practicing high quality medicine and putting patients first Positivity, a sense of humour and a high income Meet daily for coffee together and are a sociable bunch! Professional and well established Excellent patient care whilst maintaining a sustainable work-life balance
How to find a job? Word of mouth VTS notice board LMC bulletins and website BMJ, Pulse, GP NESG Locum web booking services Approach the practice directly This Photo by Unknown Author is licensed under CC BY- NC-ND
How to get a job? Don t panic. Competing with established GPs. Judged from first contact. Prepare an appropriate CV. Informal and/or formal interview. Don t forget this is a 2 way process. Verbal offer, followed by a written offer.
Contractual arrangements GMS contract signatory Partnership agreement https://www.wessexlmcs.com/email12194 Contract of employment https://www.bma.org.uk/advice/employment/contrac ts/sessional-and-locum-gp-contracts/salaried-gp- model-contract Terms and conditions of engagement https://www.bma.org.uk/advice/employment/contrac ts/sessional-and-locum-gp-contracts/bma-locum- practice-agreement
Long-term Locum Be very cautious. Acquired employment rights Working patterns Duration Individual control Risk larger to practice than locum.
Income Partnership Pro-rata share of practice income Profits vs drawings 105,500 (2016/17) Salaried Fixed salary 58,809 - 88,744 (for 37.5 hours per week) 56,800 (2016/17) Locum Set your own fees Invoicing system
Income Tax Salaried work is taxed at source Any other work is taxed later Self-assessment via HMRC First payment is huge Save more than you expect to pay
Income job adverts Common to not see any information 150K+ (partnership), 80K (salaried) Salary 8500 to 11000 per session depending on level of responsibility and experience Starting salary 79k- 85k Competitive salary to reflect experience High earning Good remuneration
NHS Pensions Entitled to pension your income Employers contribution is in global sum Employees contribution comes from your earnings Be aware of ANNUAL ALLOWANCE Substantial increase in salary Earning over 110k Locums must organise their own pensions Cannot pension if working via a Ltd Company Be aware of ANNUALISATION
Workload Partnership Responsible 8am 6.30pm Mon - Fri Pro-rata share Extended hours Salaried Job Plan Locum Explicitly defined for each booking
EVERYTHING IS NEGOTIABLE
Salaried - Job Plan 37.5 hour week At least 4 hours/week should be PAID CPD time Pro-rata, annualised Appraisal is not included in this ALL normal duties Clinical, admin, meetings Subject to EWTD Minimum 20 min break per day Can sign opt out > 48 hours/week Annual review
Locum - Workload Get organised Diary Web resources Mylocummanager Locumorganiser LocumDeck Common working patterns 15 patients per surgery Consider catch-up slots Include time to do referrals, etc Are you happy to do scripts? Visits? On call? This Photo by Unknown Author is licensed under CC BY-NC
Workload job adverts 13 to 15 patients plus 3 triage bookable when needed 15 minute appointments One doctor does visits Paramedic home visiting team Low home visit rate, no nursing homes Saturday morning extended hours Busy, yet still have an excellent work-life balance 6 sessions per week including 1 late surgery and inclusion in the on-call and Saturday rota Extended hours options attracting enhanced pay
Entitlements - Partnership Depends on the contents of your partnership agreement. Reimbursement for parental leave 1,143.06 per week for the first two weeks 1,751.52 per week thereafter Reimbursement for sick leave 1,751.52 per week after the first 2 weeks Full amount for 6/12, 50% for 6/12
EVERYTHING IS NEGOTIABLE
Entitlements - Salaried Continuous NHS Service 30 days annual leave 8 days for Bank Holidays and 2 NHS days Maternity pay 8/52 full, 14/52 half + SMP, 17/52 SMP Sick pay 6/12 full, 6/12 half Redundancy pay Complex number of options be explicit in your contract 1/12 pay for every complete year
Entitlements - Locum Take whatever leave you want. No support from the NHS. No guarantee of any work. Maternity Allowance 148.68/week for 39 weeks Employment Support Allowance 73.10/week Strongly advise tailored financial advice.
Entitlements job adverts Superflexible with ways of working such as annualised hours, term time only contracts Flexible start-finish times 6 weeks annual leave and 1 week study leave, pro-rata Guaranteed 2 weeks annual leave over the summer and a school holidays rota Regular education sessions Informal mentorship for newly qualified GPs Indemnity paid
Indemnity April 2019 State backed indemnity scheme Clinical Negligence Scheme for General Practice All NHS general practice work Not covered GMC/NHS England investigations Non-NHS work Non-GP work
Negotiating Remember what YOU want. Find out what they want. Think about what you are willing to trade. You will be having a long-term relationship with this practice. Be fair. Be willing to walk away.
EVERYTHING IS NEGOTIABLE
Negotiating Put everything in writing. Read and understand everything.
General tips for success
Partnership Partnership Agreement Look at the current one, agree process for updating. Accounts Working to parity. Premises Last Man Standing Clauses How are decisions made within the partnership? What is the mutual assessment period?
Salaried Working Permanent salaried vs stepping stone to partnership? Importance of personal workload boundaries vs being a good team player? Do you want career development in this role?
Locum Legal Options Sole Trader Chambers Limited Company Agency
Locum Bookings How much do you charge for a full day? Are you available on X? Would you be able to work for us on X? Be explicit yourself Send everything in writing.
Locum Common Problems Cancellations; In advance On the day Work creep; can you just .? Extra appointments Telephone slots Double booking
Locum Induction Copies of all documents Arrive early Computer system Building Phone numbers Referrals Toilet and kettle
Appraisal 50 hours CPD with reflections Written up quality improvement activity (QIA) Multisource feedback (MSF) every 5 years 5 appraisals + no performance concerns = revalidation.
How to develop your career? Never be afraid to change paths. Use your appraisal to explore options. Be aware of developments; CCG Federation PCNs Other providers
What to do if its not going well? Recognise the problem and ask for help early. Don t go to work if you are unwell. Think about what would help; Careers advice Mentoring Reduced hours
Other sources of help www.clevelandlmc.org.uk Sessional GP regional rep Paula Wright pfwright@doctors.org.uk YouTube search Paula Wright GP www.nasgp.org.uk http://www.cnegpappraisal.co.uk/ www.nesg.org.uk rachelmcmahon@nhs.net jackie.jameson@nhs.net
Thank you, and good luck.
