Choosing a practice

Options Senior registrar Senior registrar GP principle GMS GP principle GMS GP principle PMS GP principle PMS Salaried GP Salaried GP Locum Locum Out of hours/walk in centre Out of hours/walk in centre

Senior registrar Apply to Deanery Apply to Deanery 4 sessions GP 4 sessions GP 6 sessions in speciality of choice 6 sessions in speciality of choice 1 day every other week day release 1 day every other week day release project project

GP principal New contract New contract Automony Automony Paperwork Paperwork Responsibility Responsibility Employment law Employment law Health and safety Health and safety Patients Patients

GP principal Finance Finance Premises Premises Staff Staff Equipment Equipment Training Training

Salaried GP Limited terms of employment Limited terms of employment Set income Set income No responsibility No responsibility No autonomy No autonomy No risk No risk

Locum Flexibility Flexibility Market forces Market forces No holiday, study leave or sick leave No holiday, study leave or sick leave No job security No job security No long term patient contact No long term patient contact Easy to get out of date with current management Easy to get out of date with current management

What do you want Social class Social class Partnership Partnership Premises Premises Notes Notes computerisation computerisation Location Location

What do you want Work conditions Work conditions Finances Finances Leave Leave Disputes Disputes Politics Politics

Location Rural, Rural, Semi-rural Semi-rural Suburban Suburban Inner city Inner city

Location Geographical area Geographical area Which part of the country Which part of the country Relatives Relatives Friends Friends Hobbies Hobbies Housing supply/costs Housing supply/costs

Location Local faciliites Local faciliites Schools Schools Traffic congestion Traffic congestion Road systems Road systems Parkingat surgeryon visits Parkingat surgeryon visits Shopping Shopping Recreation Recreation

Social class Class 1 Class 1 Better educated Better educated Manage minor illnesses Manage minor illnesses Aware of latest management Aware of latest management Access to internet Access to internet Private health insurance Private health insurance

Social class Class 5 Class 5 Poor social support Poor social support Anxious over minor illnesses Anxious over minor illnesses Poor social skills Poor social skills Less access to transport Less access to transport Unaware of recent developments Unaware of recent developments Unaware of media health scares Unaware of media health scares

Partnership Nos. of partners Nos. of partners Relationship between partners Relationship between partners Partners relationship with staff Partners relationship with staff Practice ethos Practice ethos Decision making process Decision making process

Premises Owned or rented Owned or rented Can you buy in Can you buy in Structural condition Structural condition Decoration Decoration Own room Own room

Notes Summaries Summaries Date order Date order Legible Legible New patients notes New patients notes Letters Letters Investigations Investigations

Computerisation System System What are they used for What are they used for Repeat prescribing Repeat prescribing Chronic disease management Chronic disease management Appointments Appointments Audit Audit Paperless Paperless Future plans Future plans

Work conditions Surgery hours Surgery hours Nos. Of surgeries per week Nos. Of surgeries per week Nos. of patients per surgery Nos. of patients per surgery Extras Extras Nos. of visits Nos. of visits Out of hours arrangements Out of hours arrangements

Finances Practice income Practice income Comparison to similar practices Comparison to similar practices Parity Parity Time to parity Time to parity Outside earnings Outside earnings

Leave Holiday entitlement Holiday entitlement How are dates agreed How are dates agreed Study leave Study leave Maternity/Paternity leave Maternity/Paternity leave Sick leave Sick leave

Disputes How are they resolved How are they resolved Undesirable partner Undesirable partner Partnership agreement Partnership agreement

Medical politics Involvement in PCT, LMC Involvement in PCT, LMC Attitude to current NHS reforms Attitude to current NHS reforms Activists or reactivists Activists or reactivists

Gut Feeling