1. Rachel McMahon Portfolio GP
Welcome to Reality
Rachel McMahon
Portfolio GP

2. 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?

3. Professionalism
GMC duties of a doctor
Reputation

4. A GP career is a marathon, not a sprint.
What you do you want?
A GP career is a marathon, not a sprint.

5. 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

6. What job do you want? Partner Salaried Locum Out of Hours Other roles
Retainer scheme or flexible careers scheme
Locum
Out of Hours
Other roles

7. How to find a job? Word of mouth VTS notice board
LMC bulletins and website
BMJ, Pulse, GP
NESG
Locum Organiser
Approach the practice directly

8. 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.

9. How to make the job a success?
EVERYTHING IS NEGOTIABLE

10. How to make the job a 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?
Start saving for your first tax bill.

11. How to make the job a success? Salaried Employment
Model Contract.
Join BMA and have your contract checked.
Pay
Job Plan

12. How to make the job a success? Salaried - Pay
Salary of £52,462 to £79,167 (2008-9)
Pay Progression
Previous NHS service
Indemnity and other professional expenses

13. How to make the job a success? Salaried – Job Plan
37.5 hour week.
1/9 of time should be PAID CPD time.
ALL normal duties.
Clinical and admin.
Subject to EWTD
Minimum 20 min break per day.

14. How to make the job a success? Locum
Get organised.
Decide your fees.
Decide how you would like to work.
Mylocummanager, Locumorganiser, NASGP
Terms and conditions.
HRMC
Pension forms A and B

15. How to make the job a success? Locum
Induction
Copies of all documents
Arrive early
Computer system
Building
Phone numbers
Referrals
Toilet and kettle

16. How to make the job a success? “Long-term Locum”
Doesn’t exist.
Acquired employment rights;
Working patterns
Duration
Individual control
Risk larger to practice than locum.

17. How to make the job a success?
Indemnity
Sessions
Type of work
Claims vs occurrence
Cost
Check the policy if employer provided

18. How to make the job a success?
Financial planning
Have independent financial review
Income protection, critical illness cover, locum insurance, etc.
Be aware of what is already included in your job/NHS pension scheme.
Indemnity thresholds
Pension contribution thresholds

19. How to make the job a success?
Appraisal
50 hours CPD with reflections
Written up quality improvement activity (QIA)
Multisource feedback (MSF) every 5 years
5 appraisals + no performance concerns = revalidation.

20. How to develop your career?
Never be afraid to change paths.
Use your appraisal to explore options.
Be aware of developments;
CCG
Federation
Other providers

21. What to do if it’s 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

22. Thank you, and good luck.