1. Locum jobs Review your needs & be clear with surgeries Honesty & commitment Be organised Contract or not

2. Now Folder & Stationery CVGMC Covering letterP60 InvoicesCertificates Performers list – CCT, Indemnity, Copy for folder Speak to current Practice Manager Sessional GP list at PCT Register with HMRC as self employed Even if salaried and want to do OOH/extra locums

3. Stationery Clear Contact details Word document Use for all correspondence Invoice Curriculum Vitae & Covering Letter

4. How to find work Be creative Mail shot of CV/covering letter Friends & word of mouth Sessional List Cold calling Agencies

5. Tax Register as Self employed Keep approx 1/3 of earnings from each invoice Tax & NIC = Self assessment online Submitted LATEST by 31 st January 2013 for work done 6 th April 2011 to 5 th April 2012 Get 2 tax periods a year – Jan & July National insurance contributions – Class 1 – done by employer when employed & on PAYE – Class 2 – self employed - flat rate twice a year (jan & july) – Class 4 - self employed - pay when do self assessment as proportion of self employed earnings

6. Pensions Entitled to NHS pension Form A – total for session/work done Form B – total for month Pension Website best source of information – GP FAQs – http://www.nhsbsa.nhs.uk/2061.aspx http://www.nhsbsa.nhs.uk/2061.aspx – GP Locum page – http://www.nhsbsa.nhs.uk/Pensions/2665.aspx http://www.nhsbsa.nhs.uk/Pensions/2665.aspx – GP forms – http://www.nhsbsa.nhs.uk/Pensions/2668.aspx http://www.nhsbsa.nhs.uk/Pensions/2668.aspx

7. Indemnity MDU – Locum cover worked out based on number of sessions Can get cover in blocks E.g. 1 session per week = 52 sessions Use these all in one go or spread out through year Can add in ‘fixed’ sessions i.e 4 session regular until date X

8. Pay Negotiable Be fair to yourself and to the practice £80 per hour £225 per session £450 per full day £25 per visit – when to type it up? Above includes doing own referrals/paper work Leave a ‘tidy desk’

9. Extra tips Get an accountant – helps with tax return and claiming back tax free benefits Proportion of car/computer/stationery etc If doing maternity locum check policy re annual leave / study leave If employed for more than 6 months by a practice, you are classed as ‘salaried’ for purposes of pension and other rights PDP / Appraisal – keep log of this as you go

10. Life as a locum... plus side Understanding - personally & professionally Varied exposure to patients Different practices Systems / process / problems Income better than VTS Flexible working Clock on, clock off

11. Life as a locum... not-so-plus side Unknown Isolating Patients - demands / expectation / follow up Uncertainty – income / tax / new job / you How am I driving Clock on, clock off Split sites Mis-treated?? – on call

12. Resources National association of sessional GP www.nasgp.org.uk Bradford VTS exit handbook – Excellent resource even though from 2008/9 http://www.bradfordvts.co.uk/wp- content/onlineresources/0003postgptraining/exit%20h andbook.pdf http://www.bradfordvts.co.uk/wp- content/onlineresources/0003postgptraining/exit%20h andbook.pdf

13. Resources Coventry PCT performers list – Sue Ward Primary Care Support Manager Primary Care NHS Coventry Christchurch House Tel: 024 7624 6055 Fax: 024 7624 6039 Sue.Ward@coventrypct.nhs.uk