1. This is Your Future SO PLEASE THINK VERY CAREFULLY

2. Searching for the Practice of your choice  Where, if you could choose, would you like to settle in Practice for the next 5 years?  What do you feel that you need to do before settling down?  What factors will influence or could dictate your place of settling down?

3. Searching for your Next or Long Term Job  How do you find out about possible jobs?  How do you find out the details and inside stories of a potential Practice?  How do you find out what they may be looking for?  How can you find out if they are what you are looking for?

4. Details of Your Ideal Practice Number of Drs:- Sex, Age, W.T.E., Ext Interests Setting:- Inner City, Rural, Semi-Rural, Mixed Size:- Patient Numbers and Ethos of Care Special Features:- Teaching, Local Hospital, Medical admin, Ext Attachments Dispensing:- Dispensing or non dispensing (personally administered items)

5. Factors Affecting Your Workload  Make up of medical staff profile  Details of patient profile  Setup and ethos of the Practice  Education Commitment  Outside interests of all doctors  Factors evident from the 1yr and/or 5yr plan

6. Ethos of practice  Towards the Patients  Towards Staff  How to draw the line between money and ethics  Does the Local Doctor or the Local Practice have a roll in your area?

7. Lets Talk Pennies  What might I expect to earn as a Partner?  What might I expect as a Salaried Practitioner?  What might I expect as a Locum?  What might I expect as an OOH practitioner?  What might I expect as an entrepreneur?

8. Buy In or Not Buy In  Legal/financial status of the Practice Premises  How does the Practice cover the expense?  NHS Logistical arrangements to provide facilities for all patients  NHS Financial agreement which ensures the provision of Premises  If I buy in where will I get the money?  How can I repay the loan?  What happens if I leave?  What happens if I don’t buy in?

9. How Does the Practice Actually Work?  Who actually runs a Practice?  How is legal probity ensured?  How may the new plans impinge on the autonomy of our future Practices?

10. Practice Finance  What is the effects of QOF?  Patient participation groups  Extended Hours  Basket of Services  Enhanced Services

11. Practice Finance – cont  Target Payments – childhood immunisations  Dispensing/Personally administered items

12. Take care of the pennies and the pounds take care of themselves  The Wise man he say “Income – Expenditure = Profit”  Profit represents that amount of money to be distributed amongst the partners.  How is the money distributed  Income  Expenditure

13. Is CQC Friend or foe?  What is CQC?  How does it, or how will it work?  What may it mean to us?

14. Let’s Peek into the Possible Future  Little change from present, may be a little tighter  Is OOH going to return to Primary Care?  Government wholesale buy out of individual Practices and run as secondary care.  Private sector takes over a progressively larger percentage of primary care  Private insurance takes over a larger part of primary care