1. Private General Practice an overview Dr Harry Trakoshis MBChB MRCGP DOH for Visiting GP group September 2011

2. Options for private GP in the UK Much higher demand in London but changing as businesses develop cost effective units elsewhere Work in corporate healthcare market Central London private practice – mainly self pay / hotel work and often ‘difficult’ cases Suburban private GP practices – list of 500 patients ( cf 2000 in NHS) – on call 24/7

3. Right staff is key 4 ‘As’ of success in medicine Affability Availability Ability Appearance

4. Quality Measures Thorough process at recruitment Thorough on - boarding process and checks 5 day induction and training Initial appraisal at 6 / 12 / 24 weeks Note and report review until quality assured and then sign off

5. Structure to support quality Monthly academic meetings Paid study leave for appropriate courses Internal peer review meetings Open door policy for senior management

6. Manage quality of tertiary referrals Reputation Reputation Reputation Patient will judge you on the quality of your referral Not fully restricted but approved list of consultants at top class hospitals and forum for review of this

7. Quality Measures Annual business appraisal Annual academic appraisal Ongoing audit – based on patient satisfaction internal training &review internal peer review Senior management active clinically hence review of work is ongoing

8. Organisation Roodlane Medical has a large group of doctors and feedback is that organisation and planning of their working life is one of the main items they appreciate and which helps them maintain work life balance

9. Organisation Diary planning Holiday and annual leave planning Transparent process and clear polices Flexibility where required and be sensitive to needs working within the structure Effective IT systems allowing flexible working from all sites

10. Diary Planning Done significantly in advance to allow patient flexibility of booking Try and have a set rota across our sites to allow doctors a routine Book holiday and study leave in advance to minimise disruption and allow adequate planning for employer and employee

11. Organisation & remuneration Structured career progression pathway Can ‘park’ anywhere along the way Remuneration linked to this and also to defined academic achievements Incentive related pay structure

12. Questions & discussion