Choosing a practice. Options Senior registrar Senior registrar GP principle GMS GP principle GMS GP...

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Transcript of Choosing a practice. Options Senior registrar Senior registrar GP principle GMS GP principle GMS GP...

  • Choosing a practice

  • OptionsSenior registrarGP principle GMSGP principle PMSSalaried GPLocumOut of hours/walk in centre

  • Senior registrarApply to Deanery4 sessions GP6 sessions in speciality of choice1 day every other week day releaseproject

  • GP principalNew contractAutomonyPaperworkResponsibilityEmployment lawHealth and safetyPatients

  • GP principalFinancePremisesStaffEquipmentTraining

  • Salaried GPLimited terms of employmentSet incomeNo responsibilityNo autonomyNo risk

  • LocumFlexibilityMarket forcesNo holiday, study leave or sick leaveNo job securityNo long term patient contactEasy to get out of date with current management

  • What do you wantSocial classPartnershipPremisesNotes computerisationLocation

  • What do you want

    Work conditionsFinancesLeaveDisputesPolitics

  • LocationRural, Semi-ruralSuburban Inner city

  • LocationGeographical areaWhich part of the countryRelativesFriendsHobbiesHousing supply/costs

  • LocationLocal faciliitesSchoolsTraffic congestionRoad systemsParkingat surgeryon visitsShoppingRecreation

  • Social classClass 1Better educatedManage minor illnessesAware of latest managementAccess to internetPrivate health insurance

  • Social classClass 5Poor social supportAnxious over minor illnessesPoor social skillsLess access to transportUnaware of recent developmentsUnaware of media health scares

  • PartnershipNos. of partnersRelationship between partnersPartners relationship with staffPractice ethosDecision making process

  • PremisesOwned or rentedCan you buy inStructural conditionDecorationOwn room

  • NotesSummariesDate orderLegible New patients notesLettersInvestigations

  • ComputerisationSystemWhat are they used forRepeat prescribingChronic disease managementAppointmentsAuditPaperlessFuture plans

  • Work conditionsSurgery hoursNos. Of surgeries per weekNos. of patients per surgeryExtrasNos. of visitsOut of hours arrangements

  • FinancesPractice incomeComparison to similar practicesParityTime to parityOutside earnings

  • LeaveHoliday entitlementHow are dates agreedStudy leaveMaternity/Paternity leaveSick leave

  • DisputesHow are they resolvedUndesirable partnerPartnership agreement

  • Medical politicsInvolvement in PCT, LMCAttitude to current NHS reformsActivists or reactivists

  • Gut Feeling