Welcome to Reality

1. 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. 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 • 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.