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Salaried General Practitioner

Salaried General Practitioner. Definition . Fully qualified GP who is employed by a practice, PCT or alternative provider of medical services (APMS). There is a contract of employment with the employer and by virtue of being an employee, accrues employment rights. . GMS / PMS / APMS.

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Salaried General Practitioner

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  1. Salaried General Practitioner

  2. Definition • Fully qualified GP who is employed by a practice, PCT or alternative provider of medical services (APMS). • There is a contract of employment with the employer and by virtue of being an employee, accrues employment rights.

  3. GMS / PMS / APMS • Employed by • GMS practice : Obliged to give you a standard BMA contract • PMS practice : Not obliged to offer you a standard BMA contract, but you are advised to ask for comparable terms of employment • APMS : Not obliged to give you anything.

  4. Advantages • No need to invest. • Minimum terms and conditions of employment if in a GMS contract e.g. Paid annual leave, sickness and maternity benefits. • Regular income and work. • Benefits from being in one place i.e. continuity with patients, training and development, team building etc. • Well defined job with boundaries. • Focus on clinical work and don’t have the responsibilities of a partner. • Flexibility. • Protected CPD time • Route to partnership. • Leaving the practice is less complex.

  5. Disadvantages • Not as flexible as a locum. • Not a partnership wage. • May not be able to influence decisions, have a say or control of the running of the business. • May not have opportunities to pursue an area of interest if practice decides against it. • Potential conflict with partners • Risk of exploitation • Can be dismissed or made redundant

  6. Good option • Just completed training and feel unprepared or lack the confidence of career being a partner or unsure of what you want to or where you want to work. • Have domestic responsibilities and don’t want the burden of a partnership. • At retirement stage to reduce workload • Portfolio GPs who want to maintain regular clinical skills.

  7. How to find a job • High availability of salaried post compared to partnerships. • Training practice. • Word of mouth. • Advertisements e.g. BMJ, Pulse, PCT. • Being proactive and approaching practices.

  8. Negotiation • Visit the practice and asked to be shown around. • Meet some of the partners and staff. • Discuss type of work you’ll be undertaking and your role within the practice. • Agree acceptable job plan. • Agree salary and medical defence subscriptions contribution. • Written employment contract covering satisfactory terms and conditions i.e. leave, pensions, pay increases, sickness and maternity benefits, disciplinary action, termination etc. -ADVISABLE TO SEND OFF CONTRACT TO BMA FOR CHECKING. • Mentorship / progress reviews?

  9. Job Plan • Negotiate and set out job plan • Clinical sessions – length, no. of patients, appointment times etc. • Specialist roles and responsibilities • Telephone consultations • Home visits • Extended hours or on-call duties • Path lab results • Letters and post • Attendance at meetings • Personal CPD time

  10. What you need to be a salaried GP • GMC licence to practice • On GP register • PCT performers list • Medical Protection Insurance

  11. BMA model contract • Full time 37.5 hours = 9 sessions of 4 hours 10mins. • Annual salary for full time 09/10 £53,429 -£80,355 pro rata (range set out by doctors and dentist review body -DDRB). • Entitlement to 1 session out of 9 for Continuing Professional Development (CPD) activities and protected annual appraisal. • 6 week holiday per annum pro-rata • Pensioned in the NHS pension scheme. • Annual pay uplift, at least in line with DDRB recommended increase, may be incremental increase or bonus pays as well. • Entitlement to sickness and maternity benefit etc.

  12. Personal experience • Taken on as a salaried GP by my training practice. • 9 sessions – 8 clinical and 1 CPD • Annual salary £70,000 • GMS practice, so follows BMA model contract, did send off contract to BMA to be checked • Clinical work is equivalent to partners • Involved in debriefing of GP registrars, diabetes lead and occasional chairing of palliative care meetings. • Attendance at practice meetings. • Mentorship.

  13. Any questions…?

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