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Independents' Day

GP Locum working as few hours as possible

  • Debate: Do practices have a duty to support locums during the pandemic?

    GP Locum working as few hours as possible's comment 06 Jul 2020 2:47pm

    Watchdog, the reason you should consider relinquishing your OOH shifts is if you read my clear description above, is that lots of the very locums you once employed to cover your golf tournament or paid afternoon with the GP trainee, now have no work at all and are really in financial crises. This requires some altruism, insight and reduction in fervour for more money just for yourself, none of which you seem to realise.

  • Debate: Do practices have a duty to support locums during the pandemic?

    GP Locum working as few hours as possible's comment 06 Jul 2020 0:45am

    I think there is a misunderstanding in this message. What is crucial here is the fact that there is no government support for locums, all of whom are off the PAYE system and don’t qualify for furlough and, as Dr. Jha has explained in her leader article, cannot find alternative work due to shielding. These are the issues. Now, what has happened in the out of hours market while those GP surgeries had closed their doors for the last 3 months is that partners and salaried GPs who are given their full salary, is that some unscrupulous ones are taking further OOH shifts which is all that is left for locums who have had their shifts cut by those very partners who are moonlighting on OOH too and I have heard are ‘raking it in’. I see many names of GPs with full time day jobs (whether actually working or not) also doing every evening in the OOH shifts, which is a worry in itself for reasons of safety, but also depriving the otherwise vulnerable locums of any employment at all.
    Many locums have been plunged into financial crises, since locum GPs working in surgeries without salaried contracts have been cancelled due to the lack of patients booking appointments and surgeries closing doors, shifting a lot of work to OOH. We have also found that a lot of the available shifts that were available during the Covid crisis have been cut back too, likely as a result of funding from NHSE believing that the bulk of the OOH increase was over. Some locums on a forum I communicate with have not worked since March, except only offered high risk hot-hub work which they may not be willing to take such risks due to high vulnerability. Others have declared that they have either had to apply for unemployment benefit or relying solely on their spouse's income and others only getting 1-2 shifts a month in OOH work. These locums are also now applying for the Cameron Hardship fund for doctors.
    So, partners, if you would like us to come and work for you so you can all leave at the same time on your skiing holidays, please don’t take OOH work if you have any income on the day job, thanks.

  • GPs being sent 'out-of-date' face masks with 'concealed' best before dates

    GP Locum working as few hours as possible's comment 16 Mar 2020 1:23pm

    Just report it to the Health and Safety Executive. It is the employer's responsibility to provide care for employees. This should be treated in exactly the same way as the scandal that a lorry driver with no brakes would have if his employer was cutting corners. Contact Health and Safety and the media straight away ok, all of you who have been affected.

  • ‘Peculiarity’ of electronic prescription system led to patient death, warns coroner

    GP Locum working as few hours as possible's comment 21 Dec 2019 11:14am

    This is the usual reason to tell 111 to dump it on the OOH GP to deal with with no access to patient notes. With all the inept actions from hospital and pharmacy that wants to protect it's profit and not dispense the prescription in advance it couldn't 'download' or call someone to check, it's the OOH GP who again might have saved the day.

  • GPs could be asked to do C-sections under proposals to retain maternity unit

    GP Locum working as few hours as possible's comment 29 Sep 2018 1:01pm

    Yeah Neena, we could do a 'CBBC Horrible Histories' for real, just like the person proposing this idea is qualified for their job. Midwife does the spinal, I do the C section with my rusty penknife and wooden spoon, you can have the leftover whiskey for pain control. Hey don't tell GMC I have time on my hands to watch CBBC or they'll call me in.

  • GPs could be asked to do C-sections under proposals to retain maternity unit

    GP Locum working as few hours as possible's comment 29 Sep 2018 10:34am

    Pharmacists can do the anesthetic, they must know about drugs? As long as the commissioners sign for their full personal liability I'd love to have a go at doing some major surgery.

  • GPs could be asked to do C-sections under proposals to retain maternity unit

    GP Locum working as few hours as possible's comment 29 Sep 2018 8:43am

    Could I do a course in plumbing and tiling, so I can charge £120/h and not pay half my pay in indemnity, also can be rude to the customer without getting complaints anddo extra cash in hand work?
    Would be great to be able to fix my broken toilet and shower for free actually. If there's some money for training I'd go for that option c-sections? Ihhh not me thx.

  • BMA declares it has no confidence in the GMC

    GP Locum working as few hours as possible's comment 01 Jul 2018 10:53am

    We should not be too hard on the GMC. I think the staff of the GMC can be found suitable alternative employment. Some of them can be asked to summarise notes in GP surgeries, some are familiar with medical terms and could work as hospital ward clerks. Others have IT skills and can be given work on Adastra and EMIS helplines. The executives are only there from their own nepotistic connections and could join a friend working in a bank or station ticket offices, cleaners and other public service organisations. I think after they refund our money we should help them find worthwhile positions in society.

  • 'Dr Bawa-Garba could have been any one of us'

    GP Locum working as few hours as possible's comment 03 Feb 2018 4:02pm

    Exactly my thoughts. The Old System is still propagated by blaming the lowest denominator and although I'm not a House Officer anymore being shat on by that consultant who used to buy me an ice cream then ask me to work the next weekend too, I can now walk out of dangerous clinics as a GP and have done so. Dr. Bawa-Garba's main mistake is that she took on a very dangerous situation and didn't call a stop to the antics of the hospital staffing soon enough. . Where is the 'lessons learned' that those senior GMC and educationalists like talking about, and cojuld the GMC be found liable of defamation? I certainly will be squeaky clean with everythng I write in my Appraisal, as we are clearly workng in a Stalinist system.

  • GPs slept in practice overnight to be in time for morning surgery

    GP Locum working as few hours as possible's comment 13 Dec 2017 10:01am

    If it was the Sellafield workers having to sleep on site they'd be paid 3x pay/hour

  • Bah! We’re all completely scrooged

    GP Locum working as few hours as possible's comment 07 Dec 2017 12:21pm

    CCG offices and the DoH Whitehall office should put aside some of their grand meeting room space for these patients to drop by and spend the day having a chat with them instead. It would be more cost effective and if given tea and scones and some card table would accommodate several hundred high satisfied patients. A rota basis could be assigned if too many show up without appointments.

  • MDU asks GP leaders to back 'half-price' indemnity scheme stance

    GP Locum working as few hours as possible's comment 06 Dec 2017 9:20pm

    I just negotiate my rates like airlines do. If I get called short notice to save the clinic when their other zero hours committed GP has gone off sick, they must pay 200%. Would you get a promotional fare booking on the day before Christmas? If they dawdle and try and find a cheap doctor and come back to me, the price has gone up. They soon learn.

  • GPs to consider stopping out-of-hours work unless indemnity is paid

    GP Locum working as few hours as possible's comment 06 Dec 2017 9:20pm

    I just negotiate my rates like airlines do. If I get called short notice to save the clinic when their other zero hours committed GP has gone off sick, they must pay 200%. Would you get a promotional fare booking on the day before Christmas? If they dawdle and try and find a cheap doctor and come back to me, the price has gone up. They soon learn.

  • Boycotting out of hours will force Government to address the indemnity crisis

    GP Locum working as few hours as possible's comment 06 Dec 2017 9:18pm

    I just negotiate my rates like airlines do. If I get called short notice to save the clinic when their other zero hours committed GP has gone off sick, they must pay 200%. Would you get a promotional fare booking on the day before Christmas? If they dawdle and try and find a cheap doctor and come back to me, the price has gone up. They soon learn.

  • Practices should remove earwax causing hearing loss, NICE recommends

    GP Locum working as few hours as possible's comment 06 Dec 2017 9:05pm

    Send all ear wax patients to the NICE clinic with a printout of their guidelines to show them and tell them it's done there.

  • Does ibuprofen cause wheeze?

    GP Locum working as few hours as possible's comment 04 Dec 2017 7:07pm

    If the parents quote the piece of paper they found in the pack I tell them to speak to the manufacturer if they don't want to listen to me.

  • NHS chief pledges 'very substantial, medium-term GP indemnity solution'

    GP Locum working as few hours as possible's comment 30 Sep 2017 8:11pm

    Why not get the lawyers we pay in the MPS/MDU to come up with a proforma we get the patient to sign if they want to see us that apologises that the government is privatising the NHS and as such no longer supports GPs medicolegally. As such, the patient has to sign a waiver that relieves us of any legal claims that might arise from the consultation. Get this drafted watertight then implement it. THEN the media will love to cover it for us and ask the government WHAT ON EARTH THEY ARE GETTING AWAY WITH. If I was a partner I'd do it tomorrow, but am on my way doing my Australian exams. Bye all, see ya down under mate.

  • NHS England: 'Why we are paying out-of-hours indemnity costs this winter'

    GP Locum working as few hours as possible's comment 11 Sep 2017 11:21pm

    Well, the MPS today told me they didn't know anything about it, and it's very complicated to actually get it set up. When is all indemnity being covered by the NHS if they want us to work for the NHS? Do ambulance drivers have to insure the ambulances they drive for all-risks before they are allowed to work like we do?

  • GPs demand Government reimburses their indemnity fees in full

    GP Locum working as few hours as possible's comment 19 May 2017 10:42pm

    There's no point 'asking' for them to pay indemnity, as soon as half the surgeries close and the media make it front page news that NHS GPs are made to pay £9000 to be allowed to work, then they will beg us to come back to work with a 'golden hello'. Would ambulance drivers go to work if they had to insure the ambulance fully out of their own pay? Of course not. Some countries respect their doctors and have a strong union, like the AMA in Australia. I remember when in Australia doctors were arguing over 'Provider Numbers' a type of work license that restricted them. They only needed to print the T-shirts 'AMA-Doctor on Strike' and the Minister of Health went on TV, immediately apologised and begged forgiveness and said he would comply with all demands. That cross-eyed Jeremy Hunt needs to be put in his place in the same way. Is there not a Union in the UK? I've never found one. We are the most important workforce of any profession and the government gets away with telling patients they can demand anything and get away with insulting us and suing us on a 'no win no fee basis!' And when a patient complains even our indemnity organisation costing more than a new car each year tells us to say sorry even of the complaint is malicious instead of warning the patient they may be liable to be pay damages for defamation.

  • Don’t try to bully me with a GMC hearing

    GP Locum working as few hours as possible's comment 11 May 2017 10:33pm

    I don't know why we don't have a real union, defense organisation to hit these people threatening us if exert OUR human rights in choosing where we work when we have no contract anyway. Basically, if someone such as the mentioned Locum Agency threatens to report you to the GMC, simply ask your defense organisation for a free discussion with one of their lawyers for the definition of DEFAMATION and ask them to help you write a threat of legal action should any impact of an inappropriate and fraudulent blight on your career be resultant from any documentation against you leading to loss of income, or blight on your character; you will sue them for £500,000 for defamation. Let them consider that. You can do the same to patients who clearly are out for a 'no win no fee' claim for something clearly fraudulent.