Locum, Salaried and Sessional GPs
The LMC represents all GPs who work in Bedfordshire, Luton and Hertfordshire and can offer support, help and advice to any GP, including employed and sessional GPs, as well as locums. We know that we do not have a complete list of all sessional and locum GPs so help us to keep in touch by giving us your details.
If you are a locum or sessional GP and you want to hear from the LMC when we have information that we think will be of interest to you and when there are events or training of interest to you, please let us have your contact details – and encourage other sessional and locum GPs to do the same.
Please send your contact details to Sue Holloran firstname.lastname@example.org.
Flu Vaccinations for GP Locums
The GPC wrote to the Chief Medical Officer earlier this year requesting clarification about the arrangements for flu vaccinations for GP locums. This issue has finally been resolved and NHS England and GPC have agreed that locum GPs should attend the practice where they are registered as patients to get their flu vaccination, and that practice can then claim the payment via CQRS using the Read code 9OX4. which will be acceptable by area teams. A statement to this effect have been added to the BMA website.
From April 1st 2013, responsibility for paying the employers superannuation contribution moved from the PCT to the employing practice. This means that the practice has to pay 14% on top of the locum fee. Some funding was moved from the PCT to the practices to cover this, although for many practices this will not cover the increase.
For more details and guidance on this please see the BMA website:
- Locum Employer’s Pension Contributions: Advice for Locums
- Locum Employer’s Pension Contributions: Advice for Practices
Performers List Obligations
All GPs including locums, salaried and sessional GPs must be on the Performers List. This means that they must all abide by the Performers List regulations. A summary of these is available on the Performers Lists and GPs’ Obligations page. All GPs should familiarise themselves with this summary, at least. Most importantly, they should understand that:
- they are obliged to let NHS England know if they move house (so that the area team can keep in touch with them)
- they must have an annual appraisal
- they must NOT work as a GP if for any reason they are informed that their name has been removed from the Performers List
In the past, we were not infrequently informed by the PCT that they had removed a GP’s name from the Performers List because the GP had not answered any correspondence and the PCT assumed, therefore, that that GP had moved to a different area and had not informed the PCT that they had done so. This mostly affects locums and those for whom the PCT was unable to contact through a practice in the area. The same situation could occur if you do not respond to correspondence from the area team.
Salaried GP Contracts
The GMS contract regulations require GMS practices to “offer employment to a general practitioner on terms and conditions which are no less favourable than those contained in the “Model terms and conditions of service for a salaried general practitioner employed by a GMS practice” published by the British Medical Association and the NHS Confederation” (NHS (GMS Contracts) Regulations 2004, Schedule 6, Part 4, Paragraph 63). The model contract can be found at Contracts for Sessional GPs.
GMS Practices failing to do so are in breach of their contract.
Whilst some PMS practice are not bound by this contractual obligation, the LMC believes that this is good practice and do not condone or support the actions of those PMS practices that deliberately stray a long way away from the model contract.
Unfortunately, we receive a number of contacts about disputes that have arisen between locums and practices, usually disagreements about payment or terms of service, including what services locums should or shouldn’t provide to practices. We would recommend that an agreement is drawn up between a locum and a practice before the locum starts working. In this way, both parties understand exactly what the locum is prepared to do, how long he or she is expected to work, what other activities a locum is willing to undertake and how much should be paid.
Such an agreement should cover:
- Fees payable to the locum, including reimbursement of travel expenses in relation to work whilst at the practice e.g. for home visits
- Timetable of work and what happens if the locum finishes early or works longer than agreed
- A definition of what is considered ‘core work’ for the locum
- Whether core work includes home visits
- Whether the locum undertakes ‘Additional’ and ‘Enhanced’ services work
- A definition of contractor responsibilities
- Definition of locum responsibilities
- Arrangements for termination of the agreement
LMCs are in breach of competition laws if we advise either locum GPs or practices that engage locums about fees payable for services provided by locum GPs.
Locum GPs as LMC Representatives
Many local and national issues have particular relevance to sessional and locum GPs; for example, we are keen to ensure that the voice of sessional and locum GPs is heard on the Clinical Commissioning Groups (CCGs) (read more about commissioning and the development of CCGs). Therefore, we have places for sessional and locum GPs on the two LMC sub-committees. In this respect, the constitutions for the two sub-committees differ slightly, in particular, with respect to sessional GPs. If you are interested in representing your colleagues and becoming an LMC representative please ring the office on 01438 880010 to discuss this further.
Meanwhile, if you have a burning issue you would like us to investigate or discuss at the committee meeting, please ring us on 01438 880010 or email one of the LMC Liaison Managers:
Carl Raybold – (Bedfordshire and Luton)
Rachel Lea – (Hertfordshire)
Are you a locum looking for work in Hertfordshire? Or a practice looking for a locum? If so, register to use our locum bank – Visit GP Recruit Website for more information or phone Mandy Clements on 01438 880010.
Newsletters and Groups
Local Groups for Sessional GPs
Go to the BMA website for information about the Sessional GPs Sub Committee
Further guidance is available for both locum GPs and for practices who engage locums in the Locum and Salaried GPs section of the library (below) and on the BMA website.
- Locum, Salaried and Sessional GPs
|19716||GP Trainees Newsletters|
|21510||Sessional GP Newsletter|
|16958||How to set up and make the most of a Sessional GP Group|
Recognised as providing invaluable peer support for sessional GPs, groups can offer a range of services and benefits, including meetings, electronic mailings systems for vacancies and educational events. This guidance aims to share some of the models of good practice, and successful ideas and raise awareness about pitfalls.
|13107||Locum Agreements on General Practice|
This guidance is aimed at locum GPs to help them put together written agreements with the practices for which they work
|23319||Locum Employer's Pension Contributions: Advice for Locums|
|23316||Locum Employer's Pension Contributions: Advice for Practices|
|13224||Locum GP Handbook|
Advice on starting out as a locum, setting up your business and establishing a contract for services with a provider. The handbook is also a useful tool for GP providers.
|29020||North Herts Sessional GPs Group|
|13225||Sessional GPs Contract Information|
Includes Focus on Salaried GPs guidance which incorporates previous GPC guidance for salaried GPs on changes to hours of work and tips for negotiating salary
Last reviewed on 8th December 2015 (HB)