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The locum workforce has never been so crucial to sustaining general practice at this fragile time. However in order for locums to provide the renewing and revitalising energy, they in turn need adequate support not only from practices but also from CCGs and the wider NHS.
SUPPORT From practices
Stocked and organised consulting room
Unique computer login for clinical system
Pension forms signed and employers contribution paid
Respect agreed workload, and terms of engagement
Telephone numbers for whole team and local services
VISION from CCG
Visibility: does the CCG communicate with all its GPs including locums?
Inclusion in protected learning events, education and in opportunities to get involved in commissioning
Access to Safeguarding training and cascading serious case reviews to locums
IT training on clinical systems
Online CCG website access about services, guidelines, education
NHS net emails: are locums provided with a means to ensure they can sign up to and retain an NHS.net email address even when not based in one practice?
Locums can provide: HOPE for general practice
Hope: retention in the workforce when burnt out, survival of practices by access to locum cover (whether for holiday/illness/maternity/sabbatical, etc)
Outside roles- special interests can be supported where there is locum cover, and diversified skills are possible through portfolio working
Perspective: locums bring a fresh perspective on a clinical problem
Experience: locums can help to spread good practice as they experience many different ways of working as they move around
This piece represents the personal views of the author.
Paula Wright is Salaried GP (previous experience as retainer and locum), GP tutor, appraiser and former chair of North East Sessional GP Group (8 years) which she continues to support.
Agreed, often seen things that regular GP may have overlooked, like a pt menopausal for last 3 yrs still being prescribed regular tranexamic acid for menorrhagia! Or a pt taking oral terbinafine for 9 years for an unproven fungal nail infection!!
Well put. There are many reasons why people work as locums and inclusion in the communication loop and involvement in the discussion of how to steer primary care through Difficult times, is an important way of showing mutual respect.
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I was listen that the practice make a man perfect and this is totally right statement. With support of practices and vision there have a website www.topdissertations.org/.../ that show all hidden things about the practice.
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