In our 109th edition, Alacoque describes a legal case where a locum's tax status was different to their legal status, Rachel's being a Good Samaritan, Judith's been looking at therapeutic spaces, Louise has summarised the Nice hypertension guidelines for us, plus much more. Scroll down to hear the podcast. Click to view the magazine Richard…Read more
About: Richard Fieldhouse
Richard has worked as a freelance GP locum since 1995 in around 100 different practices, living and working in West Sussex and Hampshire. He founded NASGP in 1997, he is NASGP's chairman and started the UK's first locum chambers in 2004. He enjoys walking, is a keen potter, reads too many books on behavioural economics and has an unhealthy obsession with his sourdough starter.
Recent Posts by Richard Fieldhouse
For years, we've been calling for recognition that locuming involves performing in a specialised environment requiring at least a mention in formal GP training. We brought that together in a one-day GP locum masterclass with the BMJ in October 2015. Ask any locum GP who’s worked in a few different surgeries over a period of…Read more
In the first of this three article series on errors and mistakes in general practice, we explored the psychological basis for errors and biases in human behaviour that lead to mistakes, and then went on to think about the psychological limits that contribute to mistakes. In part two, we considered the field of system safety…Read more
In the first part of this three article series on errors and mistakes in general practice, we explored the psychological basis for errors and biases in human behaviour that lead to mistakes occurring. In this second instalment, we think about the psychological limits that contribute to mistakes, and how we can use these insights to…Read more
In the first of a three-part series, Richard Fieldhouse attempts to interpret some aspects of Nobel Prize winner Daniel Kahneman's work in trying to make sense of human errors, biases and rational behaviour The NASGP has always taken a particular interest in the management of mistakes within primary care. Often working in isolation, with little…Read more
There are many benefits to being part of a chambers if you are a GP locum, but what can you do if there is no chambers in your local area? Dr Richard Fieldhouse provides some advice. The concept of GP locum chambers was first pioneered by the NASGP in 2002, and are generally small locally…Read more
In our latest podcast, Richard and Sara talk about a recent encounter with an airline pilot; Louise's latest review of the NICE endometriosis guidelines; a new article on the IR35 intermediaries legislation and also some recommendations for podcasts, the forthcoming Birmingham LMC sessional GP conference and a new survey on last minute cancellations. thanks Matthew…Read more
What is IR35 'intermediaries legislation' The IR35 intermediaries legislation has been in force for many years, but up until April 2017, if they were trading through an intermediary e.g. their own limited company, it was up to the GP locum to decide whether this legislation applied to them or not. In most cases, where the locum…Read more
So what can the backstage antics of a hard rock band from Pasadena teach us about practicing safely? Quite a lot, actually. We’ve all heard stories about rock bands and their rather excessive tour riders. In her tour rider, Madonna, for example, requires a brand new loo seat at every venue, whereas Iggy Pop’s stipulates…Read more
We're talking about our new very simple template to help patients get the most appropriate follow-up at the practice. We also discuss what we feel is the best way to record handover information to the next clinician. bSpip toolkit | Patient follow-up requestWith pressure for appointments increasing, it can be difficult to ensure that a…Read more
Pressure is mounting on GP services, brought about by a combination of increasing patient needs with reduced resources in primary care (the rock), versus statutory regulatory authorities like the GMC and CQC (the hard place) who, for all the right reasons, have to take an idealist rather than a realist approach to regulation. Whilst their…Read more
Crazy as it sounds, this is a rhetorical question I often hear, and you may have heard it too. Though it doesn’t seem to be asked as a genuine question, more as an attempt to somehow justify the fact we absolutely need GP partners and salaried GPs and, by implication, that we therefore have to…Read more
Recent Comments by Richard Fieldhouse
- July 11, 2019 on What’s my SD number?
- July 1, 2019 on Does the NHS pension scheme still represent good value for money?
- April 29, 2019 on NHS annualisation for GP locums – what a difference a day makes
- April 26, 2019 on What’s my SD number?
- March 25, 2019 on NHS Pensions publishes 2015 scheme annualisation calculator