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
About: Richard Fieldhouse
Freelance GP locum since 1995, living and working in West Sussex. NASGP chairman.
Recent Posts by Richard Fieldhouse
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. Spip toolkit | Patient follow-up requestAppraisalAid | Can GP locums access patient records later? See also How…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
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've now brought that together in a one-day GP locum masterclass with the BMJ. Ask any locum GP who’s worked in a few different surgeries over a period of a few…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
Continuity of care, as defined by care given continuously by one doctor, is one of the most oft talked about modalities of care provided by GPs; it’s the one we feel that’s under threat, the one we’re trying to defend, and the one the government has picked up on to protect and promote. It enables…Read more
I’m just on my way back from giving a talk on ‘Enhanced Appraisal’ for GP locums. When I arrived in the afternoon, I was leapt on by some a few delegates who’d been there for the morning and who reported the general angst about what PCTs should be doing about locums and appraisal. I gave…Read more
Recent Comments by Richard Fieldhouse
- October 27, 2017 on RCGP’s new appraisal guide
- October 17, 2017 on Podcast | Review of the October 2017 edition of the NASGP’s The Sessional GP magazine
- June 9, 2017 on Superannuation | How do aggregate all my Locum A/B pension forms together with the same UIR?
- June 7, 2017 on Superannuation | How do aggregate all my Locum A/B pension forms together with the same UIR?
- June 6, 2017 on Superannuation | How do aggregate all my Locum A/B pension forms together with the same UIR?