Delays outside your control

As a GP, you're part of a system. So what happens when the system is failing? You only have to pick up a newspaper to read about the widespread effects of funding cuts on the NHS. Long waits in A+E, delays in ambulance response times and frequent cancellations of operations. This leads, inevitably, to patient…
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IR35 and public sector employment for GP locums

The above three phrases are ones which are striking fear into the hearts of locum GPs and practice managers. First of all let’s discuss what hasn’t changed Individual locums who are genuinely ‘standing in the shoes’ of a GP absent due to illness, holiday or other leave are normally accepted by HMRC as being self-employed but we cannot…
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Could physical activity be
 our miracle cure?

Dr Kate Little has recently been appointed as a GP Clinical Champion for Physical Activity for SE England. She discusses the health benefits of physical activity and the health risks of being sedentary, sharing some ideas around how we as clinicians could have conversations with our patients to encourage them to be more active and…
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Setting career goals as a sessional GP

In the career review workbook I use as mandatory preparation for all career discussions, one page is all about goal-setting. Yet I don't call it 'the goal-setting page'. Sneaky huh? Why have it there at all, and why not call it what it really is? Latter question first... why do I avoid calling it anything…
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New health service for GPs with mental health problems

Mental ill-health in doctors is a global phenomenon. Doctors experience more mental ill health and addiction than other professional groups. The numbers in the UK are high. A recent survey of 600 doctors by the Medical Protection Society (MPS), reported high levels of stress (75%), anxiety (49%), depression (32%) and suicidal feelings (13%). There are higher rates…
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When the going gets tough

Managing your own wellbeing can be difficult as a locum, as prioritising your own health and safety over the needs of a practice could sour your relationship with that practice. However, it is important to ensure that you are practising in a way that is compatible with your own personal safety and wellbeing, and that…
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Give and take – what locum GPs can claim for tax

It is not easy to decide what is and what isn’t claimable for tax purposes. The tables set out below give an indication, it is not exhaustive and there are always exceptions, so please take professional advice for material amounts. Also, the rules change with case law, as well as with specific statute changes. Join…
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Putting it off today

Is procrastination limiting 
your career enjoyment? Are you procrastinating about anything? The chances are that you are. We all do it. I have a small pile of rotting vegetables near my back door that needs to go onto the compost heap, yet I put off doing it (psychoanalyse that one if you dare!) and I…
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The role of humanity in the consultation

There is a rift between science and humanity which GPs must try to bridge in every consultation. As a student I spent two weeks in a rural GP practice. I sat in on consultations and several of the GPs asked me, in my first week of clinical training, how their colleagues handled their consultations. I…
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