Remote working across Herts & West Essex

Remote sessional work for GP locums on LocumDeck (At Albans landscape)

In partnership with Herts & West Essex CCG, we are now enabling local GP locums to enable themselves to work remotely for local practices within the area.

The practices book remote locums directly through LocumDeck, so you remain self-employed, charging your own rates, using your own T&Cs. We will also be hosting regular peer-support webinars to help support colleagues.

Follow the simple instructions on this page to set yourself up and get remote locum work through LocumDeck.

As soon as you’ve submitted the Submission form – compulsory documentation and ID check, we can activate your access to remote locum work.

NASGP Remote Digital Locum Chambers

Submission form – compulsory documentation and ID check

As well as the usual documents you usually provide, like your CV and proof of medical indemnity, we also require the following to be uploaded directly into your LocumDeck ‘My profile – Other helpful documents’ area.


The NASGP remote consulting session cycle

To best support locums and practices, we’re introducing a simple remote locum consulting session cycle, that enables you to keep in touch with the practice on the days you’re supporting them, and also with other locums who are supporting the practice to share feedback and spread best practice.

Check-in with other remote locums

As part of this partnership, you agree to attend as many Zoom meetings as possible to help us support each other. This will be organised by NASGP, and we’ll keep a close eye on their format and usefulness. 

Check-in with the practice

Before each session, a GP based at the practice will text you their mobile number in case you need any urgent clinical support during the remote locum session.

In addition, a receptionist or other practice staff member will call you to make sure you’re soon ready to start the remote locum session, and confirm you’ve been sent the locum pack and have a direct number to call the practice.

Check-out with the practice

And in reverse, after your remote locum session, you’ll need to call the practice to hand over any admin or clinical issues relating to the remote session.

Setting up your remote sessions and practices in LocumDeck

Once we’ve processed your form, we’ll send you a link back here, and this video describes how to set up your remote sessions and practices.

All sessions must be booked using LocumDeck’s Instant Book.

LocumDeck is a tool for you to set up your locum practise in the way that best suits the way you work the best, so feel free to set as many different types of session as you’d like.

  • Start time
  • Length
  • Number of patients
  • Appointment length
  • Pension/cost

As soon as you’ve set up your sessions and practices, all you need to do now is add your available dates and times into your LocumDeck calendar, and the practices will be able to book you straight away.

Although it’s possible for practices to add the dates/times when they’d prefer a locum, they only tend to do this if there isn’t a locum already available.


What rate shall I charge for remote locum work?

As you’re a self-employed independent locum, you must determine your own rate.

Because everything is done via Instant Book, LocumDeck automatically compiles all your invoicing and NHS Pension information, ready for you to invoice the practice at the end of each month, all via LocumDeck.

How can I increase my chances of getting booked for this pilot?

Although the rates you’re charging may play a factor, having a complete and up-to-date profile in LocumDeck can make a real difference.

  • Practices love to be able to recognise the GP that’s going to be supporting them.
  • Add any experience of remote working to ‘My professional profile’.

What software and equipment do I need?


  • Your own Windows PC or laptop
  • Apple Mac

Smartcard reader

Remote software

  • When you get your first booking, the practice will inform the local team that you need to be given a remote account. The IT team will send you a welcome email the week before your first session begins, covering how to install their software and log in with your remote access account. This email will come from xxxxxxxx@xxxx. If you have not received these instructions 48 hours prior to your first session please check your spam/junk folders and if you still cannot locate them, contact the helpdesk on xxxxx xxxxxx.

What is the fee for this remote locum work pilot?

Any GP locum who is part of NASGP’s Herts & West Essex partnership, and so full NASGP membership and use of LocumDeck and Instant Book is already fully funded, so you will pay nothing.

But if you’re not part of this The only fee you need to pay for every session is the usual locumDeck Instant Book fee, which is  £11/session if you’re a Membership Plus member or an active member of one of our GP Locum Chambers, or £15 per session if you have regular £12/month Membership.

What if a patient needs seeing face-to-face?

Simply write in the patient’s record that you’ve advised them that they need to book this with the practice, and the patient needs to be told to rebook. As part of this remote locum pilot, you will also be speaking to a practice-based GP after the session, and you can mention this to them then.

Remote locum helpline

This is the urgent support helpline for GPs whilst performing a remote digital locum session.

  • Call xxxxx xxxxxx.
  • The desk is manned 0730-1900 M-F.

Connection issues, be they speed or quality are most likely to be (in order):

  • A local wifi issue (move closer!)
  • A local router issue (reboot)
  • An internet service provider issue (is anything else working?)
  • A GPitC network issue
  • An internet ‘backbone’ issue (where the user cannot connect to GPitC at all or is seeing frequent service dropouts).

Where a locum can connect but can’t get into the clinical system, it’s likely to be smartcard issues (call the service desk) or possibly that the practice hasn’t setup access properly, which needs a call to the practice to confirm.

The reasons a remote locum might need to ring include:

  • Unable to connect at all.
  • Parts of the desktop suite not working as expected (smartcard issues for example).

You should not need to call

  • To setup a new user – we’ll do that by email for now
  • At the start or end of a session, even if the session overruns.

How do I interact with each patient?

You’ll be using software (called a ‘thin client’) that gives you a view of the usual Windows screen that the practices uses, so you’ll have access to its full SystmOne or Emis, Docman, eConsult etc.

Patients are triaged as suitable for eConsult by the practice, and you will consult with them through eConsult, or via a phone call.

How are remote locum phone calls managed?

  • You are responsible for calling the patient from your own device, unless otherwise provided by the practice. As a self-employed locum, you can factor this cost into your fees if you haven’t yey added free calls into your phone contract.
  • Some practices will provide a ‘soft phone’ ie Surgery Connect, where you phone the patient via your computer.
  • And some practices have a policy where they record all phone calls for audit purposes.
  • If you have any specific questions relating to phone calls, you can check with the practice in advance of making yourself available for remote sessions there.

Remote locum working handbook

We have a remote working handbook for NASGP members.

Remote working handbook

How does medical indemnity work for remote working?

Here are some links to indemnity providers about cover for remote working:


More advice on remote working from the GMC.

Practice induction packs?

Practices are being asked to provide these, and if you aren’t sent one within a few days of your first session, we recommend emailing the practice (all contact details in LocumDeck).

One of the outcomes of providing remote access so far is to reimplement the NASGP’s Spip project.