Advice from CQC on documentation for practices engaging locum GPs

Nigel Sparrow, the CQC's Senior National GP Advisor and Responsible Officer, has published some new helpful guidance to clarify what sort of information is required by practices in his latest Nigel's Surgery on GP Locums.

We've taken each of Nigel's points and provided a checklist of everything a practice will need:

Your NASGP membership gives you free access to LocumDeck, which allows you to upload, store and display all your necessary documents for practice managers.

CQC advice NASGP interpretation
Proof of being a GP Copy of medical degree and completion of GP training (if issued to you)
Medical indemnity Copy of your certificate
GMC registration Your GMC number (also in your CV)
Performers List Copy of your certificate (and is proof you're a GP if you weren't originally given a certificate of completion of training and of valid DBS check)
Proof of identity including a recent photograph NHS smartcard or driving licence or passport
Satisfactory evidence of conduct in previous employment concerned with the provision of health or social care; or children or vulnerable adults At least one recent (within last year) reference
Satisfactory documentary evidence of any relevant qualification A copy of your medical degree.
A full employment history together with a satisfactory written explanation of any gaps in employment Your CV
Such other information as is required under any enactment to be kept by the registered person in relation to such persons employed DBS check - NASGP advice is that for temporary self-employed locums evidence of being on a Performers List will suffice (see separate CQC advice).

See also

The Disclosure and Barring Service DBS check (used to be known as the Criminal Records Bureau CRB check) needs to be performed only once in order to appear on the National Performers list. Once on the Performers List, there is no requirement to have further DBS checks for the Performer's List as this is part of Performers List monitoring. The purpose of the national list in England is to allow GPs to move to different parts of England without having to apply to a local performers list.

DBS in England

Scotland, Wales and Northern Ireland

Locum agencies

If you work for locum agencies, not only will they each need a DBS check, but they may also have their own internal reasons to insist on one as often as they like. In which case, you may like to use the annual DBS update service for £13 per annum (which must be applied for within 19 days of receipt of your certificate being issued).

Further information on DBS checks, which reinforce the above, is available from the Care Quality Comission CQC.

We’re the independent not-for-profit support organisation run by and for any GP in the UK working as a locum or salaried GP. Please support our work by joining us as a full member, from only £11 per month, and includes full use of LocumDeck.

Hepatitis B immunisationIt's now a requirement of the Care Quality Commission CQC that every member of staff working in a GP practice has an up-to-date Hepatitis B status. The MPS have prepared a summary of why this is needed, as part of the CQC's Cleanliness and infection control (Outcome 8, Regulation 12) "People are cared for in a clean environment, and are protected from acquiring infections".

If you're a chambers locum or are employed as an agency locum, they'll no doubt otherwise notify every practice on your behalf. Otherwise it's a sign of a well organised locum to provide this in advance of working.

If you're employed by a practice as a salaried GP, you'll be entitled to free immunisation status checks and boosters if they're a good employer. As a locum, unless you can persuade a friendly practice, you'll have to arrange this yourself with your own GP as a private service.

Added to this, the Green Book states:

Healthcare workers in the UK and overseas (including students and trainees): all healthcare workers who may have direct contact with patients’ blood, blood-stained body fluids or tissues, require vaccination. This includes any staff who are at risk of injury from blood contaminated sharp instruments, or of being deliberately injured or bitten by patients.

As a GP, if you're exposed to continuing risk of infection, you should have a single booster dose of vaccine, once only, around five years after primary immunisation. Measurement of anti-HBs levels is not required either before or after this dose.

We’re the independent not-for-profit support organisation run by and for any GP in the UK working as a locum or salaried GP. Please support our work by joining us as a full member, from only £11 per month, and includes full use of LocumDeck.

As a GP working, or planning to work, in the UK, you need to go through a three-stage process.

Step 1 - join the GMC's GP register

  • If you are applying to work as a GP (general practitioner or family physician) in the UK, as well as being licensed by the GMC, you'll also need to be on the GMC's GP Register.
  • About the GMC GP register

Step 2 - join one of the four UK Performers Lists

  • If you you're not already working, state your “intent to work” on your performers list application, outlining roughly how many sessions a week you plan to work from a particular date.

Wales

England

Northern Ireland

Scotland

Step 3 - join the NHS appraisal process

  • Your Area Team will assign you to a 'designated body', who'll oversee your appraisal and subsequent revalidation.

We’re the independent not-for-profit support organisation run by and for any GP in the UK working as a locum or salaried GP. Please support our work by joining us as a full member, from only £11 per month, and includes full use of LocumDeck.

We’re the independent not-for-profit support organisation run by and for any GP in the UK working as a locum or salaried GP. Please support our work by joining us as a full member, from only £11 per month, and includes full use of LocumDeck.

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