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Advice from CQC on compliance 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 these necessary documents for practice managers.

CQC adviceNASGP explaination
Proof of being a GPCopy of medical degree and completion of GP training (if issued)
Medical indemnityDeclared as part of NHS appraisal or copy of certificate (NB certificate may not be valid if the individual is working more sessions than is indemnified for – hence NHS appraisal declaration is preferred)
GMC registrationGMC number
Performers ListCopy of certificate (and is proof of DBS check and being a GP if not originally given a certificate of completion of training). In England practices can search online for your status.
Proof of identity including a recent photographNHS 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 adultsAt least one recent (within last year) reference
Satisfactory documentary evidence of any relevant qualificationGMC membership + copy of any relevant certificates if performing a specific role (smears etc).
A full employment history together with a satisfactory written explanation of any gaps in employmentCV
Such other information as is required under any enactment to be kept by the registered person in relation to such persons employedDBS check – NASGP advice is that for temporary self-employed locums evidence of being on a Performers List is proof of valid DBS (see separate CQC advice).

See also

As a freelance GP you'll need to hold all sorts of information - names and addresses of practices; other GPs; colleagues; educational centres etc.

And what do you do with this data - do you market yourself? Is it just for invoices? Do you give your data to other GPs or practices?

It is possible that, as a small business, you may have to register with the Data Protection Act.

Whether you need to all depends on what you use your data for and, needless to say, isn't straight forward. Fortunately, the Information Commissioner's Office website has a series of simple questions to ask and, depending on your answers, will tell you whether you need to register or not (and what can happen if you don't!).

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.

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.

Read this FAQ to find out

  • How often you need a Disclosure and Barring Service DBS check
  • Where and how to get one
  • How it works if you work for a locum agency
  • And what the CQC say about it
Read the FAQ

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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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.

1 Response

  1. Given the National Performers List in England no longer send letters I wonder if this page needs updating? I also recommend joining the DBS 'update' scheme.

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