Knowledgebase

How to build a long-term locum relationship with a GP practice

Tips to start out on a 10-year plan of your own to build a mutually beneficial relationship from portfolio GP Dr Clare Sieber.

How online access changes affect sessional GPs: GP contract 2025/6

Whatever your contractual status, the change – less than two months old – has already filtered down to grassroots GPs, writes Dr Sieber

Using Betula verrucosa for allergic rhinitis or conjunctivitis (Nice, 2025)

This is a new NICE guideline on using Betula verrucosa for allergic rhinitis and conjunctivitis which was published in Aug 2025 to quite a bit of publicity.

Autumn Budget 2025: What sessional GPs need to know

Although it can't be guaranteed what exactly is printed on the paper that sits in the famous crimson dispatch box, it is guaranteed that the contents will have a significant impact on sessional GPs of all ages and contractual status, writes Dr Clare Sieber

Emergency funds for sessional GPs: not just a ‘nice-to-have’ in 2025/26

Start small. Be consistent. And remember, your future self will thank you.

Blogs

Professional strength often starts with vulnerability: Locum Labs

Members told NASGP that what unsettles them most isn’t the clinical work itself, but what surrounds it. To explore these realities, NASGP members met in our first Locum Lab, a peer-led discussion designed to surface practical, real-world responses to shared challenges.

GP locums

e-learning | Diagnosis and management of pneumonia

The most useful additional information from this is how long to use antibiotics for (i.e. most patients will need a five day course, but some will need longer).

Locum Form B rejections: trouble-shooting PCSE problems for GPs

It's vital for GPs to push back on misapplied rules. Our guide tells you how.

NHS pensions

GP locum pension submissions in England: your options explained

PCSE 'Contact Us' or PCSE Online: What's the best way to submit NHS pension forms and payments? See our comparison table to decide for yourself.

NHS pensions

From invoice to submission: a LocumDeck guide to GP pensions

This guide walks you through the sequential steps within LocumDeck to complete your Locum Form A, Locum Form B, and pension submission using the traditional PCSE Contact Us form.

NHS pensions

Video: Dr Andrew Whiteley on how Lexacom uses AI in general practice

The clinician still remains in control, Dr Whiteley says — they must review/edit/approve the draft notes; ambient AI is an assistive tool, not a replacement for the clinician’s judgement.

Self-referral to the GMC: what should GP locums keep in mind?

Dr Morenike Odanye, Medicolegal Consultant at Medical Protection, discusses when you need to refer yourself to the GMC.

Risk management

How will the new GP contract affect sessional GPs?

Changes such as the 43 new 'Neighbourhoods' could create more opportunities for flexible GPs to play more of a formal role in meeting demand.

Working as a GP

Podcast – Dr Toni Hazell: The power of portfolio GPs

Dr Hazell discusses her journey into general practice, detailing how a pivotal rotation shifted her perspective to recognising general practice as 'proper medicine', leading to a 21-year tenure as a salaried GP in Tottenham.

Podcasts

Interview: Dr Toni Hazell – video, the power of portfolio GP work in 2025

Working as a GP

GP update: Thyroid disease in pregnancy (RCOG, 2025)

Although the bare bones of this aren’t new (i.e. pregnant ladies need close monitoring and more thyroxine), the details of how we do this are much more specific.

GP locums and vulnerable patients: sessional GPs’ medicolegal advice

Dr Rachel Birch, medicolegal consultant at Medical Protection, looks at how to handle a vulnerable patient’s refusal to attend the practice due to fears for their safety, and how GP locums can help to facilitate a positive outcome.

Risk management

Podcast: GP update, prostate cancer with Dr Bunmi Olajide

This podcast version of our educational session recorded Thursday 4 Sept 2025 covers the latest in diagnostic pathways, risk stratification, and the evolving role of PSA testing and the digital rectal exam (DRE).

Video: GP update, prostate cancer screening and care

This educational session covers the latest in diagnostic pathways, risk stratification, and the evolving role of PSA testing and the digital rectal exam (DRE).

Booking success toolkit: make your profile stand out

Use NASGP's built-in tools to your advantage.

GP locums

How to manage stress as a GP locum or salaried GP

Both GP locums and salaried GPs face demanding and unique challenges in their roles. However, by setting clear boundaries and engaging in self-care practices , GPs can cultivate resilience and maintain wellbeing.

Career & wellbeing

Resource: Availability letter template from GP to practice

Use the free members-only template to send emails or snail mail to practices to let them know about your availability.

Working as a GP

Remediable Pension Savings Statement (RPSS) for sessional GPs

Statements began rolling out in October 2024, with another batch issued in February 2025 and another in March. However, delays, errors, and perceived complexities have created uncertainty. As a result, 40% of those who have received their statements have taken no action – potentially risking financial consequences.

NHS pensions

GP locum burnout support: signs, risks, and how to access referrals

Signs, risks, and how to get help.

Career & wellbeing

Digital therapies for tic disorders and Tourettes in children (NICE, 2025)

This is a new guideline from NICE advising that a new digital therapy for tic disorders can be used in the NHS. It was published in May 2025.

Making Tax Digital for sessional GPs: quarterly reports from 2026

If you’re a self-employed GP earning over £50,000 a year, you’ll need to comply with HMRC’s new digital tax rules from next April – less than nine months away.

Accountancy

Podcast: Dr Lisa Harrod-Rothwell

Dr Harrod-Rothwell, CEO of Londonwide LMCs, reflects on her career trajectory from a salaried GP to prominent leadership roles in NHS commissioning and Londonwide LMCs.

Work-life balance for GP locums and salaried GPs: risks, tips and tricks

For GPs, work-life balance means maintaining a sustainable workload while delivering high-quality patient care.

Career & wellbeing

Video: Dr Lisa Harrod-Rothwell, Londonwide LMCs’ CEO

Dr Lisa Harrod-Rothwell, Chief Executive Officer of Londonwide LMCs, reflects on her career trajectory from a salaried GP to prominent leadership roles in NHS commissioning and Londonwide LMCs.

GP locum sessions in Birmingham: rates, jobs and costs in the Midlands

While sessional rates are often competitive and the city offers a good balance of urban diversity and community feel, navigating the day-to-day realities of locuming here still requires thoughtful planning.

Working as a GP

Empagliflozin for CKD in general practice (Nice 2023, updated 2025)

The evidence so far suggests that empagliflozin and dapagliflozin are equally effective. Costs of the two are also similar.

Dapagliflozin in chronic kidney disease (2025, updated from 2022)

In July 2025 the guidance was updated to broaden the conditions in which we can use dapagliflozin.

NICE chronic kidney disease guideline (2021, updated 2025)

Quite a few changes, summarised, followed by a more detailed outline of management.

Inactive implant for people with GORD (NICE, 2025)

NICE have released a new guideline on the use of an inactive implant for people with GORD.

GP locums in Manchester: Lower cost of living, same clinical challenges

Locuming in Manchester offers flexibility, professional development, and reasonable pay – all within a great Northern city that’s rich in history and culture.

Working as a GP

Podcast and video: Managing leukaemia in general practice

This episode provides an overview of acute leukaemia: its diagnosis and management, with a focus on presentations in primary care.

GP locuming in London: Rates, costs and opportunities within the M25

Locuming in London offers good pay, variety, and access to professional networks, but it also requires a different mindset. Our article explains why, and provides insider tips on how to cope.

Working as a GP

Suspected cancer: myeloma – updated guidance for GPs (Nice, 2025)

A new update from Nice on bone cancer risk.

Dr Shana Tam: Upping local support and leadership for sessional GPs

Dr Tam shares her experiences, including her initial 'baptism of fire' as a maternity locum, navigating two partnerships, and ultimately transitioning to a sessional GP role in late 2019.

Podcasts

Headaches and migraine in young people and adults (2025 update)

Newly-updated for 2025.

Six steps for GP locums to take for self-employment status

Where your status is self-employed and you’re new to providing locum services, tell HMRC as soon as you begin so they can get you into the self-assessment system and set up the correct type of NIC record for you.

Career & wellbeing

Relugolix CT and Linzagolix for endometriosis (Nice, 2025)

Guidelines were released in April and June; guidance on relugolix CT was released with much fanfare, so you’ll probably have heard about it in the news.