
Locuming as a GP in London comes with a set of logistical and professional challenges that are quite different from those faced in other parts of the UK. While there are some clear advantages – such as higher sessional rates and better access to professional networks and portfolio opportunities – the reality on the ground requires careful preparation. Below, we look at key aspects that distinguish London locuming from the rest of the country.
Travel logistics, parking issues, and a lack of local knowledge about practices can catch out new locums. 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.
GP locum commutes in London are time-consuming
In smaller towns or rural areas, getting to a practice is often straightforward – drive, park, and walk in. At the risk of being obvious, in London the journey can be one of the more stressful parts of the day.
With the capital’s size and complexity, it’s strongly advisable to plan and even practice the route to an unfamiliar surgery in advance.
Public transport may be the fastest way, but interchanges, delays, or last-minute closures are common. If you’re driving, traffic can be unpredictable, and some boroughs are particularly hard to navigate during peak hours – especially those within the Congestion Charge Zone. Some of the areas within the zone include Barbican, Bloomsbury, Borough, Charing Cross, Clerkenwell, Covent Garden, Euston, Finsbury, Fitzrovia, Holborn, London Bridge, Mayfair, Soho, St. James’s, St. Pancras, and Waterloo.
Simply relying on Google Maps’ estimated travel time on the morning of your shift is rarely enough. The margin for error is slim if you want to arrive on time, calm, and prepared.
Tip: Ditching the car? Skip Google Maps and download CityMapper for better route-planning.
London parking is expensive and challenging for GP locums
Driving in London is downright frustrating. Many surgeries can’t provide staff parking, and local restrictions vary widely between boroughs. As with any drive within the M25, traffic jams are frequent, even outside rush hour. Some areas are covered by the Congestion Charge or Ultra Low Emission Zone (ULEZ), which adds a financial and administrative burden.
Compared to more car-friendly locations, this adds a layer of planning that can quickly eat into your day.
Tip: GPs who regularly work in the city often develop a shortlist of practices that are reachable by public transport or have reliable parking options – and avoid the rest.
London sees higher staff turnover and greater diversity of practices
In other parts of the UK, local word of mouth or GP networks often make it easier to find out which practices are supportive and well-run. In London, where locums move frequently between boroughs and practices, this kind of local insight is harder to come by.
There’s no centralised database of ‘good’ practices, and reviews are not always reliable. Many locums learn by trial and error, which can mean accepting some difficult shifts before identifying a list of preferred surgeries. Agencies don’t always give the full picture, and independent bookings require a lot of due diligence.
As for the patients, London faces unique health challenges compared to the rest of England, including higher rates of childhood obesity, sexually transmitted infections, and A&E attendances, while also experiencing worse health outcomes in some areas despite having a generally healthier population.
Search “[borough name] JSNA” to find the joint strategic needs assessment for the boroughs near you to get to know public health needs, and get a feel for the patient populations you might be working with.
Tip: Use LocumDeck to get ad hoc shifts at practices that are new to you, and work out where you want to build better locuming relationships.
It may be easier to meet fellow GP locums in London
Despite these hurdles, London is also a place where setting up or joining a peer network is relatively easy. We run locum chambers in several parts of London, offering admin support, shared resources, and a professional community.
In smaller towns, these types of groups might not exist at all. In London, though the scale can be overwhelming, the infrastructure for locums is often better developed, if you know where to look.
Londonwide LMCs also have local committees you can join to learn more about GP partnerships and PCNs in your area.
Tip: Join your local NASGP Locum Chambers to meet local GPs, or if you don’t have one locally, either set one up or join our national Chambers for support.
London rates are higher, and so is cost of living
Sessional pay in London is generally higher than the national average, reflecting the demand and intensity of work. Practices under staffing pressure are willing to pay more for experienced GPs who can manage busy lists with little support.
That said, the cost of living is also higher, even if you’re not living within the M25. Try varying your rates and session types on LocumDeck to get a feel for the rates that work for the practices you’ve linked with.
Tip: Get in touch with NASGP’s Membership Services to check whether your rates reflect local trends.
London’s high patient turnover poses challenges for continuity
Continuity of care is one of the first things to go in high-pressure urban practices. In many London surgeries, patients will see a different GP every time. While this is often frustrating for patients and for permanent staff trying to manage long-term care plans, it can actually make things more straightforward for GP locums if patients are less likely to expect or demand continuity.
This can reduce the mental load and emotional strain of each session. Compared with more rural or semi-rural settings – where you might see the same patients repeatedly and be more involved in their ongoing care – locuming in London can be more transactional and contained.
Tip: Set your terms and conditions on LocumDeck to ensure you can practice at your best wherever you work. Try longer appointments at practices who are willing to let you start slowly and build your confidence.
NASGP and LMCs are here to help
Londonwide LMCs is an umbrella organisation for the following 27 LMCs for GPs in London:
- Barnet
- Bexley
- Brent
- Bromley
- Camden
- City and Hackney
- Ealing
- Enfield
- Greenwich
- Hammersmith and Fulham
- Haringey
- Harrow
- Hillingdon
- Hounslow
- Islington
- Kensington and Chelsea
- Lambeth
- Lewisham
- Merton
- Newham
- Redbridge
- Southwark.
- Sutton
- Tower Hamlets
- Waltham Forest
- Wandsworth
- Westminster
If you’re in Barking and Havering you can join Barking and Havering LMCs, and if you’re in Kingston, Richmond, and Croydon you are represented by Surrey and Sussex LMCs.
Visit Londonwide LMCs for links.
Tip: As before, join your local NASGP Locum Chambers to meet local GPs.