Working in isolation is not an option

1st July 2015 by Richard Fieldhouse

Working in isolation is not an option

I’m just on my way back from giving a talk on ‘Enhanced Appraisal’ for GP locums. When I arrived in the afternoon, I was leapt on by some a few delegates who’d been there for the morning and who reported the general angst about what PCTs should be doing about locums and appraisal.

I gave a half-hour presentation using Maslow’s Hierarchy of Needs as the model we need to be using when we think about planning resources that will actually support locums through revalidation. It’s all very well to look at the higher functions of quality and performance, but when the basic needs of education, work, security and ‘professional community’ are not being met then expecting locums to do audit, Multi Source Feedback etc are pointless.

The solution, as summarised by the conference’s chairman Dr Emyr Jones, was ‘if the problem is because GP locums have to work outside a managed environment, the solution is to create a managed environment for them to work within’. Fortunately examples do exist, and on these occasions I am able to give my own example of working in a Locum Support Team, where 45 locums work within separate local locum chambers. For those unable or unwilling to work in other similar locum teams, the opportunity to work as affiliates to a conventional practice also exist in the form of the affiliate Freelance GP Scheme.

Read more

No credit card details needed – it takes two minutes.

Join free trial


Already a member? Login to view this content.


"Joining NASGP's Locum Chambers in Essex after CCT has been a fantastic decision for me. The Chambers structure provides support with my locum work as well as a peer support network with regular meetings.

The Chambers support also extends to support with complaints when these occur. This is an amazing benefit that helps to minimise the professional isolation that can come with being a locum.

The Instant Book feature within LocumDeck makes arranging sessions easy. Whilst getting things set up initially does take a bit of work, this eventually pays off and the return on this initial time investment is impressive. New features are always being added based on feedback from members. "

Dr Shanil Shivji, Essex

See the full list of features within our NASGP membership plans