To confirm a booking simply send an email. A confirmation will always be sent, including a quote for cover requested, by email. These terms will apply, in all cases, once I have accepted a booking by email
Rates/fees
When you send me details of your requirements I'll get back to you promptly with a quotation. My rates are in line with those current in the area.
This is only a rough guide.
Two session day surgery (morning and afternoon) maximum of 2.30 hours per session no home visit £600.00
Two session day surgery maximum of 3 hours (max 15 patients per session) no home visit £675
Tow session of 2.30 hours surgery with on call/duty doctor from 08.30 to 18.30 £750
In between sessions, extended hours, paper work, administrative work, phone calls, any extra work after any session, over run surgery due to the extra work £75 per hour
Home visits (midday only) will be charged £25 a visit within 3 miles radius.
If a home visit takes more than 30 minutes due to the complexity of the patient or access then additional ‘extra work after session’ charges will apply. Parking/congestion/toll fee charges will apply in relation to the work provided.
Mileage charges £0. 40 per mile home to work and home visits.
If this service need to stay significantly away from home accommodation charges will be negotiable.
During special holidays charges will be different.
Sessions
A normal session is not greater than 4 hours. This incorporates maximum 3 ½ hours of "consulting" which includes booked appointments, extras, phone calls, advice and visits. .
Sessions should include a 30 minute period at the end to allow for any administrative paperwork incur during the session. If you need me to manage correspondence, results, repeat prescriptions then please reduce the amount of surgery consulting time accordingly.
A session can include maximum of 2 visits. About 30 minutes for each visit should be allocated from normal consultation time leaving the last 30 minutes for administration paper work incor during the session.
Afternoon Sessions are same as morning session but this usually does not include home visits unless prior agreement.
If book for whole day, the midday period between the two sessions should be free of formal practice commitments, unless separately negotiated.
Patients should be booked at 10 minute intervals, even if the normal appointment length for permanent medical staff in the practice is for less than this. There should be a 10 minute mid-session break
The last appointment slot of a booked surgery session should begin at least 10 minutes before the end of the clinical session (e.g. a session due to finish at 6:30pm should have the last patient booked no later than 5.50pm leaving the last 30 minutes for admin work).
Home visits
I would normally expect 30 minutes for each home visit within 3 mile radius. Any extra home visit will be charged separately.
Additional tasks, Repeat prescriptions, sign prescription, supervise junior or allied health care personnel on call or duty doctor work
All of above services will have to charge as oncall or duty doctor rate unless extra time has been allocated from the consulting time.
Any additional work which causes me to leave significantly later than the agreed time will be subject to an additional charge. Examples of such work include: a patient booked at the finish time, ‘extra’ patients after the end of the booked period, and visits, prescriptions or other administrative tasks for which adequate time has not been allowed.
Defence union advice locum doctors doing repeat prescriptions to review the case notes for every patient regardless of the system used to manage repeats. I try to adopt a pragmatic approach to this advice and normally, if you require it, I will be happy to review and sign a share of repeat prescriptions or special requests. I am of course not able to sign prescriptions without being confident they are safe and correct, and I am not able to sign acute prescriptions issued by another clinician or nurse unless extra time allocated for me to review the case note or go through with the other practitioner. I am happy to supervise junior or allied health care if reasonable time allowed.
I am normally happy to do "on-call" or duty doctor work, but I need to be told beforehand that this is required. As my standard fees do not include being the "on-call" doctor this additional responsibility will incur additional charges
Payments
I will provide you with an invoice and I would normally expect payment to be within 14 days of my invoice. I will normally invoice you at the end of the sessions or at the end of the month, whichever is sooner. Payment by personal cheque or BACS is preferred. Practices will need to request my bank details for BACS or online payments.
Late payments of over 14 days are subject to a 10% surcharge.
The work to be done in consultation
It is not possible to define this. However, I expect, with experience, to work in the same way as the permanent medical staff of the practice. In addition to normal consultation services this will include appropriate data entry into the practice computer and read coding of clinical observations (such as diagnosis, blood pressure, smoking status etc. as these arise). If you have particular requirements you would need to supply a list of preferred codes.
I may use references whilst consulting such as the BNF and various other guideline documents. I may provide patients with information leaflets from recognised internet sources.If on call or telephone call consultation there should be some free slots availabe either my self or other clinician in case some body need to see in the surgery and this remains the responsibility of the management of the practice.
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Information for locums
If you can provide an up to date information pack where the practice has referral and information forms already organised I shall be happy to use the existing system. If your practice uses computer systems extensively, adequate training should be provided when I first attend the practice. I am familiar with EMIS, synergy and systemone. I adapt well to computers. A member of staff will need to prepare a consulting room and turn on the desktop computer, provide me with relevant passwords, ensuring I am able to log in appropriately.
For medico-legal reasons, intimate examinations of patients will only be carried out with the assistance of a qualified chaperone. It is the responsibility of the practice to ensure an appropriate chaperone is available at reasonable notice. I would also like the practice to let me know the name of the chaperon in advance. I need the reception's help inorder to contact referrals during consultation as this can significantly take extra time without local knowledge.
I will require a signature on a superannuation form for all NHS work.
Protected Time
If not the nominated ''On-Call'' doctor I aim to use any work-free blocks or free administrative time for private or study puposes. I would appreciate it if such boundaries were respected. If I find that I am being repeatedly utilised throughout the day between sessions for odd jobs when not nominally ''on call'' then I may elect to bill this as such.
Private Work
The service I provide to practices is for NHS contracted work only. By default, I do not expect to undertake any private work for your practice unless you request otherwise, in advance.
Drug Dependency
I am happy to see patients with opiate and other drug dependencies for general health care. I do not normally initiate prescriptions for opiates or benzodiazepines to drug addicts for the purpose of detoxification or maintenance. I do not usually provide prescriptions for methadone.
Drugs and Equipment
I will provide my own basic clinical equipment such as Stethoscope and Ophthalmoscope. I prefer it when practices provide Aurascopes for hygienic reasons. I do not carry morespecialised equipment such as a Defibrillator or Nebuliser Glucometer, if these items are normally carried by the doctors doing visits I would ask that the practice provide them.
The practice will need to provide a Dictaphone if required for dictating referals.
Practices should ensure that adequate supplies of in-date emergency medication and equipment for administration are available in the surgery. With the adequate help form allied professionals in house.
Cancellation
Only in exceptional circumstances (e.g. personal illness) would I ever consider canceling a booking which has been confirmed. So far I have never cancelled a booking after confirmation. I did not have any sick leave over the last 5 years.
In return you should understand that in accepting your booking I have probably turned down other offers of work for the same date, and so you also should regard a booking as
non-cancelable. In the event that you decide you want to cancel and notify me less than 2 months before the start date, a cancellation fee is payable. (There is no charge for cancellation at least two months before the start date).
I reserve the right to terminate locum cover if the above terms and conditions are breached.
If you need to cancel a session with me between 7 and 21 days before the session itself I will require a cancellation payment of 25% of the agreed fee.
If you need to cancel a session with me within 7 days of the session itself I will require a cancellation payment of 75% of the agreed fee.
Cancellation on the day will be charged at 90% of the agreed fee.
For the purpose of calculating a cancellation fee the payment agreed will usually be taken to mean the payment for booked surgery consultation work and not the payment for extra items (e.g. visits) that may not ‘on the day’ apply.
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