Starting out as a locum GP can be overwhelming with the paperwork, pensions, and chasing payments. However, with the right approach, it can be a fulfilling career path that offers flexibility, skill development, and the opportunity to discover your passions. According to the NASGP, around 28% of GPs in the UK work as locums. Why? Because locum work allows you to shape your career on your terms. But to succeed, it's crucial to master the essentials early on.
At Medical Staffing, we're here to help you navigate the transition into locum work. Here’s what you need to know to organise your professional life and set yourself up for a long and sustainable career in general practice.
Striking a Work-Life Balance
One of the first pieces of advice from experienced GPs is to maintain a healthy work-life balance. Locuming offers flexibility, but without self-awareness, you risk burnout. Dr. Ishani Patel, a GP and clinical co-founder, emphasises the importance of evaluating your weekly clinical sessions and considering factors like:
The portfolio career roles you wish to pursue
Recent changes in your personal life, such as returning from parental leave
Caregiver responsibilities
How full-time locuming might impact your work-life balance
Take time each year to assess your work and personal life. Are you fulfilled by what you do? Does your work support the lifestyle you want? If not, remember that it's never too late to make changes.
Making a Good First Impression
Building a strong professional brand is essential in the locum world. Dr. Patel recommends using LinkedIn as your digital business card, showcasing your skills, experience, and interests. Every new assignment is an opportunity to make a good impression and expand your professional network. Many locums eventually find salaried roles through their locum work, so small gestures like making a cup of tea for a colleague or offering a friendly greeting can make a big difference.
Managing Your Finances and Pension
When it comes to managing your finances as a locum, Dr. Patel’s advice is clear: "Hire an accountant." Professional guidance can help you navigate everything from tax obligations to income protection and maternity pay rights.
Key financial points to remember:
You are responsible for your tax, pension, and National Insurance contributions, which are due by January 31st for the previous tax year.
Keep your financial records for at least seven years in case of an audit.
Separate your business and personal expenses to keep your records clear.
To simplify your financial management, consider using tools that offer automatic pensions paperwork, invoicing, and fast payments.
Negotiating Your Shifts
Negotiating shifts as a locum involves more than just agreeing on hours. Heres some advice to consider:
The length of the shift
Expectations for the role
Appointment durations
Additional responsibilities
Built-in admin time
When arranging shifts, be clear about your availability and the terms of your engagement. Always have a conversation upfront, and put everything in writing to avoid misunderstandings at the end of your shift.
If you need assistance finding the right working environment or negotiating terms, Medical Staffing can help streamline the process. We provide support with your schedule and practice communications, all in one place, to make the experience smoother.
Adapting to a New Practice
Starting at a new practice can be intimidating, especially with the need to learn new procedures, tools, and local pathways. Here are some essentials to keep in mind:
Request an induction path and don’t assume that procedures are the same everywhere—ICS borders can vary in unexpected ways.
Bring your doctor’s bag and ensure you know where emergency supplies and extra equipment are located.
Familiarise yourself with the basics, like the location of the bathroom.
If you can’t find something in the locum pack, don’t hesitate to ask.
Find out who to talk to about safeguarding, complicated handovers, and appraisals.
Building good relationships with practice managers and partners is crucial. Be open to feedback and use peer learning groups or meetings to stay connected with practices, making it easier to secure future work.
Locum work provides the opportunity to gain diverse experience quickly. Take the time to explore different working environments, whether it’s a busy urgent care setting or a practice with face-to-face appointments in your community. Finding the right fit is key to enjoying a successful and satisfying career as a locum GP.
At Medical Staffing, we’re committed to helping you navigate your locum journey, providing the tools and support you need to thrive in your career.