This is Your Future

SO PLEASE THINK VERY CAREFULLY

Searching for the Practice of your choice

Where, if you could choose, would you like to settle in Practice for the next 5 years?

What do you feel that you need to do before settling down?

What factors will influence or could dictate your place of settling down?

Searching for your Next or Long Term Job

How do you find out about possible jobs?

How do you find out the details and inside stories of a potential Practice?

How do you find out what they may be looking for?

How can you find out if they are what you are looking for?

Details of Your Ideal Practice

Number of Drs:- Sex, Age, W.T.E., Ext Interests

Setting:- Inner City, Rural , Semi-Rural, Mixed

Size:- Patient Numbers and Ethos of Care

Special Features:- Teaching, Local Hospital, Medical admin, Ext Attachments

Dispensing:- Dispensing or non dispensing (personally

administered items)

Factors Affecting Your Workload

Make up of medical staff profile

Details of patient profile

Setup and ethos of the Practice

Education Commitment

Outside interests of all doctors

Factors evident from the 1yr and/or 5yr plan

Ethos of practice

Towards the Patients

Towards Staff

How to draw the line between money and ethics

Does the Local Doctor or the Local Practice have a roll in your area?

Lets Talk Pennies

What might I expect to earn as a Partner?

What might I expect as a Salaried Practitioner?

What might I expect as a Locum?

What might I expect as an OOH practitioner?

What might I expect as an entrepreneur?

Buy In or Not Buy In

Legal/financial status of the Practice Premises How does the Practice cover the expense? NHS Logistical arrangements to provide facilities for all patients NHS Financial agreement which ensures the provision of

Premises If I buy in where will I get the money? How can I repay the loan? What happens if I leave? What happens if I don’t buy in?

How Does the Practice Actually Work?

Who actually runs a Practice?

How is legal probity ensured?

How may the new plans impinge on the autonomy of our future Practices?

Practice Finance

What is the effects of QOF?

Patient participation groups

Extended Hours

Basket of Services

Enhanced Services

Practice Finance – cont

Target Payments – childhood immunisations

Dispensing/Personally administered items

Take care of the penniesand the pounds take care of themselves

The Wise man he say “Income – Expenditure = Profit” Profit represents that amount of money to be distributed amongst

the partners. How is the money distributed Income Expenditure

Is CQC Friend or foe?

What is CQC?

How does it, or how will it work?

What may it mean to us?

Let’s Peek into the Possible Future

Little change from present, may be a little tighter

Is OOH going to return to Primary Care?

Government wholesale buy out of individual Practices and run as secondary care.

Private sector takes over a progressively larger percentage of primary care

Private insurance takes over a larger part of primary care