There are no rules.
The 48 hrs access DES comes closest to a set of rules.
Paul Bromley wrote:
> Sorry Russell you misunderstood my question. I understand the rules re
> extended hours and that we rare likely to have to make up the other
> hours first. My question relates to normal hours as they exist now. Is
> there a set amount of MEDICAL GP hours per thousand patients per
> week?? I am anxious that as a part-time GP (although I put in
> approaching full time hours already), with the extended hours I will
> deffinitely be 'full-time'. I thought the new contract allowed
> practices to look at skill mixes within practices etc and get away
> from specifically looking at GP hours.
>
> Paul Bromley
>
> On 19/02/2008, Russell Brown <[log in to unmask]> wrote:
>> Its 30 mins per 1000 pts, stratified according to your access survey
>> results.
>>
>> It will almost certainly involve Saturdays and an evening during the
>> week.
>>
>> Given you are closed at times during the week, you will have to make
>> up those hours in addition to the extended hours.
>>
>> For example, assuming you have 5000 patients, you will have to open
>> for 2.5hours on top of the contracted 0800-0630 hours. So if you close
>> all day Thursday, that's 10.5 hours you'll have to do before you can
>> do the 2.5 extended hours. If (like us) you actually gave reception
>> hours of 0830-1800, that's another 5 hours a week. If you close for an
>> hour at lunch times on the 4 days you seem to be open, that's another
>> 4 hours. So you might end up having to provide about an extra 20 hours
>> on top of what you're doing now BEFORE you can start counting the
>> extended 2.5 hours.
>>
>> All for £2.95 per patient. I would be very surprised if that even
>> covered costs.
>>
>> Hope that helps with the pension question you asked as well...
>>
>> If you have 4 years to go, I envy you. I'm 38, so have a looooooong
>> road ahead.
>>
>> Russ
>>
>>
>> On 19 Feb 2008, at 18:05, Paul Bromley <[log in to unmask]> wrote:
>>
>>> Can I re-ask this question as no-one answered. Anyone know how many
>>> medical hours/sessions we are expected to provide per 1000 patients at
>>> the moment? I think this is vital to work out where we should start
>>> from with extended hours. I ask because I work part time with 2 other
>>> partners at our practice, and to fit in half days we close all day
>>> Thursday. We have also been fortunate in that we have been able to
>>> close at 6 other days. The problem is that if we are not careful the
>>> fact that we are part time will be lost in all of this and we will be
>>> working approaching full time. If I had wanted full time I would have
>>> applied for a full time post a couple of years ago.
>>>
>>> Best wishes
>>>
>>>
>>> Paul
>>>
>>> On 06/02/2008, Paul Bromley <[log in to unmask]> wrote:
>>>> Can I ask the above?? Since the new contract there has been the
>>>> possibility of using skill mix to provide clinical care, so what is a
>>>> practice expected to give hour wise? One reason for asking is that we
>>>> are 3 part-time partners here and decided to go with this for quality
>>>> of life and additional time off. We have just under 5000 patients, so
>>>> how many sessions are we expected to provide as a baseline since the
>>>> new contract between the 3 partners?? I do not want to be working
>>>> as a
>>>> full timer on a part-time salary. To get up to what this government
>>>> wants as a baseline it looks as though we will initially have to
>>>> dispense with the Thursady afternoon that all 3 of us share and stay
>>>> open till 6.30 from the 6 that deputising presently takes over.
>>>>
>>>> Talking about reneging on contracts. This government needs stringing
>>>> up. How I wish I could retire at 55.
>>>>
>>>> --
>>>> Best Wishes
>>>>
>>>> Paul Bromley
>>>>
>>>> www.informatiks.com
>>>> Custom EMIS LV Software.
>>>> vuE | GPLabels | GPDocs | eGFRChecker
>>>>
>>>
>>> --
>>> Best Wishes
>>>
>>> Paul Bromley
>>>
>>> www.informatiks.com
>>> Custom EMIS LV Software.
>>> vuE | GPLabels | GPDocs | eGFRChecker
>
>
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