Download Locum GP Local Pack

Locum GP Induction Policy and Pack
Practice name:
Address:
Telephone Number(s):
Fax Number:
Email address:
Last updated:
Reviewed by:
Scheduled date for review:
It accompanies a separate document describing the process of engaging a Locum and
the “checks” a Practice needs to make.
SEE ALSO (available to BMA members only):
http://bma.org.uk/practical-support-at-work/contracts/sessional-gps/locum-gphandbook
A] Locum GP Induction
Start with a walk around the Surgery premises:
Fire Exits, Kitchen, Toilets, Reception, Administration Office – and introduce to all the Staff
explaining all their job roles so the Locum will know who to ask for what.
Show the Locum the location of emergency equipment:
Defibrillator, Resuscitation kit, Oxygen, nebulisers, emergency medication.
And who to ask for help delivering emergency care:
Which other Doctors, Nurses or Health Care Assistants will be present whilst the Locum is on the
premises.
Supply a list of key codes, and advice on how to enter and leave the surgery premises if the
surgery is closed:
Not applicable to Locum Doctors at Hill View Surgery.
Set up the computer system:
So that the Locum can log in with their NHS Smart Card.
[Both to the desktop PC and to the Clinical Database]
Set up the desktop PC:
So that the Locum GP has online access (desktop shortcuts) to any applications needed, e.g. Lab
results, Choose and Book.
Set up the desktop PC browser so that useful documents and online web links are available:
(Some Practices will have this sort of information organised on a Practice Intranet system). For
example:
www.nnotts.nhs.uk/ccgpathways/default.aspx
http://www.nice.org.uk/CG027quickrefguide
http://www.dft.gov.uk/dvla/medical/ataglance.aspx
http://www.patient.co.uk/pils.asp (patient information)
http://www.patient.co.uk/patientplus.asp (professional reference)
Allocate a consulting room:
Put a sign on the door of the consulting room with the Locum GP’s name.
B] Induction: getting started
How to summon patients:
Patients are normally summoned by the Doctors personally going to the Waiting Room and
calling the patient by name.
Computer Login procedures (and who to ask for help):
All Locums have to log in with a Smartcard. The Smart-card number should be sent to the
Practice by the Locum or the Locum Agency at least two weeks before they are due to work for
the Surgery as we have to register each Locum individually.
The Practice Manager or Reception Staff will be able to assist the Locum if any problems.
Show the Locum GP:
The “panic button” arrangement.
The panic button can be initiated by pressing “control + shift + enter” at the same time.
The Locum GP:
Is likely to carry a mobile phone, and can provide the number to the Practice Manager.
Acute prescribing:
Advise re any in-house or locality formulary, and access to the local ‘traffic light’ database. If any
queries the Locum can ask the Practice Manager or any of the staff who usually deal with
prescriptions.
LINK for practice policy if applicable
Repeat prescribing:
Locum GPs can sign repeat prescriptions if they are happy to do so. Prescribing clerks only print
these off for signatures if there are issues left and regular GPs have authorised these.
LINK for practice policy if applicable
www.nottinghamshireformulary.nhs.uk
Home visit procedures:
Where and how are they listed and allocated. Maps.
Locum Doctors at ****** Surgery will / will not be required to undertake Home Visits to patients
except in extreme circumstances.
Details of Practice opening hours, session times, designated clinics:
Details of Practice Policy re appointments:
‘Extra’, urgent, double, ‘follow-up’, specific to service e.g. minor surgery, joint injection…
These can all be booked by the Reception Staff.
Details of how to use any internal email, ‘Task’, ‘message’ or Notification systems:
Use of “Task” internal mail system on System One should be explained to the Locum Doctor.
This will include advice as to how to communicate clinical concerns, or alerts re follow up, to a GP
colleague.
Where are patient advice leaflets kept?
All advice leaflets can be accessed by the Locum Doctor via the intranet “Pathways Website” for
Mid-Notts or patient.co.uk website.
www.nnotts.nhs.uk/ccgpathways/default.aspx
http://www.patient.co.uk/pils.asp
C] Checklist for consulting room equipment
(Should be checked by practice staff prior to Locum's arrival)
General
Paperwork
Sphygmomanometer
Fit Note
Tongue depressors
Blood forms
Fluorescein drops
Gloves and jelly
Microbiology/MSU forms
Snellen chart
Tissues/ towel
XR request forms
ENT /eyes kit
Stethoscope
ECG request form or in-house
procedure
FP10 prescription forms
Gynae
Peak flow meter/tubes
BNF
Pregnancy testing kits
MSU bottles and stool bottles
Headed papers/envelopes
Smear kit
Dictaphone / tapes or
equivalent
Eyes
Speculums
Swabs
Phlebotomy
Swabs: C+S and Chlamydia
Heating/fan
Needles/syringes
Pregnancy calculator
Lighting
Tourniquet, sharps bin
Chair
Couch (tissue cover)
Bins
D] Practice Summary
List of Practice Management Team, and roles:
(GP Partner)
(GP Partner)
(Practice Manager)
(Practice Nurse)
(Secretary)
(Secretary)
(Administration)
(Administration)
(Receptionist)
(Receptionist)
List of GPs in the Practice, including special interests:
See Flow Chart above
List of Nursing and HCA names and roles:
See Flow Chart above
Details of Practice Policy re appointments:
‘Extra’, urgent, double, ‘follow-up’, specific to service e.g. minor surgery, joint injection…
Information on all of the above can be supplied to the Locum Doctor by the Reception Staff.
Details of the Practice Complaints Policy:
Locum GPs will need to be informed if they are subject to complaint and allowed access to (and
fully anonymised copies of) all the relevant medical records and associated correspondence.
They should be assisted in replying personally (alongside the Practice reply and via the Practice
Complaints Manager) to the complaint. As a rule, complaints against Locum GPs should be
handled “as if” the Locum GP was a Salaried GP employee. The Locum GP will need to take
independent Defence Society (and LMC) advice.
E] Telephone numbers
Most of these numbers can be accessed via the S Drive/Protocols/Non-Clinical Protocols/U/Useful
Numbers but we have listed them below as well:
External number including
area code
Internal extension or Speed
dial
0300 456 4951
N/A
Practice number(s)
Outside line
Practice Manager
Practice Nurse(s)
Reception
Secretary
District Nurses
(Single Point of Access within
the PRISM Team)
Social worker
0300 456 4951
Elderly care
(Single Point of Access within
the PRISM Team)
Social worker
0300 456 4951
Mental Health Act
(Single Point of Access within
the PRISM Team)
Social worker
MASH
Child protection or immediate
safeguarding concerns
0300 500 8090 or
Coroner
0115 8415553
999 Emergency Ambulance
01159 675099 Nonemergency Ambulance
0845 2669662 Arriva (Patient
Transport)
NG24 Ambulance
Local pharmacy(s)
Police
N/A
N/A
0300 456 4546 (Out of Hours)
0115 8415552 (Doctors
Priority Number)
Ambulance
N/A
101
(If not an emergency)
N/A
Local hospitals
(01623) 622515 King’s Mill
Hospital
(01623) 785050 Mansfield
Community Hospital
(0115) 9249924 Queen’s
Medical Centre Hospital &
Nottingham City Hospital
(01636) 681681 Newark
Hospital
F] Ordering Investigations
Procedure for each test as follows:
ECG:
Ask patient to request at reception for an ECG appointment with the Practice Nurse. This will be
followed by an appointment with a Doctor to review the ECG report where appropriate.
X-Ray: USE ICE IF REGISTERED
Locum Doctors will be requested to fill out the paper x-ray card to give to the patient. The
telephone numbers to ring and book the x-ray can be supplied by Reception Staff.
They do not have access to the ICE system.
Blood tests: USE ICE IF REGISTERED
Locum Doctors will be requested to complete the paper blood forms and ask the patient to go to
Reception to make the blood test appointment. If taking blood themselves, Locum Doctors still
need to complete the paper blood forms as they do not have access to the ICE system.
MRI scans e.g. for prolapsed discs: USE ICE IF REGISTERED
As above for Drect Access MRI (head, spinal knee) scans are available- see pathways intranet.
Spirometry:
The patient can book spirometry or spirometry and reversibility at reception.
USS (NON-OBSTETRIC): UNDER AQP (Any Qualified Provider)- USE ICE IF REGISTERED
The Locum Doctor is requested to complete the paper Ultrasound form for the patient to hand to
Reception Staff to send off as they do not have access to the ICE system.
OBSTETRIC USS: USE ICE IF REGISTERED
Direct access Cardiac Echo: COMPLETE FORM
Open access Endoscopy: COMPLETE FORM
Exercise ECG testing (RACPC referral): COMPLETE FORM
On site pregnancy testing e.g. for ectopics:
Pregnancy testing kits are available in the Practice Nurses room.
Paediatric urine specimens systems:
By referral only to Paediatric Ambulatory
Faecal Occult blood tests:
Locum Doctor to complete relevant form and hand to patient to book appointment at Reception
for blood test.
Adult MSU:
Locum Doctors are asked to complete the paper MSU request form and hand the sample and the
form to Reception Staff who can process.
G] Emergency admissions
Procedure: For any possible emergency admissions, the Locum Doctor is asked to discuss the patient
further with the regular Doctor at the Surgery before admitting the patient to hospital.
Who to ask ‘in-house’ to discuss a possible admission:
As above, the Locum Doctor needs to discuss any possible admission with the regular Doctor at
the Surgery before making any admissions.
Medicine:
As above
Geriatrics:
As above
Psychiatric including how to contact Social Worker for mental health act section:
The Locum Doctor can speak to the Crisis Team on 0300 3000131 (Newark & Sherwood) or 01159
560860 (Mansfield).
Paediatrics:
As above
General Surgery:
As above
Vascular:
As Above
Urology:
As above
Threatened miscarriage (is there a "early pregnancy assessment unit"):
There is a Community Midwife Advice Line on 01623 676170 or the Early Pregnancy Unit can be
accessed via the King’s Mill Hospital switchboard on 01623 622515.
Gynaecology:
As above
Obstetric:
As above
ENT:
As above
Eyes:
As above
Neurological:
As above
Orthopaedics:
As above
AMBULANCE CONTACT DETAILS:
Emergency Ambulance: 999
Ambulance within 2 hours: 01159 675099
Arriva Patient Transport: 0845 2669662
CHILD PROTECTION PROCEDURES:
Local Policy: LINK REQUIRED
Name of Practice CP Lead: *********
Contact Numbers: MASH 0300 500 8090 or 0300 456 4546 (Out of Hours)
H] How to arrange the following:
Who to ask about in-house clinic services and how to use them:
Minor operation or joint injections:
Reception can add the patient to the Minor Ops list or make an appointment for a joint injection.
Joint and soft tissue injections:
As above
IUD fitting: routine and emergency:
Reception can add the patient to the Family Planning Clinic list.
Depo contraception injection:
Can be given by the Doctors.
Dietician:
By referral only
Physiotherapy:
A Physiotherapy form can be completed by the Doctor and patient. This will then be sent
internally by the Reception Staff.
Chiropodist:
By referral only
Booking with Midwife for antenatal care:
The Reception Staff can book Midwife appointments for patients who are more than 8 weeks
pregnant.
Diabetic clinic:
The Reception Staff can book patients into in-house Diabetic Clinics.
Hypertension clinic:
Appointments can be made with the Practice Nurse.
Asthma clinic:
Appointments can be made with the Practice Nurse.
Wart clinic:
Histofreeze appointments can be made with the Practice Nurse.
Counselling:
The patient can self-refer to Let’s Talk Wellbeing on 01159 560888
Clinical Psychology:
By referral only
Smoking cessation counselling:
The patient can call New Leaf on 0800 389 7712
I] How to make referrals
Who to ask about referral processes:
Locum GPs should expect a GP Partner to read and ‘vet’ all their outgoing referrals, and if
appropriate to re-reroute them ‘in-house’ or review the referral decision with the patient. This
applies to all the following specialities unless specified otherwise below.
Routine referrals are sent via a Clinical Gateway who then triage / signpost and ring the patients
direct to arrange an appointment at the hospital of their choice.
2WW referral procedures:
The Locum Doctor can dictate a letter or send a task to the Secretaries who will book the
appointment whilst the patient is at the Surgery or afterwards if the patient has left.
Standard referrals, urgent and non-urgent:
Medicine
Geriatrics
Psychiatric
Drug and alcohol
Paediatrics
General Surgery
Vascular
Orthopaedics
Urology
Gynaecology
Family planning Clinic: The patient can contact directly by ringing 01623 785050.
GUM: The patient can contact directly by ringing 01623 622515 and requesting the GUM Clinic.
Termination of pregnancy:
The Secretaries can supply the patient with a telephone number to make an assessment
appointment with NUPAS – the Locum Doctor will need to enter relevant information on the
patients screen e.g. LMP etc. so the form can be completed and faxed to NUPAS.
Antenatal care and arranging first trimester scan: The patient can book a first appointment with
the Practice Midwife at Reception when they are more than 8 weeks pregnant.
ENT
Eyes
Neurological
Dermatology
Rheumatology
Pain Clinic