It is unusual times we live in today. Medical professionals who know about health and medicine are being asked to be more involved in management and in essence are running a business - an area they're not trained for or have experience in. As a health care professional I was open mouthed when the current govt rolled out their plan to scrap primary care trusts and place GP consortium's in charge of the huge budget of the NHS. Sure, medical input should be at the front of commissioning decisions, but I think having physicians running the NHS is essentially a recipe for calamity. Yes there're health professionals who are efficient at managing a business, but not enough for what the govt plans.

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The same is true of GP practices and GP locums. GP practices are actually independent businesses contracting to the NHS. Several GP practices are run very effectively and make lots of money for the GP partners, and many practices are run very inefficiently leaving the medical professionals with a salary significantly below the typical GP. A GP locum is generally a newly qualified GP, and as a locum they are supposed to effectively run their business. This involves promoting themselves and finding work, managing invoice creation & billing and managing their finances & accounts. It's no wonder many new GP locums feel a bit overwhelmed by this - a task they were not trained to do. I've recently found a new web-site that helps locum GPs manage these managerial tasks and allows them to focus on what they do best - being medical practitioners.

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I hope this trend in the NHS to more privatisation and medical practitioners being expected to basically run a business does not continue, or at least - if it does that more training is offered.

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