Loveland Locum
This document describes a locum General Practitioner medical service, and is designed to
be printed out easily.
To find out more about professional qualifications, experience, registrations and
interests as a locum and sessional GP,
please link to the web curriculum vitae at http://www.markloveland.me.uk/
Free tailored quotations.
QUOTATION FORM, TERMS OF SERVICE, BOOKING FORM AND LOCUM CONTRACT
SECTIONS: QUOTATION FORM, TERMS OF SERVICE, BOOKING FORM, AND LOCUM CONTRACT
Please check you are satisfied with all four sections, then print and sign the agreement.
Return all four sections by post to the address on the last page.
Or please be in touch - I'd be delighted to discuss your specific requirements.
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SECTION 1: QUOTATION FORM –
QUOTE FROM: Dr Mark E Loveland (trading as Loveland Locum)
QUOTE TO: [Contracting body]
QUOTE VALID FOR 30 DAYS FROM (Date):
YOUR REQUIREMENTS
* On arrival, report to (name/ location) Senior Receptionist
{Start Date|ddd dd/mm/yyyy} {Start Time} - {End Time} {Session Rate|£#,###.00}
QUOTATION SECTION ENDS -----------------------------------------------------------------------------------------
SECTION 2: TERMS OF SERVICE
1. Quotations
1.1. Free Quotations. This quotation and reasonable contact time for negotiation are
offered free of charge.
1.2. Standard session service. Full session of general medical practice including up to 18
face- to- face or telephone 10 minute consultation slots, associated prescriptions, drug
administrations, referrals, plus consideration of up to 50 patients' previously-
authorised repeat prescriptions presented before first consultation slot.
1.3. Discounted services. Discounted services can be tailored to Your needs, for example:
no repeat prescribing; shorter sessions of fewer consultations. The discount is confirmed
in written quotations and on the order and is therefore agreed in advance.
1.4. Extras. Extra services can be tailored to Your needs, for example: visits; on- call/
full cover/ duty doctor additional duties; nursing home/ ward rounds per 4 consultation
slots; travel expenses beyond 30mile drive from Chesterfield. Extras are confirmed on the
written quotation and the order and are therefore agreed in advance. Extras requested "on
the day" may be subject to a higher level of charge.
1.5. Written quotations. Written quotations valid for 30 days will be offered subject to
these standard terms of service, and subject to reasonable expectations of conventional
general medical practice. Tailored terms can be agreed in writing at booking.
2. Assurances. Loveland Locum undertakes to maintain an online statement of professional
status at http://www.markloveland.me.uk/
2.1. Registrations and indemnity. GP registration status with the UK General Medical
Council (‘GMC’)can be checked online at http://www.gmc-uk.org/ . The UK GMC may require me
to provide certified end of placement reports in order to revalidate registration.
Loveland Locum undertakes to pay a reasonable fee not in excess of 100 pounds sterling for
each report required. Medical indemnity for work as a sessional GP is by subscription
membership of the Medical and Dental Defence Union of Scotland, with cover for General
Practice (including dispensing) for the whole of the UK.
Confirmation at http://www.mddus.com/ . Copies of certificates available on request.
2.2. Professionalism and health. Membership of the General Medical Practitioner
Performers' List can be confirmed- details at http://www.england.nhs.uk/ . Loveland
Locum will engage
with any job-specific occupational health assessment or criminal records check beyond
those required for the Performers' List.
2.3. Authority to act as contractor. By signing this, You (the contractor) confirm that
You are authorised to purchase locum services for your organisation, and make payments by
electronic transfer, cheque or banker's draft.
3. Cancellation. By booking, You agree to pay a fee in the event of cancellation. This is
set at 75% of quotation fee, to be received within 30 days of cancellation; where
cancellation occurred more than 30 days before booked date, the cancellation fee may be
waived at the discretion of Loveland Locum.
Contractors can anticipate the highest standard of commitment. Loveland Locum commits to
early communication in the event of cancellation due to sickness or infection control
requirements.
4. Induction and mentoring. The contractor agrees to ensure that someone is available to
show local procedures. If electronic access is not able to be provided by someone at the
beginning of the session, conversion to paper notes for scanning is possible. "Smart-
card" and "Choose and book" available as required. If local referral forms are preferred,
please make these accessible before the first session. Enquiry about local emergency
procedures for security, fire, child protection and first aid on arrival is standard.
5. Inclusions. Consultations notes will include: Read-coded observations (such as blood
pressure), or free text to allow later coding; record of prescription or referral; record
of safety- net advice. Loveland Locum undertakes to maintain serviceable equipment
including thermometer, sphygmomanometer, ophthalmoscope, otoscope, stethoscope, and
oxygen saturation monitor.
6. Exclusions. Identifying a locum/ emergency pack (including FP10 prescriptions, Headed
Paper, Practice Prescribing code) before the session starts would be ideal. Where an
organisation requires locums to carry additional stock such as controlled drugs or oxygen
or other equipment on visits or on call, additional fee for the administration required
to secure this may apply - please highlight this when requesting quotations by ticking
here[ ]
7. Handovers. Consultation notes as above will include documented safety- net advice.
Where there is uncertainty about the capacity of patients or carers to understand such
advice, referral to a higher level of care is more likely. Where patients are advised to
seek tests, advice on how they should seek results, and subsequent actions, will be
documented.
Where patients seem to require urgent referral before contact with their usual doctor is
possible, a letter with record of transmission or record of postage or record of delivery
to the patient will be the norm. Any few remaining non-urgent handover issues can be
transmitted as preferred by You. Loveland Locum undertakes not to store identifiable
clinical information including notes or summaries. Loveland Locum undertakes to continue
to act with due regard to current law and regulation including the GMC Duties of a doctor.
8. Invoices. Loveland Locum is NOT registered for Value Added Tax NOR the National Health
Service pension scheme. A written invoice will normally be presented at the end of the
last booked session. For multiple bookings, an invoice at the end of the last session of
the week [ ] or month [ ] may be preferred - please tick if requesting.
9. Payment and late payments. Loveland Locum accepts payment by cheque, cash, BACS
transfer, or banker's draft. Payment at the end of the last booked session in response to
the invoice would be most satisfactory. A signed or email receipt will normally be
available. Late payments received more than 28 days after invoice date will be subject to
late-payment surcharge of additional 10% of invoice fee, or compound interest calculated
monthly at Bank of England base rate +1%. By signing this agreement, you agree to this
term of business. This may be waived at Loveland Locum's discretion if payment is prompt
after reminder.
10. Complaints. In the event of your organisation receiving a complaint from a patient
which implicates Loveland Locum, you agree to indicate this by email or post within 5
working days of your receipt of the complaint. You should anticipate confirmation of
receipt within 2 working days and written response within 10 working days. In responding,
Loveland Locum will take due regard for the patient, medico-legal advice, and the
reputation of your organisation and Loveland Locum. Clinical governance via the
performers' list mechanism is available.
11. Feedback. Constructive feedback is welcome via email or post. Please write with a
contact number if you prefer an informal discussion.
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SECTION 3: BOOKING SECTION
Dates, start times and number of sessions agreed and booked
AS PER QUOTATION, SECTION 1 – AGREED AMENDMENTS as detailed here:
SECTION 4: LOCUM CONTRACT
Between You,
Signed -------------------------------------
Print Name ---------------------------------
Position -----------------------------------
Organisation -------------------------------
Date ---------------------------------------
And
Signed ------------------------------------
Date --------------------------------------
Dr Mark E Loveland (t/a Loveland Locum) GMC no 4642040
By signing, we are agreeing to this service subject to the terms of business as above
and current at the date of this agreement.
For return by post –
POST TO: Dr Mark E Loveland, Loveland Locum, Commerce House, 658b Chatsworth Road,
Chesterfield UK S40 3JZ
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& Wales License. To view a copy of this licence, visit
http://creativecommons.org/licenses/by-sa/2.0/uk/ or send a letter to Creative Commons,
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