Unchanged since May 2011
This document describes my locum General Practitioner medical service, and is designed to be printed out easily.
To find out more about my 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/ .
I offer free tailored quotations. You can check my availability at http://www.locum123.com/ and send me an email through the site.
You can also send me an email direct at mark.loveland(at)doctors.org.uk . I have mobile email.
When I have a good idea of your locum requirements, I will email or post a copy of this document to you. There are the following
SECTIONS: QUOTATION FORM, TERMS OF SERVICE, BOOKING FORM, AND LOCUM AGREEMENT.
Please check you are satisfied with all four sections, then sign the agreement and return all four sections by post
to the address on the last page. Or be in touch – I’d be delighted to discuss your specific requirements.
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QUOTE FROM: Dr Mark E Loveland (Locum)
QUOTE TO:
QUOTE VALID FOR 60DAYS FROM:
YOUR REQUIREMENTS The first session, Subsequent sessions
* Date of first session
* Best time to arrive
* On arrival, report to (name/ location)
* Time of first consultation
CHOOSE SESSION LENGTH
[] 18 face-to-face or telephone consultations at 10minute intervals
[] Two 10min breaks replacing 2 consultations (16 consultations) -10% discount
[]12 consultations -30% discount
[] No repeat prescription considerations -5% discount
[] Other discounts as discussed
Add Extras
[] Home visit considerations per hour, max 2 per hour +25%/hr
[] Oncall/ Duty doctor 0930-1230 including all dispensing/ emergency responses +20%
[] Oncall/ Duty doctor 1330-1830 including all emergency responses +25%
[] Ward/nursing home round per hour (max 4 patients per hour) +25%/hr
[] Travel expenses beyond 30miles from
[] Others as discussed - Dispensing
Multiply by number of identical sessions
Total
QUOTATION SECTION ENDS----------------------------------------------------------------
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 contractors’ 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 contractor’s
needs, for example: visits; oncall/ duty doctor
additional duties; nursing home/ ward rounds per 4 consultation slots; travel
expenses beyond 30mile drive from
1.5. Written quotations. Written quotations valid for 60 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. I undertake to maintain a statement of my professional status at http://www.markloveland.me.uk/
2.1. Registrations and indemnity. My registration status
with the
2.2. Professionalism and health. My membership of the Performers’ List of Derbyshire County Primary Care National Health Service Trust can be confirmed– details at http://www.derbyshirecounty.nhs.uk/ . I am happy to 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 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 30days of cancellation; where cancellation occurred more than 30days before booked date, the cancellation fee may be waived at my discretion.
Contractors can anticipate the highest standard of commitment. In the unlikely circumstances of illness or tragedy causing late notice cancellation by me, I would normally extend a 100% discount on the next locum session ordered.
4. Induction. I am computer- literate, and used to own a computer business. I am familiar with EMIS LV, PCS, Vision, Ganymede and SystemOne. I have a reasonable typing speed, and can type my own urgent referral letters on summary printouts for faxing or supplying direct to the patient. You agree to ensure that someone is available to show me local procedures if information technology is to be used. If electronic access is not able to be provided by someone at the beginning of the session, I am able to convert to paper notes for scanning. I am QOF-literate. I have designed templates or systems for heart failure, palliative care and smoking cessation. I have a “smart-card” and can interact with “Choose and book” if required. If local referral forms are preferred, please make these accessible before the first session. I will normally enquire about local emergency procedures for security, fire, child protection and first aid on arrival.
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. I undertake to maintain serviceable equipment including thermometer, sphygmomanometer, ophthalmoscope, otoscope, stethoscope, and oxygen saturation monitor.
6. Exclusions. Drugs and equipment: in the event that a patient seems to require an emergency treatment (eg adrenaline) and the drug or giving equipment is not readily available, we agree that cost of restocking my bag will be borne by you. Identifying a locum/ emergency pack (including FP10 pad, Med3 pad, Headed Paper) before the session starts would be ideal. Where an organisation requires locums to carry their own stock of controlled drugs or oxygen on visits or oncall, 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 fax 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. I undertake not to take away identifiable clinical information including notes or summaries. I undertake to continue to act with due regard to the Data Protection Act and the GMC Duties of a doctor.
8. Invoices. I invoice as a sole trader and I am not registered for Value Added Tax. 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. You agree to arrange completion and return to me of the relevant parts of NHS Locum GP Pension Forms A or C at the time of invoicing, or within 2 working days.
9. Payment and late payments. I accept payment by cheque, cash, postal order (max Stlg250), 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 receipt will normally be available. Late payments received more than 28days 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 my discretion if payment is prompt after reminder.
10. Complaints. In the event of your organisation receiving a complaint from a patient which implicates me, you agree to indicate this to me by email within 5 working days of your receipt of the complaint. You should anticipate confirmation of receipt within 2 working days and written response within 5 working days. In responding I will take due regard for the patient, medico-legal advice, and the reputation of your organisation and my locum service. Clinical governance via the performers’ list mechanism is available.
11. Feedback. I welcome constructive feedback via email or post. Please write with a contact number if you prefer an informal discussion.
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Dates, start times and number of sessions agreed and booked
AS PER QUOTE/ AMENDMENTS AS LISTED HERE -
Between
Signed -------------------------------------
Print Name ---------------------------------
Position -----------------------------------
Organisation -------------------------------
Date ---------------------------------------
And
Signed ------------------------------------
Date --------------------------------------
Dr Mark E 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 – I will sign and bring original to
first session for copies if required. POST TO: Dr Mark E Loveland (Locum)
This work is licensed under the Creative Commons
Attribution-Share Alike 2.0 UK: England & Wales License. To view a copy of
this licence, visit http://creativecommons.org/licenses/by-sa/2.0/uk/
or send a letter to