Private General Practice

an overview

Dr Harry Trakoshis MBChB MRCGP DOH for Visiting GP group September 2011

Options for private GP in the UK

• Much higher demand in London but changing as businesses develop cost effective units elsewhere

• Work in corporate healthcare market• Central London private practice – mainly self pay /

hotel work and often ‘difficult’ cases• Suburban private GP practices – list of 500 patients • ( cf 2000 in NHS) – on call 24/7

Right staff is key 4 ‘As’ of success in medicine

Affability

Availability

Ability

Appearance

Quality Measures

• Thorough process at recruitment• Thorough on - boarding process and checks• 5 day induction and training• Initial appraisal at 6 / 12 / 24 weeks• Note and report review until quality assured and then

sign off

Structure to support quality

• Monthly academic meetings

• Paid study leave for appropriate courses

• Internal peer review meetings

• Open door policy for senior management

Manage quality of tertiary referrals

Reputation Reputation Reputation

Patient will judge you on the quality of your referral

Not fully restricted but approved list of consultants at top class hospitals and forum for review of this

Quality Measures

• Annual business appraisal• Annual academic appraisal• Ongoing audit – based on patient satisfaction

internal training &review

internal peer review• Senior management active clinically hence review of

work is ongoing

Organisation

Roodlane Medical has a large group of doctors and feedback is that organisation and

planning of their working life is one of the main items they appreciate and which helps

them maintain work life balance

Organisation

• Diary planning• Holiday and annual leave planning• Transparent process and clear polices• Flexibility where required and be sensitive to needs

working within the structure• Effective IT systems allowing flexible working from all

sites

Diary Planning

• Done significantly in advance to allow patient flexibility of booking

• Try and have a set rota across our sites to allow doctors a routine

• Book holiday and study leave in advance to minimise disruption and allow adequate planning for employer and employee

Organisation & remuneration

• Structured career progression pathway• Can ‘park’ anywhere along the way• Remuneration linked to this and also to defined

academic achievements• Incentive related pay structure

Questions & discussion