references and appraisals/assessments must
be disclosed to the doctor concerned and their
feedback sought. The process must be open,
transparent and accountable.
will need to have an identified body to turn
to for assessment/appraisal and study leave.
doctor in the UK must have an allocated study
leave budget. Atypical doctors must receive
this from employers. Doctors in pure private
practice should fund their own study leave
with a tax rebate.
should be given a tax rebate to motivate them
to provide study leave, especially locum agencies.
the government is unable to make locum agencies
provide study leave to locums, then either
locum salaries must be raised to cover such
costs, or the deaneries or Trusts must provide
this facility in the interests of high quality
patient care and patient safety.
must not be denied audit and training opportunities.
Consultants and medical directors of hospitals
deliberately denying a locum such opportunities
should be penalised for failure of duty to
protect patients through adequate training
of junior locum staff
The effort made by the doctor rather than
thickness of the portfolio should count
depending on the degree of work the doctor
does. If a doctor does whatever he does
well, he should not be denied revalidation.
profiling" for locums will have a different
meaning to that of substantive doctors. An
unemployed doctor may read journals at home
or in a library. Local should be where the
working or learning activity is based. For
locums this will be scattered nationwide.
locums i.e. those in post for six months or
more should be treated on par with substantive
doctors unless there are reports of discrimination.