THE • BUSINESS • SIDE • OF • GENERAL • PRACTICE 8 The GP's Guide to Professional and Private Work Outside the NHS Edited by FRANK McKENNA Head of Private Practice and Professional Pees British Medical Association and DAVID PICKERSGILL Chairman, Private Practice and Professional Pees Committee British Medical Association Foreword by MAC ARMSTRONG Secretary British Medical Association CRC Press Taylor & Francis Group Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business First published 1995 by Radcliffe Publishing Published 2016 by CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 1995 Frank McKenna and David Pickergill CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works ISBN-13: 978-1-85775-074-4 (pbk) This book contains information obtained from authentic and highly regarded sources. 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Typeset by Marksbury Typesetting Ltd, Midsomer Norton, Avon. *iO Contents List of contributors v The Business Side of General Practice: Editorial Board vii Foreword ix Preface x 1 Everyday work for GPs outside the NHS contract 1 David Pickersgill 2 Work for central and local government 9 Frank McKenna 3 Private GP services 15 Geoffrey Samson 4 Opportunities in insurance work 23 Chris Evans and Spencer Leigh 5 Working as a locum or deputy in general practice 33 Adrian Midgley 6 Police surgeon (forensic medical examiner) work 41 Hugh de la Haye Davies 7 The role of the part-time prison medical officer 51 Eric Godfrey 8 Working for schools and colleges 57 Roger Harrington 9 Pharmaceutical trials 65 Frank Wells CONTENTS 10 Part-time occupational health work 73 Joe Kearns 11 Sports medicine 83 Stuart Came 12 Surgical work in general practice 89 Brian Elvy 13 Doctors, solicitors and the courts: a guide to accepting and receiving instructions 99 Angela Anstey 14 Medico-legal fees: dealing with solicitors and courts 111 Prank McKenna 15 Opportunities in medical journalism 123 Tim Albert 16 Opportunities in medical education 135 Eddie Josse Index 143 The GP's Guide to Professional and Private Work Outside the NHS List of contributors TIM ALBERT, Medical Journalist, Castlebank House, Oak Road, Leatherhead, Surrey KT22 7PG ANGELA ANSTEY, Solicitor, BMA Legal Department, BMA House, Tavistock Square, London WC1H 9JP STUART CARNE, Vice President QPR Football Club, Past President RCGP, 5 St Mary Abbots Court, Warwick Gardens, London W14 8RA HUGH PL LA HAVE DAVIES, President, Association of Police Surgeons, Creaton House, Creaton, Northampton, NN6 8ND BRIAN ELVY, General Practitioner, Oak Street Medical Practice, Norwich NR3 3DL CHRIS EVANS, Consultant Chest Physician and Chief Medical Advisor, Royal Life Company (Liverpool); The Cardiothoracic Centre, Liverpool, NHS Trust, Thomas Drive, Liverpool L14 3PE ERIC: GODFREY, General Practitioner and former part-time prison doctor, 2 Deplesdon Road, Cheadle, Stockport, Cheshire SK8 1DZ ROGER HARRINGTON, General Practitioner and Secretary, Medical Officers for Schools Association, North End Surgery, High Street, Buckingham MK18 1NU EDDIE JOSSE, General Practitioner, Brownlow Medical Centre, 140-142 Broivnlow Road, London Nil 2BD JOE KEARNS, Consultant Occupational Physician, 9 Ascott Avenue, London W5 3XL SPENCER LEIGH, Chief Underwriter, Royal Life Company, Liverpool ADRIAN MIDGLEY, General Practitioner, The Homefield Surgery, Homefield Road, Exeter EX1 2QS GEOFFREY SAMSON, Private General Practitioner, 80 Redcliffe Gardens, London SW10 9HE FRANK WELLS, Director of Medicine, Science and Technology, Association of the British Pharmaceutical Industry, 12 Whitehall, London SW1A 2DY LIST OF CONTRIBUTORS Editors FRANK McKENNA, Head of Private Practice and Professional Pees, British Medical Association, Tavistock Square, London WC1H 9JP DR DAVID PICKERSGILL, Chairman, Private Practice and Professional Pees Committee, British Medical Association, Tavistock Square, London WC1H 9JP The Business Side of General Practice Editorial board for the series STUART CARNE, former President, Royal College of General Practitioners JOHN CHISHOLM, Joint Deputy Chairman and Negotiator, General Medical Services Committee, British Medical Association NORMAN ELLIS, Under Secretary, British Medical Association EILEEN FARRANT, former Chairman, Association of Medical Secretaries, Practice Administrators and Receptionists SANDRA GOWER, Fellow Member of the Association of Managers in General Practice WILLIAM KENT, Secretary, General Medical Services Committee, British Medical Association CLIVE PARR, General Manager, Hereford and Worcester Family Health Services Authority DAVID TAYLOR, Head of Health Care Quality, Audit Commission CHARLES ZUCKERMAN, Secretary, Birmingham Local Medical Committee; Member, General Medical Services Committee, British Medical Association Foreword GPs are being presented with ever increasing opportunities to undertake work outside their NHS contract. Some are well versed in how to develop the financial benefits these opportunities can bring to their practice. But others, not surprisingly, are unsure where to turn for information on how to develop these areas of work. This book contains valuable advice and information on the practicalities of professional and private work outside the NHS. It draws on the knowledge and experience of both professional advisers and GPs themselves. I am confident that both newly appointed and experienced GPs alike will find this book informative, practical and essential reading if they wish to keep informed of professional opportunities outside the NHS. Mac Armstrong Secretary British Medical Association September 1995