As a locum you are the last independants in an increasingly managed system. In GMS, the independance of action is increasingly restricted by PCT or QOF government or ‘public opinion’. As PMS is bought out by Sainsburies there will be increasingly bizarre managerial involvement.
How do you chose to use your independance? Do you work when you want to? Do you charge practices, or do they offer you a payment? Do you describe the services you offer specifically, or do you just ‘do what you gotta do’ ?
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