A booking is a named block of hours inside one practice's building, agreed before the day and confirmed in writing to the person who keeps the rota. The practice sets the start and finish times, the room, the appointment length, and whether the list is routine, on-the-day, telephone or some mixture of the three.
Those four things are settled before a session is confirmed, so the list can be built against them and reception knows what it is booking patients into. A session confirmed without them is a session someone has to renegotiate on the morning it starts.
Cover is arranged for the session in front of it. Where a practice wants the same weekday held across a run of sessions, each one is still confirmed separately with its own hours and list type, because demand at a practice moves and a session booked in the abstract is usually the one that goes wrong.
On the day the practitioner works to the list the practice has set. Any change to appointment length, list size or finish time is agreed with the practice before it is made, and it is written onto the session confirmation so both sides hold the same account of what was worked.
The handover set
Six pairings, one to a card. The face you can see states what the practice provides for a session; turn a card over and its reverse states what the practitioner brings under the same heading. This pairing is written out here and in no other part of the site.
The room
The practice provides
A consulting room ready at the session start time, with the practice's own examination equipment, couch, sharps disposal and a working panic alarm.
The room
The practitioner brings
A stethoscope and the personal kit the practitioner prefers, photographic identification for reception, and arrival early enough to be shown the room before the first appointment.
The clinical system
The practice provides
A login carrying the access level the practice has decided a locum session needs, arranged before the day and tested at the start of it.
The clinical system
The practitioner brings
Registration details sent ahead so that access can be built, a smartcard where the practice's system asks for one, and use of the practice's own consultation template.
The list
The practice provides
The list type, the appointment length and the split between booked and on-the-day slots, all fixed before the session is confirmed and passed to reception.
The list
The practitioner brings
Work to the list as the practice has set it, with any change to appointment length or finish time agreed with the practice before it is made.
Registration and cover
The practice provides
Its own indemnity arrangements, its chaperone policy, and the induction it gives any clinician working in the building for a first session.
Registration and cover
The practitioner brings
Current registration, a licence to practise and indemnity held in the practitioner's own name, all confirmed to the practice in writing before a first session.
Results and letters
The practice provides
A named person who signs off results and correspondence, and its usual route for typing, tasking and getting a finished letter back onto the record.
Results and letters
The practitioner brings
Results actioned inside the session where the system allows, letters filed before the session closes, and a written handover note covering anything left open.
Escalation
The practice provides
A named duty doctor, the escalation route it wants used that day, and somewhere to find a partner when a decision belongs to one.
Escalation
The practitioner brings
Use of that route as the practice has set it, the duty doctor told at the time, and the same thing written onto the handover note.
Registration, indemnity and governance
Covering a general practice session is regulated work, so the position is set out here in full and a practice can check it before any booking is discussed.
Registration with the General Medical Council, a licence to practise, inclusion on the performers list that applies to the work, and indemnity held in the practitioner's own name are confirmed to the practice in writing before a first session is agreed. The registration number goes with that confirmation, and a practice manager who wants to read the public register entry can do so in a minute; many will, and the number is supplied so they can.
What this site describes is the booking, the confirmation and the paperwork that follows a session. Clinical practice belongs to the practitioner's regulator and to the practice's own governance arrangements, and this company makes no statement here about outcomes, waiting times or how a consultation is conducted.
Session time budget
The reckoning below takes a booked session and subtracts the time a practice has already committed inside it. Enter the session length, the administrative reserve the practice keeps back, the breaks it expects to be taken, and the minutes it has set aside for results, letters, prescriptions and referrals. Each line shows what remains after that subtraction, and the closing line shows the consulting time left.
Where the reserves come to more than the session holds, the closing line states by how many minutes the session is over-committed. Every figure in it is one the practice has supplied; the arithmetic adds nothing of its own and makes no claim about how long a piece of work actually takes in a particular building.
Between sessions: results, letters, prescriptions and referrals
Work generated inside a session does not finish with it, and a practice needs to know before the day who is dealing with each part of what it leaves behind.
Results arriving during a session are actioned in that session where the practice's system allows it, and anything still outstanding at the finish time is listed on a handover note and given to the named duty doctor. Letters dictated in a session are filed to the record before the session closes, and anything needing typing goes through the practice's usual route so that it comes back to the same place.
Prescriptions issued in a session are signed by the practitioner who issued them. Repeat authorisations, medication reviews and anything belonging to a patient who was not seen that day stay with the practice, unless the practice has asked in writing for them to be picked up and has said which of its clinicians is accountable for the decision.
Referrals are made on the practice's own templates and into its own local pathways, so they arrive in the form the receiving service expects. Where a referral needs a decision the practice has reserved to a partner, it is drafted, saved and flagged for that partner to send.
Who signs what is agreed before the first session and written onto the confirmation, because it is the part that most often goes unsaid until the week after.
Writing about a rota gap
Write to rota@asmedilocum.life. A practice gets a usable answer fastest when the first message states four things.
The dates wanted. Given as dates, including any the practice would take at a push.
The session length. The hours the practice books, and the administrative reserve it expects to sit inside them.
The list type. Routine, on-the-day, telephone or a mixture, with the appointment length that goes with it.
Who will be on site that day. The named duty doctor, and which partners are in the building.
The fourth carries as much weight as the first three. A session sitting alongside two partners and a duty doctor is a different piece of work from a session where the building holds one clinician and a nurse, and the answer differs with it.
Correspondence reaches the registered office at 19 Hag Hill Lane, Taplow, Maidenhead SL6 0JW.