GP Workforce Crisis is Great News for the Locum GP

If you work in the healthcare industry then you will be only too aware of the difficulties arising from the recent NHS reforms.  As a knock-on effect of this, a wave of early retirements and increased pressure on the general practice workforce has led to vacancies at GP surgeries across the country.  

This rise in vacancies has unsurprisingly led to a surge in demand for locum GPs.  In a recent survey by Medeconomics.co.uk, 53% of the locums questioned said demand for their services had increased, despite the fact that over 60% of them said they were aware that practices in their area were trying to reduce costs.

Whilst some practices may view the custom of hiring a locum GP to be an additional squeeze on budgets, at a time when things are already stretched, the more forward-thinking surgeries are realising that this is the best way forward.  Hiring locums enables the GP practice to deliver a constantly high level of care and service to patients and can help to fill those temporary gaps caused by holidays, sick leave or recent departures.

GP practices may be desperate to balance the books and make their resources stretch as far as possible but it seems many will have little choice but to turn to the services of a Locum GP.  Yes, practices have had their budgets cut but they will continue to put the patient first, even if this does mean incurring higher costs in the short term.  After all, hiring locums is a great way to ease pressure on the workload of other practice GPs whilst actively recruiting for permanent GPs to join the workforce in place of those who have retired or departed.

Despite the cost element, there are many reasons why practices will benefit from hiring locums, these may include:

• Quick and short term solution when there is no time to recruit for permanent positions
• The locum agency will work with the client to find the most suitable candidate for vacancy
• All applicants are screened by the agency which delivers peace of mind to practice managers
• Locum GPs can offer a fresh and sometimes more thorough approach to patients as they have had no prior contact with them and will therefore need to get more background information on their condition.

The versatility of the locum doctor makes them an ideal candidate to fill temporary roles within general practice.  If you would like to find out more about the advantages of hiring a locum GP please visit the Locum Select website.

Current GPs Are Facing Burnout – Could Working As A Locum Be The Answer?

A recent article published on the GP Online website (http://www.gponline.com/) has stated that trainee GPs ought to be given resilience training in order to prevent them from reaching burnout during their career.  GPs face all sorts of pressure during their working life, whether they are a newly qualified GP or whether they have been in the role for a number of years.  Getting the work-life balance just right is a tricky task and one which very few GPs get right, but could working as a locum GP be the answer?

Providing resilience training for GPs was a main topic of discussion at 2014’s annual RCGP conference which was held in Liverpool.  It was felt that whilst trainee GPs are given adequate training from a clinical point of view, little support or guidance was offered in relation to how they ought to manage their role from a personal point of view.  Being able to sustain the amount of time trainees can spend in real life working situations, such as during half day release, is very important as this time can provide trainees with a clear idea of the pressures they will be facing on a daily basis.  They need to learn and develop tools during their training on how to handle heavy workloads and difficult situations which they can rely upon once they are qualified.

Many GPs are turning to locum GP agencies as an alternative to working in a full time, permanent role.  In fact, around 15,500 GPs in the UK are now working as a locum GP, and for good reason too:

• Locum GPs can have greater flexibility in terms of choosing their working hours.  They may only wish to sign up to work a handful of sessions per week, or they could choose a greater number of hours if they so wished.
• Working as a locum can give more variety, instead of working at the same practice every day, locum GPs can work in an assortment of healthcare settings.  This can benefit newly qualified doctors as they may not be sure about which area of practice they wish to follow, or it can help to keep an experienced GP on their toes by having the opportunity to deal with different kinds of patients.
• Working as a locum GP can be financially rewarding for the GP, as they can charge a higher hourly rate than they would receive as a permanent GP.

Of course, working as a Locum GP also means that the individual does not have the usual stresses and strains which are commonly felt by employed GPs.  It can give them the flexibility to take time off as and when they need it, meaning they will be more productive during their working hours.

To find out more about working as a locum GP or to get intouch with a locum GP agency, feel free to take a look at the Locum Select website. 

Does Working As A Locum Provide GPs With A Better Work-Life Balance And Therefore Improve Their Morale?

A recent survey by the British Medical Association shows that GPs are more likely than any other branch of medical practice to experience low morale. The results of the BMA poll show that almost three quarters (72.8%) of GPs currently feel that their workload is not only unmanageable, but also unsustainable.

This figure is almost double that of consultants, of whom only 40% felt that their current workload was unmanageable or unsustainable, considering they were the second most likely group of medical practitioners to feel this way. It is therefore not a surprise that GPs were also found to have the lowest morale of any group of doctors.

The results of the BMA poll found that roughly 40% of all doctors described themselves as experiencing low morale, however, GP morale was found to be lowest of all. On a scale of one being very low morale, to five being high morale, GPs scored an average of 2.38, suggesting that low morale within general practice is widespread.

Given that so many GPs feel that their workload is unmanageable and they are experiencing diminished morale, GPs have also been found to be the least satisfied group of doctors in terms of their work life balance. Around 55% of GPs admitted to always working beyond their normal expected hours of work over the past month; as with their overall morale, this is a much higher percentage than in any other branch of medical practice.

Given that so many GPs feel overworked and generally unhappy with their profession, it comes as no surprise that 44% have considered early retirement, or at least quitting general practice before they reach retirement age.

With GP morale at an all-time low, increasing numbers of GPs are deciding against full-time positions, and are instead deciding to work on a locum basis. Locum GPs generally have a much higher morale than full-time general practice doctors as they are able to manage their own work load so that it is sustainable for them.

Due to being able to pick and choose placements from locum agencies, Locums are able to benefit from considerable flexibility in their schedule, so if they choose, they can work consistently for a long period, before taking some time off to be able to properly unwind, or even working on a more sporadic basis. Working as a locum does not have anywhere near the same level of pressures of working as a full-time GP, allowing individuals to enjoy a much healthier work-life balance.

If you are a GP and feel that your current workload is unmanageable and are experiencing low morale, you can visit the Locum Select website to find out more about how being a locum GP could benefit you.

What Can Be Done About The Current GP Trainee Shortage?

A recent report from the Health Education England has confirmed that GP recruitment levels are well below target and England’s GP workforce is actually shrinking.  This news is worrying, though it accurately reflects the thoughts of GP leaders, who have been concerned about the growing pressures on primary care in recent years.  But why are the levels of doctors falling?

·         Many doctors are retiring and wish to take a step back from the demands of full-time general practice

·         A growing number of doctors are leaving the service to start families and are taking time out to raise their young children

·         Many trainees are choosing to specialise in a particular area as opposed to joining general practice

·         Growing numbers of trainees are not completing their training on time

Health Education England’s report, known as ‘Securing the Future GP Workforce’, has a number of suggestions on how to rectify the current GP trainee shortage:

·         GP recruitment has been stuck at just 2,700 per year in recent years, however this target needs to increase to 3,250

·         The number of speciality training posts may need to be cut in order to ensure that medical graduates undertake general practice training

·         General practice needs to be promoted more widely as a career to students at secondary school as well as medical school.  Encouraging medical students to consider general practice during their foundation training may also help to increase recruitment levels.

The report strongly outlines the need to reduce the number of trainees in speciality areas in order to support the Government’s plan to transfer care away from hospitals.  Changes will need to be made in terms of education investment and a carefully devised plan will need to be put into place in order for appropriate timescales to be met.

Whilst many GPs may be looking to reduce their hours in order to improve their work-life balance, working on a locum basis may be a practical option.  Doctors who are approaching retirement age and wish to work on a part-time basis, or parents of young children who wish to work flexible hours which can fit around their family may find that locum work can fit in to their lifestyle.  This solution can also benefit the NHS as an increased number of doctors can stay within general practice, helping to ease the current GP shortage.

To find out more about life as a locum GP or to find out how to register with a locum GP agency, feel free to take a look at the Locum Select website. 

How Locum Agencies Can Help To Fill the Gaps in Out-of-Hours GP Rotas

Due to the growing GP recruitment crisis, as many as 60% of out of hours healthcare providers are struggling to fill empty spaces in their GP rotas.  As they are failing to fill shifts, many out-of-hours providers are also failing to meet national quality requirements.

In light of the increased ‘in-hours’ workloads of GPs, combined with the rising costs of indemnity insurance, the recruitment of out-of-hours GPs is becoming progressively more difficult. Many GPs are simply too tired from their normal working hours to accept extra out-of-hours shifts, whilst even finding agency staff to cover these shifts is becoming difficult.

Due to indemnity fees spiralling almost constantly upwards over the past 2 years, for many doctors, out-of-hours shifts are simply not financially feasible. If GPs are to work 30 out-of-hours sessions a year, if they are to work anymore shifts, they must work for nothing until they achieve 50 out-of-hours sessions just to be able to pay the indemnity premium. This has become a huge problem, as it is actually costing doctors to work out-of-hours.

For many GPs, in addition to the financial implications of working out-of-hours sessions, they are simply too tired to commit to working further hours after a long day’s work. With the huge workloads of many practices, and the sheer volumes of patients and paperwork that they must face every day, doctors don’t want to work as out-of-hours GPs as they will not be able to provide the high quality of care that patients are entitled to.

One the main problems facing many providers of out-of-hours healthcare is that they prefer to employ locally based GPs with a familiarity for local health services in a particular area, however, fewer and fewer GPs are interested in working out of hours. They must therefore turn to locum healthcare providers.

Locum agencies are able to find the right candidates to match each particular GP placement. Some locum GP candidates may prefer to work out-of-hours shifts as they allow them to be more flexible. Due to the high wages paid by locum agencies, the financial implications of working out-of-hours are less for locum GPs. Locum Select, a specialist locum healthcare recruitment agency based in Sutton Coldfield, West Midlands, are one of the highest payers for out-of-hours shifts.

If you would like to find out more about the GP locum service provided by Locum Select, whether you are a GP looking for out of hours locum work or you are a healthcare provider with temporary vacancies, feel free to telephone Locum Select on 0121 308 5125 or visit the Locum Select website.

Are GPs At Breaking Point? How New Reforms Are Affecting GP Practices

Due to financial cutbacks, considerable numbers of patients could be without a family doctor within the next few years, as many surgeries are faced with possible closure. It has become commonplace in some GP practices for patients to regularly have to wait for up to two weeks just to see a GP for a routine consultation.

Due to further cutbacks that were put into action in April, the British Medical Association warns that up to 100 GP practices could face closure in as little as a few years. Many practices are no longer able to provide the level of care that patients need, with some GPs seeing around 60 patients a day. When considering the calls that GPs must make and take, the paper work that they must complete as well as home visits to patients that are not capable of making their way to the surgery, this leaves GPs no longer than 10 minutes to spend with each patient.

Some GPs have faced such pressure from government cutbacks that they have been forced to make their boundaries smaller, leaving patients from outside these boundaries to find a new GP. However, for some patients, it is not a simple task to find another local practice that can take on new patients, as a neighbouring practice may be in a similar situation where their books are too full for them to be able to take on new patients.

For some people living in rural communities, their local GP surgery closing or shrinking its boundaries could leave them having to travel quite a distance to visit a doctor, and for some patients, this may not be possible.

With a growing population, and people generally living longer, patient demand is increasing and a lot of GPs are feeling considerable strain as their patient load and work load continues to increase. This has led to larger numbers of GPs deciding to retire early, or ever increasingly, working as locum doctors, whilst some young doctors decide against general practice altogether, preferring to work in hospitals and other healthcare facilities.

Locum GPs can benefit from flexibility in their schedules, as they can choose work placements that last anywhere between just a few days or a number of months. One of the key advantages that locum GPs can have is that they are able to take longer leaves of absence, allowing them to relax for longer periods of time, unlike fulltime GPs who cannot take long periods of annual leave at a time, and therefore, often can’t find enough time to fully unwind.

With pressure building on General Practices, it is likely that GPs will need to take leaves of absence to cope with the strains of their job. In this case, practices would be required to hire a locum GP in their place whilst they are away.

To find out more about locum healthcare, you can visit the Locum Select website.  

Hay Fever Is On The Rise, But Is It Worth A Visit To Your GP?

GP Online have reported recently that the number of hay fever sufferers who have visited their GP over the last couple of weeks has doubled since the same time last year.  But how will GP practices cope, and do you really need to visit a GP if you are suffering from hay fever?

Any kind of epidemic or seasonal illness such as the Norovirus and hay fever will inevitably increase pressure on a GP practice.  Whilst many patients have a genuine need to see a doctor, many may find that they can relieve their symptoms by speaking to a pharmacist and taking over the counter medicines.  In the case of highly contagious infections such as the Norovirus, it is usually recommended that patients in fact stay away from their local GP practice, so as to prevent the infection from spreading.

To cope with the increased demand from patients, GP practices are turning to using GP locum agencies to try to ensure that as many patients are seen as possible within the recommended timescales.  Some practices may just need to hire GP locums for a couple of weeks to cover extremely busy periods, but as the summer approaches, many GPs will inevitably be wishing to take annual leave.  This leaves a number of appointments which are needed to be covered, so if you need to visit your GP this summer, you may find that you will be seen by a locum.

Hay fever is caused by a person having an allergic reaction to pollen, and different types of pollen are prevalent at different times of the year.  Mid-June does seem to see the peak of hay fever due to the types of pollen which are in the atmosphere, and weather forecasters have stated that the pollen count has been slightly higher than usual for June 2014. 

Common symptoms of hay fever include sneezing, runny or blocked nose, itchy eyes, throat and ears plus a cough.  Persistent symptoms can make you feel miserable and become cumbersome, but if possible it’s best to keep away from the GP’s surgery and instead persevere with over the counter remedies until the pollen levels begin to die down.

Further details about locum GPs can be found at the Locum Select website.

Diabetes Week Set To Run 8-14 June 2014

Here at Locum Select we are helping to raise awareness of Diabetes Week which is running from 8 to 14 June 2014.  The aim of the week is to raise awareness of diabetes and increase fundraising to allow further research into the condition.  Social media networks will no doubt be full of Tweets and Facebook posts about different fundraising activities which are planned up and down the country, and diabetes charities are also using the week to promote various products which have been designed to make the lives of diabetes patients much easier.

Diabetes is a common condition amongst people within the UK, and the number of people being diagnosed is unfortunately increasing year on year.  Figures from a report by Diabetes UK show that back in 1996 there were reported to be 1.4 million diabetes patients within the UK, but this looks set to increase to over 4 million people by 2025.  This is going to have a huge impact on the health of the population and will also cost the NHS an alarming amount of money. 

There are two main types of diabetes – Type 1 and Type 2.  Type 1 affects just 10% of patients and is usually diagnosed before the patient reaches the age of 40.  The patient is unable to naturally produce insulin, a hormone which helps glucose to enter cells where it can then be used by the body as fuel.  Patients who develop Type 2 diabetes can produce a small amount of insulin, but it may not be enough to work effectively.  Type 2 diabetes often develops as a result of genes, diet and lifestyle choices.

It is highly important that people are educated on the risks of diabetes, plus how they can change their lifestyle so as to manage and perhaps reduce the risk of developing Type 2 diabetes.  Type 2 diabetes often develops if a patient is overweight and under-active, there is a history of diabetes within the family, the patient smokes and if they have poor blood pressure control.

Type 2 diabetes can often be controlled by making changes to the diet and lifestyle, though many patients will need to take medication to control their insulin levels.  Increasing the awareness of diabetes can help patients to manage their condition in order to reduce the risk of other serious health conditions developing as a side effect.

At Locum Select we encourage everyone to take responsibility for their own health and lifestyle – eat a balanced, nutritious diet, carry out two or three hours of exercise each week, stop smoking, reduce alcohol intake and be aware of any health concerns.  If a person feels they may be developing symptoms of diabetes, such as needing to urinate more often, increased thirst, extreme tiredness or unexplained weight loss, then it’s vital they see their GP as soon as possible in order to gain the correct diagnoses.

Locum Select are a locum agency providing GPs and nurses to various health practices across the Midlands.  For further details, feel free to visit the website. 

How A Locum GP Might Save Your Life

An article in the news recently caught our eye as it emphasised how a Locum doctor may be better placed to deal with patients and diagnose conditions.  This is not to say anything against a patient’s usual GP, only that it may be a good thing to be presented with a locum when visiting your local surgery.

A Locum GP will have a fresh approach to the situation, asking more questions than the patient’s regular doctor as they have no previous experience of treating the patient and therefore want to make sure they get all the background information necessary.  In the case of Ali Stunt, a former geochemist from Surrey, a Locum doctor was able to make a lifesaving decision, referring Mrs Stunt to a pancreatic surgeon who diagnosed a 5cm cancerous tumour on the pancreas.  Three previous visits to her GP practice had resulted in the wrong diagnosis of IBS and stomach irritation.

Mrs Stunt said:

‘You hear so many negative things about locums missing things — but I think the fact that I was seen by someone who was looking at me through a fresh pair of eyes, and who was perhaps more up-to-date in their knowledge, saved my life.’

A quarter of the workforce is made up of Locums and it is great to hear the positive side of seeing a doctor who may not be your usual GP but who is just as capable, if not more so, of dealing with your concerns.

You can read the full article in the Daily Mail. 

To find out more about the service provided by Locum Select, feel free to visit the website.

How Has The Role Of The GP Changed Since The Launch Of The NHS?

When the NHS was set up back in 1948, the role of the GP was slightly different to how it is now.  In the early years, the GP would have usually worked at a small practice with perhaps just one other doctor, and they would have been responsible for providing a gateway for patients to further specialist medical care.  As well as treating patients within the surgery, the GP would have also been expected to carry out home visits after surgery as well as being on call to deal with emergencies during the night. 

The GPs may well have stayed at the same practice for the duration of their career.  They were often able to build up good relationships with their patients as they were usually the GP for the whole family.  However, this high workload often meant that many GPs worked under considerable pressure and had little support.  The 1960s saw GPs being issued with maximum patient lists of 2,000 patients, and measures were put into place to hire support staff and improve the accessibility of professional education resources.

GP fundholding changed again in the 1990s, as the government wanted to provide an incentive for GPs to become more involved with the wider health system.  GPs were able to commission services on their patient’s behalf and performance related pay was bought in to motivate the healthcare specialists. 

Changes to the NHS in the 2000s meant GPs were required to register and adhere to further quality care standards, meaning that more and more time was required to spend on meeting objectives and completing paperwork.  Whilst many GPs felt this could have a negative impact on the amount of time they can spend with each patient, having procedures and systems in place should mean that budgets can be managed more effectively and high standards should be met at all times.

Whilst the day to day role of the GP may have changed significantly since the 1940s as a result of the introduction of quality and standards reviews, the ultimate role of an NHS GP is still the same.  This is to provide a first point of call for patients so as to identify and treat common health conditions, plus referring patients to the relevant secondary healthcare providers.

Whilst many GPs choose to work in a permanent role, others may prefer to practice as a locum GP.  Further details regarding working as a locum GP or how to register as a locum can be found at the Locum Select website.

GP Partners Must Think Like Business Managers To Help Practices Succeed

Does the modern day General Practice partner need a business head to succeed or can practices rely solely on clinical excellence?

GP partners have additional responsibilities beyond seeing patients and completing paperwork, for example they will be charged with managing budgets and given responsibility over staff.  In the GP practice their role is vital but is this role becoming more managerial than clinical?  

Recent NHS reforms overhauled the system with the aim of tackling issues such as an ageing population, the cost of new treatments and the expectations of what a health service should deliver.  Despite the scale of this transformation many GP practices are finding it hard to balance income squeezes with rising costs.

General practice funding has been decreasing year on year for some time now but the GP contract changes imposed recently by the Department of Health, which removed £164m in funding from the organisational domain and introduced new indicators recommended by NICE, had a huge impact on many general practices. 

Whilst expenses are continuing to rise, GPs practices are facing a decrease in income, which has led to cash flow issues for many small practices.  Add to this the fact that many GP partners have had a significant pay squeeze to bring their pay in line with salaried GPs, despite their larger workload and you can start to see why GP partners must now assume the role of business manager.

The GP partner will be involved on a day to day basis with managing the budget of the practice and deciding where to allocate funds.  In the light of the recent reforms, this practice management needs to evolve and change for the practice to thrive.  There are new opportunities out there and practices need to look outside the primary care box and seek collaborative partnerships in order to develop their income. 

Practices will undoubtedly look to their GP partners for this business orientation, so GP partners must be prepared and put their very best business head on if they are to help their practice succeed.  Some practices have been setting an example by merging with other practices to share costs such as training and accountancy to take advantage of supplier discounts, where others have been going back to the drawing board and developing business plans and strategies that will help them reach their goals.

It seems the clinically led practice must now take a back seat as the GP partner assumes the role of business leader.  Practice managers and GP partners will need to work together to develop their own business skills and embrace this fast-changing world or they will surely get left behind. 

GPs may be interested to find out about working as a locum, further details can be found at the Locum Select website.

Success For Locum Select At Career Pathways Event

Career Pathways - organised by the publisher of Pulse and Nursing in Practice - is the UK's only recruitment event dedicated to GPs and Nurses working in Primary Care.  The most recent Career Pathways event took place on the 19th March 2014 at the Hilton Birmingham Metropole Hotel and Locum Select were proud to be one of the exhibitors.

Now more than ever, it is important for GPs and nurses to be aware of their options within a changing NHS landscape. By bringing together experts from within the NHS and healthcare organisations, the conference sessions gave details of the many options open to GPs and nurses across the UK as well as internationally.   The experts were also on hand to cover case studies of specific career pathways which may have inspired budding locums.

The 2014 conference programme kicked off with a keynote address from Elizabeth Eddy, Head of Skills and Employability at NHS England. Elizabeth was joined by other notable speakers, including Dr James Kingsland OBE, president of the National Association for Primary Care, Sam Sherrington, Head of Nursing and Midwifery Strategy at NHS England and George Coxon, notable Independent Health Care Advisor.

Locum Select had a great day, not only were they able to speak to and recruit a number of GPs and Nurses, several GPs who are already registered with Locum Select came over for chat.  They also had enquiries from newly qualified GPs who are looking for locum work as well as a number of partner GPs looking to leave a practice and just locum, allowing them to focus just on patient care.

It was an enjoyable and successful day and the Locum Select team really enjoyed coming face to face with so many GPs and Nurses.

Further information on our locum agency services for both candidates and clients can be found on the Locum Select website.

The Growing Importance of Locum Healthcare Professionals

An increasing number of healthcare professionals are choosing to look for locum positions. This allows doctors, nurses and other healthcare professionals to have far more flexibility in their schedules as they are able to accept work placements that could last anywhere between just a few days or a number of months.

One of the key advantages of locum positions offer healthcare professionals is that they are able to take longer leaves of absence should they need or desire to. Whilst many in the healthcare industry are prevented from taking long periods of time off, for locum professionals, taking a leave of absence is as simple as turning down a temporary job.

While a growing number of professionals in the healthcare industry are turning to locum positions, the importance of locum healthcare professionals is also increasing. Many medical facilities, including hospitals and clinics are often extremely busy, meaning that full time staff may be unable to run a facility as smoothly as is needed. Rather than hiring more fulltime doctors or nurses, many healthcare institutions turn to locum healthcare professionals as they know that they will not need extra staff on a permanent basis.

As medicine has massively improved over the years, people are generally living longer. This means that there is a much larger population of elderly people than in the past, and therefore a much larger population of people requiring constant healthcare, particularly those in assisted living centres and hospices. A much larger number of people require rehabilitation at their homes to help them recover from injuries or illnesses, or even extra care to help them continue to live independently. Locum healthcare professionals are ideal for these circumstances as they have the flexibility to work and different times and move around when needed.

The increase of locum healthcare professionals is essential in the long term, ensuring that all patients have access to quality medical treatment from highly trained professional should medical assistance be required. If you are a medical facility that is looking for temporary locum healthcare professionals, or are a doctor nurse or other healthcare worker, you can visit www.locumselect.com.

Locum Select To Exhibit At Career Pathways Event

Birmingham Locum GP agency, Locum Select will be exhibiting at the Career Pathways event in March 2014.  The event which is billed as the fast-track to career development for primary care professionals will be held at the Hilton Birmingham Metropole Hotel on 19^th March.

In a changing NHS landscape it is more important than ever for nurses and doctors to be aware of their options and this event aims to provide information on the alternative career options available to primary care professionals as well as encouraging them to explore the many different career routes available.  With keynote speakers and notable independent health care advisors participating in the event, no doubt organisers are hoping to meet or exceed the 1000 healthcare professionals who came along to last year’s event. 

The Locum Select team are looking forward to exhibiting at the Career Pathways event, which will also feature conference sessions to enable delegates to find out more about their options both here in the UK and internationally.

Locum Select will be located at stand 51 for the duration of the event and will be able to answer visitors questions about the opportunities available for locum doctors and nurses in the region.  As we work with a wide variety of healthcare organisations such as General Practice, hospitals, prisons and walk in centres, we can offer locum GPs and nurses a variety of temporary and longer term positions in their preferred sector.

With many years’ experience in the healthcare industry, we are best placed to find out the needs of our registered locums and match these with the requirements of our healthcare clients.  There is more information about our agency and the clients we work with on our website www.locumselect.com