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Some practices hired locums to ease this pressure, while others had to stretch resources.
Doctors don't just become locums to stick a ruby-encrusted middle finger up at the NHS.
These are the things many A&E departments expect their locums to do.
You already see doctors doing extra locums to pay for their weddings or a deposit on a flat: if the private health sector expanded in the UK you would see many doctors leaving the NHS and a two-tier system quickly established.
The recommended antibiotic, phenoxymethylpenicillin, was more often prescribed by interns, residents and younger GPs, while older GPs and locums to a higher degree prescribed broad-spectrum antibiotics.
23 Why locums to such a large extent prescribed antibiotics to 56% of patients with acute bronchitis, might be due to several factors.
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Some doctors may not have got a post in their chosen specialty this year, so they locum to pay the bills until the next round of applications.
"Every single time I found myself in my overdraft or having to borrow petrol money or forego a flight home to Ireland to book a course, or every weekend I spent working as a locum to fund my education – I would do it all over again," she says.
I might be able to get the locum to see you tomorrow".
In palliative care, continuity of the care is essential, and when this is no longer possible for the patient's own GP, adequate information must be transferred to locums in order to ensure good quality care [ 3] Palliative care is defined as the active, total care of a patient whose illness is not responsive to curative treatment.
However, Trusts' reluctance to employ locum doctors to cover rota gaps, even when absences were anticipated well in advance, was cited repeatedly as leading to excessive working hours and increased stress.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com