The structure is given for a very large and modern GP Medical Practice with over 20-24 GPs, with associate staff. From this, the structure for smaller practices with 2GPs, as the minimum, to 6-8 GPs for medium is shown. The staff list would include:
These are general guidelines. Small practices may employ some on Part-time basis to cover areas listed for ‘medium’ practices above. In several instances for small to medium size practices, the Practice Manager may also look after some parts of the day-to-day accounts, property issues, loans and mortgages etc.
Very busy inner city GP surgeries usually have 2-3 receptionists to deal with patients – appointments, registration, prescription, telephone answering etc. for the all surgery GPs and might have one Medical Secretary for the secretarial tasks.
In many surgeries, in leafy suburbs, due to more orderly and different clientele, there might be only one receptionist for general enquiries. All other enquiries would be dealt by phone by the GP’s secretary for appointments, registrations, nurse’s appointments, emergencies etc. – all pre-booked. In such surgeries, each GP may have a dedicated secretary; sometimes 2 GPs might share one common secretary. Such a set up has a tremendous advantage in that the surgery is not full of patients at any given time and the staff can attend to other equally pressing duties.
The structure for any practice ultimately rests with the Partners and there are no strict rules about how to manage the practice and the type of structure it should have.