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The Pharmaceutical Journal Vol 265 No 7117 p516
October 07, 2000 Letters

Locums

Solution in the hands of staff

From Mrs A. Morant, MRPharmS

SIR,—As a pharmacist who has been working as a locum for many years I was disappointed, but not surprised, to read the letter from Mrs O’Neill (PJ, September 23, p445). I recognise that as well as good locums there are also a number of bad apples.
The fact that unprofessional attitudes are accepted or even tolerated by owners or managers was brought home to me when I was asked to ensure that I brought my certificate as the inspector was due. (Transporting a certificate is rarely a problem if the glass is replaced with Perspex.)
In reality, an owner only knows how an untried locum has performed by receiving reports from the staff. Similarly, a good agency would like feedback.
Thus, to a certain extent, the solution is in the hands of the staff. They should say how good or bad a locum has been. After all, no owner or manager wishes to jeopardise the business they have spent years building up.
I am surprised that the old-fashioned tool of the grapevine is not used more often. After all, references are a valuable tool in selecting the right person for the job. This is a two-way traffic in that while prospective employers are able to learn who are the good locums, locums can find out which shops have long-term staff (always a good sign), etc. We have all heard horror stories of locums and owners who cancel at the last moment. It should be noted that a wise owner, when asked to recommend a locum, would only do so if they have confidence in both parties as they would not wish to jeopardise good, long-term relationships.
Even though I carry a mobile telephone with me, I do sometimes use my employer’s telephone with permission. Equally well, I would be surprised if Mrs O’Neill does not. The issue here is whether it impedes business because, after all, the cost of an occasional local call is very small these days and it is better for everyone that a booking can be arranged or confirmed (or otherwise) without delay. Obviously, it should never be used for idle chat.
The rates of pay for locums in community pharmacy is dictated not by National Health Service scales of remuneration but by the laws of supply and demand. Owners who wish to obtain the services of the locum of their choice book well in advance for holidays and mutually agree rates of pay, hours and expenses. The situation is somewhat different for emergency cover. However, a good locum wishing to convert a one-day job into the opportunity for repeat bookings is hardly likely to hold the employer over a barrel.
In this vein it should be appreciated that most owners and managers have their preferred shortlist of locums. It is only when this has been exhausted that they call upon the services of an agency. Under these circumstances, it is not surprising that the choice is often limited as many locums will have been booked weeks or months in advance by direct personal arrangement.

Annette Morant
Edgware,
Middlesex