Working privately

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Working privately

Post by Such_a_lovely_girl » Fri Apr 17, 2020 3:40 pm

For any qualified CPs out there, I want to ask a few questions about private work

If you do work privately, in your words what is the difference between NHS and private work?
What are the advantages of working privately, and the disadvantages?
How many years after working in the NHS did you begin additional private work?
Are there differences in terms of the nature of difficulties between NHS and private patients, or in the way out practice (outside of time limits on nhs allocation)?
Does working privately afford you the opportunity to develop clinical skills or specialisms nhs work does not?
Are there any ethical issues that arise with paying clients that may not in the NHS.

Thank you. 3rd year ep trainee with prior babcp accreditation asking. So soon to be practitioner psychologist with cbt skills and I'd stick just to this specialism and possibly ASD diagnostic work. Companies like healios offer both to those who can pay and want to bypass nhs lists for both

I still will work for the local authority for the foreseeable 5 years in semh advice


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Re: Working privately

Post by miriam » Fri Apr 17, 2020 3:53 pm

I'd not go via an agency if you can avoid it. They take a big cut for work you can get yourself directly.
You need supervision and indemnity insurance for your private work, venues, registration with ICO and a plan for how you will keep your records safe, and clear pathways for how you would raise concerns, as well as documents/contracts that explain how you work and your expectations (eg for non-attended appointments, or sharing information).
I don't think of it as developing skills, I think of it as doing different work but with less existing supports in place. Sometimes I enjoy it, sometimes it feels like much more hassle than it is worth!

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Re: Working privately

Post by mungle » Mon Apr 20, 2020 4:07 pm

As above, there are things you would need to organise to work privately. Many of the other advantages and disadvantages are similar to anyone who is self-employed: Security, regular income and sick pay versus autonomy and flexibility. In terms of the nature of the clinical work: In a service you are often more specialised and may see one population (not always) but in private practice there is scope to see a number of populations, subject to competence and demand. Often the clients in private practice are complex (or else they would be seeing a cheaper counsellor or therapist and I would signpost to IAPT) but you also get clients who aren't quite risky/complex enough/still functioning to access a psychologist in the NHS.
It is possible to do indirect work in private practice but perhaps easier to set if you have a longer career behind you with recognised expertise and a strong reputation. I recently heard a talk from a EP in private practice who did lots of consultation work and had a breadth of work. There is a facebook group for UK psychologists in private practice that you might useful.

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