Let’s break down the differences, along with the pros and cons of each.

What is a Locum General Practitioner?

A locum GP is a temporary, short-term replacement who fills in for other GPs when they are on leave, between permanent staff, or when there’s a sudden need for additional hands in a practice. These positions can last anywhere from a few days to several months, depending on the specific contract.

Pros of Being a Locum GP:

Flexibility and Autonomy:

• Work-life balance is one of the key benefits. As a locum, you get to choose when and where you work, allowing you to schedule your career around your personal life. You can take time off between contracts and avoid burnout.

Higher Pay:

• Locum GPs often earn more on an hourly or daily rate than permanent GPs. The pay compensates for the lack of benefits and job security.

Variety of Work:

• Locum roles offer the opportunity to work in diverse settings — different clinics, practices, and even regions. This variety can help you expand your experience and build a broader network of professional contacts.

No Long-Term Commitment:

• Since locum positions are temporary, you can move between different practices or healthcare systems without feeling tied down. This can be ideal for those who like to explore different locations or specialties.

Cons of Being a Locum GP:

Lack of Job Security:

• Because locum roles are temporary, there is always uncertainty about your next assignment. There’s no guarantee of long-term work, which can cause financial instability.

No Benefits or Perks:

• Unlike permanent positions, locums often don’t have access to employee benefits like CPD leave.

Less Continuity with Patients:

• As a locum, you might not see patients consistently. This can make it harder to build strong relationships with your patients and provide continuity of care, which is a significant part of the GP role.

Administrative Burden:

• Sometimes, locum GPs face additional administrative challenges because they may not be familiar with the specific systems, technology, or protocols in each practice. This can lead to time-consuming adjustments.

What is a Permanent General Practitioner?

A permanent GP holds a long-term position within a practice or healthcare organization. You are typically contracted to work full-time or part-time and are expected to be a permanent member of the team.

Pros of Being a Permanent GP:

Job Stability:

• Permanent roles offer much more job security. You have a guaranteed income, long-term employment, and are often eligible for benefits like health insurance, paid time off, and retirement contributions.

Building Patient Relationships:

• Working long-term with patients allows you to develop deeper, ongoing relationships. You get to follow up on your patients’ progress, manage long-term care, and truly make a difference in their health outcomes.

Opportunities for Career Development:

• Many permanent positions offer opportunities for professional development, including funded training, mentorship, and chances for career progression within the practice or organization.

Team Collaboration:

• As a permanent member of a practice, you are integrated into a team of professionals, which can provide a supportive work environment. The team dynamic can enhance learning and contribute to better patient care.

Consistent Hours and Routine:

• A permanent position usually means fixed working hours and a predictable schedule. This can make it easier to maintain a work-life balance, especially for those with families or other commitments.
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Cons of Being a Permanent GP:

Limited Flexibility:

• Permanent roles offer less flexibility in terms of work hours and locations. You’re typically tied to one practice or organisation, which may not suit those who enjoy variety or want more freedom in their schedules.

Lower Pay:

• Permanent GPs often earn a lower hourly or daily rate than locum doctors. While there is stability in the long run, the salary may not match the higher earning potential of locum roles.

Increased Administrative Burden:

• Permanent roles often come with a heavier administrative load, as you are more involved in the daily operations of the practice, from patient documentation to managing the business side of things.

Risk of Burnout:

• Permanent GPs, particularly in high-demand areas, may face the risk of burnout. Constantly working within the same practice or clinic can lead to emotional exhaustion if not managed properly.

Less Variety:

• If you thrive on change and diversity in your work environment, a permanent GP position might feel monotonous. You may be doing the same kind of work with a similar patient demographic for an extended period.

Which One is Right for You?

The decision between working as a locum or a permanent GP depends largely on your career goals, lifestyle preferences, and financial needs.

• If you value flexibility, higher pay, and the freedom to travel, then locum work could be ideal. It’s perfect for those who prefer to avoid long-term commitments and want to experience a variety of practice settings.
• On the other hand, if you are seeking job security, the ability to form lasting relationships with patients, and consistent working hours, a permanent GP role may be a better fit. It offers long-term stability and professional development opportunities.



Ultimately, it’s about balancing your personal and professional aspirations. Many GPs also find a middle ground by choosing a hybrid approach, working as a locum for part of the year and taking on a permanent role for the rest.

Whether you decide to work as a locum or a permanent GP, both paths offer unique and rewarding opportunities in the field of healthcare. Take the time to weigh the pros and cons and choose the path that aligns with your goals.

If you’re ready to explore locum or permanent GP roles, Your Doctor Jobs is here to support you in finding the perfect position tailored to your career aspirations. Get in touch with us today!