Dr Richard Fieldhouse, the chief executive of the National Association of Sessional GPs, (NASGP) said that 'very few' locums are involved with commissioning and some CCGs are even actively excluding sessional GPs.
Dr Fieldhouse told GP newspaper's Locums Conference in Hammersmith, west London, on Tuesday, that a GP colleague who had been a partner, was excluded from her local CCG when she made the decision to become a locum GP.
He described CCGs which were excluding sessional GPs as 'dictatorships'. 'I feel sorry for the patients in those areas,’ he said.
Dr Fieldhouse said that locums had a great deal to offer to CCGs and they would be stupid not to include them in commissioning.
‘We have such a wide experience; we work in all these practices. We really know those GPs and we get feedback from their patients,’ he said.
‘In five years' time I wouldn’t be surprised if you find that the CCGS that are thriving, are the ones using their locums,’ he added.
GP leaders also expressed concerns over sessional GPs being actively excluded from LMCs.
Dr Vicky Weeks, chairwoman of the GPC's sessionals sub committee said that a lot of work needed to be done with LMCs.
‘Some areas are OK but in some areas you’d be lucky if you get a sessional to even stand,’ Dr Weeks said.
Dr Weeks advised locums who were not being given a vote by their LMC to refer the group to the GPC guidance.
‘Refer them to the GPC guidance – one man, one vote. This is where LMCs are supposed to be coming from. They are supposed to be representing all GPs in the local area,’ she said.
Dr Fieldhouse said that it was important for locum and salaried GPs to take the initiative and approach LMCs and CCGs if they wanted to get involved.
‘Nobody’s going to knock on your door... you have to get yourself out there,' he said.