Private research brief — Dr Gemma Lewis
Every researched route to income for a GMC-registered GP and menopause specialist — sessional clinics, corporate, pharma, occupational health, medico-legal, AI, and whether to move partnership at all. 67 opportunities, 33 partnership findings, 35 named contacts and 10 send-ready emails. Every rate is marked advertised or estimated. Nothing is invented.
Deadline-bound or one-call-high-leverage. Everything else can wait a week.
Flagged on Friday, closing today. One day a week (Fridays) teaching medical students to September 2029, paid on the clinical academic scale — roughly £14,300–£22,750 a year at 0.2 FTE. No patients, no continuity. As a GP trainer since 2020 she is the exact person spec.
If it hasn't gone in, it's gone today. Vacancy ref 98594, University of Birmingham jobs portal. Worth an email to the Medical School anyway asking to be told when it re-runs — these posts recur annually because the placement shortage isn't going away. Listing
Verified live: fully remote, United Kingdom only, medical degree required, $40–$120/hour on contract, no minimum hours. Training and evaluating medical AI.
Six days left. Apply direct — and register with Mercor the same evening ($110–$250/hr advertised for physicians, UK contractor policy confirmed).
The highest-leverage contact in the whole brief. She runs a menopause clinic at Spire Nottingham under practising privileges and is Clinical Lead Director of an 11-site private menopause chain staffed by visiting sessional specialists. One conversation tests the recurring-clinic model and opens a warm route into Spire's privileges process.
0115 648 3404 · info@themenopauseconsortium.com — draft email written and ready in the Emails section. Must come from Gemma, doctor to doctor.
One day a month at one venue is a hobby. One day a month at five venues is a practice — with continuity built in and nothing owned.
The trap in private clinical work is that continuity normally arrives bundled with everything expensive: premises, a CQC registration, staff, indemnity, a phone that rings, an inbox that fills. That bundle is what closed the last chapter.
The way out is to separate the two. Continuity is a property of the diary, not the building. A recurring monthly slot at five different hosts gives a patient population that returns and an income that is predictable — while each host carries their own premises, reception, registration and marketing.
Not theoretical: two GP menopause specialists already run exactly this at Spire Nottingham under practising privileges. And the single most useful fact in the whole sweep — practising privileges are a defined exemption from registering with CQC yourself. Inside a hospital's registration, their compliance covers the clinic. No registration, no inspection, no annual fee.
Tick what appeals. Money against days given up — her time is the scarce input, not the opportunities.
All 67, nothing left out. Search or filter, then tap any row for pay detail, what the work is, and exactly how to apply.
You asked whether a more profitable partnership than Trent Meadows exists. Researched properly — and the answer has a sharp edge to it.
The finding that matters most, given the Woburn House guarantee. Under section 9 of the Partnership Act 1890, a partner is jointly liable for the firm's obligations whether or not her name is on the lease. AISMA is blunt: the rent obligation continues even if the practice hands its NHS contract back — the income stops, the rent does not. And the 2024 Premises Cost Directions everyone cites as the escape are discretionary: NHS England "may" recommend assigning a lease, subject to a protocol and available capital. That is not a backstop. Her protection has to be in the deed, not the regulations.
The one that ticks every box. A Derbyshire Dales practice advertised salaried at £13,000 per session with £150,000 projected drawings at eight sessions, dispensing at both sites, a partnership pathway from six months — and decisively, "no building buy-in required, minimal stock buy-in only". The pathway is gated on holding GP Trainer status, which she has and most applicants don't. The advert closed 23 July, so it has just lapsed — but a GP-trainer-gated role in a rural dispensing practice will re-list, and the recruiter should be called regardless. More importantly it is the specification to search against: dispensing + no building buy-in + leased or ICB premises.
And the argument against moving at all. New partnerships typically reset the parity clock — historically 70% of full share rising over two to three years. A practice advertising £150,000 at parity may pay £120,000–£135,000 in years one to three. Staying put and adding two sessions captures the increase at her existing full share, with no buy-in, no legal fees, no new lease and no last-man-standing exposure. That is the option that gets skipped because it feels like doing nothing.
With a quarter of the partner workforce gone since 2015 and only 25% of GPs willing to consider partnership, she is the scarce asset in any negotiation — an established GP trainer with a women's health specialism. Immediate parity, no premises liability, no personal guarantee, a partner-number floor with a termination option, and full indemnity for pre-existing liabilities. A practice that won't meet those terms won't find someone better.
35 verified contacts — named people where they exist, direct emails and phone numbers, and what to actually say. Every detail was seen on a real page; nothing is pattern-guessed.
Ten emails, send-ready. Square brackets mark the only things needing a real value. Each has a follow-up and a note on who should sign it.
In order.
Closes today. If it's missed, email Birmingham Medical School asking to be notified when it re-runs; the placement shortage that created it is structural.
M3 Global Research and Sermo (paid medical market research — pays within weeks, fully remote, no relationship needed) and Mercor for AI work. Zero commitment; they screen her in on menopause specifically.
Dr Joanne Hobson (highest leverage), Spire Nottingham's relationship managers, Nuffield Derby via Medical Societies, and the Harper Clinic application. Copy them from the Emails section, fill the brackets, send.
Deadline-bound, UK-only, $40–120/hr, no minimum hours.
The Employment Rights Act email, to named HR Directors at 250+ employee Midlands firms — JCB, Toyota, Rolls-Royce, Molson Coors, Nestlé, the councils, the university. Find real names on LinkedIn first. This is Money Plan L1, so log every send to the action ledger.
Astellas for Veoza, Bayer for Lynkuet, Besins for Utrogestan. Timing will not be this good again this decade — the UK is Bayer's world-first launch market and boards are convening now. Ask the rep directly; there is no form.
Gemma's own lead. Direct approach to JCB's OH department plus one email to four agencies. Then decide on the Diploma in Occupational Medicine (£3,395) — worth it only if she wants OH as a genuine second career, because it unlocks an £80–135k pro-rata market.
CQC Specialist Advisor (£300/session), NHS England Midlands appraiser (£584 per appraisal), GMC PLAB examiner (£310/day). All recruit in rounds — register interest and wait.
Fifteen minutes from home, with a proven precedent at Hensol Castle (£2,800 a guest, fifteen guests, consultant-led). Months of lead time, so pitch it now and let it cook.
Dispensing + no building buy-in + leased or ICB-held premises. Call the Menlo Park recruiter about the Derbyshire Dales role re-listing. And price any move against simply adding two sessions where she is — which carries no new liability at all.
What the research found that argues against parts of this.
Not the number of opportunities — there are 67. Every pound costs a clinical session she doesn't currently have spare. The portfolio only works if something comes off the plate first.
Livi, HealthHero and London Doctors Clinic pay £80–110/hr with no premium for menopause expertise. That's the commodity floor — useful as filler, or as proof her specialist rate should sit well above it.
Private menopause consults bill £275–£465, which beats everything else per hour. But DoctoriumGP priced at £99 against a £245–295 market and still couldn't fill the diary. The constraint is conversion and referral flow. Secure a base first, then reduce sessions into private work once demand is proven.
Spire privileges, the Menopause Consortium, Hoar Cross, pharma and corporate all need someone to make an approach. None has an application form. That's Ade's work, not Gemma's — which is why the emails are written.
Nearly every provider role floors at the Diploma in Occupational Medicine. The two doors that open without it are in-house employers who fund it (JCB said exactly that) and provider mentor schemes.
DWP functional assessment work (Maximus, £72k FTE) is the most certain money found and carries real baggage for a patient-facing doctor. And every pharma payment is published by name on Disclosure UK — fine, but expect the visibility.