Form A is sent with your invoice for each engagement and details both your fee and the employer’s pension contribution to be paid by the engager. To pension your locum work there are two forms to be submitted, Locum Form A and Form B. It would be beneficial to have a standard contract which can be subject to changes to suit the provider if mutually agreeable. This must also be a contract for services (rather than a contract of service, which is the case for salaried GPs) and state that you are conducting the work in a self-employed capacity, with tax and National Insurance (NI) to be met by you. It should also include a substitution clause which states that you, as the locum, are responsible for finding a replacement if you are unable to conduct the work. The contract should include details of your fees, timetables and core responsibilities for you and the engager. Do I need a contract when conducting locum work?Ī contract will be required and there should be a clearly defined final agreement in writing, signed and dated by both parties. Joining your local Sessional GP Group can also help in finding work. You will need to consider which geographical areas to work in and it may by easier to begin in an area you know and are known, as you will need to make contacts and build relationships with providers to find work. ![]() If you live near a border you will need to be included on the Performer’s List for both counties if conducting work in both. You will also need to ensure you are included on the GMC’s GP Register as well as the National Performer’s List. You will need to ensure that you are registered with HM Revenue & Customs (HMRC) as a self-employed individual, which can be done either online or by your Accountant. You can begin working as a locum at any time once qualified. You should also be aware that the rules surrounding ill health and death in service benefits are different as a locum GP compared to salaried roles and it is important to gain specialist financial advice on these differences. For example, a locum GP is not entitled to sick pay, maternity/paternity pay or holiday pay, which are only available in a salaried role. Locum work brings increased flexibility and a high degree of autonomy, though patient continuity of care can be more difficult, and you have fewer working entitlements. ![]() Newly qualified GPs can find it helps to assess different types of working environments or geographical locations whilst considering longer-term positions. It can be conducted as part of a portfolio career or even to fit around family commitments. GPs engage in locum work for a variety of reasons. How do I decide if I should work as a locum GP? ![]() Locum GPs can be engaged to work for a variety of healthcare providers including GMS, PMS, or APMS practices, private practices and out of hours providers. To cover anything from ad hoc sessions to a long- term maternity cover, whilst they can also cover a single service or a range of services. As a locum there are varied roles contracts can be set Locum GPs are also generally paid fees for their work, differing from salaried roles which pay a salary. Usually they are self-employed, although sometimes they conduct their work via a locum agency or their own limited company. What is a locum GP?Ī locum GP is one who temporarily takes the place of another GP. Including registering as self employed, paying tax how to pension work, should I work as limited company, IR35 and how to pay tax and register as self-employed.Ĭlick here to contact Sam and his team at Morris Crocker via Medics’ Money for a free consultation. Medics’ Money asked specialist medical accountant Sam Taylor and Pete Farrier from Morris Crocker to give us a guide to working as a locum GP. Starting out as a Locum GP can be daunting.
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