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Formerly North-East Employed and Locum GPs (NELG)

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Getting started as a locum

Starting as a locum
1. Register for payment of CLASS II NATIONAL INSURANCE
2. Join the NESG- this will keep you well informed of current working practices, you will receive notification of locum vacancies by email and other useful information. You can get support from other members at monthly NESG meetings. .
3. Inform the performers list if you have moved.
4. Read the BMA GPC GP locum handbook
5. Decide what fees you will charge and be clear about these with practices when you accept/confirm bookings.
6. Develop your own locum booking terms, and your own invoices.
7. Obtain the GP locum pension forms A&B
8. Find out where to send your pension forms and superannuation cheques.
9. Set up a spreadsheet to log all your earnings, expenses (mileage, subscriptions, courses, etc) and pension payments. Remember to set aside income for tax later.)

Setting your locum fees

The current law does not allow NESG to set recommended locum fees. However the BMA and the National Association of Sessional GPs have jointly published guidance on how individual locums can set their fees.

The pdf also contains a handy calculator in Excel format enabling you to do the calculations very simply

Guidance on calculating locum fees


Chambers is a model of working, where locums group together but maintain their self employed status. They employ a manager, work to agreed fees, and work together to maintain professional standards (through educational and SEA meetings, and proper recruitment procedures when joining). They pay a proportion of their income to the chambers (usually 10%), and can still participate in the nhs superannuation scheme. A chambers is not an agency and it is a model which has been tested in law. This model is thought to offer many benefits in terms in the context of revalidation.

Why do practices like them ?

They like having one point of contact; they are reassured by the clinical governance umbrella (recruiting interviewing, education, feedback, etc).

Read more about locum chambers in the link and attached document


about locum chambers

Locum booking forms

Agreeing things in writing with a practice for each locum that you agree to do can be immensely helpful and can save arguments at a later date about what you did or did not agree to do.

Here are a couple of examples of booking forms that you might wish to use. If you would like to. please download them and amend them to your particular requirements.

Locum booking forms

IR56 - Employed or self-employed? A guide to employment status for tax and National Insurance contributions

Performers Lists regulations

Late Payment Legislation & Interest Calculator