NESG - North East Sessional GPs

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.)
10. Consider using a software programme for generating invoices and pension forms. Penny Perfect and Locum organiser are a couple which are well regarded and you can try out for free.
11. Prepare your "locum folder"- see below- to provide appropriate evidence for the practice (some practices may wish to check this in advance)

NHS Pension Locum A and B Forms

As you may already know the Employers contribution for the NHS Pension scheme has increased from 14.3% to 14.38% as of 1 April 2017.

The NHS Pension Agency is currently updating its website and has
stated that they are unable to upload the new Locum A and B forms which will reflect this change.


Locum A and B Forms

Practical Tips for what practices will expect you to provide- Your Locum Folder

Practices will expect to verify (some of these requirements are due to CQC):

1. That you are a GP on a performers list and registered with the GMC. Both of these can be checked online.

https://www.performer.england.nhs.uk/Search/SimpleSearch

http://www.gmc-uk.org/doctors/register/LRMP.asp

2. That you are up to date with training including: CPD, safeguarding adults and children. *

3. That your DBS checks are up to date*.

4. Medical indemnity*

5. A CV, and references.*

6. IT system access/ SMART card- it is often helpful if practices can arrange for you to have access in advance of the surgery- speak to them about this. They will need your card details to provide this.

*You will need to share certificates/documents for these. This can be done for example by sharing a drop box link or emailing them to the practice manager.

Applying for DBS checks

Gateshead CBC will organise DBS checks for locums who need them subject to capacity and for a fee. Contact Julie Cox on julie.cox5@nhs.net for further information. (You will need to arrange an appointment and take certain documents with you). You do not need to be working as a locum in the gateshead area to contact them for this.

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

Late payment directive- new guidance

Are you aware of the late payment directive. NHS bodies are considered to be public bodies and therefore have a legal obligation to pay all legitimate invoices within 30 days of submission. Otherwise statutory fees and charges and interest can be levied by you.

https://www.gov.uk/government/publications/late-payment-directive-user-guide-to-the-recast-directive

LOCUM CHAMBERS

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

OFT RULING 2003 ON ANAESTHETIST CHAMBERS

about locum chambers

Locum Chambers BMA FAQs March 2016

FAQs

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.

In addition there is a template Dr Paula Wright has devised. The format of it was discussed at the members meeting she spoke at ,December 2016, prior to adding it to the site

Locum booking forms

example locum booking template devised by Dr Paula Wright

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

Application of IR35 without assessment of individual circumstances

The BMA is aware that some providers are applying IR35 as a blanket rule to all locum doctors whom they engage, irrespective of the individual doctor’s circumstances.

Where a locum doctor is told by the provider they are engaged by that IR35 will apply without assessment of their circumstances, the attached statement from the BMA should be used to support the doctor’s case.

The BMA has also written to NHS Improvement seeking clarification on their advice to foundation and NHS Trusts – please find a copy of this letter attached.

These documents are available with our guidance on IR35 on the BMA website.

Performers Lists regulations

Late Payment Legislation & Interest Calculator

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