Salaried GPs - Contracts of employment
The most important aspects of your employment can be found in your contract, which include your work responsibilities such as how much you are to be paid, how many hours you are to work and what other benefits you’re entitled to. Each GP Practice is different, and with that can come a wide range of contracts on offer.
The Next Step aims to prepare you for all areas of your working life, and in this article, we run through the most important features of your contract, understanding these and knowing what can and can’t be negotiated, to help you make the most of your employment (and it will help if there any disputes further down the line!).
“Salaried GP is a good way to dip your toe into a permanent role without the responsibilities of partnership. It still allows you the flexibility of working in other areas whether that be within Primary Care (e.g. as a locum) or explore other ventures outside of medicine whist still having financial security.”
Dr Murali Muniyappa, Salaried GP
DO YOU ALWAYS GET A CONTRACT OF EMPLOYMENT?
It might seem like a given but not always! It is strongly recommended that a written contract of employment is agreed and issued prior to a new job starting. Don’t wait until you’ve started working at a practice to negotiate and get things agreed (that does happen)! Having an agreed upon contract means you and your employer have a clear understanding of what is expected from commencement.
WHAT ARE THE AREAS TO LOOK OUT FOR?
Some of the more obvious ones are:
- Salary – this may be given as an ‘annual salary’, or they may give a ‘per session per year’ figure (e.g. £8,500 per session per year). There are variances across the country and even in the same area you can see big ranges. BMA give a range of £60,455 and £91,229 for a 9 session Salaried GP in England so don’t be shocked by what you find. The most important thing here is that this figure can be negotiated, and it can be agreed that regular reviews take place to ensure you are paid what you are worth.
- Contracted Hours – fairly self-explanatory but take note of any ‘extended access’ hours the practice wants you to work or any compulsory overtime.
- Annual Leave – whilst also self-explanatory, you’ll want to take note as to whether public holidays are included.
- Permanent or Fixed Term Contract – most Salaried GP contracts will be permanent (i.e. there is no end date for your employment), but some contracts may just be for covering another GP’s maternity leave so you may only have the job for a set period (e.g. 12 months).
Then there are the less obvious ones:
- Indemnity –will the practice pay for this? How much cover will they pay for? Will you have to top-up your indemnity should you do Locum sessions elsewhere in addition to the salaried work?
- Sick Pay – most practices will offer some form of sick pay, but it can range from no sick pay whatsoever, to 6 months full pay, followed by 6 months half pay. Your sick pay may accrue with length of service, but something important to note will be the date when your ‘continued employment started’ for the purposes of your sick pay. Some contracts will treat it as being when you first joined the NHS (assuming no career breaks or gaps), other contracts will treat your start date as when you joined that particular practice (meaning your length of service is much lower and therefore your sick pay is lower).
- Maternity Leave – If you are planning on having children you may be entitled to at least 26 weeks leave. Legally the minimum they can pay during this time is 90% of your average weekly earnings for the first 6 weeks, after this, £151.20 per week or 90% of your average weekly earnings (whichever is lower) for the next 33 weeks. That may seem low, so fortunately most practices are more generous than that and will give Maternity Leave in line with the BMA contract (see below). To be eligible you should have been continuously employed by the practice for at least 26 weeks up to any day in the ‘qualifying week’ (15th week before the baby is due).
- Paternity Leave – future fathers may be entitled to 1 or 2 weeks paid Paternity Leave. Like Maternity Leave, you should have been continuously employed by the practice for at least 26 weeks up to any day in the ‘qualifying week’. Qualifying week is deemed the 15th week before the baby is due.
- Notice of Termination – how much notice do you have to give to leave? 4 weeks? 3 months? 6 months? This can vary from contract to contract. Another important aspect may be if there are any restrictive covenants in the contract to stop you from working within a certain radius of the practice should you leave.
- Teaching or Supervision Obligations – some practices may require you to help with the teaching or supervision of GP Registrars or medical students.
All aspects of your contract can be negotiated (usually with the Practice Manager / GP Partners), but be realistic and don’t give unreasonable requests, as this may affect your future relationship with them. Speaking with your colleagues and other experts will be useful as they may be able to give you a steer as to whether you can ask for more or not. There is no harm in asking, but remember this is a negotiation, so you should accept reasonable compromises- after all, no-one is indispensable!
WHAT DO THEY MEAN BY ‘BMA CONTRACT’?
A lot of practices will refer to the ‘BMA contract’, which generally means it’s a good contract, although you should still check the various sections to ensure it is fair and suitable for you.
- Salary – the BMA dictate the minimum pay for a full time (9 sessions per week) Salaried GP in England is between £60,455 and £91,229 (Scotland between £61,346 - £91,564 , Northern Ireland between £58,205 and £87,831 and Wales between £61,045 and £93,474).
- Sick Pay – will usually be in line with what you receive when employed by a Hospital Trust. This is accrued with service and after 5 years continuous service you should be entitled to 6 months full sick pay, followed by 6 months half sick pay.
- Maternity Leave – again should be in line with what you would receive if employed by a Hospital Trust. As long as you have been with the practice for a set period of time you should be entitled to 8 weeks full pay, 14 weeks half pay plus Statutory Maternity Pay (currently £151.20 per week or 90% of your average weekly earnings, whichever is lower), followed by 17 weeks Statutory Maternity Pay only, followed by 13 weeks unpaid leave.
- Paternity Leave – in line with a Hospital Trust, should be 2 weeks fully paid leave.
- Annual Leave– in line with a Hospital Trust, should be 27 days (plus Bank Holidays) on commencement, 29 days (plus Bank Holidays) after 5 years’ service, and 33 days (plus Bank Holidays) after 10 years’ service.
This is by no means an exhaustive list- if you wish you read further into other elements of the contract you can view the BMA ‘Model Contract’ online here: https://www.bma.org.uk/media/2145/salaried-gp-model-contract-and-offer-letter-guidance-march-2020.pdf or ask the BMA to review your contract themselves.
IS THERE ANYONE WHO CAN HELP ME UNDERSTAND AND NEGOTIATE?
There are various people out there who can help you understand and negotiate your contract – these include the BMA, your colleagues as well as us at Wesleyan. The BMA have even published a ‘Salaried GPs Handbook’ to help you - https://www.bma.org.uk/media/2901/bma-salaried-gp-handbook-july-2020.pdf