Nick Bostock
speaker
491 appearances
3 recordings
1 series
first heard May 2026
last heard 10 Jul
Nick Bostock’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 3 in all, peaking in Jul 2026 with 1.
Appearances
That where a practice has an existing low come GP working for them, they'll be able to use the GP reimbursement scheme funding to pay that same GP for extra sessions, but with the caveat that those extra sessions must be on an employed contract as essentially a new salaried GP.
Yeah, so I've spoken to accountants about what they make of this, and essentially they don't think NHS England has thought this through properly.
Um, the point they made was that they don't think a practice can employ the same GP to do some sessions on a salaried basis and some on a self-employed basis.
That just doesn't work from a tax point of view because HMRC would be likely to say this person should be paid through PAYE for the whole lot.
They should be considered salary for all of the work that they do.
So what are the implications of that?
This could mean that perhaps they're under pressure to try to convert their regular locums.
Intersalaried GPs, essentially.
And that comes with a whole load of additional hurdles.
There's a cost in terms of time and effort for practice in switching people over to different contracts and then managing all the pension contributions and the national insurance and so on that come with shifting a regular locum to a salaried role.
But then there's also the issue that people currently working as locums might be doing so because that's their preferred option.
they might not want to switch, in which case, what does the practice do?
Do they insist and risk losing a valued regular locum?
Do they find a different GP prepared to work in a salaried role for all of the time that they employ that person for?
Or do they try and find someone else to do a very small amount of work on a salaried basis and keep the existing locum?
And that might be complicated because the funding from the reimbursement scheme only amounts to a couple of sessions per average practice.
So the attempted clarification may have raised more questions in the end that it answered.
This point was also addressed in the NHS England update.
The rules around eligibility for the GP reimbursement scheme say that practices with more than three and a half thousand patients per GP must seek approval from NHS England to be eligible to participate.
So it's not a complete barrier.
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