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Six steps for GP locums to take for self-employment status

19th June 2025 by Tori Ferguson BA (Hons) ATT CTA, Tax Manager, Honey Barrett (victoria.ferguson@honeybarrett.co.uk)

Six steps for GP locums to take for self-employment status

One of the responsibilities you have as a self-employed GP locum is paying your own income tax and National Insurance contributions (NICs) to HMRC.

Whether you’re starting out as a locum or have worked as a sessional GP for several years, these tips from specialist medical tax adviser Tori Ferguson will help you stay on the right side of the off-payroll working rules.

1 Understand off-payroll working rules 

When a worker is described as working ‘off-payroll’ it means they are not being paid through the hiring organisation’s ‘pay as you earn’ (PAYE) system. For GP locums, understanding the off-payroll working rules (also referred to as IR35, in certain cases) is important.

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