When you begin working
for United Medicare locum agency, there are strict terms and conditions
of which you must be aware and adhere to.
Taxation and National Insurance
United Medicare is obliged, by law, to deduct National Insurance and
Income Tax from all payments made to you. Some overseas doctors may
be entitled to claim back some or all of the tax paid while working
in the UK. We can make arrangements for doctors that are using UK
limited companies, and self-employed doctors are welcome.
Meeting the NHS Management Executive’s Code of Practice
We fully support the Code of Practice, which has been endorsed by
the Audit Commission in its report into the use of locum doctors in
the NHS in England and by the Accounts Commission following a similar
report in Scotland. We must ensure that you comply with the latest
requirements. We do this by ensuring that we receive all the correct
documentation with your registration form and checking this before
putting you forward for work.
You are required to have a regular pre-employment health assessment
and an up-to-date certificate of immunisation from an Occupational
Health Department to ensure you comply with requirements on hepatitis
B immunisation. Some hospitals also request hepatitis C status too.
This is why we require from you, a completed health questionnaire
that is included in your application pack. The assessment of this
questionnaire is at no cost to you; unless the information disclosed
means we require a doctor’s report, face-to-face consultation or any
other investigation. If we do need any of these, there may be a charge
that you will be required to pay. We will not start any investigations
before we have told you about them if they are going to have to be
paid for by you.
For every locum booking, a satisfactory hepatitis B certificate is
essential. This is mainly due to exposure prone procedures where there
is a risk that an injury may result from the patients’ blood. This
is especially the case where the worker’s gloved hands may be in contact
with sharp instruments including needle tips.
You will need to provide evidence that you are immune to hepatitis
B and are not currently infected when completing our health questionnaire.
Immunity is indicated by a hepatitis B surface antibody test (HepBs
Ag) showing a titre of >100mlU/ml. Absence of infection is indicated
by a hepatitis B core antigen test (HepBc Ag) that is negative. These
reports should not be more than five years old and should ideally
be provided by a UK Occupational Health Department.
Certificate of ionising radiation
Doctors required to administer radiation must be in the possession
of the Certificate of ionising Radiation (The Popumet Certificate).
This is granted on the successful attendance of a radiation protection
course. The specialities included in this requirement are accident
and emergency, anaesthetics, general medicine, orthopaedic surgery
and general surgery. House officers are excluded from this requirement.
Rehabilitation of Offenders Act 1974 (Exceptions order 1975)
The rehabilitation of Offenders Act 1974 permits persons in certain
circumstances to ignore offences committed in the past when asked
to give details of previous convictions. These convictions are known
as ‘spent convictions’. However the Exceptions Order 1975 states that
medical doctors are not permitted to withhold details of any offences
for which they have been convicted, however long ago these convictions
may have been served.
If you are to work in areas where you are likely to have substantial
access to children and other vulnerable groups, then hospitals will
ask us to provide evidence of a police check. If you have had a police
check taken previously, you should have been provided with a statement
stating that it was clear. Please let us have a copy of this statement
when you register. Some hospitals are requesting a police check for
Please note that as the Criminal Records Bureau (CRB) police check
can take up to six weeks, we will need plenty of notice of when you
Your right to work
in the UK
We need a copy of the P45 or payslip which would reveal your National
Insurance number and we need a clear legible copy of your passport.
We will need the copy of the passport page showing any stamps relating
to your right to work in the UK. Doctors that are working on a Work
Permit or Permit Free Training should also indicate the expiry dates.
It is a criminal offence to work in the UK without consent of HM
Immigration and Nationality Department.
New Deal on Junior Doctors’ hours
As required by the NHS Code of Practice, doctors must confirm that
they will not breach the controls on hours set out in the New Deal
on Junior Doctors’ hours. The maximum number of hours permitted to
be worked is a combination of both substantive and locum work undertaken.