PART 5Contracts: required terms

F6Disclosure of information about NHS earnings: contractors and sub-contractors27A

1

A contract which is with a contractor who is an individual medical practitioner or a partnership must contain the term specified in paragraph (2).

2

The term is—

a

if the contract is with a contractor who is an individual medical practitioner, a term which requires the contractor to comply with the disclosure obligation for each relevant financial year in which—

i

they are a contractor, and

ii

their NHS earnings exceed the relevant threshold;

b

if the contract is with a contractor who is partnership, a term which requires each partnership member to comply with the disclosure obligation for each relevant financial year in which—

i

the partnership is a contractor, and

ii

the partnership member’s NHS earnings exceed the relevant threshold.

3

In this regulation—

a

the disclosure obligation, in relation to a relevant financial year, is the requirement for an individual (“I”) to submit the following information for publication to F3NHS EnglandF14 by the disclosure date—

i

I’s name,

ii

I’s job title,

iii

the details of each organisation from which I has derived NHS earnings in that financial year, and

iv

the amount of I’s NHS earnings for that financial year;

b

F2... “relevant financial year” means a financial year F16 ending—

i

on or after 31st March F52022, but

ii

on or before 31st March 2024;

F10ba

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c

“relevant threshold” means—

F1i

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F4ii

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

iii

for the financial year ending on 31st March 2022, £156,000;

iv

for the financial year ending on 31st March 2023, £159,000;

v

for the financial year ending on 31st March 2024, £163,000.

F94

For the purposes of paragraph (3)(a) “the disclosure date”, in relation to a relevant financial year, is 30th April in the financial year which begins immediately after the end of the next financial year.

5

For the purposes of paragraph (4) “the next financial year”, in relation to a financial year (“FY1”), is the financial year which begins immediately after the end of FY1 F11....

6

A contract must also include a term which prevents the contractor from sub-contracting any of its obligations to provide clinical services under the contract unless—

a

where the sub-contractor is an individual, the sub-contract entered into by the contractor requires the individual to comply with the disclosure obligation for each relevant financial year in which the individual’s NHS earnings exceed the relevant threshold;

b

where the sub-contractor is a partnership, the sub-contract entered into by the contractor requires each sub-contractor partnership member to comply with the disclosure obligation for each relevant financial year in which the sub-contractor partnership member’s NHS earnings exceed the relevant financial threshold;

c

in all cases, the sub-contract prohibits the sub-contractor (“S”) from sub-contracting, where permitted by paragraph 44(9A) of Schedule 3, any of the clinical services S has agreed with the contractor to provide under the sub-contract unless—

i

where the sub-contractor is an individual (“I”), the sub-contract entered into by S requires I to comply with the disclosure obligation for each financial year in which I’s NHS earnings exceed the relevant threshold;

ii

where the sub-contractor is a partnership, the sub-contract entered into by S requires each sub-contractor partnership member of that partnership to comply with the disclosure obligation for each relevant financial year in which the sub-contractor partnership member’s NHS earnings exceed the relevant threshold.

7

A contract must also include a term requiring the contractor to use reasonable endeavours to ensure that any relevant sub-contract is amended to contain the terms specified in paragraph (9).

8

For the purposes of paragraph (7) “relevant sub-contract” means a sub-contract—

a

for the provision of any of the clinical services which the contractor is required to provide under the contract by any other person, and

b

which is in force at the time when F12the term in paragraph (7) is incorporated into the contract.

9

The terms are—

a

a term which requires—

i

the sub-contractor (“S”), where S is an individual, or

ii

each sub-contractor partnership member, where S is a partnership,

to comply with the disclosure obligation for each relevant financial year in which the individual’s, or as the case may be, sub-contractor partnership member’s NHS earnings exceed the relevant threshold, F7...

b

a term which prevents S from sub-contracting obligations to provide clinical services under the contract, where permitted by paragraph 44(9A) of Schedule 3, unless—

i

where the sub-contractor is an individual (“I”), the sub-contract entered into by S requires I to comply with the disclosure obligation in relation to each financial year in which I’s F13NHS earnings exceed the relevant threshold;

ii

where the sub-contractor is a partnership, the sub-contract entered into by S requires each sub-contractor partnership member of that partnership to comply with the disclosure obligation in relation to each relevant financial year in which the sub-contractor partnership member’s NHS earnings exceed the relevant threshold F8, and

c

a term which requires S to use reasonable endeavours to ensure that any sub-contract entered into before the term in sub-paragraph (b) was incorporated into that sub-contract is amended to—

i

include the term in paragraph (i) of sub-paragraph (b) in a sub-contract between S and I, and

ii

include the term in paragraph (ii) of sub-paragraph (b) in a sub-contract between S and a partnership.

10

Nothing in paragraph (6), (7) or (9) requires any individual to comply with the disclosure obligation for any relevant financial year which—

a

ends before the individual or partnership (as the case may be) enters into a sub-contract with the contractor or a sub-contractor;

b

begins after the individual’s, or, as the case may be, partnership’s, sub-contract with the contractor or sub-contractor has terminated.

11

In this regulation—

  • “locum practitioner” has the meaning given in Schedule 15 to the National Health Service Pension Scheme Regulations 2015 F15;

  • “NHS earnings” has the meaning given in regulation 27B;

  • “partnership member”, in relation to a contractor who is a partnership, means an individual who is a partner in that partnership;

  • “sub-contractor” means a person to whom any rights or duties under the contract in relation to clinical matters are, or have been, sub-contracted under paragraph 44(1) of Schedule 3, and includes an individual who is a locum practitioner;

  • “sub-contractor partnership member”, in relation to a sub-contractor who is a partnership, means an individual who is a partner in that partnership.