SCHEDULES

SCHEDULE 10Practitioner Income

Regulation 27(1)

Interpretation1

In this Schedule—

  • “Board and advisory work” means—

    1. a

      work undertaken as a member of the Board of an employing authority which is not a GMS practice, a PMS practice, an APMS contractor or an OOH provider; or

    2. b

      advisory work commissioned by and undertaken on behalf of such an authority, if it is connected to the authority’s role in performing, or securing the delivery of, NHS services or associated management activities or similar duties,

    but which is not in itself the performance of NHS services, and payment for which is made by the authority directly to the person carrying out the work;

  • “collaborative services” means primary medical services provided by a medical practitioner, a GMS practice, a PMS practice, an APMS contractor or an OOH provider under or as a result of an arrangement between—

    1. a

      the National Assembly for Wales, the National Health Service Commissioning Board, a Clinical Commissioning Group or a Local Health Board; and

    2. b

      a local authority,

    under, in relation to England, section 80(6A) of the 2006 Act114 or, in relation to Wales, section 38(6) of the 2006 Wales Act115 under which the National Assembly, National Health Service Commissioning Board, Commissioning group or Local Health Board is responsible for providing services for purposes related to the provision of health care;

  • “commissioned services” means medical services provided under a contract between—

    1. a

      a medical practitioner, a GMS practice, a PMS practice, an APMS contractor or an OOH provider; and

    2. b

      one of the following bodies—

      1. i

        a Special Health Authority, which relates to the provision of health care;

      2. ii

        the National Assembly for Wales, the National Health Service Commissioning Board or a Local Health Board under, in the case of England section 12ZA of the 2006 Act116 or, in the case of Wales, section 10 of the 2006 (Wales) Act117 (which relates to arrangements made with any person or body including a voluntary one, for the provision of services under the Act);

      3. iii

        a National Health Service trust under paragraph 18 of Schedule 4 to the 2006 Act118 or paragraph 18 of Schedule 3 to the 2006 (Wales) Act119;

      4. iv

        a National Health Service foundation trust under section 47(2)(b) of the 2006 Act which is for the purposes of the health service;

      5. v

        a local authority acting under section 2B of the 2006 Act120;

  • “local authority” means—

    1. a

      a body listed in section 1 of the Local Authority Social Services Act 1970121; or

    2. b

      the Council of the Isles of Scilly;

  • “NHS standard contract” means the terms and conditions from time to time drafted by the National Health Service Commissioning Board pursuant to regulation 17 of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standard Rules) Regulations 2012122.

Medical practitioner2

1

This paragraph applies if a member (M)—

a

is a medical practitioner or a non-GP provider; and

b

is not in receipt of salary, wages, fees or other regular payments in respect of M’s employment by virtue of the application of these regulations to M as mentioned in column 3 of the Table in regulation 27(1).

2

M’s practitioner income is—

a

the sum of the amounts described in Cases 1 to 5; minus

b

an amount on account of practice expenses.

  • CASE 1

    Income derived by M from each of the following—

    1. a

      a GMS contract;

    2. b

      a PMS agreement;

    3. c

      an APMS contract;

    4. d

      payments from, or to, a practitioner who is a GMS practice, a PMS practice or an APMS contractor in respect of the performance of—

      1. i

        certification services;

      2. ii

        commissioned services; or

      3. iii

        collaborative services;

    5. e

      engagement by the National Health Service Commissioning Board or a Local Health Board to assist in the provision of primary medical services under—

      1. i

        in the case of England, section 83(2) of the 2006 Act123; or

      2. ii

        in the case of Wales, section 41(2) of the 2006 (Wales) Act;

    6. f

      the provision of locum services;

    7. g

      payments made to M by an OOH provider or other employing authority providing OOH services in respect of the performance of—

      1. i

        primary medical services;

      2. ii

        commissioned services;

      3. iii

        collaborative services;

      4. iv

        NHS 111 services; or

      5. v

        certification services.

    8. h

      payments made to M by an employing authority in respect of M’s provision of—

      1. i

        primary dental services;

      2. ii

        general ophthalmic services;

      3. iii

        pharmaceutical services;

      4. iv

        dispensing services;

    9. i

      practice-based work carried out in educating or training or organising the education or training of, medical students or practitioners;

    10. j

      sums paid in respect of the provision of primary medical services where M is engaged by a Clinical Commissioning Group to assist in the provision of the services;

    11. k

      sums paid in respect of the provision of services under an NHS standard contract;

    12. l

      sums paid in respect of a contract entered into by a local authority pursuant to its functions under the 2006 Act relating to the improvement and protection of public health and which the scheme manager agrees to treat as a qualifying contract for these purposes.

  • CASE 2

    Charges collected from patients in respect of services mentioned in Case 1 sub-paragraph (d) which M is authorised by or under an enactment to retain.

    This does not include charges authorised by regulations made—

    1. a

      in relation to England, under section 185(1) of the 2006 Act;

    2. b

      in relation to Wales, under 133(1) of the 2006 (Wales) Act.

  • CASE 3

    Sums paid to M out of a fund determined by reference to the number of beds in a hospital.

  • CASE 4

    Allowances and other sums paid in respect of Board and advisory work.

    This does not include payments made to cover expenses.

  • CASE 5

    Payments in respect of health-related functions exercised under section 75 of the 2006 Act.

Dental practitioner3

1

This paragraph applies if a member (M) is a dental practitioner.

2

M’s practitioner income for a scheme year is found by applying the following formula—

((GPI−BP)×SSP+NRBP)−NMImath

where—

  • GPI is the income derived from a GDS contract or PDS agreement—

    1. i

      including charges collected from patients which are required to be set off against payments under the contract or agreement by virtue of directions given—

      1. aa

        in relation to England, under section 94, 103 or 109 of the 2006 Act124; or

      2. bb

        in relation to Wales, under section 52, 60 or 66 of the 2006 (Wales) Act125; but

    2. ii

      not including—

      1. aa

        charges collected from patients which are not required to be so set off;

      2. bb

        income received by a practitioner to whom regulation 19 or paragraph 1 of Schedule 4 applies;

      3. cc

        income received by M in respect of the performance of services under a GDS contract or a PDS agreement to which M’s employer is not a party;

  • BP is the value of the following payments made in the scheme year by the National Health Service Commissioning Board or a Local Health Board where the Board is a party to the contract or agreement—

    1. i

      monthly seniority payments;

    2. ii

      adoption leave, maternity leave, parental leave or paternity leave payments;

    3. iii

      sickness leave payments;

    4. iv

      reimbursement of the salary of a foundation trainee;

    5. v

      reimbursement of the national insurance contributions of a foundation trainee;

    6. vi

      reimbursement of non-domestic rates;

  • SSP is the average percentage (as determined by the Secretary of State) of dental practitioner values accounted for by practice expenses;

  • NRBP is the value of the following payments made in the scheme year by the National Health Service Commissioning Board or a Local Health Board where the Board is a party to the contract or agreement—

    1. i

      monthly seniority payments;

    2. ii

      adoption leave, maternity leave, parental leave or paternity leave payments;

    3. iii

      sickness leave payments;

  • NMI is the amount of payments made to a dental practitioner who—

    1. i

      performs services for the practice for the purposes of the contract or agreement; and

    2. ii

      in relation to the performance of the services, does not belong to any of groups A to C in regulation 27(1).

3

The pensionable earnings ceiling in relation to the contract or agreement is amount found by applying the formula—

(GPI−BP)×SSPmath

where GPI, BP and SSP have the same meaning as in sub-paragraph (2).

4

Income received by M in consequence of M belonging to any of groups A to C in regulation 27(1) is practitioner income, but is not subject to the pensionable earning ceiling.

5

Sub-paragraph (6) applies if M is in concurrent employment in any of the following capacities—

a

by being employed or engaged as mentioned in any of groups A to C in that regulation;

b

with a local authority or university;

c

as a civil servant;

d

in any other employment that the Secretary of State in any particular case allows.

6

Practitioner income does not include any amounts for which M is required to account to the employer as a term or condition of the employment.

Allocation of practice income4

1

Sub-paragraph (2) applies if a member—

a

is a medical practitioner or a non-GP provider; and

b

is in partnership with one or more medical practitioners.

2

The pensionable earnings of each partner in the partnership are calculated—

a

by aggregating the pensionable earnings of each partner; and

b

by dividing the total equally by the number of partners.

3

Sub-paragraph (2)(a) includes an amount that would constitute pensionable earnings of a partner who is not a member of this scheme.

4

If the partners do not share equally in the partnership profits, they may elect that each partner’s pensionable earnings must correspond to each partner’s share of the partnership profits.

Partners’ NHS employment earnings5

1

This paragraph applies if a medical practitioner (M) practising in a partnership also has earnings in respect of NHS employment other than as a partner in the partnership (NHS earnings).

2

The partners may elect that—

a

M’s pensionable earnings, as determined in accordance with paragraph 4, must be reduced by the amount of M’s NHS earnings; and

b

the pensionable earnings of each of them (including M) are increased in proportion to their respective share of the partnership profits.

Paragraph 4 and 5 election and calculation6

1

This paragraph applies to an election as mentioned in paragraph 4(4) or 5(2).

2

The partners must exercise the election by giving notice in writing to their host Board in accordance with sub-paragraph (3).

3

A notice under this sub-paragraph must—

a

be signed by all of the partners;

b

state as a fraction each partner’s share in the partnership profits; and

c

state the name of the host Board on whose list every practitioner in the partnership is included.

4

A notice relating to an election under paragraph 5(2) must also in respect of every partner who is in NHS employment—

a

state the name of the employing authority;

b

state the pensionable earnings received in respect of the employment;

c

include an undertaking to give the host Board notice in writing at the end of each scheme year of the pensionable earnings received in respect of the employment in the scheme year.

5

A notice under this paragraph takes effect—

a

on the date agreed between the partners and the host Board, or

b

failing such agreement, on the date specified by the Secretary of State.

6

A notice under this paragraph—

a

may be cancelled or amended by a subsequent such notice;

b

continues in effect until cancelled or, if earlier, there is a change in the partnership.

7

Calculations for the purposes of paragraphs 4(2) and 5(2) must be carried out by the host Board.

Locum practitioner7

1

This paragraph applies if a member is a locum medical practitioner.

2

The member’s practitioner income is—

a

all fees and other payments made to the member in respect of the provision of locum services (excluding payments made to cover expenses or for overtime); minus

b

such expenses as are deductible in accordance with guidance laid down by the Secretary of State.

3

In this paragraph, references to the provision of locum services, in relation to a practitioner, are to Board and advisory work performed for the National Health Service Commissioning Board or a Local Health Board, and—

a

primary medical services;

b

commissioned services;

c

collaborative services;

d

health–related functions exercised under section 75 of the 2006 Act;

e

pharmaceutical services;

f

dispensing services;

g

NHS 111 services;

h

services performed for a GMS practice, PMS practice or APMS contractor pursuant to the NHS standard contract or a contract entered into by a local authority pursuant to its functions under the 2006 Act relating to the improvement and protection of public health and which the Secretary of State agrees to treat as a qualifying contract for these purposes;

i

performed by a practitioner engaged by an employing authority under a contract for services to deputise for a registered medical practitioner or to temporarily assist in the provision of such services.