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Maternity locum reimbursement - SFE changes April 15

Today the following document was circulated on some private groups on Facebook. It reportedly comes from Londonwide LMC. It would seem to suggest that NHSE Area Teams or CCGs are wrong to be pro-rata calculating maternity reimbursement for part-time partners. This has a massive implication for many colleagues especially those who are less than full-time.

Would anyone from the BMA be able to comment on this, it suggests the GPC/BMA are aware of this?

Many thanks for any clarification you can offer,


I am now able to provide definitive advice from expert colleagues, which is as follows:

In respect of payments for GP cover for maternity/paternity/adoption leave, from 1 April 2015, all practices will be entitled to reimbursement of the cost of GP cover for parental leave – that is maternity/paternity/adoption leave.

Reimbursement will be the lower of:

• £1,131.74 for the first two weeks and £1,734.18 three to 26.

• the actual invoiced costs during that period.

Reimbursement is intended to cover external locums and cover also provided by GPs already working within the practice (existing employees or partners) but who do not work full time (i.e. payment will be made equally where there is organisation flexibility/capacity within the practice to be able to perform the duties of the GP on leave in order to maintain the delivery of services).

Extending the scope of reimbursement for cover provided by existing GPs is anticipated to be more effective as there will be greater continuity of care for patients from being treated by a familiar GP. The revised SFE applies the previous provisions for payments for locum cover equally to the new arrangements for payment for existing GP cover. NHS England is working with GPC to update its policy document on paternity leave payments to support administration of these revised arrangements.

In terms of implementation we are aware of a number of cases where commissioners have attempted either to not reimburse practices, or pay at reduced crates, often on the basis that practices are being asked to justify working arrangements, and cover arrangements. Our GP Support Team are able to provide support and advice to individual practices who face such difficulties.

You should challenge the pro-rata imposition, as there is nothing in the Regs to support this approach. In terms of the reimbursement levels, the Regulations are clear in that these are maximum limits. Any challenge would need to be taken forward by the GPC/BMA as this is a national issue.

1 reply

  • There are still issues. I have sent emails to challenge the pro rata bit and have had no reaponce! I have been emailing all the teams but no replies. No acknowledgement of my reimbursements! Nothing being reimbursed! I started the process in April and now it's mid June! This should be my time to enjoy motherhood with my bundle of joy but nhse has left no stone unturned in making this miserable! I am having to think all the time about how to make ends meet. Disgusting. I have no idea where to email next to get a reaponce of what is happening and what should I expect.