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Career Focus

Are there any guidelines for internal locum pay (registrar grade) to cover colleagues' absence from work? We seem to be paid less for internal locum on-calls than for our normal or regular on-calls.

BMJ 2004; 328 doi: (Published 12 June 2004) Cite this as: BMJ 2004;328:s232
  1. Simon Eccles, chairman
  1. BMA junior doctors committee


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Yes, the BMA junior doctors committee has negotiated better rates for locums this year. These are detailed in the March Advance Letter from the Department of Health to NHS Trusts [ALMD 1/2004]:

“The banding supplements for junior doctors in locum appointment for service posts increase from 1 April 2004. The supplement for posts in band LC increases to 1.4, band LB supplement to 1.5 and band LA to 1.8. These rates will now be linked to the banding supplements for 1B, 2B and 2A respectively. These increases are detailed in Section 7 (page 18) of this letter.”

This letter should be available in your medical staffing department or can be found on the department's website (

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