Intended for healthcare professionals

Letters Locum pay controversy

Locums earn more but have extra charges and fewer opportunities

BMJ 2017; 356 doi: (Published 23 February 2017) Cite this as: BMJ 2017;356:j961
  1. Natalie G Jumper, plastic surgery registrar
  1. Manchester M1 2BE, UK
  1. njumper{at}

Iacobucci highlights a contentious but increasingly significant issue in the NHS.1 Persistent workforce shortages have created an indispensable and exploitable role for locum staff, adding further financial burden to an already stretched service. Given pay discrepancies between locum and NHS trust employees in the same role, we’re left wondering whether their value is worth the cost. …

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