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COVID-19 CODE Advice

31st March 2020

Authors: CODE’s Alex O’Neill, George Browning and Hannah Larkworthy

Here at CODE our culture and mission is to support and guide our members as best we can. You may therefore be wondering why we’ve not provided written policies or guidance about Coronavirus (COVID-19) in iComply. The current situation is extremely fast moving and government advice is changing on a daily basis. If we were to replicate information being published by the NHS and the government into policy documents etc. there is a real risk that by the time it is available to you, it will be out of date.

It’s CODE’s position that a daily review and action plan is significantly more useful to practices trying to navigate the compliance implications of the pandemic. It is very likely that we will continue to see guidance being published as relaxed restrictions are gradually phased in. After the crisis ends inspectors may wish to see an audit trail of how the practice ensured they were following the latest instructions and what actions were taken. CODE have released a COVID-19 Daily Review and Action Plan to help the profession create these audit trails.

We are therefore advising you to seek information directly from the government website, CDO letters and NHS websites on a daily basis, then update your action plan. It is important to pay special attention to the advice from the CDO in your region as there have been significant differences in the clinical advice being provided in England, Wales, Scotland and Northern Ireland. More information on this can be found in the Clinical Advice Section below.

The following article is designed to help you through questions you may have related to the management of dental practices during the current outbreak of COVID-19 and to provide you with some of the key links you may need.

Letter from CDO for England 25th March
The Chief Dental Officer, Sara Hurley, published a letter last Wednesday outlining a number of immediate changes to the delivery and operation of dental services in England. This letter has caused some confusion within the profession and lacks crucial detail on several key areas, including arrangements for urgent care and NHS funding and contracts. We are seeking further guidance and will provide an update once matters become clearer. The BDA have submitted a list of questions to the NHS in relation to the arrangements.

One question being asked is whether dentists are allowed to prescribe remotely. GDC guidance on prescribing states: “You should only use remote means to prescribe medicines for dental patients if there is no other viable option and it is in their best interests.” It seems clear from this guidance that practices will be allowed to prescribe via telephone during the current crisis.

The GDC has published further guidance on high level principles for good practice in remote consultations and prescribing

Things Practices Should Do Now

CODE have identified the following as being of key importance and actions that practices should be taking immediately:

  • Current clinical advice differs between England, Wales, Scotland and Northern Ireland. Therefore, practices should refer to the clinical guidance published by their relevant Chief Dental Officer. Information can be found in the Clinical Advice section below
  • If you are a Practice in England you should familiarise yourself with the Standard Operating Procedures for primary care dental practices. Please note that this document was last updated on 5th March and does contain some out of date information (e.g. advice to ask a patient’s travel history and COVID-19 contact history). Practices in England should also regularly refer to the Dental NHS briefing documents and Primary care briefings updated by NHS England on a regular basis. All this guidance is applicable in England, however, practices in other regions of the UK may wish to use for reference should certain procedures not be covered by the governing bodies and regulators in their devolved administration
  • For guidance on standard operating procedures in all parts of the UK, Practices should refer to the most up to date guidance from their Relevant Chief Dental Officer and governing body. As the situation develops the guidance is changing at very short notice, it is therefore important that Practices review relevant guidance aimed at Primary Care and Dental Practices and implement any new instructions
    • All relevant publications from the Chief Dental Officer in Wales are published here. Additional information from the NHS is also being emailed directly to Dental Teams, so Practices should check their inbox daily
    • All key dental advice from the Northern Ireland can be found here
    • All guidance documents from Health Protection Scotland including guidance for dental teams can be found here. Additional information from the NHS is also being emailed directly to Dental Teams, so Practices should check their inbox daily
  • It may help for practices to assign a ‘COVID-19 Lead’ to take responsibility for keeping up to date with guidance, disseminating information to the team and creating/implementing action plans (an excel sheet may be useful here)
  • Practices should make sure they are registered with the Central Alert System as the government will be using it to disseminate information directly to you. This is the same system used for other alerts such as drugs and medical equipment
  • Practices should review their Disaster Planning and Emergency Procedures (M 255), paying particular attention to the contingency arrangements section and consider what they would do if the practice was closed, including where to send patients who require emergency treatment. As the situation develops the government may provide more specific advice on this. It is therefore important that you review the Business Continuity section below where we will update on region specific directions
  • Practices should ensure that all relevant information is communicated to the public. This includes information posters issued by Public Health England and a recorded telephone message for incoming calls from patients. Information on the content of these calls can be found in the dental specific NHS briefing documents and will be subject to change as the situation develops. Wales and Northern Ireland have separate posters that should be used
  • Practices should ensure that their staff are aware of the government’s guidance to the public, so they know steps they may need to take themselves
  • Practices that are closing should make formal notification to their inspecting body (CQC/HIW/RQIA/HIS). This may change if all practices are instructed to close. iComply members can follow the Notifications to a Regulator Policy (M 233-NTC). Practices with NHS contracts will also need to notify the appropriate team (Regional team or Healthboard) to avoid breaching your contract. You should also notify your patients via their preferred method of communication
  • Practices offering a reduced service in England do not need to notify the CQC
  • NHS practices in Wales who wish to receive funding will be asked to log the number of phone calls received, the number of occasions a dentist gave remote advice, the number of prescriptions made, the number of referrals to the urgent/emergency centres and the number of instances where a patient was assessed or treated. Practices will be contacted by their Health Board and be provided with a pro-forma to fill out and complete every fortnight
  • We have released a free ‘Covid-19 Care Package for all practices which contains a selection of essential documents, helpful templates and other useful tools to help you manage your practice through this difficult time. You can download the Care Package here:


Clinical Advice

CODE does not offer clinical advice—however, we can direct you to where you can get detailed information on how to clinically manage the virus and changes you should be making in your practice now:

  • Practices should be familiar with the clinical management of COVID-19. Public Health England’s guidance on investigation and initial clinical management of COVID-19 infection can be found here
  • Specific guidance on infection control can be found here
  • The British Orthodontic Society is advising that no orthodontic patient should attend any clinic at this time. They are advising that in an extreme emergency, patients should contact the practice or unit by phone and discuss ways of resolving their problem at home
    1. All routine, non-urgent dental care including orthodontics should be stopped and deferred until advised otherwise
    2. All practices should establish (independently or by collaboration with others) a remote urgent care service, providing telephone triage for their patients with urgent needs during usual working hours, and whenever possible treating with Advice, Analgesia and/or Antimicrobial means where appropriate
    3. If the patient’s condition cannot be managed by these means, then they will need to be referred to the appropriate part of their Local Urgent Dental Care system (more information to follow)
    4. All community outreach activities such as oral health improvement programmes (e.g. Starting Well, routine non-urgent work in care homes) and dental surveys should be stopped until advised otherwise
    5. In order to provide accurate information to the public we are asking that all dental practices update their messaging and websites; contact their regional commissioner should practice availability hours alter as a result of staffing levels; and inform the commissioner of these changes and the arrangements for cover
  • The Chief Dental Officer for Wales has published two letters on 17th March and 23rd March to primary care dental practices in Wales providing specific clinical advice for dentists which practices should implement immediately. Further guidance is available here. Practices in Wales have been asked to:
    • Cease routine scheduled dentistry for the time being
    • All dental treatment that can be should be delayed at present
    • Aerosol generating procedures (AGP) should now stop
    • Pregnant or otherwise immunosuppressed dental team members should not provide or assist in the direct case or assessment of patients
    • Practices should make every effort to triage, advise and reassure patients who have a dental problem by telephone
    • Dentists can offer remote prescriptions, analgesics and antimicrobials, by contacting local pharmacists. Guidance on remote prescribing in Wales can be found here
  • The Chief Dental Officer for Scotland has written to NHS dental services outlining actions they should now take. These include:
    • All routine dentistry should cease
    • Pregnant or otherwise immunosuppressed dental team members should not provide or assist in the direct case or assessment of patients
    • All AGPs should now cease
    • All patients should be triaged and advised via the telephone where possible. Where an assessment in person is required, robust PPE procedures should be used
    • All urgent procedures that cannot be delayed must be directed to a Practice’s NHS Board designated PDS/HDS urgent care centre
    • Practices should work with local practices to establish a ‘buddy system’ to ensure that people are able to contact dental professionals during normal working hours via telephone. NHS Boards will work with local practices to understand the locality based ‘buddying’ arrangements in place and ensure that practices have details of the referral pathway to urgent care centres
    • In the event of a significant and rapid escalation of COVID-19 NHS Boards will move to a centralised urgent care only service for people who are asymptomatic for COVID-19
  • The Head of Dental Services for Northern Ireland has published specific clinical advice for dentists which practices should review and implement immediately. This includes updated guidance published on 23rd March and some FAQs. Practices in Northern Ireland have been asked to:
      • Cease all aerosol generating procedures in general practice
      • Practices should remain open and continue to see patients who, following screening against the case definition by telephone in advance, are not suffering from COVID-19
      • Practices should not direct patients to the out-of-hours sites as they are working under the same restrictions
      • Practices should familiarise themselves with the patient pathway and refer all patients who require urgent dental and have COVID-19 to their designated treatment centre. Further guidance has been published on temporary arrangements for urgent dental care in Northern Ireland

(Do not rely solely on the list above as it WILL change and does not include some region-specific advice, especially regarding the approach to emergency treatment and required PPE. Follow the advice directly in CDO communications and NHS links)

Government Support

Practices may be concerned about the impact this pandemic will have on their business. It is important that practices are aware of the support that is available to them.

  • Self-Employed Income Support Scheme – eligible self-employed individuals (including members of partnerships) will be able to claim up to £2,500 in support announced by the government on 26th March. The new scheme will provide a cash grant worth 80% of an individual’s average monthly trading profit over the last three years (upto a maximum of £2,500 per month). The scheme will be open to:
      • Those with a trading profit of less than £50,000 in 2018-19 or an average trading profit of less than £50,000 from 2016-17, 2017-18 and 2018-19
      • Those with more than half of their income in these periods must come from self-employment
      • Those who are already in self-employment

Individuals who think they may be eligible should not contact HMRC now. HMRC will use existing information to check potential eligibility and invite applications once the scheme is operational.

The earliest grants will be paid will be the beginning of June, however, in the interim the self-employed will still be able to access other available government support for those affected by coronavirus including more generous universal credit and business continuity loans where they have a business bank account

If individuals have reported a profit of over £50,000 they may still be eligible for the Coronavirus Business Interruption Loan Scheme (more details below) 

  • Coronavirus Job Retention Scheme – all UK employers will be able to access support to continue paying part of their employees’ salary for those employees that would otherwise have been laid off during this crisis. To be eligible for the scheme, Practices must continue to pay employees from their own funds—HMRC will then reimburse 80% of furloughed workers salary up to a cap of £2,500 per month. If Practices wish to take advantage of this scheme, they will need to:
    • designate affected employees as ‘furloughed workers’ and notify the employees directly of this change in their employment status. Practices need to be mindful that this change in employment status is subject to existing employment law and, depending on a worker’s employment contract, may be subject to negotiation
    • submit information to HMRC about the employees that have been furloughed and their earnings through a new online portal.  This portal is not yet available and is currently being developed urgently by HMRC. CODE will provide details of how to access this portal when it is available
  • The government has announced that they are bringing forward legislation to allow small- and medium-sized businesses and employers to reclaim Statutory Sick Pay (SSP) paid for sickness absence due to COVID-19. More information on this can be found here
  • Practices may also be able to benefit from the government’s new Coronavirus Business Interruption Loan Scheme. This scheme will support loans of up to £5 Million in value which will be interest free for six months.  More details on the scheme and the list of accredited lenders is available on the British Business Bank Website. In the first instance, Practices should approach their own provider – ideally via the lender’s website. They may also consider approaching other lenders if they are unable to access the finance they need
  • If Practices currently receive small business rate relief, they will be eligible for a one-off grant of £10,000. If eligible, businesses do not need to apply and will instead be contacted by their local authority
  • All businesses and self-employed people in financial distress, and with outstanding tax liabilities, may be eligible to receive support with their tax affairs through HMRC’s ‘Time to Pay’ service. These arrangements are agreed on a case-by-case basis and are tailored to individual circumstances and liabilities. If you are concerned about being able to pay your tax due to COVID-19, call HMRC’s dedicated helpline on 0800 0159 559
  • The government have deferred Value Added Tax (VAT) payments for three months. This is an automatic offer with no applications required. Businesses will not need to make a VAT payment during this period (20 March 2020 – 30 June 2020). VAT refunds and reclaims will be paid by the government as normal
  • For those that are self-employed, Income Tax payments due in July 2020 under the Self-Assessment System will be deferred to January 2021. Taxpayers will be given until the end of the 2020 to 2021 tax year to pay any liabilities that have accumulated during the deferral period

Business Continuity and Financial Support

  • As mentioned above, The Chief Dental Officer for England published a new letter on 25th March which discusses financial support for NHS practices. This letter includes some information on how NHS funding and contracts will be calculated in light of the pandemic. However, CODE are aware that there are a number of questions that require clarity especially in relation to how the restrictions on access to Government support for practices with an NHS contract will work for practices that provide a mix of private and NHS care. We are seeking further guidance and will provide an update once matters become clearer
  • Wales – Practices should familiarise themselves with the information contained in guidance from the Welsh Government. This includes information on steps practices should take to manage current demand and capacity. Practices have been asked to review and submit their business continuity plans. CODE has sought clarification from Health Boards in Wales who have confirmed that practices should ensure that patients and the public have access to urgent care and advice when needed. We therefore recommend that practices ensure the ‘Incapacity of Staff’ section of the Disaster Planning and Emergency Planning Procedure (M 255) is up to date to include reciprocal arrangements with neighbouring practices for staff cover and relocations of patient appointments if necessary
  • In Wales practices will continue to receive practice monthly income.  Flexibility has been offered for up to 4% of the contract if needed. This means up to 4% (of UDA activity) can be credited where this flexibility is needed toward meeting the 100% contract target. This flexibility acknowledges practices may struggle to meet 100% activity due to the current COVID-19 pandemic through staff absences, cancelled appointments etc. and to help ensure contractual payments take this into account. Further information about this scheme was provided on 26th March by the Chief Dental Officer in Wales and can be found here
  • All independent dental practices in Scotland who provide NHS General Dental Services have been asked to complete and submit a standard form business continuity plan to their NHS Board a Business Continuity Plan.  This plan can be found here and should be completed as soon as possible
  • In Scotland, there a series of measures that have been put in place to support practices who provide NHS services.  Details of these measures can be found here. Additionally, the CDO in Scotland announced on 30th March a revised funding package which will provide 80 per cent of the average income from item of service and patient contributions; more details can be found here
  • Practices in Northern Ireland will be eligible to apply for a support payment to stabilise their Item of Service (IoS) income for each month. This would involve support payments being made each month to cover the shortfall in IoS income in 2020 and will be based on 2019 income levels. The payments will be abated by 20% to reflect the variable costs that will not have been incurred.  More details can be found here.  The process to applying for this support is yet to be clarified. CODE will provide details of how to access this support then available
  • Practices in Northern Ireland may also be able to apply for a number of other measures to support businesses during the pandemic. More details on these measures can be found here
  • Practices in Northern Ireland should complete a template business continuity plan and submit to the Health and Social Care Board. On receipt of this plan a payment of £100 will be provided to the practice
  • NHS England are asking all those that work in dentistry to consider redeployment to assist with National COVID-19 response. Those who are interested have been asked to complete a questionnaire to register their interest. More details about the scheme and FAQs will be released this week

General Business Concerns

  • Schools in all regions of the UK will close from Friday 20th March until further notice except for children of key workers and vulnerable children. The Department of Education has confirmed that dentists and their staff meet the criteria for key workers during the pandemic. However, the Education Secretary has highlighted the pressure schools are likely to be under and therefore asked that key workers think carefully about weather their work is critical in the response to Coronavirus, and if it is not, has requested they keep their children at home
  • Practices should check with their insurance provider if they are covered. Many businesses are unlikely to be covered as most business interruption insurance policies are dependent on damage to property, which will exclude pandemics. Some practices may have purchased a specific add on relating to notifiable diseases, but some of these will still specify damage to the building. Some businesses may have purchased supply chain or denial of access cover which may meet their needs in this case
  • Chris Barrow has written an excellent blog post on how to plan for the best and worst possible outcomes, including dealing with your team, contacting suppliers/lenders and using time effectively. Practice owners and managers should have a read and consider his advice
  • Public Health England have published specific guidance for employees, employers and businesses here. Practices outside of England should also check for more specific local guidance in Wales, Scotland and Northern Ireland
  • Some practices have implemented a policy of having patients wait in their cars where possible and then calling to let them know when they should enter the practice for their appointment
  • Practices should add new DNA/FTA codes for patients who did not attend and/or cancelled appointments due to COVID-19. This will allow practices to run clear reports to identify financial loss and/or makes insurance claims
  • Practices should review all information on a daily basis and update their team in a morning huddle where possible
  • CQC, HIW, CPI, HIS and RQIA have announced they are stopping routine inspections for now
  • NHS England have announced that the Data Security and Protection Submission Deadline has been pushed back to 30 September 2020 

HR FAQs

The iComply HR team have put together a very helpful set of FAQs which cover the majority of questions currently being asked on the helpline. In situations where paying full sick pay is discretionary, we would advise practices to consider doing the most they can for their employees at this difficult time.

  • Is there any support available for my employees, including if I have to close the Practice, I have heard about the Coronavirus Job Retention Scheme?

The government have proposed measures to help support employers with paying their workers under the Coronavirus Job Retention Scheme, please see further guidance here

  • Following the government’s announcement about the Coronavirus Job Retention Scheme guidance, when would my employees be classed as ‘furloughed workers’?

‘Furloughed’ means that employees have no work for them due to the impact of COVID-19. Workers who are full-time, part-time, employees on agency contracts and flexible/zero hour contracts are eligible. The Government will not reimburse 80% of wages for employees who are still completing work for your Practice, including on an ad-hoc basis, whether they are in the normal premises or working from home. Please see further guidance here

  • Is there any support available for my employees, including if I have to close the Practice, I have heard about the Coronavirus Job Retention Scheme?

The government have proposed measures to help support employers with paying their employees under the Coronavirus Job Retention Scheme, please see further guidance here

  • Following the government’s announcement about the Coronavirus Job Retention Scheme guidance, when would my employees be classed as ‘furloughed workers’?

‘Furloughed’ means that employees have no work for them due to the impact of COVID-19. Employees who are full-time, part-time, employees on agency contracts and flexible/zero hour contracts are eligible. The Government will not reimburse 80% of wages for employees who are still completing work for your Practice, including on an ad-hoc basis, whether they are in the normal premises or working from home. Please see further guidance here

  • Is there a minimum timescale for workers to be furloughed?

The minimum length of furloughing is 3 weeks

  • Can I class employees as furloughed workers who are on sick leave or self-isolating?

Employees who are on sick leave or self-isolating should receive sick pay in accordance with their contract of employment. After this, they can be furloughed. Employees who are shielding can be placed on furlough

  • Is my employee on maternity leave entitled to be classed as a furloughed worker?

Employees who are currently, or due to be, on maternity leave are entitled to maternity pay in accordance with their contract of employment. Please review your Maternity Leave and Pay Policy (M 233-MLP) in iComply

  • How do I calculate 80% of my workers’ pay?

The employees actual salary before tax as of 28th February should be used to calculate the 80%. Employee’s wages will be subject to usual income tax and other deductions. For employees whose pay varies, if the employee has been employed for a full twelve months prior to the claim, you can claim for the higher of either:

    • the same month’s earning from the previous year
    • average monthly earnings from the 2019-20 tax year

If the employee has been employed for less than a year, you can claim an average of their monthly earnings since they started work.

If the employee started in February 2020 you should use a pro-rata calculation of their earnings to date to claim

  • Are new starters eligible for the Coronavirus Job Retention Scheme?

Employees must have been on your PAYE payroll on 28th February 2020 to be classed as furloughed workers

  • What are  the timescales for the Coronavirus Job Retention Scheme?

The scheme is backdated until 1st March 2020 and is initially open for 3 months, but will be extended if necessary

  • How do I claim reimburse of wages for furloughed workers?

The government have confirmed that are setting up an online portal for claims to be submitted and they are expecting this to be up and running by the end of April

  • What do I need to submit to HMRC to claim?
  • You will need to submit:
    • your ePAYE reference number
    • the number of employees being furloughed
    • the claim period (start and end date)
    • amount claimed 
    • bank account number and sort code details
    • your contact name
    • your phone number
  • Following the Chief Dental Officer’s letter dated 25th March 2020, can we class our workers as furloughed and receive NHS funding?

We are currently seeking further guidance regarding this

  • What do I need to pay my employees who are self-isolating?

Your normal sick pay policy will apply e.g. enhanced sick pay arrangements or statutory sick pay. You may find it helpful to review your Sickness Absence Policy (M 233-SAA) in iComply

  • If my employee is not sick but notifies me that they will be self-isolating what pay are they entitled to?

Some employees may feel that they do not want to come into the workplace as they are concerned about contracting coronavirus. In this situation, any payments will be at your discretion. You are able to agree the time as unpaid or to be taken as holiday

  • What happens if my employees’ need to look after their children following the school closures or other dependants?

Normal time off for dependant arrangements apply and any time absent from work will be unpaid, unless you agree otherwise with employees. Please review Family Emergency Leave Policy in iComply (M 233-FEL). Please note, dentists and dental staff are deemed as key workers and school facilities will be available for your children

  • I have an employee who is caring for a dependant in the same household and has been advised to undertake a household quarantine, what pay are they entitled to?

Your normal sick pay policy will apply e.g. enhanced sick pay arrangements or statutory sick pay

  • What should we do if we suspect an employee at the Practice may have coronavirus or has symptoms?

Follow the guidance being updated here

  • Can we insist an employee self-isolates?

If an employee does not meet the requirements to self-isolate, you are able to ask them to self-isolate. Should they agree to this, full pay would be applicable.

  • I have a pregnant team member, what should I do?

The government has advised that pregnant women are high-risk and suggested they should practice social distancing and/or self-isolate for 12 weeks. It has also been advised that pregnant women who are more than 28 weeks pregnant, or have underlying health conditions, should avoid direct patient contact. We recommend that you speak to your pregnant team members to discuss and agree with them how they would like to manage this. We strongly suggest that you also complete an updated risk assessment and consider coronavirus within this

  • Is statutory sick pay now payable from day 1?

For coronavirus related absence only, statutory sick pay is currently payable from day 1 of absence

  • Do I have the right to ask my team members to take holiday?

You are able to tell your employees when to take holiday if you give them twice as many days’ notice as the amount of days you require them to take. Coronavirus is likely to impact upon employee’s pre-book holiday arrangements and we recommend that you discuss this with them

  • I am concerned about my worker’s holiday entitlement, how can I manage this?

The government has confirmed that due to COVID-19, statutory annual leave can be carried forward into the next 2 holiday years. Up to 4 weeks of unused annual leave can be carried forward into the next 2 holiday years. Up to 1.6 weeks of unused annual leave can be carried forward into the next holiday year by agreement

  • Can I stop my staff member from going on holiday abroad?

You are unable to stop employees travelling, however, they will need to be aware of self-isolation requirements and the sick pay arrangements in their contract of employment

  • Can we change our enhanced sickness policy in case our whole team becomes infected?

Any changes to enhanced sick pay policies will need to be agreed by employees as part of a consultation process

  • I have team members undertaking training courses within the Practice, what is happening with their course?

We are currently awaiting further guidance. In the meantime, we would recommend that you contact the training provider for additional information

  • Can employees work from home?

If you have roles that can be temporarily based from home and team members are willing to do this, we would strongly recommend this option. This may be an opportunity for them to update their CPD, work on the iComply cycle or focus on practice strategy planning

  • An employee has been confirmed as contracting coronavirus, should we close the Practice?

Follow the guidance being updated here

  • Patients are cancelling and we are concerned that we may have to offer a reduced service, can I lay-off employees?

If you are offering an emergency service only and have the lay-off clause within your signed contracts of employment you are able to utilise this. Please note, this is a temporary measure, unlike redundancy which is permanent. Employees who have been laid off are entitled to £29 per day for 5 days in any 3-month period, from 6th April 2020 this is increasing to £30 per day for 5 days in any 3-month period. To be eligible for statutory lay-off pay employees must have been continuously employed for 1 month. This is calculated on a pro rata basis for part time employees. Lay-off can last longer than 5 days and any additional time will be unpaid. After 4 weeks of continuous lay-off or 6 weeks in a 13 week period, employees are able to apply for redundancy. We recommend that you discuss this potential option with your team members and in the event that this is implemented confirm in writing to your employees. We suggest that this is a last resort and you should consider morale and future retention within the Practice. We are also hearing that recruitment is difficult at present and would recommend that you try to avoid this where possible

  • What payments are my self-employed team members entitled to?

Please check the contract for service in place with the individual team member to determine any payments due. Our CODE contracts for services, in order to protect their self-employed status, stipulate that payment is only due when treating patients

  • Following the government’s announcement regarding the Self-employment Income Support Scheme, what are the requirements regarding earnings?
    Self-employed trading profits must be less than £50,000 and more than half of your income come from self-employment. This is determined by at least one of the following conditions being true:

    • having trading profits/partnership trading profits in 2018-19 of less than £50,000 and these profits constitute more than half of your total taxable income
    • having average trading profits in 2016-17, 2017-18, and 2018-19 of less than £50,000 and these profits constitute more than half of your average taxable income in the same period

Please see further guidance about the government potential support available for self-employed team members here

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