Q.We’re looking to take on a Therapist. We already have self-employed hygienists
How do other people approach this? Should they be self-employed & then is it an hourly rate or fee per item and what hourly rate or what % if fee.
Do any practices employ therapists rather than have as self-employed? I’d appreciate any feedback.
A.All our hygienist and therapist are self-employed. We pay an hourly rate here in Scotland of £25. They get paid for the whole session regardless of gaps in the diary or cancellations
A.We have two orthodontic therapists whom have progressed from nursing, they are both employed as it was a progressive part of their employment.
A.I would advise employed therapist as even under direct access they cannot treat therapy patients to comply with HMRC self-employed status. We pay ours £25 per hour.
Q. Our practice is looking to recruit a Dental Therapist for the first time. I wonder if anyone has Therapist in their practice can give some suggestions or ideas whether it is better to have them on self-employed/employed terms and how their remuneration is worked out.
Also, does anyone have template contract that we can adapt from?
A. We have just hired one on self-employed basis. This is so we can try her out and the whole concept of working with a therapist. We got a template for the contract from BDA.
A.We have an orthodontic therapist whom we have as an employee. We funded her training so we have a tie in to her contract to ensure she stays with us for a minimum period on completion of training.
We pay her an hourly rate and she has all the other employee benefits.
A. We currently have 3 therapists who work here & cover 5 days between them & it works incredibly well.
That said though we are an NHS practice & do small amounts of Private work too.
We pay our therapists on an hourly rate regardless whether there services are NHS or Private treatments.
A. I would advise that you get someone in that is self- employed. From this respect you can pay them for the work that they do and not on a salaried basis. This means that the practice is not out of pocket if a patient fails to attend. The therapist would also be responsible for their own PAYE/NI contributions, cpd costs, etc.
We charge patients £48 for a half hour session and our hygienist is paid £30 an hour.
I have just adapted a contract that I use for all team members. I have attached a job description for our hygienist. Job description can be found in the Templates section
A. A self-employed contract is clearly more financially viable, especially if they only get paid for the work that they do. So something like a % remuneration of fees generated could be considered, however they would need to be able to prove their self-employed status. The other consideration is whether they are delivering NHS work and how to remunerate based on bands.
I have had a Therapist on a 40% split and self-employed but they did contribute to the provision of equipment.