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Trusts have seen risks evolving
during the last 18-24 months.
1999
Inland revenue
briefing note
2000
IR35
Introduced
2012
HMT
announced
tax review
July
2015
HMRC issued
discussion
document
Nov
2015
Monitor price
caps
introduced
Feb
2016
Monitor issued
guidance re use of
PSCs
March
2016
Budget announces
IR35 liability being
transferred
Locums have had these risks for over 16 years
Pioneering reinvestment
into our NHS
April
2017
IR35 assessment required
before booking any locum
What does
this mean for
your Trust?
Pioneering reinvestment
into our NHS
Gaps in rota
identified
No substantive
or bank
available
Trust identify
suitably
qualified
locum
Understand
how the
locum is
being paid
If via a PSC –
Trust/Agency
must perform
IR35 test
If PAYE –
no IR35
obligations
Passed: continue to
tax themselves via
the PSC
Fails: they must be
taxed as PAYE
How can
Trusts
manage
this?
Understand
how the
locum is
being paid
If via a PSC –
Trust/Agency
must perform
IR35 test
If PAYE –
no IR35
obligations
Passed: continue to
tax themselves via
the PSC
Fails: they must be
taxed as PAYE
Pioneering reinvestment
into our NHS
Current viewPost April 2017
view
Example
Trust
20%
Umbrella
PAYE
workers
No saving
No IR35
Risk
Traditional Trust
Model
AgencyTrust
Brookson
Model
75% of
which fail
IR35
25% of
which pass
IR35
80% PSC
workers
75% of
which fail
IR35
What
happens
now?
Pioneering reinvestment
into our NHS
Deemed
Payment
Stay as PSC but
Trust/Agency
facilitate
PSC obligations still
apply
Trust PAYE
Become temporary
employee
Increased HR risks
and admin for Trust
Agency payroll
Agency takes on
increased cost
and risk of
employment
Umbrella
PAYE
Cost to worker
for admin and
accounts
Pioneering reinvestment
into our NHS
Example
Trust
15% PSC
workers non
compliant
(5% workers
passed)
80%
Umbrella
PAYE
workers
14%
efficiency
saving
No IR35
Risk
14%
efficiency
saving
No IR35
Risk
Brookson
Model
Post April
2017
view
Trust
Deemed Payment
Trust
Brookson
employ
Pioneering reinvestment
into our NHS
What
happens
next?
Frameworks and NHS
Improvement
enforcing compliance
with obligations onto
agencies from
November 2016
On-going
consultation
Online portal
being
developed
Draft legislation
available around
Autumn
statement
Pioneering reinvestment
into our NHS
Thanks for
listening,
Any
questions?
Pioneering reinvestment
into our NHS

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NHS Workforce Development 28/06/2016

  • 1.
  • 2. Trusts have seen risks evolving during the last 18-24 months. 1999 Inland revenue briefing note 2000 IR35 Introduced 2012 HMT announced tax review July 2015 HMRC issued discussion document Nov 2015 Monitor price caps introduced Feb 2016 Monitor issued guidance re use of PSCs March 2016 Budget announces IR35 liability being transferred Locums have had these risks for over 16 years Pioneering reinvestment into our NHS
  • 3. April 2017 IR35 assessment required before booking any locum What does this mean for your Trust? Pioneering reinvestment into our NHS
  • 4. Gaps in rota identified No substantive or bank available Trust identify suitably qualified locum Understand how the locum is being paid If via a PSC – Trust/Agency must perform IR35 test If PAYE – no IR35 obligations Passed: continue to tax themselves via the PSC Fails: they must be taxed as PAYE How can Trusts manage this? Understand how the locum is being paid If via a PSC – Trust/Agency must perform IR35 test If PAYE – no IR35 obligations Passed: continue to tax themselves via the PSC Fails: they must be taxed as PAYE Pioneering reinvestment into our NHS
  • 5. Current viewPost April 2017 view Example Trust 20% Umbrella PAYE workers No saving No IR35 Risk Traditional Trust Model AgencyTrust Brookson Model 75% of which fail IR35 25% of which pass IR35 80% PSC workers 75% of which fail IR35 What happens now? Pioneering reinvestment into our NHS
  • 6. Deemed Payment Stay as PSC but Trust/Agency facilitate PSC obligations still apply Trust PAYE Become temporary employee Increased HR risks and admin for Trust Agency payroll Agency takes on increased cost and risk of employment Umbrella PAYE Cost to worker for admin and accounts Pioneering reinvestment into our NHS
  • 7. Example Trust 15% PSC workers non compliant (5% workers passed) 80% Umbrella PAYE workers 14% efficiency saving No IR35 Risk 14% efficiency saving No IR35 Risk Brookson Model Post April 2017 view Trust Deemed Payment Trust Brookson employ Pioneering reinvestment into our NHS
  • 8. What happens next? Frameworks and NHS Improvement enforcing compliance with obligations onto agencies from November 2016 On-going consultation Online portal being developed Draft legislation available around Autumn statement Pioneering reinvestment into our NHS