A Complete Guide to Locum Pharmacy in the UK: What You Need to Know Before You Start

Locum pharmacy is an increasingly popular career route for pharmacists in the UK. Whether you’re newly qualified or an experienced professional seeking more flexibility, working as a locum offers independence, variety, and the chance to build your own schedule. But before you dive in, there are key things you need to know about registration, rates, agencies, taxes, and the common challenges you might face.

1. Registration and Professional Requirements

Before you can begin locum work, you must:

• Be registered with the General Pharmaceutical Council (GPhC): Only fully registered pharmacists are legally permitted to practise. Pre-registration trainees cannot locum.

• Hold professional indemnity insurance: This is required by the GPhC. Many pharmacists arrange this through the Pharmacists’ Defence Association (PDA).

• Complete relevant training: If you are working in community pharmacy, safeguarding training, flu vaccination certificates, and services accreditation (e.g., NHS services) may be required.

• Maintain CPD and revalidation: Locums are still expected to meet the GPhC’s requirements for continuing professional development, peer discussion, and reflective accounts.

  
  

2. Locum Rates: What to Expect

Locum rates in the UK vary depending on region, sector, and demand.

• Community pharmacy: The most common setting. Rates typically range from £20 to £30 per hour, though rural areas or urgent shifts may pay higher.

• Hospital locums: Less common but available. Rates are often banded similarly to NHS Agenda for Change pay scales, generally £25–£35 per hour.

• Independent vs. multiple chains: Independent pharmacies may offer more flexible pay, while large chains often set standardised rates.

• Demand factors: Weekend, bank holiday, and last-minute shifts often pay more. Urban areas with many pharmacists may see lower rates than rural locations.

3. Agencies and Direct Booking

There are two main ways to secure locum shifts:

• Locum agencies/platforms: Many pharmacists sign up with agencies or online booking systems (such as Locate a Locum, Pharmaseekers, or others). These platforms list available shifts and manage booking, payments, and sometimes compliance checks.

• Direct bookings with pharmacies: Building relationships directly with pharmacies or pharmacy groups can cut out the middleman and sometimes lead to better rates. However, you’ll be responsible for negotiating, invoicing, and ensuring contracts are clear.

Most locums use a mix of both, especially when starting out.

4. Tax and Self-Employment

Most locum pharmacists in the UK are classed as self-employed sole traders, though some operate through limited companies. Understanding tax is essential:

• Register as self-employed with HMRC: You must do this as soon as you start locuming.

• Self-Assessment tax return: Submit annually by 31 January. Late submissions incur penalties.

• Payments on account: If your tax bill exceeds £1,000, you may have to make advance payments for the next tax year.

• Keep records: Track invoices, mileage, professional expenses, indemnity insurance, and training costs. Many of these are deductible.

• Consider an accountant: While not required, many locums find professional help reduces stress and ensures compliance.

• Limited company option: Some locums form limited companies for potential tax benefits, but IR35 rules can complicate matters. Seek professional advice before taking this step.

  
  

5. Common Challenges in Locum Pharmacy

While locuming offers flexibility, it comes with unique challenges:

• Inconsistent income: Shifts can be plentiful in some areas but scarce in others. Plan financially for quiet periods.

• Last-minute cancellations: Pharmacies may cancel shifts with little notice, impacting income and planning.

• Adapting to new workplaces: Every pharmacy has different systems, staff, and processes. Quick adaptability is key.

• Limited career progression: Locum work may not offer the same structured training or promotion opportunities as permanent roles.

• Isolation: Working in different locations can be rewarding, but it may feel isolating compared to being part of a consistent team.

Locum pharmacy in the UK can be a fulfilling and flexible way to practise, offering autonomy and control over your working life. However, success as a locum depends on preparation: ensuring you are properly registered, understanding how agencies and tax work, and being aware of the challenges you might face.

By staying organised, building strong professional networks, and keeping on top of finances, locum work can be a sustainable and rewarding career path.