GP locums: Will you get your death in service benefit?

Locums are becoming a vital part of increasingly pressurised general practices, yet the NHS benefits they’re entitled to are not always as fair as they could potentially be. While locums can contribute to the NHS Pension Scheme, one critical benefit is not always available: death in service.

Why some GP locums may not get their NHS death in service benefits

If we were all clairvoyants with a crystal ball, we would know exactly when we were going to die and plan accordingly. Suffice to say we’re not and that’s where the difficulty arises; particularly for locums whose contract status on death makes a big difference to the NHS benefits their loved ones receive.

If you’re a GP locum ‘in service’ when you die

As a GP locum, if you die when in contract i.e. you either have a long-term locum post or a short Monday to Friday locum contract, you are entitled to the following standard NHS pension scheme benefits:

  • An initial 6 months pension for your spouse, registered civil partner or nominated qualifying partner, equal to your pensionable pay before death.
  • Followed by an ongoing pension based on your uprated ill-health retirement pension (Tier 2).
  • Twice your total average uprated (dynamised) earnings paid as a lump sum.

Children are also awarded their own dependant’s pension up to the age of 23 if they are in full-time education, but only two are recognised at any one time. If you have more children, as one graduates and becomes financially independent, another can take its place for pension purposes.

If you’re not ‘in service’ when you die

The system breaks down though if you die at any time outside of your contracted hours. If you’re not ‘in service’ when you die, you will not receive the above NHS death in service benefits.

For example, if your contracted locum hours ran Monday at 8am until 6pm on Wednesday each week, and you died at 7pm on a Wednesday evening, you would not be deemed to be ‘in service’ and therefore not eligible for NHS death in service benefits.

You may consider this harsh, and there are legal test cases on this matter but, as it stands, that’s how the rules are laid out.

Death in service vs death gratuity benefits

You may still be granted a death gratuity if you die within 12 months of your last service (you’ll be treated as a ‘deferred member’), but the method used to calculate this is different to the one used for death in service.

Death gratuity benefits are calculated as a multiple of your annual pension accrued to date at the time of death. The multiple varies according to the pension scheme version you were in at the time of death.

  • For the 1995 scheme, it is a multiple of 3
  • For the 2008 scheme, it is a multiple of 2.5
  • For the 2015 scheme, it is a multiple of 2.025

Source: NHSPS Survivors Guide

Whilst a death gratuity is better than nothing, it may fall short compared to twice your dynamised annual pensions pay that is payable under death in service.

If you die out of contract, there is also no continuation of income for 6 months; the spouse / civil partner / qualifying partner’s pension is payable on the first day after death. The dependent children’s pension remains the same however.

Standalone life assurance policy

There are clearly some key differences, and the uncertainty and worry this brings is often understandably a great concern.

That is why I advise all my GP locum clients to consider life protection as a standalone issue, rectified with a quality but affordable life assurance policy that takes the onus away from the NHS and gives the family a known, controllable and quantifiable income and/or lump-sum on death.

No matter what happens, you can guarantee the mortgage is paid off and the family can carry on living the life you dreamt of.

Did you know that your NHS benefits varied depending on when exactly you die? Let us know by adding a comment below.

2 thoughts on “GP locums: Will you get your death in service benefit?

  1. Rukmal Gomes

    Hi Nigel
    I am GP Partner leaving in July this year and have regular locums booked till December 19 with practice. The locums are regular mostly. Does this mean that my in service period will be the last day that the locum is booked in December?

    1. Owen Beswick

      Hi Rukmal,

      When you switch to becoming a GP locum exclusively, you are only covered for death in service benefits whilst contributing to the scheme. I suggest the key to this is your contract terms. If you are scheduled to work from July to December 19th then you should be covered for death in service for this period. However, if your scheduling is only for a week ahead, say Monday to Friday, then from the Friday evening, no death in service would be payable if anything happens to you until the start of your next scheduled work.

      Realistically you probably will not have scheduled work for more than 4 weeks in advance, so there are likely to be times you would not be covered under the NHS death in service rules.

      Best wishes


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