When the Whanganui Accident and Medical Clinic was set up by the Whanganui PHO in 2006 it was pointed out to the management and directors that all GPs working there should be employed as Casual employees and not contractors and to suggest they wrote their own contracts and invoiced the clinic for their after hours duties was incorrect . They were provided with a fixed rate per hour actually in the clinic which was not negotiated and had no expenses for night calls or house visits or public holiday rates or mileage , travel time, study holiday pay , etc. . The directors and management who set it up were well aware that the contractor description was to avoid paying holiday pay after hours and penal rates . Several edicts from the NZMA , the Labour department, Medical Assurance Society and some often acrimonious stakeholders meetings in the intervening years have all been in agreement that the GPs working after hours and on call at the clinic are working as EMPLOYEES and not contractors . Some of those directors are , were or have been GPs and need to be held accountable for the years of back pay and penal rates and holiday pay that have accumulated and been denied to their colleagues .
One local health trust set up to act as a tax free trust owner of a local clinic has claimed $33,000 annually for the last three years of work in kind done by two of the trustees . This has enabled them to claim back $11,000 for tax refunds annually .The claimed hourly rate charged for the work and the actual work provided by the two is not specified in the trusts annual accounts . At a nominal $100 / hour that is 330 hours of gifted " work. "per year or a full day per week less 8 weeks holidays and leave . While this potential way of transferring money to the GPS on call was explored at the A&M clinic when set up at the time as a way of funding GPs for their time on call and other expenses , and had no specific cost to the PHO and the clinics cash flow, the directors and management who set up the Accident and Medical Clinic and the Parent trusts never implemented it .
13years x 365 days on call at a nominal $100.00 on call is back pay of $474,500 owed to the GPs who have done the call as"contractors" . At $200.00 per day on call it is a deficit of $949,000 in back pay . At the rats paid in the ASMS awards for clinics , hospices and demanded by locums doing prime call in some areas of $1,000/ day on call the amount owing could be quite substantial . Holiday pay and penal rates for Weekends and public holidays and time off in lieu would add another several hundred thousand dollars in back pay owed .
New Zealand Doctor