Insurance for healthcare workers, and where an employer's indemnity stops covering you

A healthcare worker employed by a large organisation is usually indemnified for that work and for nothing else. The insurance question arises at the edges: agency shifts, private practice, a second role, and the period after leaving.

Registration requires cover, and it is personal

The healthcare regulators require registrants to have an indemnity arrangement in place covering their scope of practice, and the duty sits on the individual rather than on an employer. An employer's indemnity satisfies it for work done for that employer. It does not follow the registrant to a different setting, which is why the regulators expect registrants to know what their arrangement covers rather than assume it covers everything they do.

Agency and bank work

Agency shifts are usually covered by the agency's arrangements, and the extent varies by agency and by role. A worker on several agencies' books has several arrangements, none of which necessarily covers the others' placements, and gaps appear where one agency's cover ends and a shift is worked directly for a client. Asking each agency in writing what its indemnity covers and keeping the answers is unglamorous and is the only way to know.

Private work, even a little of it

A nurse doing occasional aesthetic treatments, a physiotherapist seeing private clients at a gym, a paramedic covering an event: each is practice outside an employer's indemnity and needs its own cover. This is the most common gap in the sector, because the private work starts small and the indemnity question is not obvious at that size. The cover needed is the same shape as any practitioner's, with the scope of practice declared.

After you leave, and the run off

Clinical claims arrive years after the treatment. An employer's indemnity generally continues to answer for work done while employed, which is why the distinction between an occurrence and a claims made basis matters. A worker whose private practice cover was claims made needs run off cover after stopping, or the years of private work become uninsured retrospectively. Occurrence based arrangements do not have that problem and are not universal.

Questions people ask about insurance for healthcare workers

Does my employer's indemnity cover agency shifts?

No. It covers work for that employer. Agency placements are covered by the agency's own arrangements, which vary, so ask each agency in writing.

Do I need my own cover for a small amount of private work?

Yes. Any practice outside an employer's indemnity needs its own arrangement with the scope of practice declared, however small the volume.

What happens when I stop practising?

Occurrence based cover continues to answer for work done while it was in force. Claims made cover needs run off, or past work becomes uninsured.

Sources

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