The National Terms and Conditions for the Employment of Registrars (NTCER) set out the agreed rates of pay for GP registrars at each stage of training. These rates are enforced through the Commonwealth Government contracts signed by RTOs (the Colleges from February 2023) agreeing to ensure that training practices adhere to the NTCER.
As GPSA and GPRA are undertaking a collaborative review through the second half of 2022 to ensure relevance of the NTCER in the changing GP training environment, significant changes may be introduced before the commencement of Semester 1 in 2023.
The current agreement requires that GP registrars, regardless of stage of training, MUST be engaged as employees of the training practice.
GP registrars are entitled to receive either the base salary or the percentage of receipts/billings, whichever is greater. As this may fluctuate from week to week, the minimum terms provided in the NTCER include the base rate as specified for their stage of training plus a top-up payment – calculated not less than every 13 weeks – representing the difference between what they have already been paid in base salary and their percentage of billings or receipts.
GPSA’s members will receive a copy of the revised NTCER upon completion of the 2022 review.
The base salaries for GP registrars on commencement of term 2 of 2022 are as follows (salaries current from July 2022):
|GPT Term||Yearly Rate||Hourly Rate||Superannuation Rate|
|GPT1||$79,634.70 ($1,531.44/38 hr week)||$40.30||plus 10.5%|
|GPT 2||$95,741.95 ($1,841.19/38 hr week)||$48.45||plus 10.5%|
|GPT 3 & 4||$102,254.10 ($1,966.43/38 hr week)||$51.75||plus 10.5%|
According to NTCER clause 11.1, the prescribed base rates of pay are reviewed at the beginning of each financial year and adjusted in line with the most recent indexation of the MBS, level 23 consultation item. The new base rates of pay become applicable in the training term immediately following the MBS increase.
The MBS increase of 1.6 % for all GP item numbers from 1 July 2022 has been announced (noting a typo was made in the AMA correspondence with respect to the weekly rate for GPT2).
The negotiated percentage of billings or receipts for GP registrars is currently set at:
Note: Superannuation will by changing to 11% from 1 July 2023
Registrars are provided with education from both their professional organisation and peers in how to negotiate. They will come prepared – so should you! Your registrar will attempt to negotiate a higher percentage; some are known to ask for as much as the independent fellowed GPs working in the practice. Unlike those fellows, your registrar is an employee, and as such (in stark contrast with independent GPs who bear their own costs) adds to your expenses with payroll tax, workers compensation insurance, annual leave, personal leave and the potential cost to the practice’s reputation.
Negotiation of the percentage you pay must therefore be done with care and in full awareness of risk versus reward. GPs in training can make wonderful employees and benefit your practice in myriad ways. With fewer registrars entering training than training practices ready to engage them, however, the business risk comes down to whether competition with other practices means you need to pay more than appropriate for the quality of applicant just to have this extra member on the team for the training term.
This conundrum is not exclusive to general practice, nor even the health sector. Finding staff, especially good staff, is increasingly difficult. GPSA is working on additional opportunities for you to network with your peers to work through your challenges as employer and/ or business owner. In the meantime, please do not hesitate to reach out to our CEO, Carla Taylor, who is more than happy to draw on her extensive commercial and HR background to help where she can: firstname.lastname@example.org.