This advice outlines the main options for engaging hygienists and therapists and highlights the key considerations for practice owners.
Contents
- Overview
- The risks when contracting hygienists or therapists
- Available contract models
- How we protect your interests
Overview
Dental practices have different ways of contracting with hygienists and therapists. Some are employed, and some are self-employed.
How hygienists and therapists are engaged has important legal, financial, and operational implications for a dental practice. The most appropriate arrangement will depend on the practice’s structure and how services are delivered day to day.
While each option can be appropriate in different circumstances, you should ensure that the model you use aligns with what actually happens in your practice. We care about the consequences you may face if you use the wrong contract. We are happy to provide our model contracts to you but advise you to have a conversation with us to discuss your options for contracting with your hygienist or therapist to ensure you can make a well-informed decision. We strongly encourage Expert and Extra members to contact our advisors to discuss your requirements, and to speak with your accountant before deciding how to engage a hygienist or therapist.
The risks when contracting hygienists and therapists
Hygienists and therapists are often engaged on a self-employed basis. Whilst many of them are genuinely self-employed, it is important that the contract reflects the true nature of the relationship.
Dental practices can face significant liabilities if HMRC or an employment tribunal decide that a hygienist or therapist engaged on a self-employed basis is actually an employee. Those liabilities cannot be passed onto the hygienist or therapist. Understanding the available options and seeking advice at the outset helps to prevent this situation and supports informed decision-making.
