Hygienists' Employment Status in question

Reently, I was perusing the website or a well known business coach who was comparing the advantages and disadvantages of a dentist using the service of a self-employed hygienist with those of an employed hygienist. He came down on the side of the latter on the grounds that it was best not to provoke the taxman unduly into "looking into his practice".

How justified are his fears and is there any foundation to his phobia?

Without doubt, employment status is an increasingly difficult area for dentists to deal with and recent development in the courts mean that any practice owner should be aware of the ramifications for their practice in the event of an HMRC enquiry into the employment status of those presently treated as self-employed. This distinction arises most often with regard to hygienists.

Let us remind ourselves just why so many hygienists and dentists want the hygienist to be classified as self-employed:

* The National Insurance (NI) liability of a self-employed person is much lower that that of an employee - and don't forget that there is no employer's liability amounting to a whopping 12.8 %.
* The self-employed have a cash flow advantage in the timing of income tax payments compared to employees
* The rules allowing tax relief for expenses are more generous for self-employed individuals that for employees, where the rules are notoriously tough.

You should also be aware of the fact that the practice owner takes risks if he gets it wrong - i.e. if HMRC were to win the argument that a self-employed hygienist is in fact an employee. If he is proved wrong, he will be liable for the tax, NI, interest and penalties due. It is therefore important to look at the underlying engagement terms and get the employment status right from the start.

There is no legislation to distinguish between employment and self-employment but numerous cases decided in the courts have provided guidance of indicative factors. There is also plenty of advice from HMRC on the subject - but be careful - invariably, HMRC will try to classify an individual as self-employed because it is in their interests to do so.

This doesn't make their viewpoint correct - often they are just "trying it on".

What are the steps that a practice owner and hygienist can take to re-enforce the non - employee status of the hygienists? There are a variety of key tests.

Choice

The parties cannot simply decide to treat working arrangements as either self-employment or employment. It is not just a question of the dentist saying "you are self-employed and have to pay your own stamp". It is the circumstances of the working arrangement that determine how the arrangement is treated. Even is there is a written contract you have to establish whether or not the contract terms were applied in practice. It is not just a question of describing the arrangement as self-employment the contract must be adhered to in reality.

Control

The degree of control or direction a dentist has over a hygienist would be an important factor to consider in determining the employment status. It would be important to establish who has control of:

* What work is done
* When it is done
* How it is done

In my opinion, most hygienists would pass this test in practice.

Financial Risk

HMRC have stated on record that "the greater the degree of financial risk for the worker (hygienist) the more likely it is that he or she will be self-employed". The basis of payment and the surrounding financial circumstances of the arrangement will therefore be important. Accordingly, should the hygienist be being paid on the basis of a percentage of the fees, there is a definite financial risk. For example if the patient does not turn up, the hygienist will not be paid - a pronounced financial risk?

Quoting a fixed fee for a job is the ultimate in financial risk. If the hygienist can profit by working quickly and obtaining more work and hence being paid more, this points toward self-employment. Conversely, if the hygienist is slow and runs into problems then he or she will only be paid the fixed fee. The hygienist has to remedy the faults at her own expense - again a strong indication of self-employment.

If we examine the view expressed by the judge in the landmark case of Hall v Lorimer, to decide whether a person is self-employed or not it is necessary to consider many different aspects of that person's work activity.
"This is not just a mechanical exercise of running through items on a checklist to see whether or not they are present in .... a given situation. The object of the exercise is to paint a picture from the accumulation of detail."
In real life there are a whole host of factors some pointing toward employment, some towards self-employment. Each factor has to be given a different weighting, depending on the circumstances of each case.

One has to look at the key factors - i.e. what is the picture that is being painted? Workers are generally self-employed if they are going into business on their own account and the responsibility for their business's success or failure. Don't focus on trying to build up as many points as possible. It's the picture that counts. HMRC place much emphasis on the ESI (Employment Status Indicator) tool which is available on their website. However, this has no legal authority and will often be incorrect as it does not allow for the use of judgement which is fundamental in an exercise of this nature.

Summary

There are so many factors to be considered in determining the employment status of an individual that it very rarely is a clear cut decision and professional advice should be sought in all circumstances.

 

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