[Titch]

I justify a higher hourly rate by being accredited to deliver all the extra services e.g. EHC PGD, minor ailments, methadone supervision, MURs.
So in one way I am being paid albeit not a proportion of the MUR fee, but I get paid my higher rate whether I do any of those services or none.

I am happy to undertake MURs as/when the opportunity arises but recently, many of my locum shifts have had staffing levels etc that have not left me in a position to choose to spend 10 mins or so in the consultation room.

Some multiples are pushing MURs and being very demanding of locums to help them reach targets.

I admit I would be more inclined to do more of them if there were a monetary incentive for me but if a patient could benefit from a MUR then I'll do it, regardless of whether I'll be paid or not.