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Originally Posted by 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.
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I agree. I locum at £25 but have all the relevant CPD qualifications. I had to do these in my own time and at my own expense.
If someone has paid for you to do the MUR course then its difficult for you to charge extra - If it cost you to do the course that should be reflected in what you charge or an extra payment.