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This forum is for Health Care Professionals including student nurses, junior doctors and adult nurses.

Any nurses/AHPs set up private practices while employed on NHS contract?

10 replies

NHSandPrivatePracticNurse · 05/10/2025 15:41

I’m an NHS nurse currently employed in a substantive contract - recently I’ve been thinking about setting up an earwax removal business to earn some extra money, but as the main breadwinner in our family and someone who enjoys their nursing role I wouldn’t want to give up my NHS post.

I know doctors often do private practice alongside their NHS roles, but wondered in any nurses, midwives or AHPs had done this? If so I’d love to hear your experiences, whether ear wax removal related or not, and whether it made much difference to your finances.

thanks in advance :)

OP posts:
JennieTheZebra · 05/10/2025 16:10

You can, but check your contract as you will probably need written permission from your manager. On top of that, the NHS is very funny about employees working more than 48 hours a week and might need you to wave your rights under the working time directive in writing. It does sound like a good idea though. Good luck 😉

Timeforabitofpeace · 05/10/2025 16:18

I doubt doctors will much in future. Full time is over 50 hours anyway. Then any extra studying . What energy does one have left after that?

NHSandPrivatePracticNurse · 05/10/2025 16:52

JennieTheZebra · 05/10/2025 16:10

You can, but check your contract as you will probably need written permission from your manager. On top of that, the NHS is very funny about employees working more than 48 hours a week and might need you to wave your rights under the working time directive in writing. It does sound like a good idea though. Good luck 😉

Ah yes, I was aware about notifying my current employer but I’d forgot about the 48 hour stuff, will speak to HR to see what advice they have around it. Ideally I would t go above 48 hours as that sounds like a recipe for burnout, 10 hours a on the ear wax removal sounds like a reasonable start but good to know what the implications would be if I get a new lease of life 😂 Thank you, that was helpful!

OP posts:
InTheMountainsThere · 05/10/2025 16:59

Timeforabitofpeace · 05/10/2025 16:18

I doubt doctors will much in future. Full time is over 50 hours anyway. Then any extra studying . What energy does one have left after that?

https://www.bma.org.uk/advice-and-support/private-practice/working-in-private-practice/consultants-and-private-practice

of course they will. NHS consultants have always done less than full time NHS hours specifically to have time for private practice, and won't give it up easily.

plaster article illustration

Consultants and private practice

Learn about the rights and responsibilities of consultants working in private practice, and issues relating to conflicts of interest.

https://www.bma.org.uk/advice-and-support/private-practice/working-in-private-practice/consultants-and-private-practice

Timeforabitofpeace · 05/10/2025 17:22

Ah yes, consultants. On plan 1. That will change.

Cysco · 26/05/2026 20:07

Hi I just wondered if you decided to pursue this in the end?

NHSandPrivatePracticNurse · 26/05/2026 21:15

Hi,

I did the training and bought the kit, but haven’t set myself up yet as I need to register my business with the cqc. I’m in the process of doing the application but it’s really long and I work full time so it’s taking a while! Also I’m getting a sense that the market is pretty saturated, so not breaking my back over it as not convinced I’ll make that much from it.

the problem is that ear wax removal is not a regulated activity, so anyone can set themselves up to do it. And for the majority of people CQC registration isn’t required, however if you are a nurse/ahp/dr then you need to be CQC registered. It’s a bit unfair and means the market is easier for unregistered practitioners to get into….

OP posts:
Cysco · 26/05/2026 21:58

Thanks 👍 good luck with it

MildlyAnnoyed · 26/05/2026 22:41

I don’t but I’m going to! I’ve done the NMP & now I’ve booked on a course to do aesthetics & lymphatic drainage massage. You can waive your right to work over 48 hours by opting out of the working time directive, you can usually do this via your employer although you might have already done this, I think I was given the forms as part of my induction. I need to source insurance because the RCN doesn’t cover it.

Ohgoose · 26/05/2026 23:11

Most of my nurse friends do private work. Botox and other aesthetics or therapy for the MH nurses.

They tend to do their FT hours over 4 days then work on their day off.
It’s disgusting that people can’t earn enough in their full time job to manage financially. Most are doing it to make ends meet.

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