Lately there has been a lot of fuss about the hourly fee or daily fees of medical locums. While it is great news for locums to hear that they can get a much bigger salary by taking on freelancing projects they are also now becoming the target of negative social media attacks because of the high rates that some locums charge. NHS doctors in some areas are banned from charging what is referred to as ‘rip-off’ rates. Complaints about high locum rates seem to be flowing in from everywhere. But are these complaints truly grounded? Medical firms and permanent employs cry foul when they haven’t properly researched the extra effort that some locums have to put in to earn a good income.