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Protecting your finances against cancelled clinics
Every edition, OT shares a real-world challenge faced by a locum optometrist and how they navigated it. Here, Francesca Marchetti considers protecting herself against cancelled clinics and unexpected half-days
02 October 2026
The scenario
“As a self-employed optometrist, I have seen a number of friends and colleagues left out of pocket due to cancelled clinics – including finding that they were only booked for half a day after turning up at the practice expecting to work a full day. I have also experienced last-minute half-days and cancelled clinics. I was determined that this situation would not lead to financial stress for myself.”
Francesca Marchetti, self-employed independent optometrist
How I navigated it
If you think you are going into a practice for a day’s work for £300, but you get a notification the day before saying that you are only needed for half a day so will be paid £150, or that you are not needed at all so will earn nothing, this is a challenge.
Also, if you’re not working, you’re more likely to be out spending money: you’re meeting a pal, you’re going for coffee, you’re going for lunch. It’s a double whammy.
I have navigated this during my time as a locum by managing my financial expectations sensibly. I have a certain amount that I know I need to earn to cover my outgoings each month. Although I might have a large number of locum days booked, I don’t rely on them all being completed or earning a huge amount over what is needed for my planned outgoings.
I know what my monthly outgoings have to be: mortgage payments, car payments, petrol, and living expenses in general. I know how much I minimally need to earn and I always make sure that I earn that. That’s guaranteed income every month. Anything I earn above that is a bonus, but there are no expectations of it in case days get pulled, half days get given, or I’m sick.
If you expect to be earning a large amount of money and then you don’t, you might find yourself in a difficult position
Advice for fellow locums
As a locum, you really have to manage your finances efficiently, and take it from there. If you expect to be earning a large amount of money and then you don’t, you might find yourself in a difficult position. There is also the issue that if you are unexpectedly sick and therefore unable to work, you will not be earning. You should manage your expectations: know the minimum amount you need to earn in a given month to cover your outgoings, and whenever you earn more than that, view it as a bonus.
I recommend that locums take out income protection insurance. Manage your finances closely. Otherwise, if a locum day is cancelled, if you get half days instead of full days, and you’ve still got things you need, you can’t afford them.
Importantly, as a locum, you do need to manage your expectations. If you are going to have a high earning month, think of that as a bonus. Don’t think of that as your day-to-day income. Always prepare for a rainy day. Keep some savings behind. Just because you have a high earning month, don’t spend it all. Remember to save for the unexpected.
Natalie Glass, administrative secretary at OptomHelp, says:
“Francesca’s experience highlights how a locum’s headline daily rate can look considerably more attractive than that of an employed salary. It can be easy to overlook the need to build a financial buffer, so when unexpected illness, cancelled work or changing circumstances come along, optometrists can find themselves in difficult circumstances. At OptomHelp, we see the stress and anxiety financial hardship can create, and its profound impact on people’s lives.”
About the author
Francesca Marchetti 
Self-employed independent optometrist
Francesca Marchetti is a self-employed independent optometrist and a former member of the AOP Council
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