On 12/02/2018 23:49, Roger Hayter wrote:
This was a payment for providing a service.

He wasn't 'providing' a service, he was doing what all
money-grubbers do, he looked at all the juicy 'tick-box'
enhancements he could make (Offer dietary advice, kerching,
box ticked, rinse and repeat hundreds or thousands of times)
and that is how he artificially boosted his 'self employed'
income. Remember, this directly affects his NHS pension.