Doing private work on nhs time is a major disciplinary and GMC offence. I’ve not seen it happen, but I’ve heard of at least 2 consultants dismissed and referred to the GMC. The problem with the system is that despite having a 48 hour week, many specialties breach this week in and out. I will be in from 7:30 until 6:30-7 Monday to Friday. I then have oncalls shifts 8-8:30, nights and weekends on top. I’m also doing a distance masters, involved in teaching students and finalising 2 papers for submission to journals. Many specialties require this level of work to be employable at the end of your training and rely on your goodwill to be able to deliver the service.