1
Verify once
Upload your HPCSA registration — confirmed against the live register, usually within the hour.
For healthcare professionals
HPCSA-verified · POPIA-audited · zero professional fees
Keep every rand you earn.
R0in platform fees — you keep 100% of your rate
Direct locum shifts for HPCSA-registered professionals — doctors, dentists, radiographers, nurses, physios, OTs, dieticians and optometrists. The platform never takes a cent from you.
Your payout
One shift · CardiologyGross · 12h × R485/hrR5 820
Platform feeR0
You keepR5 820
100% of the posted rate. No agency cut, no 30-day wait.
Zero professional fees
Live · last 24 hours
0shifts filled
R0paid out
0professionals joined
0open right now
How it works
Three steps to your first paycheck.
2
Apply in two taps
Filter by specialty, rate, date and distance. See the pay before you apply.
3
Get paid your way
Scan the QR on arrival. Paid directly or released from escrow — you keep 100%.
Earnings calculator
See exactly what you'd take home.
Pick your specialty and your monthly hours. We'll show you the side-by-side against the agency you're probably using now.
- Zero professional feesYou keep 100% of the posted rate.
- Protected paymentsPaid directly by the facility, or through escrow protection — the payment method shows on every shift before you apply.
- Real SA ratesBased on actual posted rates across pilot facilities.
- No surprisesFacility pays the platform fee; the math is on this page.
Demand near you
Shifts are open in every metro.
From Cape Town to Pretoria, facilities are posting direct shifts every week. Set your home base and travel radius — the right ones come to you.
Representative activity across pilot metros — not live.
PTA · 7 openJHB · 18 openDBN · 9 openBFN · 3 openCPT · 12 openPE · 4 open
Riaan S.
Earnings
Every rand that's owed to you.
Gross and net for every shift you've worked — direct payments and escrow payouts in one ledger.
This monthLast monthAll timeCustom
Cardiology
Verified clinic · Sandton
Sat, 24 May
Gross
R5 820
Fee
-R698
Net
R5 122
ref MS24052026
Emergency Medicine
Verified clinic · Cape Town
Sun, 18 May
Gross
R4 200
Fee
-R504
Net
R3 696
Paediatrics
Verified clinic · Pretoria
Sat, 10 May
Gross
R3 600
Fee
-R432
Holdback
-R900
Net
R2 268
ref ADM10052026
Attendance confirmed
QR scanned on arrival — 06:58
See the product
Your shifts, your earnings, in one place.
Every rand that's owed to you, on one screen. Earnings to date, upcoming shifts, applications and messages — surfaced by what needs your attention.
- Full earnings reconciliation — gross, platform fee (R0), net, payout date — for every shift you've worked
- QR-code attendance: scan the facility's screen on arrival, done. No paperwork, no calls.
- Paid directly or released from escrow — the method shows on every shift before you apply
- Push, email and SMS notifications — opt in to whichever you want
- HPCSA status + expiry countdown built into your profile
Talk before you book
From “who’s available?” to a confirmed booking — in one conversation.
Found the right professional in the directory? Start a chat about a specific shift, sort the details in real time, and lock it in — all in-app. No phone tag, no agency in the middle.
- Invite about a shift
A facility reaches out about one specific shift — the chat opens with the details attached.
- Chat in real time
Confirm hours, parking, handover — anything — before committing. No cold calls.
- Accept, then confirmed
One tap to accept. The facility confirms and the booking is secured — both sides notified.
MessagesCity General Hospital
ICU night · Thu 18 Jun · 19:00–07:00
You’ve been invited to this shift.AcceptDecline
Hi — City General would like to talk to you about an ICU night shift on Thu 18 Jun. Are you available?
Yes, I’m available and ICU-confident. What’s the handover like?
Day team hands over at 18:45, parking in Bay 2. Rate’s on the shift. Keen to have you.
Booking confirmed — you’re on for Thu 18 Jun. Added to your roster.
Shift filled
No agency · no markup
Open right now
Real shifts. Real rates. Apply in two taps.
These are live on the platform as you read this — not a screenshot, not a job board cross-post.
New shifts post throughout the day.
Sign up and you'll see them the moment they go live.
Get notified when shifts open →Updated every 30 seconds.
See every open shiftSide by side
How BT iLocum compares to what you're using now.
Honest, specific differences. We're not the only way to find or fill locum shifts — we're the only one built for South African healthcare specifically.
| What you care about | Locum This platform | Traditional agency e.g. MedRecruit | Job boards e.g. PNet, Indeed |
|---|---|---|---|
| How shifts reach professionals | Direct, on the open board | Recruiter phones a shortlist | Buried in a feed |
| Professional fee | R0 | 28–35% deducted | R0 (no support) |
| Payment to locum | Direct, or per-shift escrow payout | 14–30 days | Direct arrangement |
| HPCSA verification | Verified before listing | Varies by agency | You verify yourself |
| POPIA-compliant audit trail | Built in · downloadable | Manual paperwork | None |
| Escrow protection | Available on every shift | No escrow | No protection |
| Cancellation handling | Automated · clear policy | Phone calls, paperwork | You handle it |
| Off-platform contact reveal | After acceptance only | Always exposed | Always exposed |
Source: Locum platform data (May 2026) vs published SA medical recruitment market rates. Walk through our methodology with numbers@btlocum.com.
Trust & compliance
Built for the rules you operate under.
Healthcare is regulated for good reasons. We treat compliance as a feature you can audit, not a checkbox on a marketing page.
Data protection
POPIA-compliant by design
DPIA filed with the Information Regulator. Every shift generates a downloadable audit pack with timestamps, geofence proof, hash-chained logs, and the escrow ledger.
Read the DPIA summaryProfessional verification
HPCSA-checked before listing
No professional appears in search results until we have confirmed their HPCSA registration against the live register. Annual re-verification, automatic flagging on expiry.
How verification worksPayment safety
Escrow until shift complete
On escrow shifts the facility funds up front, held with a licensed financial services provider and released on verified completion. On direct-pay shifts the facility pays you directly — the platform never touches the money.
About our escrowAudit trail
Immutable, hash-chained logs
Every booking, message, payment, and check-in is logged with a SHA-256 hash of the prior record. Daily write-once (WORM) snapshot, retained 7 years.
Infrastructure
SA-resident infrastructure
All data is hosted in South Africa. We do not transfer your personal information out of the country.
Real-time statusPenetration tested
External security review
Annual penetration test against the production API and web app. No Critical findings open. SAST + SCA run on every deployment.
Security summaryCommon questions
Real answers, not legalese.
Got one we haven't covered? Email hello@btlocum.com — a person replies, usually within the hour.
See all questionsYes. Facilities can find your verified profile in the directory and message you about a specific shift, in-app — you see the shift details and chat right there. Accepting the invitation turns it into a normal application the facility then confirms, so it never locks you in, and you can decline or opt out of the directory anytime.
If the facility cancels within 24 hours of the shift start, you receive 50% of the booked amount as cancellation pay — held in escrow and paid out automatically. If they cancel earlier, you get nothing, but the shift slot is immediately re-listed and we will surface relevant alternatives to you first.
The geofence check-in has a 15-minute grace window. Beyond that, the facility chooses whether to release full pay, partial pay, or cancel. Any decision they make is logged. If a facility consistently refuses to pay for short delays, that pattern shows up in their rating — locums see it before applying.
Yes — eventually. Contact details unlock after a shift is completed (not before). After that, you and the facility can arrange direct work outside Locum. We do not enforce a "no off-platform" clause. We would rather earn your repeat use than lock you in.
Locum income is independent contractor income — you are responsible for your own provisional tax and SARS submissions. Locum issues you a year-end summary of all payments and exports IRP6-ready spreadsheets. Most healthcare professionals on the platform work with a part-time accountant; we keep a list at /clinicians/tax.
Under POPIA you have the right to delete. We honour that within 14 days. Personal data is purged; audit logs of past shifts are retained (anonymised) for 7 years as required by financial regulation. You can also export everything we hold about you in one click — DSAR endpoint is in your profile settings.