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Independents' Day

GP pension tax bills to be paid by the NHS in winter

The NHS is to pay doctors' extra pensions tax bills under Government plans designed to prevent shifts from being left unfilled this winter. 

Health secretary Matt Hancock is expected to instruct NHS officials to roll out the plans imminently, following fears that a winter crisis will become a reality if doctors continue to reduce their shifts in a bid to avoid the charges. 

Although not yet finalised, the proposals are on track to be presented by NHS England as an operational decision, according to The Times, which revealed the plans.

Pulse understands the proposals will include GPs' tax bills. 

The proposals come despite the pre-election period of purdah - in which Government announcements are usually discouraged - potentially causing controversy. 

GPs have said the proposals are a short-term fix for the winter, but further reforms are needed to tackle the ongoing high charges applied to doctors who hit the limit for tax-free annual pension pot growth.

This comes days after Mr Hancock exclusively told Pulse that he’s in discussions with the Treasury about removing the pensions tax allowance taper that the BMA deem responsible for scores of doctors reducing their hours or retiring early.

It also follows the BMA’s warning that this winter is anticipated to be the worst in NHS history.

Almost half of GPs and 30% of consultants have cut their hours over fears of being hit by the pension taxes, according to a previous BMA poll.

Dr Chaand Nagpaul, BMA council chair, said: 'The BMA has been in active discussion with NHS England about what short-term options, including this interim measure, could be implemented to allow doctors to resume additional work over the coming winter period.

'These proposals under discussion could, if properly implemented, provide the respite needed to enable significant numbers of doctors to increase the work they are doing, giving vital patient care at a time of unprecedented demand.'

He added: 'However, we don’t yet have important details about how the such a scheme will work; details that are crucial to the BMA and to the tens of thousands of doctors that we represent in order to provide the necessary reassurance that doctors can take on additional work without this resulting in any financial penalty.'

Dr Nicholas Grundy, chair of GP Survival, which has been campaigning against the charges, said: 'This will hopefully increase medical staffing through the winter, but is not a solution to the underlying problem: tax rates in excess of 100% will continue to exist until the annual allowance taper is abolished or reformed.’

At present, the annual pension allowance limits the amount people are allowed to increase their pensions pot by to £40,000 before incurring a tax charge.

The allowance is also reduced where individuals earn a yearly net income exceeding £110,000 - or an adjusted income exceeding £150,000 - with the taper stopping at a minimum annual allowance of £10,000.

In September, NHS England chief executive Simon Stevens called for ‘significant further action’ to ensure the sustainability of GP services, while the Department of Health and Social Care admitted that ongoing pension issues were incentivising a third of GPs to refuse shifts.

But the Government's proposed changes to the NHS pension scheme have been heavily criticised by the BMA, which described the plans as a ‘temporary sticking plaster solution that won’t fix the pension tax crisis’.



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Readers' comments (24)

  • This is classic, best days reading for ages. "Moving in right direction" "Speaking to treasury re tax" "Pension payments to avoid winter crisis" etc etc

    What other white bunnies can he magic out of a hat!

    Is there no end to this mans talents and abilities

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  • Only England again eh?
    Just like funded indemnity and GP burnout programmes, sure we can just self-combust and rot here in Northern Ireland.

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  • Place these words in their correct order
    Shit, Jack, worth.

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  • Anyone daft enough to trust HMG with this ludicrously complex arrangement almost deserves to be fleeced - which you will be.

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  • No indemnity or pension handout in Scotland either, Ms Sturgeon despises the middle classes so we are royally f@@@@d

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  • National Hopeless Service

    So we pay tax to be refunded out of taxes. So Matt has worked out to have a piss up in a brewery,

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  • But will the tax still be paid on the 4th of April when it's due in SPRING (after the election )? Never mind though, the government will fund this largess from your lifetime allowance payments when you retire.

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  • This is NOT for GP's.

    Only for hospital consultants. Pulse is a GP magazine. Perhaps you need to understand this.

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  • This would appear to be consultants only so not relevant to most readers here. It allows consultants to be paid for overtime without it adversely affecting their pension contributions and tax allowances when they enter the taper of allowances at a certain income.

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  • Take out your pension savings to pay tax plus all short term measures. Who knows if they make good their promises. When the system is complex, it is because they want to fleece you and most people only realized this 3 years after Osborne changed the rules causing people to remortgage and sell their houses to pay tax.
    Sorry I do not trust the system. Far better in my bank.
    I certainly will not do more as pay to work or taking home hardly anything after work is fundamentally wrong.
    Once bitten twice shy and all doctors have been bitten far too many times. Trust is gone.

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  • still not worth doing the extra shifts even if applied to GPs. rather like not working at weekends or evenings anymore. Would have to be a massive pay rate tax free and no pension consequences to get me to consider any shifts now. blown the bridge matey and I'm not rebuilding it.

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  • Why a short term fix?
    If they are going to the trouble of sorting this out then sort it permanently.

    It is the 'short-termism' mentality that has got the NHS in the mess it is in.

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  • So, how does this work...if the NHS pays the Tax Bill, is this not counted as "Income" or benefit, or whatever....surely the Tax Man will want some sort of cut from this additional benefit, or have I missed something...

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  • No Trust in them not to shaft us.Anyay time with family is priceless.

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  • Why not just make extra sessions non-superannuable?

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  • The problem is that it doesn't help to have non-superannuable sessions as the threshold (total income) is critical. Every direction of this policy leads to working less. The unintended consequence of this policy will result in less and less clinical workforce as the cut back their hours to escape the punitive tax bills.

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  • ???
    How would this actually work?
    The nhs pensions cannot even provide me with a statement after a year of asking due to support agency failure.
    Why not just institute the office of tax simplification advice...

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  • Was this announcement made by the same NHS England which reminded all NHS organisations that they should

    'consider that public announcements of policy and strategy which may be politically sensitive should not be made during the pre-election period.'

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  • fool me once - shame on you. fool me twice - shame on me !!!

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  • As many have said before, if they really wanted to fix General Practice they could do it easily. It's just not high enough on the agenda of "voters' national consciousness" to be worth the spend. Small, cheap gestures which will easily be misquoted against us by the Daily Fail if we moan, and not enough to make it worth the misery of carrying on for those of you still in the NHS GMS harness. I still don't feel they 1. will ever understand the merits of what we do and 2. truly give a sh*t! As lkong as we have Cardigans we will not seek a better deal for our profession, and as a direct result one for our patients.

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  • A radical positive change for GP partners would be for the employer's contributions to be directly funded by NHSE (I realise that allegedly this is covered by the global sum but in reality this is a farce given the inadequacy of the global sum). This is the main factor stopping me from joining the NHS pension scheme and taking a chance on the byzantine tax laws and the threat of endless tinkering. Is there really any point joining this scheme as a partner when you pay a massive 28% of your profit share into the pension??

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  • The clue is in how Dr Nagpaul describes what a great deal this is for the NHS; the BMA is selling doctors down the river, again, to protect the sacred NHS.

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  • It is a trap! Once you do more they will "forget" or delay in paying what was promised and most likely you'll also forget and stay in the system due to how busy you are. Even if you remember to come out of the pension scheme, knowing how slow moving things are and you'll end up paying more pension tax.
    Not worth it.

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  • The Times is reporting this scheme as tax avoidance. Beware!

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