This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

The docbot will see you now

Pension tax changes 'coincide' with spike in early retirements, says minister

The change to pension tax allowances 'coincides' with the growing number of GPs retiring early, a minister has said. 

Health minister Stephen Hammond admitted last week that pension tax 'may be a factor in doctors deciding to retire early or limit their NHS commitments'. 

It follows news that health secretary Matt Hancock was in discussions with the Treasury over changing the tax treatment of pensions due to its effect on GP retention. 

GP leaders have previously warned that the changes to the allowance have caused serious damage to both recruitment and retention within the profession. 

Under the current NHS pension scheme, an annual allowance worth £40,000 limits the amount of money that can go into the pot each year before incurring tax penalties.

GPs have been hit with charges, which has seen many limit the number of sessions they do towards the end of the financial year.

Labour/Co-operative MP Alex Norris asked Mr Hammond whether the Government had made 'an assessment of the effect of the annual and lifetime allowance taxation rules on rates of early retirement among doctors'.

In response, Mr Hammond said the increase in the number of GPs and hospital doctors part of the 1995 pension scheme retiring early 'coincides with reductions in pension tax allowances'.

According to data provided by Mr Hammond, 4,593 GPs decided to take an early retirement between 2011 and 2018 - compared with 2,969 hospital doctors over the same period. The new tapered annual allowance was introduced from 2016.

Mr Hammond said: 'Whilst the scheme does not require individuals to give reasons for claiming their pension, the rise in voluntary early retirement rates coincides with reductions in pension tax allowances over the same period. The annual and lifetime allowances limit the amount by which an individual can grow their pension tax-free each year and in total.

'There is emerging evidence that pension tax may be a factor in doctors deciding to retire early or limit their NHS commitments. There are of course other factors, such as workload.'

GP leaders previously warned that the annual allowance and concerns over large tax bills have caused serious damages to recruitment and retention, with doctors either reducing their hours or taking early retirement as a result.

In January, Pulse revealed that health secretary Matt Hancock was in discussions with the Treasury over changing the tax treatment of pensions due to the effect on GP retention, saying it is the ‘biggest concern’ GPs raise with him

Mr Hammond added that the Government is 'alive to the issues raised by senior clinicians, and keeps the impact of public sector pay and pensions policies under constant review, taking account of total reward and fiscal considerations'.

Dr Charlotte Alexander, a GP in Surrey, said current rules around tax allowances have become a 'trap' for GPs and consultants, preventing them from undertaking extra work.

She said: 'Essentially, the pension scheme has become a trap for GPs and consultants and it’s preventing us from taking on extra work. It’s making people pay now for what they may never have in the future and it's having an impact on people’s work - it’s like tying our hands.

'Even if you’re keen, want to help out and want to be paid the fair wage but also be able to put into the pension, because of the injustice of it you don’t do it as you don’t see why you should have to pay to go to work. Eventually, doctors may find different ways, which will often probably be more and more in the private sector.'

It emerged this month that there has been a 'sharp rise' in the number of GPs seeking pension advice, with some GPs facing personal bills of up to £50,000.

This came after research from Royal London revealed that doctors have resorted to a 'hokey cokey' approach to mitigate tax issues.

Number of hospital doctors and GPs claiming their NHS pension on a voluntary early retirement basis from the 1995 scheme

Scheme YearHospital DoctorsGPs

2011-12

315

513

2012-13

387

591

2013-14

406

746

2014-15

453

739

2015-16

494

695

2016-17

490

721

2017-18

424

588

Source: Stephen Hammond

Related images

  • Pension - pensions - retirement - retire - RF

Readers' comments (12)

  • All stick,no carrot and a 10 year pay freeze,may have more to do with it.

    Unsuitable or offensive? Report this comment

  • Cobblers

    'Coincides'. Says it all.

    “When I use a word,’ Humpty Handcock said in rather a scornful tone, ‘it means just what I choose it to mean — neither more nor less.’

    ’The question is,’ said Helen Double-Barreled, ‘whether you can make words mean so many different things.’

    ’The question is,’ said Humpty Handcock, ‘which is to be master — that’s all.”*

    *Adapted Lexis Carroll,Through the Looking Glass

    Unsuitable or offensive? Report this comment

  • Correlation is not causation, as we know.

    Except when it suits the Suits.

    Let them think what they like. It’s lifeboat time.

    Unsuitable or offensive? Report this comment

  • i am amazed at their surprise. You take some of the brightest people in the country, change their tax status, limit their pension and to avoid excessive tax charges they retire early and go and work privately or as a locum instead. Either the government are incompetent or its a deliberate move to remove expensive nhs employees from the NHS, reduce the nhs pension bill, drive privatisation of the nhs and dumbing down of staff to the level on non questioning robots. either way its the end of the NHS. within the next 10 years the only way to see a doctor will be to go privately - private referrals requests already starting to increase.

    Unsuitable or offensive? Report this comment

  • please-delete-this-fucking-profile-i-cant-delete-it-in-my-account-settings

    too young to retire, too old to retrain ...totally screwed. there's a bunch of people caught between the baby boomers and the new arrivals that's being well and truely f:;(d - crap pension, crap working conditions, crap pay, continually blamed for the sins of those who went before, not new enough to be of interest to the 'we must nurture the future crowd', not old enough to hang up the stethoscope, too embedded to go abroad...screw it all i want to set the practitioner fire (not literally figuratively of cause)

    Unsuitable or offensive? Report this comment

  • please-delete-this-fucking-profile-i-cant-delete-it-in-my-account-settings

    practice not practitioner..WFT as if the NHS wasn't bad enough we all have to contend with the incompetence of autocorrect ...i rest my case

    Unsuitable or offensive? Report this comment

  • Does this tax only apply to doctors?
    If it affects others, how do other professions get around it?
    You hear nothing about solicitors being hit by this tax!

    Unsuitable or offensive? Report this comment

  • Solicitors do not have the NHS pension we are forced to pay we cannot be tax efficient unless you bob in and out of it.Other people have private pensions can pick and choose.We are chains to the galley unless you escape.They really do hold us in the comtempt we hold them.

    Unsuitable or offensive? Report this comment

  • Now aged 50, having contributed 30 years to the State Pension, gov.uk tell me that I have to contribute another 8. That seems to be 3 years more than everyone else in society.

    Have no hope of ever collecting a state pension, or my NHS pension for that matter. Death in chains

    Unsuitable or offensive? Report this comment

  • Let common sense prevail

    Locum X
    It's very easy to whinge isn't it? If you feel the pension scheme you are in is crap then you can opt out. Here is the link to the form you will need.

    https://www.nhsbsa.nhs.uk/sites/default/files/2018-05/SD502%20%28V19%29%2005.2018.pdf

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page

Have your say