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NHS Pensions Guide for NHS workers

by Medics Money

Table of Contents

What is a pension?

In simple terms a pension is a saving that you make whilst working to provide an income, or lump sum, to you when you get older and want to stop or reduce working. In simple terms the earlier you save the more options you will have when you want to step back a little.

Pensions should be seen as part of a wider financial plan. For those working in the NHS the NHS Pension allows you to build up a pension. It is important to note that it is different to the State Pension which you are also entitled to. https://www.gov.uk/browse/working/state-pension

Why are pensions important? Have a read of our blog:

https://medicsmoney.co.uk/retirement-planning-for-doctors-in-2025/

The NHS Pension

There are three sections to the NHS scheme. Two are old, or “legacy”, schemes – the 1995 and 2008 section schemes – which are in the main closed to future years of service accrual.

If you joined the NHS before 31 March 2015 then you may have some pension built up in these sections. If you joined after 1 April 2015 or remained an active member of the scheme after 1 April 2022 then service accrual will be now going into the 2015 section.

For a back-to-basics guide have a listen to our podcast https://medicsmoney.co.uk/captivate-podcast/ep-337-nhs-pension-for-new-and-current-doctors-the-7-billion-question/

The 2015 section of the scheme builds up a pension each year based on 1/54ths of your pensionable earnings. So if you earn £54,000 then £1,000 is “banked” in your pension. Each year that amount gets revalued by a percentage based on 1.5% plus the CPI inflation rate. So for every year you work, you grow your pension which remains protected against inflation.

You can claim 100% of your pension at the normal pension age – which is same as your state pension age in the 2015 scheme. You can take the benefits earlier than this age – but note that early retirement factors will apply.

The 1995 and 2008 sections calculated the pension in a different way depending on whether you were a GP (practitioner) or a Hospital Doctor (officer). For GPs historic amounts built up in the legacy schemes get inflation protected in a similar way to the 2015 scheme. For Hospital Doctors a link to the whole-time equivalent salary you have closer to retirement still exists. Different normal pension ages also apply in these sections.

It is important to note that what you pay into the pension scheme is not invested anywhere. What you get out of the scheme is linked to your pay over the years and isn’t impacted by investment risk.

Find a specialist medical accountant with Medics Money

Let us match your requirements to an independent specialist medical accountant – handpicked and verified by us and reviewed by doctors like you.

Not sure what section you are in?

From 1 April 2022, all active members of the NHS Pension Scheme are members of the 2015 section.

But you might still have some service in the 1995 section if you first joined the Scheme before April 2008.

If you first joined the Scheme between April 2008 and April 2015 you probably have some service in the 2008 section.

Defined Contribution (DC) “normal pension” Defined Benefit (NHS Pension)
Benefits defined by contributions and size of fund at retirement Benefits defined by pre set formula of the pension scheme
Benefits depend on performance of investments Benefits based on salary and length of service
Benefits vary depending on performance of stock market & other financial products Benefits guaranteed and underwritten by HM Treasury.

Where do I get information from?

The NHS pension in England and Wales is administered by https://www.nhsbsa.nhs.uk/nhs-pensions

The NHS pension in Scotland is administered by https://pensions.gov.scot/nhs

The NHS pension in Northern Ireland is administered by https://hscpensions.hscni.net/hsc-pension-scheme/

Each have their own portal which provides you access to an Annual Benefit Statement (often referred to as a Total Reward Statement). In Scotland and Northern Ireland it is the Engage platform. In England and Wales it is either via the Electronic Staff record https://my.esr.nhs.uk/dashboard/web/esrweb or My NHS Pension https://mynhspension.nhsbsa.nhs.uk

 

Get an Annual Benefit Statement every year

The statement only gets updated once a year usually around August. It is useful to download a copy as old versions disappear online and if you ever have a problem with your pension record it’s useful to have kept older versions.

It is also important that you check them each year to see that the latest year’s worth of pension has been added correctly.

Does it show what pension I will get when I retire?

Yes and no! It will show what you have built up to date (or the latest forecast date as for GPs that can be more than a year out of date) assuming you retire at the normal retirement date.

What it won’t do is factor in future years of service or early / late retirement options. You have to do your own maths for this or consult an advisor (see below)

How much does the scheme cost?

As employees you have to pay an employee contribution. How much you pay will depend on which country you are in and how much you earn as a tiering system of percentages applies which changes annually to uplift for inflation. The latest tiered rates can be found on the respective scheme administers websites.

In addition, your employer will also make a contribution based on a percentage of your income. This amount gets reviewed approximately every 4-5 years to ensure the scheme self-funds although the amount the employer pays doesn’t impact the pension you build up as that is linked to how much you earn.

Self-employed GPs don’t have an employer so effectively have to pay both the employee and employer rates themselves.

Pension contributions are tax deductible expenses (see below)

What other benefits does the pension give you?

Benefits is probably the wrong description, but the NHS pension also provides protection for death in service and ill health.

Who gets your NHS Pension benefits if you die?

You can find more information here.

https://www.nhsbsa.nhs.uk/pensioner-hub/bereavement/what-happens-your-pension-when-you-die​

It may also be important to make a nomination as to who receives the benefit. If you are married or in a civil partnership then that’s automatic – but if not it’s really important you make a nomination  https://www.nhsbsa.nhs.uk/member-hub/nominations

Ill health protection

Becoming too ill to work can happen at any point in your career. The NHS pension provides some cover for this.

https://www.nhsbsa.nhs.uk/member-hub/applying-ill-health-pension-benefits

It is important to note that the cover you need will change throughout your career and you may need to top this up outside of the NHS as your family situation changes. Our blog below contains more information.

https://medicsmoney.co.uk/life-insurance-for-doctors/

What about tax?

Contributions to the NHS pension scheme are tax deductible at the marginal rate of tax on your highest income. https://medicsmoney.co.uk/your-marginal-tax-rate/  This means the cost to you reduces by the tax saving you get.

For employed doctors this is automatically claimed via the PAYE system. The tax you pay through your payslip will take into account the tax relief on the pension automatically and no further action is needed.

Self-employed doctors who are in the pension scheme (GPs) will need to claim tax relief through their annual tax return.

If you are a Resident Doctor you can probably stop here. But you should also make sure you’ve claimed tax back on those super expensive fees and exams by reading our free guide:

https://medicsmoney.co.uk/free-guide/

Also, check your tax code is correct here:

https://medicsmoney.co.uk/is-your-doctors-tax-code-correct/

And finally, read what medical school didn’t teach us about money:

https://medicsmoney.co.uk/ebook/

If you’re a Consultant, GP or other senior doctor, it’s not so simple and you may also need to consider the impact of Annual Allowance tax – start here for some basic information on what it is https://medicsmoney.co.uk/nhs-pension-tax/  If you think you will be impacted then getting the information can be difficult but here are our tips.

Request an Annual Allowance and service and pay extract

If you’ve not heard of an Annual Allowance and service and pay extract, don’t worry it’s relatively new. But it’s also incredibly useful and you can request one by using the contact details in the section below.

In England and Wales ask for a “NHSP05 service and pay extract”. It is a spreadsheet containing historical earnings, service details and also the annual allowance growth calculation.

Watch this YouTube video to learn how to interpret the service and pay extract:

https://youtu.be/St-qzMlap9I

Consider requesting a Pensions saving statement (Annual allowance statement) using this template letter

[Your Name],
[Your Date of Birth],
[Your Address],
[Your SD Number (usually found on payslips or previous pension statements)]

Dear Pensions agency,

Please could you send me an up-to-date Pensions saving statement.

Kind regards,

[Your Name]

Did you join the NHS Pension before 1st April 2015?

You should check your 1995/2008 scheme is accurate by requesting a membership statement. It is important that the years of service have been recorded correctly for the legacy pension schemes as the time recorded impacts the pension calculation.

It is important that all doctors check this record and ensure corrections are made as early as possible.

Still not sure what to do and want to get help

If you want expert help, you might be wondering where can doctors get advice from an expert who actually understands the NHS Pension?

Unfortunately, the NHS Pension has become byzantine in its complexity and very few non expert advisers understand it properly.

Which is exactly why we built Medics’ Money. Our search algorithm matches your unique requirements to the best specialist medical experts.

We’ve matched nearly 20,000 doctors to date.

Why is Medics’ Money the best place to find an expert adviser?

Do I need an accountant or a financial adviser to help with my pension?

NHS Pension FAQs

GPs have to complete and submit an annual pension form if they are a contract holder (Type 1) or a salaried GP (Type 2) or if locuming you need to submit locum forms monthly. GPs in training have their pension record updated by the employer so no further action is needed. See https://medicsmoney.co.uk/annual-pension-returns/
This article explains more about some of the valuable extra benefits of the NHS Pension. 
This is a personal decision, but this article explains more. 
This depends on your unique circumstances, but you should be aware that the NHS Pension can be paid into an overseas bank account.  It also provides cover for death in service and ill health whilst you are in the UK.
What constitutes your pensionable salary can get complex, but for Junior Doctors its your basic pay up to 40 hours per week, which excludes overtime, weekends, enhanced rate hours or locum hours paid.   For Consultants the first 10 Programmed Activities (PAs) of a consultant contract are pensionable – additional PAs are not. Responsibility Payments are often negotiable, and you are still able to pension:  
  • On Call Supplements  
  • London Weightings   
  • Some Clinical Excellence Awards, Merit Awards and Discretionary Points. 
This depends on your unique circumstances and often the answer is you need both. In general accountants help to calculate the tax due and Independent Fianacial Advisers help you plan for the future by projecting benefits and advising on what pension is right for you. This article gives more detail but if you still have questions, contact us here.
The NHS pension is extremely complex and needs specialist advice. Which is exactly why we started Medics’ Money. We have verified and selected the best NHS Pension experts and our unique algorithm matches your unique requirements to suitable advisers from our nationwide network. To find out why over 10,000 doctors have used Medics Money to find an expert adviser who actually understands the pension click here.  If you want a report to check the accuracy of your NHS Pension report click here
The NHS pension is one of the best around. But it's also become byzantine in its complexity and there are many pitfalls to catch the unwary including
  • Inaccurate NHS Pensions records.
  • Punitive annual allowance tax charges
  • Complex Scheme Pays compensation. 
Why not start with the basics and listen to this podcast. And this article outlines why you probably should not leave the NHS Pension.
Probably both, which is why Medics’ Money is such a great place to find advice as we have the best specialist medical accountants and independent financial advisers all in one place, all working together to help doctors like you. A simplistic view is that accountants calculate your historic tax liabilities and can advise on this. IFAs calculate what you should do in the future including whether you should opt out of the NHS Pension. This article provides more detail. 
Each year at a very minimum all doctors should download a Total Rewards Statement and reconcile these figures with your March payslip.  https://www.totalrewardstatements.nhs.uk  or access mynhspension.nhsbsa.nhs.uk.  or in Scotland https://mypension.sppa.gov.uk/ or Northern Ireland https://hscpensions.hscni.net/member-self-service/