NHS pension advice

Changes to NHS pension schemes can make planning for retirement difficult for medical professionals. Our NHS pension experts can help.

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My NHS pension

Finding the recent NHS pension changes confusing?

Our specialist medical financial planners can explain your current NHS pension provision, the options you have and the implications for your retirement planning.

We can find missing information by liaising with the NHS Business Services Authority, Primary Care Support England and your accountants and employers. We’ll determine what the ongoing age discrimination case (the McCloud judgment) means for you.

Using expert financial modelling, we can also work out whether it makes financial sense to return to work following successive Budget pension changes.

Financial planning for medical professionals

NHS pension schemes

Specialist retirement advice tailored for NHS pension scheme members

With different NHS pension schemes and recent reforms to how they work, it can be hard to figure out when you can retire, and how much retirement income you can expect.

NHS pension employee contributions have changed. So have NHS pension scheme rules, to enable NHS staff to work flexibly up to and beyond retirement age. Annual and lifetime pension allowances have changed too. We can explain the impact on your retirement planning.

Other changes mean if you are a member of the 1995 pension scheme you can return to NHS employment after retirement, and build up further pension benefits. You can also take partial retirement, enjoying some or all of your pension without having to leave your job, options already available to 2008 and 2015 scheme members.

NHS employees could also benefit from an increase in the annual pension allowance and the adjusted income threshold for the tapered annual allowance, as well as the scrapping of the lifetime allowance.

Our specialist medical financial planners can advise on how these factors will affect you.

Brief guide to NHS pensions

NHS pension schemes

Since the 1 April 2022, all NHS pension scheme members save into the 2015 ‘career average’ scheme, a form of defined benefit pension. When you take your pension, you’re guaranteed a defined amount, based on your pensionable pay throughout your career.

If you're a member of the 1995/2008 NHS scheme, you'll potentially keep any service earned before 1st April 2022 in that scheme and be able to access these benefits in the same way and at the same time as you can now, be that age 55 for those with Special Class or MHO Status, 60 for the 1995 Section or age 65 with the 2008 Section.

Accessing your NHS pension

When you're ready to retire, you'll need to apply for your NHS pension. There are different types of retirement; reaching normal pension age; taking early retirement; being made redundant; or retiring due to ill health. These can affect your entitlement. There are also different benefits, depending on which NHS pension scheme you're in and the type of role you hold. Our pension experts can explain what will happen in your individual case.

It is possible to consider partial retirement within all three schemes. This potentially gives access to your pension, without the need to retire, allowing consultants to retain their substantive role and awards, whilst receiving pension benefits. GPs are able to access benefits on a similar basis, and in the case of single-handed practices, this is particularly beneficial.

After your retirement

Returning to NHS employment after retiring? You’re able to rejoin the 2015 pension. This was already available to members of the 2008 and 2015 schemes, and from 1 April 2023 extended to retired members in the 1995 scheme.

This applies even if you have 45 years of service, as long as you’re under age 75. You can work as many hours as you choose. You just need to have had a minimum break of 24 hours from your previous job when you retired, although you can take a longer break if you prefer.

NHS pensions reward hard-working healthcare professionals after a lifetime of service. We can help you make the most of them.

Niral Parekh - Managing Director of Financial Planning (atomos)

Frequently Asked Questions

What happens if I exceed the NHS pension annual allowance, and how can I manage the tax charge?

If your NHS pension growth exceeds your available annual allowance, you may have an annual allowance tax charge. In some cases, NHS Pensions can pay some or all of that charge to HMRC through Scheme Pays, subject to the scheme rules and deadlines. If you also have other pensions, your overall tax position should be reviewed carefully, as the annual allowance applies across all registered pension schemes. You may also be able to pay the tax charge from your other pensions. It is usually sensible to take advice before deciding how any charge should be paid.


Can I take my NHS pension and continue working (retire and return or partial retirement)?

Yes. Depending on your circumstances, you may be able to keep working while drawing NHS pension benefits through partial retirement or retire and return. Partial retirement allows eligible members to take some or all of their pension benefits while continuing in NHS employment, usually with at least a 10% reduction in pensionable pay for at least 12 months. Retire and return usually involves retiring, taking a short break from NHS employment, and then returning on a new contract, subject to employer agreement and scheme rules.


Should I take a lump sum from my NHS pension, and how does it affect my income?

Yes, many members can exchange part of their pension for a larger lump sum at retirement. However, the rules differ depending on which section or scheme you are in. For example, the 1995 Section usually includes an automatic lump sum, while the 2008 Section and 2015 Scheme do not usually provide one automatically, although members can normally convert part of their pension into lump sum. Taking a larger lump sum will reduce your pension for life, so it is important to consider the long-term impact before making a decision.


How does inflation (CPI) affect my NHS pension in retirement?

Pension increases help protect the value of NHS pension benefits against inflation, but how they apply depends on whether you are retired, deferred or still building benefits. Pensions already in payment and deferred pensions are generally increased each year in line with the relevant public service pensions increase based on the Consumer Prices Index (CPI). If you are still an active member building benefits in the 2015 Scheme, different revaluation rules apply to those benefits while you remain in service.


How will the McCloud remedy affect my NHS pension and retirement decisions?

The NHS age discrimination remedy, often called the McCloud remedy, may affect some members who had pension service during the remedy period from 1 April 2015 to 31 March 2022. If you are affected, you will usually be given a choice about whether pension benefits for that period are treated under the legacy 1995 or 2008 section, or the 2015 Scheme, when your benefits are taken. The impact is different for each member and can affect pension income, tax and retirement decisions, so it is important to review your position carefully when you receive your remedy information. The McCloud Remedy may also impact your annual allowance position. 


What is NHS partial retirement, and when can I use it to reduce my hours?

Partial retirement allows eligible members to take between 20% and 100% of their NHS pension benefits while continuing to work in the NHS. You do not usually need to leave your job, but you normally need your employer’s agreement and must reduce your pensionable pay by at least 10% for at least 12 months. You can continue building pension benefits in the 2015 Scheme after taking partial retirement, subject to the scheme rules. It can be a useful option for members who want to reduce their workload gradually while starting to draw pension income.



Disclaimer: NHS pension rules, tax legislation and HMRC guidance can change over time. The information on this page is intended as a general guide only and should not be relied on as personal financial or tax advice. The options available to you and the impact on your benefits can vary depending on your individual circumstances, so it is important to check the latest NHS Pensions guidance and take professional advice where needed.

1.37 million

Number of full time employees working in the NHS in 2025 (i)

14.38%

NHS employer pension contribution rate in 2025/26 (ii)

45

Maximum working years that count towards an NHS pension (iii)

Tailoring your NHS pension

Flexible retirement

Aged 55 and over? You could take part or all of your pension while continuing to work the same or fewer hours and still save into the 2015 scheme. We can show you the impact on your retirement funding.

Pension increase

Every year, pensions in payment are reviewed in the annual pensions increase (PI). This is based on the rise in the Consumer Prices Index (CPI). We’ll calculate the effect of these changes on your retirement income forecasts.

Investment management

We can discuss the pros and cons of taking an NHS pension lump sum and investing it in a portfolio at your preferred risk level, if that is right for you.

Beyond NHS pensions

We know your NHS pension is only one part of your financial planning puzzle. That’s why we can also support you and your loved ones' future with assistance in family, income and mortgage protection, savings and investments, and inheritance tax planning.

Financial Planning Insights

The Problem with NHS Pensions

The McCloud Remedy corrected an historic injustice for younger doctors. It restored their rights to the same pension terms as older doctors, finding that the 2015 transfer into a new scheme was unlawful under age discrimination rules.

NHS pension scheme for locum and salaried GPs

GP locums are treated very differently in the NHS pension scheme to salaried GPs or GP partners.

NHS Pension Scheme: What you need to know ahead of the October changes

From October 2024, we are expecting further updates regarding the NHS pension scheme which could affect you.

NHS Pension Schemes explained

NHS pensions appear more complicated than ever before. Here is a brief outline of the three NHS pension schemes and their benefits.

Did you know we can also help with...?

GP surgery finance

We are able to liaise with a number of specialist lenders to review the options available, whether you plan to buy into a practice, purchase a share of the building, or undertake development work.

Protection

With an understanding of the sick pay arrangements available through the NHS, and as GPs through practices as salaried or partners, we can make sure you still receive an income when you need it most, if you suffer an injury or long-term illness.

Financial review

We can review your financial position and protection requirements to protect liabilities from your outstanding mortgage through to education costs and income requirements in the event of death or critical illness.

Introducing our NHS financial planning specialist

Jemma King

Financial Planner

Jemma King is a highly trusted Financial Planner who works closely with high‑net‑worth individuals to help them define, understand and achieve their long‑term financial goals.

With specialist expertise in defined benefit pensions across both the public and private sectors, including a deep knowledge of NHS Pensions, Jemma supports clients through complex decisions such as partial retirement, retire‑and‑return arrangements, ill-health retirement and understanding the McCloud Remedy. She excels at integrating these options into a cohesive, personalised financial plan.

Jemma is passionate about helping clients approach retirement with clarity and confidence. Her warm, straightforward style makes navigating important financial choices feel reassuring, empowering and stress‑free.

Outside of work, Jemma brings the same dedication to the pitch as a rugby league player for the London Broncos.

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