How does the NHS pension scheme work? And how is it calculated? 

  • September 24, 2024
 

The NHS pension scheme (2015) is a defined benefit pension plan, which means it guarantees a certain level of retirement income based on your salary and length of service.  

It is considered one of the best pension schemes in the UK, offering long-term financial security and peace of mind for healthcare professionals, including doctors, consultants, nurses, and other NHS staff. 
 
The 2015 Scheme is a Career Average Revalued Earnings (CARE) scheme. This is a form of defined benefit pension scheme, which means you get a guaranteed level of benefit at retirement payable according to a fixed formula. Pension benefits for all members are calculated using the same method and revaluation rate. 

Key Features of the NHS Pension Scheme: 

  • Employer Contributions: The NHS contributes a significant portion to your pension, making it a valuable part of your overall compensation package. 
  • Lump-Sum Option: Upon retirement, you can choose to take part of your pension as a lump sum, which is tax-free up to a certain limit. 

How Is the NHS Pension Calculated? 

The way your NHS pension is calculated depends on which section of the NHS pension scheme you are a part of. There are three main sections: 

The amount of pension you earn each year is determined by what is known as the ‘build-up rate’ which is usually shown as a fraction of your pensionable earnings. In this Scheme the build-up rate is 1/54th, so you earn a pension each year of 1/54th of your pensionable earnings.  

For example, if you earn £18,000 in a year you would earn a pension for that year of 1/54th of £18,000, which is £333 (rounded down for illustration purposes only). This is the pension you would build up for that year 

Your pension earned each year will be increased each year by a rate, known as ‘revaluation’, in the period before you retire or leave. In this Scheme the revaluation rate is determined by Treasury Orders plus 1.5% each year. Treasury Orders are the method by which the Treasury notifies the value of the change to be applied as part of revaluation 

  • 2015 Scheme (Career Average Revalued Earnings or CARE Scheme) 
  • This scheme calculates your pension based on your average earnings throughout your NHS career rather than your final salary. 
  • Each year, a portion of your salary is added to your pension pot, and it’s revalued with inflation annually. 
  • Formula: Pension = (Annual earnings x Accrual rate) + Previous years’ pension 
  • Example: If you earn £60,000 in a year and the accrual rate is 1/54, then: 
  • £60,000 ÷ 54 = £1,111 added to your pension pot for that year. 

Retirement Age and Pension Benefits 

  • In the 2015 scheme, it aligns with your state pension age or the age of 65.  
  • You can continue to build up pension rights in this Scheme until age 75 with no limit to the number of years’ pensionable earnings that can be taken into account.  
  • This Scheme offers flexibility around retirement and you can choose to take part or all of your benefits between ages 55 and 75. 

International doctors who work in the NHS will typically be placed in the 2015 scheme, although transfers from previous overseas pension schemes may be possible. 

Costs and contributions  

The cost of providing the NHS Pension Scheme is shared between members and employers. As a member you pay a contribution towards your pension based upon your pensionable earnings; the more you earn, the higher your contribution rate may be. Employers pay the rest. 

Additional Benefits of the NHS Pension Scheme 

  • Death in Service Benefits: Should something happen to you while working for the NHS, your dependents could receive a lump sum and a pension. 
  • Ill-Health Retirement: If you are unable to work due to illness, the NHS pension scheme offers an early retirement option with pension benefits. 
  • Employer Contributions: The NHS will contribute up to 23.7% of your pensionable pay, which is a significant boost to your retirement savings. 
  • Reduce the amount of tax you pay: Pension contributions are taken from your pay before tax so you receive tax relief on any amount you pay. This can reduce the net amount that you pay depending on your contribution rate, earnings level and personal rate of tax 

Why the NHS Pension Scheme Is Attractive to International Doctors 

  • Financial Security: As an international doctor, securing a long-term financial future is essential. The NHS pension scheme ensures a stable income upon retirement, allowing you to focus on your career and patients. 
  • Higher Employer Contributions: Few employers in the UK contribute as much as the NHS does toward pensions, making this a valuable benefit for those seeking NHS jobs. 
  • Guaranteed Benefits: Unlike many private pension schemes, the NHS pension is guaranteed. You will know exactly what to expect at retirement, regardless of market fluctuations. 
  • Work-Life Balance: NHS jobs come with excellent work-life balance, and the pension scheme is an added benefit to ensure your retirement is equally fulfilling. 

The NHS pension scheme is one of the best retirement options available for medical professionals in the UK, offering a defined benefit plan that guarantees financial security. For international doctors interested in NHS jobs, this pension scheme is a huge perk.  

Whether you are planning to work as a consultant or a junior doctor, the NHS ensures your retirement will be taken care of. 


If you are considering a medical career in the UK, the NHS pension scheme is just one of the many reasons why the UK remains a top choice for international doctors. 

Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salaries in the UK, relocation and much more! 

 

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