The Courier & Advertiser (Fife Edition)
NHS fears as doctors cut back their hours and consider quitting
PUNITIVE: Early retirement option to avoid large pension tax bills
More than half of doctors are cutting back their hours to avoid being forced to pay “punitive” pension tax bills – with almost a quarter considering taking early retirement.
Almost two-thirds (63%) of doctors who responded to a British Medical Association (BMA) Scotland survey said they had either received a large pension tax bill or were expecting one.
With these bills averaging £18,500, Simon Barker – the chairman of BMA Scotland’s consultant committee – hit out at the “inherent unfairness of unpredictable additional taxation”.
With 53.5% of doctors now reducing their working hours and 22% considering early retirement, he said: “It is hard to overstate the seriousness of this situation and its implications, not just for consultants but for NHS hospital services and our patients who rely on them.”
The BMA said annual and lifetime allowances for pensions were acting in a “complex and punishing combination” – with doctors complaining they were being left worse off if they worked additional hours.
One medical professional taking part in the survey said: “I basically realised I’m now paying to do the extra work.”
Meanwhile, another stated: “I have ended up paying more in tax than I earned. I calculated if I did more, I would start to pay £2 for every £1 that I earned.”
Doctors described the tax changes as being “really unfair and demoralising”, with one doctor saying they were left feeling “disproportionately punished for working too hard”.
A total of 354 doctors – including 188 consultants and 135 GPs – have already taken part in the survey. BMA Scotland published interim results due to the “pressing nature” of the problem and the scale of the response from doctors.
Almost four out of 10 (37%) of doctors fear the pension tax changes will have a “significant impact on urgent and emergency care” in the NHS – with a further 26.4% saying it could have a “very significant impact”.
Waiting times for planned operations are “likely to increase”, doctors said, with one stating waiting lists could “climb exponentially as a result”.
Mr Barker said: “Make no mistake – our consultant workforce is already stretched to its limit, with high levels of vacancies.
“Added to this we are now seeing doctors across the profession cutting down their work due to a completely justified fear that they will be hit with huge pension tax bills that are extremely hard to foresee.
“In worst-case scenarios, a substantial number of doctors are telling us they are going to retire or are at least contemplating it.”
Health Secretary Jeane Freeman has raised the issue with HM Treasury and set up a joint group with the BMA to consider what could be done in Scotland.
A Scottish Government spokeswoman said: “The rules regarding pensions taxation are reserved to the UK Government and the health secretary has written to the chancellor urging a quick resolution to avoid loss of expertise and call for an urgent review.”