May 17, 2020

Pension changes may impact healthcare professionals

pension changes
healthcare professionals
pension scheme
3 min
Pension changes
Written by Sam Porter, Director of Marketing for Wesleyan Medical Sickness As high earners with a generous pension scheme, hospital doctors, GPs and NH...

Written by Sam Porter, Director of Marketing for Wesleyan Medical Sickness

As high earners with a generous pension scheme, hospital doctors, GPs and NHS dentists are amongst the professions most likely to be affected by these changes.  If you also contribute to a private pension plan or pay additional voluntary contributions, this will further increase the chances of you being affected.

The changes

From 6 April 2011, the amount that someone can save into their pension with tax relief each year is dropping from £255,000 to £50,000. This is known as the annual allowance and includes any increase in NHS Pension Scheme benefits as well as contributions to any other pensions. 

In addition, the way annual increases in NHS Pension Scheme benefits are assessed is changing. For the purposes of valuation, any annual increase will be multiplied by a factor of 16 (previously 10).

The Lifetime Allowance - the total amount of pension savings you can build up tax efficiently over your life - is £1.8 million for the tax year 2010/2011, but will be reduced to £1.5 million with effect from 6 April 2012.

Why the new limits are significant

To most, the new annual allowance of £50,000 sounds like a large amount of contributions. However, because of the increased multiple applied for valuation purposes, an annual accrual of just £1,000 in your NHS pension will actually use up £16,000 of your allowance and any separate lump sum entitlement you accrue will also count towards this.

It’s also worth remembering things like quality and outcome payments in the case of GPs, or clinical excellence awards for hospital doctors, will be taken into consideration as pensionable pay which will increase your pension accrual. 

If someone exceeds their annual allowance, the excess will suffer income tax at their marginal rate of tax which is likely to be 40 percent or 50 percent for many healthcare professionals.

Again, a lifetime allowance of £1.5 million may also sound like a significant sum. However, if you have a reasonably long period of service under the NHS Scheme, a history of high pensionable earnings, and/or large funds in private pension arrangements you may well be affected by the lifetime allowance. If your benefits at retirement exceed this, you will incur a tax charge (55 percent if taken as a lump sum and 25 percent if taken as an income) on the excess amount.

Planning is a must

The key thing is not to make any knee-jerk decisions if you’re worried that you’re about to hit either of the allowance limits. This is a complex area and everyone’s situation is different so you should seek specialist financial advice from a provider who has a detailed understanding of the NHS Pension Scheme.

It is likely that many healthcare professionals will want to look at alternative forms of long-term saving to work alongside their pension plans. While the pension allowances are falling, the amount you can save into an Individual Savings Account (ISA) is increasing annually in-line with inflation. So for the 2011/12 tax year you can save up to £10,680 free of income tax and capital gains tax. All of this amount can be placed in a stocks and shares ISA. Historically equities have tended to outperform cash investments over long periods of time and so have offered better returns for long-term savers. ISAs can also be more flexible than pension savings.

You could also consider other long-term savings products such as life assurance based savings plans which are often also tax efficient if the saver keeps to certain criteria, referred to as qualifying rules. There are a range of other products available that will help you save flexibly.

The main thing is to act now rather than defer any decision, failure to do so could be costly.

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Jun 17, 2021

Dexcom: changing the lives of people with type 1 diabetes

3 min
British actress Nina Wadia OBE tells us how her son's life has changed since using glucose monitoring system Dexcom

It is estimated that 9.3% of adults around the world are living with type 1 diabetes, which amounts to a total of 463 million people. A further 1.1 million children and adolescents under the age of 20 are living with the condition. 

Unlike the more prevalent type 2 diabetes, where the body still produces insulin and symptoms develop slowly, people with type 1 diabetes need regular insulin injections or pumps, and must monitor their sugar levels frequently. 

In recent years a number of remote glucose monitoring systems have become available that patients can use at home. These work with a sensor, usually placed under the skin, that measures glucose levels every few minutes. This information is then transmitted wirelessly to a device like a smartphone or tablet, which can then be shared with their clinician. 

British actress Nina Wadia's son Aidan, 14, has type 1 diabetes, and has been managing his condition using Dexcom, a glucose monitoring system used by patients all over the world. Here Wadia explains how Dexcom has improved their lives. 

As a parent of someone with type 1 diabetes, what is your day-to-day life like?
Being able to take a breath, think and pivot constantly without getting frustrated becomes an essential mindset because sometimes it feels like each day is determined to be different from the day before. Whatever worked yesterday is going to misfire today. 

Which areas of yours and Aidan’s life are most impacted by diabetes? 
The one thing that you have to fight hard to reclaim is spontaneity, especially when it comes to food and exercise. It’s only when this is taken do you realise how essential each one is. You can be flexible and there are no real limits, but only in the sense that a great athlete can be flexible without limits because they’ve trained super hard to be that way. So we’ve all had to become athletes when it comes to being spontaneous.

How has Dexcom helped you and Aidan? 
Dexcom has brought future science fiction to real life today. The continuous glucose monitoring system is tiny, sits discreetly on his body and gives him a ten-day breather between sensor changes, so it's goodbye finger-pricking seven times daily. 

Dexcom is totally active at a grass roots level and for Diabetes Awareness has pledged to donate £2,000 if #DexcomDiabetesStories and/or #DexcomWarriorStories is shared 200 times! I’ll be sharing more on social media and would love to hear how other families are winning their fights.

Maybe most importantly Dexcom is trying to introduce a reimbursement programme for type 1 diabetes  patients which will give greater access to modern, life changing hi-tech. I want to spread the word on the importance of accessing it through this campaign. 

If you compared your life today with how it was before Aidan was using Dexcom, what has changed? 
It's always working, which lets him take his mind off diabetes for longer stretches. It also lets me get off his back. We both receive alerts so I no longer have to pester him by asking him what his number is, and especially importantly, I don’t have to wake him at night to prick his finger if I’m worried. Dexcom gave us back our sleep!

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