Quick Answer
What is the NHS pension annual allowance for locum doctors in 2026/27?
The standard annual allowance for 2026/27 is £60,000. This is the maximum your pension can grow tax-free in a single year. Locum doctors with adjusted income above £260,000 have their allowance tapered down to a minimum of £10,000. If your pension input exceeds your available allowance, HMRC charges tax on the excess at your marginal rate — typically 40% or 45% for high-earning locum doctors.
The pension input for NHS defined benefit members is not the same as your employee contributions. It is calculated as the increase in the capital value of your benefits over the year, using the formula: (closing value × 16) − (opening value × 16 × CPI uplift). This can be significantly higher than your actual contributions and catches many doctors off-guard.
£60,000Standard annual allowance
£10,000Minimum tapered allowance
£200,000Threshold income limit
£260,000Adjusted income taper trigger
1.7%CPI uplift (Sep 2024, used for 2025/26)
£10,000Money purchase AA (MPAA)
£2,000Scheme Pays minimum charge
31 Jul 2027Scheme Pays deadline (2025/26)
Scenario 1Junior Locum GP — NHS Pay £75k
Pension Input Amount£32,000
Standard Allowance£60,000
Adjusted Income£95,000
Taper Applies?No
Excess£0
✅ No charge — £28,000 headroom
Scenario 2Senior Locum — NHS Pay £130k
Pension Input Amount£68,000
Standard Allowance£60,000
Adjusted Income£165,000
Taper Applies?No
Excess£8,000
⚠️ Charge of £3,200 at 40% — Scheme Pays available
Scenario 3Consultant Locum — Total income £290k
Pension Input Amount£82,000
Tapered Allowance£45,000
Adjusted Income£310,000
Taper Applies?Yes
Excess£37,000
⚠️ Charge of £16,650 at 45% — Scheme Pays election recommended
The annual allowance is the maximum your pension can grow in a tax year before HMRC levies a charge. For NHS defined benefit members, this is not about how much you contribute — it is about how much the value of your pension increases. High salary growth, promotions and additional pensionable service all push the pension input amount higher, often above the allowance even for doctors earning well below the taper threshold.
1
Calculate pension input
HMRC formula: closing value minus CPI-uprated opening value. Both values = annual pension × 16.
2
Check the taper
If adjusted income > £260,000, your £60,000 allowance reduces by £1 for every £2 over £260,000.
3
Apply carry forward
Unused allowance from the three previous tax years can be added to your current year allowance, reducing the charge.
4
Calculate the charge
Any excess above your available allowance is charged at your marginal rate (40% or 45% for most consultant locums).
What is the NHS pension annual allowance for 2026/27?
The standard annual allowance is £60,000. Doctors with adjusted income above £260,000 have a tapered allowance, reducing to a minimum of £10,000.
How is the pension input amount calculated for the NHS scheme?
The pension input amount for defined benefit members is: (closing pension value × 16) minus (opening pension value × 16 × CPI uplift factor). It is not the same as your contributions and can be much higher.
What is the tapered annual allowance for 2026/27?
The taper applies when threshold income exceeds £200,000 and adjusted income exceeds £260,000. For every £2 over £260,000, the allowance reduces by £1, to a minimum of £10,000.
What is Scheme Pays?
Scheme Pays allows you to ask NHS Pensions to pay your annual allowance charge in exchange for a reduction in your eventual pension. You can elect for Scheme Pays if the charge exceeds £2,000 and your pension input exceeds the standard £60,000 allowance. The 2025/26 deadline is 31 July 2027.
Can I use carry forward to reduce my charge?
Yes. Unused allowance from the three prior tax years (2023/24, 2024/25 and 2025/26) can be carried forward and added to your 2026/27 allowance, reducing or eliminating the charge.
What rate is the annual allowance charge taxed at?
The charge is taxed at your marginal rate. For most high-earning locum doctors this is 40% (higher rate) or 45% (additional rate, applicable above £125,140).
How do I get my Pension Savings Statement?
Request it directly from NHS Pensions online or via your employer. NHS Pensions must issue a statement if your pension input exceeds £60,000. AccTek can help you obtain and interpret the statement as part of your annual review.
Does having a limited company affect my NHS pension?
Your NHS pension accrual is based on your NHS pensionable pay, not your company structure. However, income from your limited company (salary, dividends) counts towards your adjusted income for the taper calculation. AccTek reviews both your company and NHS pension position together.