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One in four doctors refuse overtime to avoid five-figure tax bills

One in four doctors refuse overtime to avoid five-figure tax bills

Telegraph01-04-2025
Labour's pledge to slash NHS waiting lists is being sabotaged by a litany of administrative errors, pension delays and punitive tax rules, Telegraph analysis shows.
With millions waiting months for treatment, doctors are turning down shifts out of fear they could be stung with exorbitant tax bills due to a cap on pension contributions which would leave them effectively paying to go to work.
And despite being given three years to prepare, an overhaul of the NHS Pension Scheme remains months behind schedule and does not know when it will catch up.
As NHS waiting lists stand at almost 7.5 million, eight months after Labour took power, Telegraph Money can reveal:
A quarter of doctors have reduced their overtime because of potential five-figure tax bills, leading to a 10pc reduction in NHS capacity.
62,000 crucial pension statements are now six months overdue, despite extra NHS spending on overtime and additional staff.
A statutory deadline given three years in advance will be missed, leaving NHS workers and retirees in the dark over how much their pension will be.
Thousands of doctors and dentists are in line for first-time tax bills.
Labour swept to power last July with a huge majority after promising a raft of reforms in an election manifesto entitled 'Change'.
The 136-page document included a firm pledge to save the NHS and cut waiting lists by providing an extra 40,000 appointments a week in England alone.
However, waiting lists have fallen by just 3pc since Labour took power and currently stand at 7.4 million. More than three million people have waited over 18 weeks for treatment.
Experts are now warning that the refusal to tackle draconian legislation and a pension scheme racked with delays is obstructing progress – with serious knock-on effects for patient care.
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