Tax rules mean doctors in Britain would in effect lose money by working in some cases
BRITAIN’S National Health Service often seems to be stumbling from crisis to crisis, but its latest problem is a self-inflicted wound. Waiting lists for operations in England have risen sharply, with one trust reporting a 50% jump in the past three months. The problem is not caused by a shortage of doctors but rather by the fact that existing staff are refusing to do extra shifts, because of the tax bills they would face.
Tapering is based on two key levels of income. The first is the “threshold income” rate, of £110,000. This is based on the worker’s salary. But once the threshold is passed, employees can fall foul of a second number, the “adjusted income” level, of £150,000. The “adjusted income” figure includes any increase in a worker’s pension rights, and not just their pay. Contributions made by the employer count towards this amount.
The problem has taken a while to kick in because high earners were allowed a three-year period when they could carry forward tax allowances from previous years. That time is now up and so the full weight of the post-2016 rules applies.
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