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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> British Medical Association, & Anor R (on the application of) v Secretary of State for Health [2008] EWHC 599 (Admin) (13 March 2008) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2008/599.html Cite as: [2008] EWHC 599 (Admin) |
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QUEEN'S BENCH DIVISION
THE ADMINISTRATIVE COURT
Strand London WC2A 2LL |
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B e f o r e :
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THE QUEEN ON THE APPLICATION OF | ||
(1) BRITISH MEDICAL ASSOCIATION | ||
and | ||
(2) DR THEO SCHOFIELD | Claimants | |
v | ||
SECRETARY OF STATE FOR HEALTH | Defendant |
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Ms Elisabeth Laing (instructed by Office of the Solicitor, Department of Health, Department of Work and Pensions) appeared on behalf of the Defendant
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"... a practitioner's total uprated remuneration shall be calculated by uprating his remuneration for all reckonable service as a practitioner in each financial year in such way as the Secretary of State, after consulting such professional organisations as appear to him to be appropriate, may determine and by adding together the uprated remuneration for each financial year..."
The percentage by which past earnings were uprated was known in the jargon as the "dynamising factor".
"(1) In the case of members who are or have been practitioners, regulation E1 (normal retirement pension) is modified so that the yearly rate of a member's pension...
(b) in respect of practitioner service will be equal to 1.4 per cent of the member's uprated earnings.
(2) The member's uprated earnings are to be calculated by uprating the member's pensionable earnings in the manner determined by the Secretary of State after consulting such professional organisations as she considers appropriate."
5.48. GPs' pensions are calculated under a career earnings method rather than a final salary scheme. Each year of pensionable income is increased by an uprating or dynamising factor on a cumulative basis. The uprating factor is currently based on year on year changes in the Intended Average Net Income (IANI). An accrual rate is then applied on retirement age to the individual GP's total uprated career earnings to provide an annual pension entitlement. In addition, a tax-free lump sum of three times the annual pension is payable. Once a pension is being paid, it is uprated annually by retail price inflation.
5.50. As a result of the increased investment guaranteed under the new contract, average practice income will rise. It is not possible to state how much that rise is likely to be, given that the future ratio of profit to expenses is unknown and the concept of IANI will disappear. The pensions changes that will be made will mean that, over time, the total percentage increase in pensions should exceed the percentage increase in net income, because of the change in the definition of pensionable earnings.
5.56. It is essential that practitioners have certainty about the factor that will be applied at the point in time when they are contemplating retirement, and yet the abolition of IANI necessarily means that the actual year-on-year change in earnings cannot be known in advance. Equally, practitioners reasonably expect that increases in earnings that accrue under the new contract will be fully reflected in the uprating factor as soon as is feasible.
5.57. The uprating factor is currently based on the year on year percentage increase in IANI. IANI will disappear as a concept and a new method will be needed. We intend that the uprating factor, moving forward, should be based on the year on year percentage change in all pensionable earnings from NHS work (the aggregate of net NHS pensionable income, divided by the number of practitioners), adjusted by the TSC annually to allow for the shift towards less than full-time working. The TSC will also rebase the uprating factor on 1 April 2004 to ensure that the transfer of out-of-hours work does not depress the uprating factor."
"Delivering Investment in General Practice – Implementing the new GMS contract is the product of negotiations between the GPC, the NHS Confederation and the Department and has been agreed by all parties. It fleshes out the detail of the contract document Investing in General Practice and sets out how implementation needs to be taken forward. It needs to be read in conjunction with the Contract Regulations published in draft on Friday 12th December, the Standard GMS Contract published in draft on 19th December, and the draft Statement of Financial Entitlements published today. These documents have been agreed by the NHS Confederation and the GPC and they provide the further information that PCTs and practices need to implement the new contract.
We have worked in partnership at national level. The Government is 100% committed to effective and timely implementation. The NHS, through the NHS Confederation, and the profession, through the GPC, have together developed the vision and the contractual mechanisms. It is now for PCTs and practices to work in partnership locally to make that vision a reality.
The local contracting process and its ongoing review mechanisms will fundamentally change the current relationship between PCTs and practices, enabling them to work together much more closely and more effectively. The contract is not just about a legal agreement. It must be about a relationship based on mutual trust, respect and support."
Two acronyms require explanation. GPC is the subcommittee of the BMA which deals with general practice matters and PCT is a Primary Care Trust.
"In the new contract, the uprating factor is based on the actual growth in GP pensionable earnings compared with the previous year. This will be adjusted by the Joint Health Departments/NHSC/GPC Technical Steering Committee to take account of the shift to less than full-time working. The exact figures cannot be known until after the end of the financial year, so the TSC will estimate an interim award to mitigate any short-term loss in benefits for newly retired doctors while the actual uprating factor for the year is assessed. The interim reward will be set at a level that avoids the need to make subsequent reductions or reclamation of pension or lump sum."
"Dynamisation for 2003/4
3. Pensions for GPs retiring in '03/04 have been provisionally assessed at the '02/03 rate, pending conclusion on nGMS discussions. The sub group has been in agreement that the uprating factor should be based on the existing IANI principles and that the TSC should consider this with input from GAD [the Government Actuaries Department]...
Dynamisation for 2004/05 and subsequent years
5. From 2004/05 the sub group has agreed that the uprating factor should be based upon the year on year change in actual GP earnings. Each new DF will be the year's measured growth in actual GP earnings. This will be assessed on the basis of returns of Certificates of NHS Pensionable Profits received by PCTs and the NHS Pensions' Agency. TSC, with input from GAD, will make necessary assumptions about total numbers of GPs, and changes in, for example full time versus part time working, and transfers, for example, of OOH work. The final figures will, as before, be subject to consultation between DH and GPC.
6. Returns from practices will not be available until some time after the end of the financial year to which they refer, and significant numbers will not be available until after the Inland Revenue deadline for the submission of tax returns of 31 January following the end of the tax year. It will not be possible to make an assessment until a sufficient number of returns of NHS pensionable profits are available. The sub group has therefore agreed that the TSC should make a provisional assessment of the expected DF for GPs retiring in the current year at a safe level that will then be uprated when a final DF is available."
"We have been encouraged by the very good and constructive progress made in recent months between the GPC and the Department on pension arrangements for GPs in 2003/04 and from 2004/05 onwards. We have no dispute with the methodology for the uprating factor that has been agreed and we are confident that the methodology will be implemented if it is left to the discretion of the Secretary of State."
Mr Hutton on 16th March 2004:
"Thank you for your letter of 25 February about the new pension dynamisation arrangements. I too am very pleased that agreement has been reached on the future arrangements for dynamisation. I am not however persuaded that changing the existing dynamisation regulations is necessary, or indeed beneficial for the profession.
The agreement between the GPC and the Confederation is that for 2003/2004, the Technical Steering Committee (on which the GPC, the NHS Confederation and the Department are represented), will recommend an interim level for the DF. Further analytical work will then be undertaken following which a final DF for the year will be recommended and arrears paid to doctors who have retired and whose benefits are affected. From 2004/2005 the TSC will again recommend an interim DF which will be revised when the actual changes in GP earnings become available some time after the end of the year in question.
The current regulations allow the Secretary of State to set the DF and there is no need in law to amend them to give effect to these agreed changes."
He proposed the exchange of a formal memorandum of understanding specifying "how the dynamisation agreement should work in practice".
"Medical pensions dynamising factor
Professional and NHS employer representatives have agreed a revised method of calculating the dynamising factor (DF) to be used for uprating the pensionable earnings used to calculate NHS Scheme benefits for all medical practitioners. For 2003-2004, the DF has been based on assessments of expected GP NHS earnings and expenses. For April 2004-2005 onwards however, the DF will be based on movements in actual GP NHS earnings since the previous year. For both 2003-2004 and 2004-2005 onwards, an interim estimated DF would first be declared, followed by a final confirmed figure for the year, once complete data for that year is available. Pensions awarded on the interim DF will then be reassessed and any arrears paid. In the unlikely event that pensions (including dependants benefits) calculated using the interim DF are found to have been overpaid because the final DF is lower than the interim DF, the overpayment will be recovered. The DF calculated under the new arrangements will take account of all GP pensionable NHS earnings and apply to all GP NHSPS benefits, including those of freelance locum GPs. An interim DF is now available for 2003-2004 (7.2%); see Newsletter 13/2004. The interim DF for 2004-5 is 6.1% and further details will be announced soon in a future newsletter."
"As you are aware, the Department of Health has been concerned for some time about the windfall gains GPs who are members of the NHS pensions scheme stand to make from the operation of the current pension dynamisation rules [my emphasis] as a result of the new GMS contract...
I am minded to recommend to the Secretary of State that, in exercising her power to determine the dynamisation factor, she should if necessary limit the factors for this period so that the total increase does not place any additional pressures on the NHS pensions scheme beyond those allowed for in the proposals recently published by the NHS Employers organisation and the NHS Trades Unions.
"However, I believe the problems with the NGMS methodology go further, as neither the profession, other scheme members, nor the tax payer, are well served by a methodology that may deliver major increases in some years, and much smaller increases, and perhaps none at all, in other years, regardless of the overall movement in national average earnings or prices...
It will also allow for much quicker implementation of GPDF by the BSA for the 2004/08 years than is possible under current methodology [my emphasis], by avoiding the long time delay while GP contribution data is gathered."
Again, the references to "methodology" and "current methodology" impliedly acknowledge the existence of a manner of calculating pensionable earnings already determined, which he wished to change.
"I have indicated my readiness to discuss the detail of the Government's proposal, but, in the absence of comprehensive GPC comment on it, I am writing now to let you know that the Secretary of State has decided to exercise her powers to apply GMP Dynamisation totalling 48% over the years 2003/2008. This will be applied as set out in the table below."
The table sets out the dynamising factors amounting cumulatively to 48 per cent for the five years 2003/04 to 2007/08.
Even in this letter, however, Lord Warner acknowledged the existence of an already established arrangement:
"I believe that the Government's proposal is an extremely fair approach to an existing arrangement that has proved unsustainable in a mutual pension scheme."