The NHS Pension Scheme is your foundation
For registered nurses, healthcare assistants and nursing associates, the NHS Pension Scheme is almost certainly the best pension available to you. Every member now builds benefits in the 2015 CARE section at a rate of 1/54th of pensionable pay each year, with the running total revalued annually by CPI plus 1.5%. Your employer contributes a substantial 23.7% of pensionable pay on top of your own tiered contribution, which currently ranges from roughly 5.1% to 12.5% depending on salary band. That employer top-up is effectively free money no private pension can match.
Because nursing pay tends to sit below the annual allowance thresholds, most nurses never face the tapering problems that affect senior doctors — making the scheme straightforward as well as generous.
Part-time, bank and agency work
Many nurses work part-time or pick up bank shifts. The good news is that pensionable bank work can be included in the scheme, and part-time service still counts — your CARE accrual is simply based on actual pensionable pay. If you do agency work outside the NHS, those earnings will not be pensionable under the NHS scheme, so a personal pension can capture them.
Saving more: AVCs vs a SIPP
| Option | Typical cost (2026) | Best for |
|---|---|---|
| NHS Money Purchase AVC (Prudential) | ~0.30–0.55% fund charge | Convenience via payroll, automatic tax relief |
| NHS Additional Pension | Buys extra guaranteed income | Nurses wanting more inflation-linked pension |
| Vanguard SIPP | 0.15% platform fee | Lowest-cost personal investing |
| PensionBee | 0.50–0.95% | Simple app-based saving for agency income |
AVCs are deducted from gross pay so tax relief is automatic, and the 25% tax-free cash from an AVC pot can be taken alongside your NHS lump sum. A SIPP gives you wider investment choice and lower headline fees, which can matter over a long career.
Don't forget the basics
- Check you are actually in the scheme — opting out to boost take-home pay is almost always a costly error given the 23.7% employer contribution.
- If you took a career break, you may be able to buy back added years or top up.
- The full new State Pension of £11,973 a year sits on top of your NHS pension, so check your National Insurance record too.
Retiring early as a nurse
Nursing is physically demanding, and many nurses hope to stop work before State Pension age. The 2015 scheme's normal pension age is tied to the State Pension age (currently 67), so taking benefits earlier triggers an actuarial reduction of roughly 3–5% per year early. Some nurses retain protected benefits in the older 1995 section with a normal pension age of 60. To bridge any gap, a separate SIPP or AVC pot you can access from 55 (rising to 57 in 2028) is invaluable — it lets you fund the years between stopping work and your NHS pension and State Pension starting.
It is also worth knowing about partial retirement: since 2023, NHS members can draw some or all of their pension while continuing to work reduced hours, which can ease the transition and is a flexible option many nurses overlook.
Capturing agency and private income
Nurses who pick up agency shifts or private clinic work outside the NHS earn money that the NHS scheme will not pension. A low-cost SIPP is the natural home for this income. Self-employed agency nurses can contribute up to 100% of their profit (capped at £60,000) with tax relief, while those paid through an umbrella should check whether salary sacrifice into the umbrella pension is available. Even small, irregular contributions add up over a long nursing career, so do not let non-NHS earnings go unpensioned.
Verdict
Nurses should stay firmly in the NHS Pension Scheme — it is exceptional value and very rarely worth giving up. If you want to retire earlier or boost income, NHS AVCs through Prudential are the most convenient route, while a Vanguard SIPP wins on cost for the hands-on saver. Capture any non-NHS agency earnings in a personal pension so no income goes unpensioned.
Related reading: best pension for NHS workers, best pension for part-time workers, and best pension UK.
