Senior doctors and other professionals are quitting en masse because (amongst other things) they hit the lifetime allowance, together with the inflexibility of the NHS pension scheme.
If Jeremy Hunt raises the lifetime allowance to £1.8m it would be a big step. On the surface, an annual allowance increase to £60K would also be very useful for retention.
However, what is often missed when talking about pensions is the the taper. It means those high earners in their 50s who neglected their pension earlier can't really top it up much; in reality the £60K annual allowance is whittled down to as little as £4K per year.
Yes, people rightfully won't feel sorry for those on £312K a year who can only contribute £4K into their pension instead of £60K - but neither should be surprised when such people have enough in the bank/investments to just retire early. This type of high earner in their 50s would contribute over 10 times more in tax than the median earner for each year they kept working, whilst probably using very few public services in return.
In general, there are very few years in life when professionals can earn these large sums, and they tend to be concentrated in the 50s. These are exactly the years when it makes sense (from our society's viewpoint) to keep them working on.
Keeping a senior consultant who does 2 days a week private work active for 5 more years would massively benefit the exchequer, the NHS and the country. Punishing the 'rich' consultant (or investment banker/lawyer, for that matter) will just make them retire a few years early and pay much less tax.
The tapering of the annual allowance was a huge mistake. Let's hope Jeremy Hunt has the guts to stand up and abolish this. On the surface it would be a giveaway to the rich. In reality, based purely on the extra tax take, it would be of most benefit to those who rely heavily on public services.
If Jeremy Hunt is really going to scrap the 'senior doctor tax', he should do it properly.
I am not a doctor.