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As I understand it the LA was put in place to stop the private sector stuffing their personal pension contributions with things like bonus payments etc. to keep them tax free.
If you are just signed up to a national pension scheme on nationally determined pay and conditions and fixed contributions you have no control over, it seems a bit perverse if a chunk of those salaries breach that cap.
If you are old school NHS staff and on the final salary pension you can retire @ 50 on an 80% pension and a nice lump sum and I would imagine for clinical staff that might look pretty tasty after the last two years and a crap pay settlement.
Added to that there is a pension tax situation that has put a cap on maximum benefit you can accrue in a year and land you with a tax bill on your pension on top of normal income tax. Senior doctors and GPs are retiring/reducing hours as a result even before the current crazy RPI numbers used to calculate your 'pension benefit' have kicked in.