NHS Pensions Medical Services

Description

This contract has been awarded for the provision of Medical Services on behalf of NHS Pensions. The Supplier is required to medically certify applications from pension members for ill health retirement with an independent medical advisor.

The NHS Pension Scheme provides two levels of Ill Health Retirement benefits, which are dependent on the severity of the condition of a member.

The supplier will be required to:

- Understand the NHS Pension Scheme regulations and the potential differences between each Section/Scheme on each application.

- Make and convey the decisions on initial applications for ill health retirement benefits and permanent injury benefits in line with the provisions of the NHS Pension Scheme Regulations and NHS Injury Benefit Regulations.

- Provide medical advice and recommendations in relation to claims for temporary injury allowance.

- Provide medical advice and recommendations for disputes under the Internal Dispute Resolution (IDR) procedures and in response to investigations by the Pensions Ombudsman within the Statutory Target dates.

- Provide advice and recommendations in other cases where reasonably requested by the NHS Pensions of NHSBSA, e.g. incapacitated child.

- Provide advice and recommendations for Severe Ill Health retirement application in line with the HMRC Guidance.

- Ensure UK GDPR Regulations and Quality Control is in place in accordance with NHS Pension Scheme Regulations.

- Ensure, if required, that Further Medical Evidence is requested to support the decision outcome of a members ill health application.

- To provide a digital solution for customers to be able to track their application and comply with verification and security checks prior to disclosing sensitive information.

- Re-assess c6,000McCloud cases following the McCloud judgement.

This contract has been awarded for an initial four year term which will end on 22nd July 2028 with the option to extend for a further three years until 22nd July 2031.