National Insurance: What’s the new Health and Social Care tax and how will it affect me?

National Insurance: What’s the new Health and Social Care tax and how will it affect me?

The government has announced an extra tax to fund social care in England and help the NHS recover after the pandemic.

But there has been criticism – including from within the Conservative Party – that it will be unfair on younger people and the lower paid.

What are the new plans?

  • Employees, employers and the self-employed will all pay 1.25p more in the pound for National Insurance (NI) from April 2022.
  • Employees pay NI on their wages
  • Employers also pay extra NI contributions for staff
  • The self-employed pay NI on their profits

But from April 2023, National Insurance will return to its current rate, and the extra tax will be collected as a new Health and Social Care Levy.

This levy – unlike National Insurance – will also be paid by state pensioners who are still working.

How much will the tax changes cost me?

The increase will see an employee on £20,000 a year pay an extra £130. Someone on £50,000 will pay £505 more.

People earning under £9,564 don’t have to pay National Insurance and won’t have to pay the new levy.

National Insurance is a UK-wide tax – and while Boris Johnson’s announcement focused on funding health and social care in England – Scotland, Wales and Northern Ireland will also receive an additional £2.2bn to spend on their services.

What are the criticisms of the tax increase?

There are concerns that the increase will have a higher impact on the lower-paid.

Currently, workers pay 12% of National Insurance on earnings between £9,564 and £50,268. However, anything earned above this amount attracts a rate of just 2%.

Consequently, as your income rises above £50,000, National Insurance becomes a smaller and smaller proportion of your wage packet.

The same rate will also apply to the Health and Social Care Levy.

What is the tax increase for?

The government says the changes are expected to raise £12bn a year, which will go initially towards easing pressure on the NHS.

A proportion will then be moved into the social care system over the next three years.

This mainly helps older people and people with high care needs, with tasks such as washing, dressing, eating, and taking medication.

The aim is to make sure that people in England pay no more than £86,000 in care costs from October 2023 (not including accommodation and food).

In addition, anyone with assets – their home for instance, or savings and investments – which are worth less than £20,000, will have their care covered by the state.

Those who have between £20,000 and £100,000 in assets will have their care costs subsidized.

What happens in the rest of the UK?

In Wales, no one who is eligible for care at home is expected to pay more than £100 a week.

In Northern Ireland, no one over the age of 75 pays for home care.

Scotland provides free personal care for people who are assessed as needing support at home, whatever their age.

In Scottish care homes, people get free care if they have savings or assets of less than £18,000.

Those with savings and assets of between £18,000 and £28,750 have to fund part of their care.

People with more than that have to fund their own care, apart from a £193.50 a week contribution towards personal care and £87.10 a week towards nursing care.