Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the (a) operational risk and (b) physical demands of Hazardous Area Response Team (HART) personnel within NHS ambulance services; and whether he has plans to review the current pension and retirement framework for HART staff alongside other uniformed emergency services.

Hazardous Area Response Teams (HART) provide National Health Service care in high-risk environments, guided by national Emergency Preparedness, Resilience and Response standards. Operational risks are managed through a nationally consistent safe system of work, including Standard Operating Procedures, risk assessments and specialist training. Each ambulance trust supplements these with local risk assessments. Physical demands are addressed through national recruitment standards and mandatory six-monthly Physical Competency Assessments, with restrictions and support if standards are not met. NHS England commissions the Resilience Emergency Capabilities Unit to maintain standards and deliver specialist training.

The NHS Pension Scheme is designed to reward lifelong service to the NHS and is considered exceptionally generous. The Department considers that the current pension arrangements reflect the physical and operational demands on HART staff.

The scheme has many flexible retirement options to allow staff to retire sooner than normal pension age, with pensions reduced accordingly to account for the fact they are paid for longer. Even when taken years before Normal Pension Age, an NHS Pension can provide for a comfortable living and gives exceptional value to staff.

For those facing severe ill-health, the scheme allows for ill-health retirement at any age without a reduction in pension benefits. Additionally, members can access the Early Retirement Reduction Buy Out option, which enables retirement up to three years earlier without a reduction to benefits, with costs sometimes shared by ambulance service employers.

Aligning the NHS Pension Scheme with those of other emergency services, such as police and fire, would require higher contributions from all NHS staff. There are no plans at present to risk pension affordability for NHS staff or to equalise the normal pension ages of all emergency workforces.