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NIC Increase for health and social care

01 February 2022      Julia Ascott, Employment Taxes Specialist

Whilst the Treasury Committee highlighted the NIC increase as impacting the cost of living, the Government (in an article in the Sunday Times) confirmed that the increase will go ahead, as planned from April 2022 in order to provide critical funding to the NHS.

On cue, HMRC published their guidance Prepare for the Health & Social Care Levy setting out the basic changes from this April, summarised as follows:

2022/23 tax year

  • NIC for the following classes will increase by 1.25% for one year
    • Employee and employer Class 1
    • Class 1A (payable on benefits in kind)
    • Class 1B (payable on benefits included in the PAYE Settlement Agreement)
    • Class 4 (self-employed rate)
  • HMRC are asking employers to include the following message on payslips '1.25% uplift in NICs funds NHS, health & social care'
  • Will not apply to employees above the state pension age

6 April 2023 onwards

  • NIC rates will reduce back to their 2021/22 levels (i.e. removing the 1.25%), replaced by the Health & Social Care Levy of 1.25%
  • The levy will apply to the same classes of NIC as above with contributions reliefs remaining available for employees under 21, apprentices under 25, freeport employees, the employment allowance and armed forces veterans relief
  • Is payable by individuals above the state pension age - you may want to inform relevant employees so they are aware a deduction will be coming
  • The levy will be paid on the same basis as NIC, on the same levels of income
  • The levy will be collected through the PAYE system for employees/employers and returned to HMRC on the RTI system
  • Payslips will show the levy as a separate deduction


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