London Daily

Focus on the big picture.
Monday, Mar 23, 2026

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 is National Insurance?


*  It's a tax on earnings paid by both employees and employers; the self-employed also pay it on their profits
*  It was introduced in 1911 to provide a fund for workers who had lost their job or who needed medical treatment
*  It is now used to pay for the NHS, benefits and the state pension
*  The money is supposed to go into a "ring-fenced" fund - which means that it has to be used for these purposes - but the government can borrow from the National Insurance fund to pay for other projects

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% 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.


The government is also going back on a promise made in its 2019 election manifesto that it would not raise National Insurance.

However, Boris Johnson said the increase was necessary given the pandemic and the burden it placed on the NHS.

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 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 fully covered by the state.

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

What's the present arrangement?


At present, to get your care paid for by your local council, you must have a very high level of need and also savings and assets worth less than £23,250 in England.

Below that level the amount you pay reduces until you have less than £14,250, at which point the council pays for your care if you qualify.

The care system is under pressure because of an ageing population and the pandemic. It has been hit by staff shortages and falling government spending.

This has also put pressure on the NHS because people cannot be discharged from hospital if they don't have anywhere suitable to go.

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.

Newsletter

Related Articles

0:00
0:00
Close
Duchess of Sussex Secures ‘As Ever’ Trademark Rights in Australia Ahead of High-Profile Visit
UK Reaffirms Security as Officials Reject Claims of Immediate Iranian Missile Threat
Rising Middle East Tensions Spark ‘Trumpflation’ Debate Over Impact on UK Households
UK Minister Says No Evidence Iran Can Strike Europe Despite Heightened Warnings
British-Iranians Voice Safety Concerns to Authorities as Regional Conflict Intensifies
Confirmed Meningitis Cases Linked to Kent Outbreak Revised Down to Twenty
UK Government Sees No Evidence Iran Can Strike London Amid Rising Regional Tensions
Debate Grows Over Recognition of Indigenous Cultural Icons in the United Kingdom
Iran Missile Launch Toward Diego Garcia Raises Questions After Failed Strike on US–UK Base
Donald Trump Amplifies Viral Satirical Clip Highlighting UK–US Political Dynamics
UK Satirical Show Draws Attention with Sketch Referencing Trump and Prince Andrew
Meghan Markle’s Possible UK Return Sparks Renewed Attention on Sussex Role
Starmer Convenes Urgent Talks on Cost-of-Living Pressures Linked to Iran Conflict
Starmer Convenes Urgent Talks on Cost-of-Living Pressures Linked to Iran Conflict
UK Investors Eye Bargain Shares Ahead of ISA Deadline Amid Market Volatility
UK Investors Eye Bargain Shares Ahead of ISA Deadline Amid Market Volatility
Northern Lights Expected Over UK Skies Tonight Amid Strong Solar Activity
UK Condemns Iran Missile Strike and Warns Against Threats to British Personnel
UK Warns of Global Flight Disruptions as Iran Conflict Escalates Under Trump’s Leadership
UK Condemns Iran After Missile Strike Targets Strategic Diego Garcia Base
Deadly Meningitis Outbreak in UK Reinforces Urgency of Vaccination Campaigns
Iran Launches Long-Range Missile Strike on Remote US-UK Base, Signaling Expanded Reach
Iran Launches Long-Range Missile Strike on Remote US-UK Base, Signaling Expanded Reach
UK Rules Out Cyprus Base Role in Joint US Self-Defence Framework
UK Ends Hereditary Peerage Rights in Parliament in Historic Constitutional Reform
Lord Walney Warns of Expanding Iranian Influence Networks Within the United Kingdom
Iranian National Among Two Arrested After Attempt to Access UK Nuclear Submarine Base
Deregulation, Artificial Intelligence, and Fraud Laws Reshape UK Financial Services Landscape
UK Considers Lower Speed Limits to Reduce Fuel Use Amid Escalating Energy Crisis
UK Borrowing Costs Surge to Post-Crisis High as Markets React to Inflation and War Risks
UK Government Prepares Emergency Economic Measures as Iran Conflict Fuels Financial Risks
Meningitis B Outbreak in the UK Raises Urgent Health Warnings as Cases Surge
Iran Issues Stark Warning to Britain Over US Base Access Amid Expanding Conflict
United Kingdom Authorizes US Strikes from British Bases as Iran Threatens Key Shipping Routes
Reform UK Suspends Scottish Candidate Following Financial Misconduct Allegations
Apple issues an unusual warning: this is how your iPhone can be hacked without you doing anything
UK and Nigeria Reach Agreement to Accelerate Return of Irregular Migrants
UK Sets New Aid Priorities Following Significant Budget Reductions
Cyprus President Urges Open Dialogue Over Future of British Sovereign Base Areas
Cyprus President Urges Open Dialogue Over Future of British Sovereign Base Areas
UK Plans 50% Steel Tariffs in Bold Move to Protect Domestic Industry
Iran Conflict Sends Shockwaves Through UK Economy as Energy Costs and Trade Risks Surge
UK Health Officials Warn Kent Meningitis Outbreak Still Active as Cases Continue to Rise
UK Climate Progress Faces Scrutiny Over Reliance on Carbon Accounting Methods
UK Deploys Advisers to United States to Shape Plan for Reopening Strait of Hormuz
Amazon Bets on AI-Driven Alexa Upgrade to Revive UK Smart Speaker Market
UK Abortion Law Changes Spark Strong Response from Church Leaders and Pro-Life Advocates
UK Abortion Law Changes Spark Strong Response from Church Leaders and Pro-Life Advocates
GB News Faces Regulatory Complaints Over On-Air Remarks on ‘Genocide’ Claims
UK Signals Expanded Support for Gulf Allies as Iranian Attacks Intensify Regional Threats
×