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{"sheet":"End of Year Cert 21-22","index":1,"n_rows":124,"n_cols":12,"rows_kept":124,"cut":false,"hidden":false,"merged":[]}
[null,null,null,null,null,null,null,null,null,"Yes","Closed","credit/bank guarantee"]
["Independent provider (IP) employing authority (EA )",null,null,null,null,null,null,null,null,"No","Open","parent company guarantee"]
[null,null,null,null,null,null,null,null,"Yes",null,null,"security over bank account"]
["2021/22 End of year Certificate",null,null,null,null,null,null,null,"No"]
["Please refer to the guidance notes when completing each part of the Certificate."]
["If you would like to password protect this document please provide a contact name and telephone number in your covering email to: "]
["nhsbsa.pensionsfinancereporting@nhs.net and we shall contact you."]
["An IP that has NHS employing authority status must submit a fully completed 2021/22 Certificate to NHS Pensions before 31/05/2022.  An IP that ceased to be an EA on or before "]
["31/03/2022 must submit a fully completed Certificate to NHS Pensions within two months of ceasing to be an EA."]
["All IPs must also ensure that they have provided NHS Pensions with accurate individual member pension data no later than 31/05/2022. By this date, the member records must "]
["also be fully updated. If you have any issues updating member records, please contact nhsbsa.datamanagement@nhs.net."]
["Part 1: Employing authority status"]
[]
["1.1 Please confirm your NHS Pensions Scheme IP EA code.  "]
["1.2 Please declare the date your organisation became an NHS Pension Scheme IP EA.  "]
[]
["Part 2: Contact details  "]
["2.1. Full name, business address and registered company number of the IP:     "]
[]
["Name of Employer / Organisation: "]
["Address  "]
[]
[]
["Postcode"]
["Email Address "]
["Telephone"]
["Registered Company Number"]
[]
["2.2. Full name and title of the IP's responsible officer (i.e. Chief Executive) "]
[]
["Full Name"]
["Job Title"]
["Email Address "]
["Telephone"]
[]
["Part 3: NHS Pension Scheme access"]
[]
["3.1 Please confirm access type (such as) ‘Closed’ or ‘Open’ when the IP first became an EA."]
["3.2 Please confirm the type of NHS Pension Scheme access at 31/03/2022. "]
["3.3 If the type of access changed between 01/04/2021 and 31/03/2022, please confirm date of change. "]
["If you have been awarded additional qualifying contracts that have not been approved for access then please contact the Scheme Access Team at "]
["nhsbsa.schemeaccess@nhs.net"]
["Part 4: Number of staff, pay, and contributions"]
[]
["4.1 Declare the total number of employed staff who were members of the NHS Pension Scheme during 2021/22. This must balance to the total "]
["number of staff added to the Staff List tab."]
["4.2 Declare the total NHS pensionable earnings in 2021/22 for the staff stated at 4.1. This must balance to the Total Pensionable Pay (TPP) added"]
[" to the Staff List tab."]
["4.3 Declare the total NHS Employee contributions payable in 2021/22 for the staff stated at 4.1. This must balance to column J of the Staff List tab."]
["If not, please provide an explanation separately."]
["4.4 Declare the total NHS Pension Scheme Employer contributions payable in 2021/22 for the staff stated at 4.1.  "]
["4.5 Declare the total NHS Pension Scheme Added Years contributions payable in 2021/22 for the staff stated at 4.1.  "]
["4.6 Declare the total NHS Pension Scheme additional pension contributions payable in 2021/22 for the staff stated in 4.1. "]
["4.7 Declare the total NHS Pensions Scheme early retirement buy out contributions payable in 2021/22 for the staff stated in 4.1. "]
["You must complete the Staff List tab within this workbook in full (excluding any New Fair Deal or closed Direction). Supply the information for each scheme member who"]
[" contributed to the Scheme under your organisation in 2021/22."]
["Part 5: Employees not members"]
[]
["5.1 Employees that met the more than 50% criteria but were not eligible NHS Pension Scheme members in 2021/22.                                                                         "]
["5.2 Declare the total earnings in 2021/22 of the staff stated at 5.1                                                                        "]
["Part 6: Contribution expenditure"]
[]
["6.1: Please enter all monthly periods in the table below on an accruals basis"]
[]
["Contribution Month","Employer Contributions","Employee Contributions","Added Years (AVC)","Added Pension Purchase (AP)","Early Retirement Reduction Buy Out (ERRBO)","Total Contributions"]
["2021-04-01",null,null,null,null,null,{"$f":"SUM(B66:F66)","v":0}]
["2021-05-01",null,null,null,null,null,{"$f":"SUM(B67:F67)","v":0}]
["2021-06-01",null,null,null,null,null,0]
["2021-07-01",null,null,null,null,null,0]
["2021-08-01",null,null,null,null,null,0]
["2021-09-01",null,null,null,null,null,0]
["2021-10-01",null,null,null,null,null,0]
["2021-11-01",null,null,null,null,null,0]
["2021-12-01",null,null,null,null,null,0]
["2022-01-01",null,null,null,null,null,0]
["2022-02-01",null,null,null,null,null,0]
["2022-03-01",null,null,null,null,null,0]
["Total ",{"$f":"SUM(B66:B77)","v":0},0,0,0,0,0]
[]
["Part 7: The 2021/22 pensionable earnings ceiling  "]
[]
["7.1 Please insert the total value of contracts as an IP EA in 2021/22 (NHS Standard Sub Contracts, APMS or local authority contracts)."]
["7.2 Declare total earnings in 2021/22 that counts towards the pensionable earnings ceiling."]
["7.3 Check the calculated percentage: This is the pensionable earnings ceiling reached in 2021/22. Where the maximum 75% threshold has been ",null,null,null,null,null,{"$f":"G83/G82","v":{"$error":"#DIV/0!"}}]
["exceeded, please provide the reasons why separately."]
["Part 8: Guarantee"]
[]
["8.1 Where NHS Pensions has requested a guarantee payment, please state the amount paid:"]
["8.2 Where more than one guarantee has been requested, please confirm the individual amounts paid:"]
["Part 9: Introduction of Scheme Administration Levy"]
[]
["As from 01/04/2017, all employers will pay an additional 0.08% in employer contributions per member to cover the administration costs of the Scheme."]
["9.1 I declare that this organisation has implemented the employer contributions rate increase and is paying the additional 0.08% for administration costs."]
["Part 10: Declaration"]
[]
["• I declare that only staff who are to spend more than 50% of their basic working hours on NHS Standard/APMS contracts have joined the NHS Pensions Scheme. Where a dispute "]
["arises as to a person’s eligibility this organisation shall undertake an internal review and provide a written response to that person."]
["• I declare that this organisation shall co-operate in full with NHS Pensions and The Department of Health and Social Care including any ‘spot’ (for example, audit) checks."]
["• I declare that I have read the Independent Provider Guidance material and other associated NHS Pension Scheme Guidance on the NHSBSA website for NHS EAs and I am "]
["aware of my legal responsibilities. "]
["• I declare that this organisation has and shall provide any information as requested (including this IP end of year certificate) to the NHSBSA in accordance with the statutory NHS "]
["Pension Scheme Regulations and other overarching pension legislation, and pay over NHS Pension Scheme contributions (of any type) by the required deadlines. "]
["• I declare that, if requested, this organisation shall provide a contribution guarantee.  \n"]
["• I declare that this organisation shall provide due notice to NHS Pensions if it elects to change from closed to open NHS Pension Scheme access or vice versa.  \n"]
["• I declare that if this organisation elects to voluntarily withdraw from the NHS Pension Scheme it shall provide six months written notice to its staff and NHS Pensions.  \n"]
["• I declare that this organisation shall, within two calendar months of the end of the NHS Pension Scheme year, provide to the NHSBSA detailed information (including names \n"]
["and roles) of the staff that joined the NHS Pension Scheme."]
["• I declare that this organisation has provided a summary of those staff who satisfied the more than 50% criteria but who did not join the NHS Pension Scheme."]
["• I declare that if the 75% pensionable earning ceiling has been exceeded the organisation shall pay the relevant levy in accordance with the NHS Pension Scheme Regulations. "]
["• I declare that this organisation shall pay any relevant capitalisation cost in a one off payment where pensionable pay for a member of the 1995 section of the NHS Pension \n"]
["Scheme increases significantly.  "]
["• I declare that where a NHS Pension Scheme member has access to the NHS Pension Scheme redundancy/compensation pension this is clearly stated on their contract of "]
["service; for example, contract of employment."]
["• I declare that where an employee qualifies for the NHS Pension Scheme redundancy/compensation pension the organisation shall pay all capitalisation costs prior to the "]
["pension being awarded and any further capitalisation costs arising from a change to the pension benefits.  "]
["• I declare that this organisation has read the Independent Provider Application Guide available on the NHSBSA website - NHS Pensions area."]
["• I declare that I have notified NHS Pensions of any contracts which have ended in year."]
["• I declare that all contribution payments are correct and a full breakdown of monthly payments is provided at Part 6."]
["• I declare that the membership NHS Pension Scheme records have been updated for the Scheme year 2021/22 by 31/05/2022."]
["• I understand that if this organisation acts in breach of statutory pension legislation or fails to co-operate with the NHSBSA it may be expelled from the NHS Pension Scheme "]
["and reported to regulatory bodies; for example, The Pensions Regulator. "]
["• I declare that I have notified employees and NHS Pensions where this organisation no longer employs any person working more than 50% on the contract(s) shown."]
["Print name of the senior responsible officer:"]
["Date"]

{"sheet":"Staff List","index":2,"n_rows":507,"n_cols":10,"rows_kept":507,"cut":false,"hidden":false,"merged":[]}
[]
["NHS Pension Scheme members"]
[]
["Complete this list in full. Do not include staff who fall under New Fair Deal / closed direction "]
[]
["No.","Forename","Surname","NHS Pension Scheme SD ref no. (for example 81123456)","Job title (for example Nurse, Director)","Date NHS Pensiosn Scheme membership commenced","Actual NHS pensionable pay in 2021/22                   £'s","NWT Pay used to set contribution rate (Full Time Salary)      £'s","Employee contribution rate applied                     % (for example 7.1 not 7.1%)","Total employee contributions paid £'s"]
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[null,null,null,null,null,null,null,"Total Employee Contributions Paid ",null,{"$f":"SUM(J7:J506)","v":0}]

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[null,null,null,"Yes"]
[null,null,null,"No"]