Date posted: 26/04/2021


  • Those responsible for Scheme Medical Adviser (SMA) referrals
  • Those responsible for paying SMA invoices
  • Departmental Occupational Health providers


  • Extension of Health Management Limited (HML) as the Scheme Medical Advisor
  • Change of prices from 1 July 2021
  • 2015 Remedy impact


  • To note that there is no change to the current SMA’s arrangements – employers should continue using existing processes
  • To make the necessary arrangement for paying the increased charges


  • Immediate


1. The current SMA contract is due to come to an end on the 30 June 2021. Given the complexities the scheme faces to successfully carry out the necessary actions stemming from the 2015 Remedy Programme (McCloud judgement), we have decided to extend the current provider's (HML) extension up to an anticipated date of the 31 May 2023. The 31 May 2023 date is subject to review under procurement law and could change. Any changes will be notified at the time via an updated EPN.

2. Since HML became the SMA in 2017, the prices charged for their services have remained frozen. It has been agreed that a 5% increase for all of the services provided will be implemented from 1 July 2021. See the attached annex, below.

3. As mentioned, the main reason for the extension is the changes required due to 2015 Remedy Programme.

4. These changes will involve an additional check, which will need to be carried out by the SMA, to determine whether the member meets the ill health criteria in both the Principal Civil Service Pension Scheme (classic, classic plus, premium and nuvos) and the alpha scheme. However, employers will not be charged for the additional check, as the Scheme Manager will be covering this extra charge.


If you have a question about the distribution of EPNs, or would like to receive them in a different format, please contact

You can find electronic copies of the Employer Pension Guide, all current EPNs and forms in the Employer section of the Civil Service Pensions website.

This notice is for employers and should not be issued to scheme members.

Members can find information about their pension by visiting the member's section.


26 April 2021
Last updated:
24 April 2023