PTSD, Injury Awards &
Ill-Health Retirement
Psychological injury is injury under the police regulations. Here is how PTSD and other mental health conditions are treated for ill-health retirement and injury awards: the tests, how causation is decided, what the SMP needs to see, what happens to pay, and what the money can look like.
Independent information, not advice · Sources checked 7 October 2026 · England and Wales unless stated
Yes. The regulations define injury to include injury or disease of mind, and infirmity to include a mental disorder. Ill-health retirement needs an SMP to find you permanently unfit for police duties, whatever the cause, and (in the 2015 scheme) 2 years' qualifying service unless a duty injury caused it. An injury award also needs the condition to have been caused or substantially contributed to by an injury in the execution of duty, and pays by lost earning capacity. Support is available now.
This page is about the rules and the money. If what you have been through is affecting you, getting support comes first. The support services listed above are confidential. Occupational health is different: what it tells your force can affect decisions such as firearms, driving or vetting, so read our occupational health guide if that worries you. You can come back to the process later; the main time limit to watch is 28 days from receiving any SMP report.
The injury award calculator shows what each band and ill-health tier would pay with your own pay and service, and the ill-health retirement calculator shows the lower and upper tier pension before and after tax. Neither can tell you whether the SMP will find your condition permanent or caused by duty, or which band applies.
Psychological injury counts in the regulations
The regulations are explicit:
- Schedule 1 to the Police (Injury Benefit) Regulations 2006 says "injury" includes any injury or disease, "whether of body or of mind".
- Regulation 7(8) of those regulations says "infirmity" means a disease, injury or medical condition, "and includes a mental disorder, injury or condition".
- Regulation 74 of the Police Pensions Regulations 2015 uses the same definitions, and defines medical unfitness as inability "occasioned by infirmity of mind or body".
So PTSD, complex PTSD, depression, anxiety disorders and other diagnosed mental health conditions are assessed under the same tests as physical injuries. The tests themselves set no higher bar for them. The practical differences are in evidence and causation, covered below. For anxiety, depression and work-related stress without a PTSD diagnosis, see ill-health retirement and mental health.
Regulation 36 of the Police Pensions Regulations 2015 let the scheme manager exclude an officer with a pre-existing medical condition from ill-health benefits when joining, if the likely cost was judged disproportionately high; excluded officers paid reduced contributions. In 2023 the Home Secretary conceded that this breached the Equality Act 2010, and since September 2023 new joiners have not been given exclusionary medical examinations. The Home Office consulted on removing regulation 36 from 20 August to 17 September 2026; the outcome had not been published when we checked on 7 October 2026, and any remedy for people already excluded is expected to need a second consultation. If you were told on joining that you were excluded from ill-health benefits, ask your Federation representative or a solicitor how it affects you.
The tests, one by one
| Question | Test | Source |
|---|---|---|
| Is it an injury? | 'Injury' includes any injury or disease, whether of body or of mind; 'infirmity' includes a mental disorder, injury or condition | PIBR Sch 1 and reg 7(8); PPR 2015 reg 74 |
| Ill-health retirement: permanently unfit for police duties? | Unable to perform the ordinary duties of a police officer, caused by infirmity of mind or body, likely to last until normal pension age (or death) | PPR 2015 regs 74, 76 |
| Upper tier: unfit for any regular employment? | Also unable to engage in regular employment, likely until normal pension age. Regular employment means an annual average of at least 30 hours a week, so someone fit only for part-time work can meet the upper tier | PPR 2015 regs 2, 76(3), 101(2) |
| Qualifying service | 2015 scheme: 2 years' qualifying service, unless the unfitness results from a duty injury received without your own default. 2006 scheme: the qualifying service criterion (2 years), or a duty injury. 1987 scheme: an ill-health pension needs 5 years' pensionable service unless the disablement results from a duty injury; otherwise a gratuity is paid | PPR 2015 reg 102(2); PPR 2006 reg 29(3); PPR 1987 reg B3 |
| Injury award: permanently disabled? | For 2015 members, medically unfit within Part 6 of the 2015 regulations and likely to be permanent | PIBR reg 7A (SI 2018/997); reg 7 for 1987 and 2006 members |
| Caused by duty? | The injury received in the execution of duty caused or substantially contributed to the disablement | PIBR regs 6, 8, 11 |
| Degree of disablement | How far the duty injury has affected your earning capacity | PIBR reg 7(5), 7A(5) |
Ill-health retirement and an injury award are separate decisions. You can be retired for PTSD without an injury award (if the SMP finds it was not caused by duty), or receive an injury award after leaving another way. See which route applies.
Causation: when is a mental health condition caused by duty?
Regulation 8 deems disablement to be the result of an injury if the injury "has caused or substantially contributed to" it. The duty injury need not be the only cause. For psychological injuries, the main points from the guidance and case law we read are:
- A single incident is not required. Archived Home Office guidance said an injury does not have to be received through a single, significant incident, and that where none can be identified the question is whether the disablement was caused by police duty as opposed to domestic or other circumstances not related to duty.
- Duty is read broadly. The same guidance said police duty "should not be given a narrow meaning; it relates to all aspects of the officer's work". Landmark Chambers summarise the High Court decision in PC Milton's case (R v Kellam, 2000), which applied a "work circumstances" test to a psychiatric condition developing over time, including things said or done by colleagues at work.
- But there are limits. In R (Chief Constable of Avon and Somerset) v Police Medical Appeal Board [2019] EWHC 557 (Admin) the High Court said that for an injury to be received in the execution of duty "there must be a substantial causal connection between the injury and the execution of duty", and that it is not enough that the officer was on duty. Barristers' commentary notes that judges have applied these principles in different ways, so outcomes depend heavily on the facts.
- Cumulative exposure. The guidance referred to courts accepting "the straw that broke the camel's back": if all the earlier straws were in the execution of duty the answer is straightforward; if not, the question is how far duty-related incidents caused or substantially contributed to the disablement.
- Disciplinary proceedings or complaints. In Commissioner of Police of the Metropolis v Stunt [2001] EWCA Civ 265 the Court of Appeal held that a psychiatric injury caused by being subject to a complaint and the disciplinary process that followed was not received in the execution of duty, even though the complaint arose from an arrest made on duty.
- Mixed causes. Where work and non-work factors both contributed, it is enough that the duty injury substantially contributed, but the degree of disablement may be apportioned to the part caused by the duty injury.
Two separate "default" rules can also apply. Regulation 6(4) treats an injury as received without your default unless it was wholly or mainly due to your own serious and culpable negligence or misconduct; archived Home Office guidance treated that as a question for the authority, though the regulations do not say so expressly. Regulation 38 is different: if the SMP decides (regulation 30(4)) that you brought about or substantially contributed to the disablement by your own default, the authority may reduce the award by up to half, subject to the conditions in that regulation. If either is raised, take advice.
The diagnosis is not the test
Disputes about whether someone "really" has PTSD are common. The regulations do not turn on the label; they ask whether a permanent infirmity of mind exists and what caused it.
- In Weed (2020) the Police Medical Appeal Board did not accept that a PTSD diagnosis was substantiated, but found a mixed anxiety and depressive disorder that was likely to be permanent and was sustained in the execution of duty. The judgment records that the officer received an injury on duty award.
- Archived Home Office guidance asked SMPs to describe conditions by reference to recognised classifications such as ICD and DSM.
- Landmark Chambers describe Boskovic, where doctors later disagreed about whether an officer met the full criteria for PTSD; the barristers argue the injury question should not turn on that debate where the condition was clearly caused by duty.
If your diagnosis is disputed, focus the evidence on what the condition is, how it affects you and what caused it, from treating clinicians who know your history.
Evidence the SMP will want
- Reports from treating psychiatrists or psychologists: diagnosis, treatment tried, response, prognosis and functional limits.
- GP records showing when symptoms started and how they progressed.
- Records of exposure: incident logs, deployment records, TRiM or post-incident referrals, and a private, factual note of significant incidents with dates and references.
- Occupational health records and any adjustments tried.
- Sickness records, and evidence of attempts to return to work.
- For banding: what kinds of work, hours and environments you can and cannot manage.
Consent to release medical records matters: the authority can decide without the SMP if you wilfully or negligently fail to attend an examination or interview the SMP considers necessary (PIBR reg 33; PPR 2015 reg 77), and the High Court in Goodland (2020) upheld that approach where records were refused. Ask what is needed and why. For what occupational health shares with your force, see telling occupational health about your mental health. The SMP guide covers preparing for the appointment.
Treatment and 'permanent'
For ill-health retirement under the 2015 scheme, permanent means likely to continue until normal pension age (60) or death (regulation 76). In deciding that, you are taken to receive normal appropriate medical treatment, which does not include treatment the authority decides it is reasonable for you to refuse (regulation 75). The injury regulations have the same rule (regulation 7(3)). You can appeal to the Crown Court against a decision that refusing a treatment was unreasonable.
For conditions that can improve with treatment, this is often where cases turn. If recommended treatment has not been tried, ask your clinicians to explain in writing why, or what the outlook is if it is tried. If your condition later worsens after a lower tier retirement, regulation 112 lets you ask for a review and the upper tier, normally within five years.
Reviews can also go the other way. A 2015 scheme lower tier pension can be reviewed at any time until normal pension age (60) (regulation 110). If the SMP then finds you are no longer permanently unfit for police duties, you are offered the chance to rejoin and the pension stops after three months or when you rejoin (regulation 111). An upper tier enhancement can be reviewed at intervals of at least five years and stops if you become able to do regular employment, while the lower tier pension continues (regulation 114). For conditions that can improve, keep this in mind when planning.
How a psychological injury is banded
The degree of disablement is how far the duty injury has affected your earning capacity (regulation 7(5), or 7A(5) for 2015 scheme members). "Band 1 to 4" is common shorthand for the four ranges of degree of disablement in Schedule 3; the regulations themselves speak of a percentage. For a psychological injury the SMP considers which work is medically suitable and how much of it: whether you can manage public contact, shift work, pressure, particular environments or triggers, and how many hours. The force usually prepares an earnings assessment with possible jobs and pay; you can comment on it. See the earnings assessment guide.
Fluctuating conditions need care: describe good and bad periods accurately and give evidence of both. The band can be reviewed later if your degree of disablement substantially alters (regulation 37), but a review cannot reopen the original findings on cause or diagnosis (Laws, 2010).
What it can pay: illustrative figures
Illustrative examples, not real cases: £52,015 pay (the top constable pay point) as average pensionable pay, 10 years' service all in the 2015 scheme (someone who joined in 2016), retiring at 38. Officers with longer service also have 1987 or 2006 scheme service, which is worked out differently. Pensions come from our calculator engine (simplified, no revaluation); award figures from the Schedule 3 percentages read on 30 September 2026. Before any benefit deductions. The after-tax column taxes the ill-health pension on its own (2026/27 England and Wales rates, no other income) and treats the injury pension as tax-free (HMRC EIM75900).
| Outcome | Ill-health pension a year | Injury pension a year | Total a year before tax | Total a year after tax | One-off gratuity |
|---|---|---|---|---|---|
| A: unfit for police duties but able to do other full-time work (30 hours a week or more); band 2 | Lower tier £9,406 | £18,953 | £28,359 | £28,359 | £13,004 |
| B: unfit for any regular employment, including someone who can only manage part-time work; band 4 | Upper tier £19,753 | £29,398 | £49,151 | £47,714 | £26,008 |
| C: unfit for police duties, condition not caused by duty | Lower tier £9,406 | - | £9,406 | £9,406 | - |
The tier turns on "regular employment", which the 2015 regulations define as an annual average of at least 30 hours a week. Someone who can only manage part-time work is unfit for regular employment and meets the upper tier test, so outcome A is someone the SMP finds could work full time in another job.
The injury pension is the band's guarantee less 75% of the ill-health pension, so in outcome B the larger upper tier pension shrinks the injury pension. Before tax, a bigger ill-health pension raises the total by a quarter of the extra pension, but only while the injury pension stays above nil, and the extra pension is taxable while the injury pension it replaces can be tax-free. For a higher-rate taxpayer that can make the upper tier worth less, not more. There is no standard "PTSD payout": the figure depends on the tier, the band, your pay, your service and your tax. See the worked examples for every band, and run your own figures in the calculator.
Sick pay while you are off
Annex K treats a mental health absence like any other: full pay for 6 months then half pay for 6 months in any one year period, reduced by paid sick absence in the previous 12 months. The chief officer can extend pay in a particular case.
- PNB Circular 5/01, quoted in Weed, lists circumstances in which it would generally be appropriate to exercise the discretion favourably. They include where the chief officer is satisfied the incapacity is directly attributable to an injury or illness sustained or contracted in the execution of duty, and, separately, where the authority has referred the question of permanent disablement to an SMP. Each case must still be considered on its merits, and the guidance lists reasons for refusing, such as failing to co-operate with rehabilitation or medical examinations.
- In Weed, the force's own guidelines gave medically diagnosed PTSD resulting from the performance of police duty as an example that would normally attract favourable discretion, and stress-related illness from working conditions generally as one that would not. The court upheld the refusal of pay for the earlier period in that case.
Ask for your force's policy and request an extension in writing before half pay starts. The sick pay calculator shows when it will. See also police stress leave.
The 12-month rule and mental health
Regulation 12 pays a much larger disablement gratuity (the lesser of 5 times pensionable pay or four times 12 months' remuneration plus contributions) where a duty injury leaves you totally and permanently disabled within 12 months. The Home Office consulted in 2021 on whether that limit is fair to conditions that develop slowly. In its response of 22 April 2025 it reported that most respondents said mental health injuries such as PTSD can take more than 12 months to manifest, be diagnosed or worsen, but found the evidence inconclusive, kept the rule and said it would run a further engagement exercise with medical experts and stakeholders before considering change. The ordinary regulation 11 award has no such time limit.
Still serving, or already left?
| Still serving | Already left | |
|---|---|---|
| Sick pay | Annex K full then half pay; ask in writing about an extension before half pay | Not applicable |
| Ill-health retirement | Referral to an SMP by the authority; the authority retires or retains you | Not available as such; a deferred pension may be paid early on health grounds (2015 scheme regulation 86) |
| Injury award | Questions can be referred now, but the award is made only after you leave | Claim in writing; the SMP may need to decide permanence as well as causation and degree |
| Who can help | Federation or staff association rep; occupational health; GP | Your former branch (ask what it offers retired members); a solicitor; GP; Police Care UK |
| Key date to watch | 28 days from receiving any SMP report | 28 days from receiving any SMP report |
What to ask your treating clinicians
The SMP decides, but reports from the people treating you often carry the most weight. These questions track what the regulations ask. Your clinicians will answer in their own professional terms, and should only say what they genuinely think.
- What is the diagnosis, using a recognised classification?
- When did symptoms start, and what events do you consider caused or contributed to them?
- What treatment has been tried, what was the response, and what further treatment is recommended?
- With that treatment, what is the likely course of the condition over the coming years?
- What can I do and not do: hours, environments, public contact, shift work, pressure, specific triggers?
- Are there other conditions affecting my capacity, and how do their effects separate from this one?
Ask for reports in writing and keep copies. Never ask a clinician to overstate anything; an SMP is told to test evidence, and credibility matters on appeal.
Your career, confidentiality and other routes
- A diagnosis does not itself end a police career. Ill-health retirement follows only an SMP finding of permanent unfitness and a decision by the authority, which may instead keep you in a role you can do (2015 regulation 82).
- What occupational health tells your force, and how a diagnosis affects firearms, driving or vetting, is covered in telling occupational health about your mental health.
- After a traumatic incident your force should have a post-incident process: see post-incident support and TRiM.
- Other routes, such as criminal injuries compensation where you were a victim of a crime of violence, or a civil claim, are compared in police compensation routes.
- Police Care UK offers psychological support, grants and transition support to serving and former officers and staff harmed through policing.
What people get wrong
- "Mental health does not count as an injury." The regulations expressly include injury or disease of mind.
- "I need one big incident." Cumulative exposure can be enough, if duty caused or substantially contributed to the condition.
- "No PTSD diagnosis, no award." The test is a permanent condition caused by duty, not a particular label.
- "PTSD means the top band." The band depends on lost earning capacity, not the diagnosis.
- "Asking for help will end my career." A diagnosis alone does not lead to retirement, and the support services listed on this page are confidential. Occupational health advice to your force can affect some roles, such as firearms or driving, which our occupational health guide explains.
- "I can work part-time, so I will only get the lower tier." Regular employment means at least 30 hours a week on average; if you can only work part-time, the upper tier test can be met.
- "A duty-caused condition keeps me on full pay." Only if the chief officer exercises the discretion.
What we could not verify
- How often psychological claims succeed. We found no national figures on ill-health retirements or injury awards for mental health conditions, and give none.
- Industrial Injuries Disablement Benefit for PTSD. Whether DWP treats a particular psychological injury as caused by an accident at work is for DWP; we did not verify its approach.
- Cases described from secondary sources. PC Milton's case, Stunt, Avon and Somerset and Boskovic are described from Landmark Chambers' guide, which quotes the judgments. We read Weed and Laws in full.
- Regulation 36. The outcome of the 2026 consultation, and any remedy for officers already excluded, had not been published when we checked.
- Who decides "default" under regulation 6(4). The regulations do not say expressly; take advice if it arises.
- Current Home Office guidance. The medical appeal guidance on causation was withdrawn in 2022 and we found no replacement.
- Force sick pay policies. Each force sets its own criteria for extending pay.
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Frequently Asked Questions
Can a police officer get ill-health retirement for PTSD?
Yes, if a selected medical practitioner finds you permanently unfit for the ordinary duties of a police officer. The 2015 regulations define infirmity to include a mental disorder, injury or condition, and permanent means likely to last until normal pension age. You also need 2 years' qualifying service in the 2015 scheme unless the condition results from a duty injury (the 1987 scheme needs 5 years for a pension, otherwise it pays a gratuity). The authority then decides whether to retire you or keep you in a role you can do.
Is PTSD an injury on duty for a police injury award?
It can be. The injury benefit regulations define injury as including any injury or disease 'whether of body or of mind'. The SMP must find that you are permanently disabled and that an injury received in the execution of duty caused or substantially contributed to the disablement.
What is the police ill-health retirement PTSD payout?
There is no fixed PTSD payout. Ill-health retirement pays your accrued pension, which is taxable (plus an enhancement on the upper tier). If PTSD was caused by duty, an injury award adds a gratuity of 12.5% to 50% of pay and an injury pension set by how far your earning capacity has fallen, less three-quarters of the pension. Our calculator shows the figures by band.
Does PTSD from many incidents count, or only from one event?
Both can. Archived Home Office guidance said an injury does not have to come from a single incident, and that where no single moment can be identified the question is whether the disablement was caused by police duty rather than unrelated circumstances. In PC Milton's case the High Court applied a 'work circumstances' test to a condition developing over time. But there must be a substantial causal connection between the injury and the execution of duty; simply being on duty is not enough (Avon and Somerset, 2019).
Does stress from a misconduct investigation count as a duty injury?
Usually not. In Commissioner of Police of the Metropolis v Stunt [2001] EWCA Civ 265 the Court of Appeal held that a psychiatric injury caused by being subject to a complaint and disciplinary process was not received in the execution of duty. Where the facts are mixed, the SMP decides causation on the evidence. Take advice on your own case.
What if the SMP says I do not have PTSD?
The label is not the test. In Weed (2020) the appeal board did not accept a PTSD diagnosis but found an anxiety and depressive condition that was permanent and caused in the execution of duty, and the officer received an injury award. What matters is whether a permanent mental condition was caused or substantially contributed to by a duty injury.
Do I have to have tried every treatment before ill-health retirement?
Permanence is judged assuming you receive normal appropriate medical treatment, which excludes treatment the authority decides it is reasonable for you to refuse (PPR 2015 reg 75; PIBR reg 7(3)). In practice an SMP may not find a condition permanent while recommended treatment has not been tried. Discuss with your treating clinicians.
Will I stay on full pay while off with PTSD?
Annex K gives full pay for 6 months then half pay for 6 months, whatever the cause. The chief officer can extend pay. PNB guidance quoted in Weed lists, among the cases where the discretion should generally be exercised favourably, incapacity directly attributable to an injury or illness in the execution of duty, and cases where permanence has been referred to an SMP. It is not automatic.
Can my PTSD injury award be reduced later?
The injury pension can be reviewed under regulation 37, and only changes if the SMP finds your degree of disablement has substantially altered since the last decision. A review cannot reopen whether the injury happened on duty or whether the original diagnosis was right (Laws, 2010).
Why does the 12-month rule matter for PTSD?
The large regulation 12 gratuity needs total and permanent disablement within 12 months of the injury. Most consultation respondents told the Home Office that mental health injuries can take longer to develop or be diagnosed. In April 2025 the Home Office kept the rule pending further evidence.
Is a PTSD injury pension taxable?
HMRC's Employment Income Manual says payments from police injury benefit schemes can be paid tax-free, while the ill-health pension is taxable. It does not settle any individual award, so check with the pension administrator or HMRC.
Where can I get support?
The services in the support boxes on this page are confidential. Your GP, occupational health, your Federation or staff association, and charities such as Police Care UK can all help. If you or someone else is in immediate danger, call 999.
Sources and how we checked them
Every factual claim on this page was written from the sources below, read on 7 October 2026. Rules and figures change, so check the source for the date you are reading this. Where we could not confirm something from an official or independent source, the page says so rather than guessing. Spotted something out of date? See our corrections policy.
- Police (Injury Benefit) Regulations 2006, Schedule 1 and regulations 6 to 8 (legislation.gov.uk, as made) — 'injury' includes any injury or disease, whether of body or of mind; infirmity includes a mental disorder (reg 7(8)); execution of duty (6); caused or substantially contributed (8); treatment assumption (7(3)) (accessed 7 October 2026)
- SI 2018/997, regulation 10 (regulation 7A) — disablement test for 2015 scheme members linked to medical unfitness under the 2015 regulations (accessed 7 October 2026)
- Police Pensions Regulations 2015, regulations 74 to 76 (revised) — infirmity includes a mental disorder; injury includes injury or disease of mind; permanence to normal pension age; treatment assumption (accessed 7 October 2026)
- Police Pensions Regulations 2015, regulations 101 to 104 — lower and upper tier thresholds and amounts; qualifying service (102(2)) (accessed 7 October 2026)
- Police Pensions Regulations 2015, regulation 2 and regulations 110 to 114 — 'regular employment' = annual average of at least 30 hours a week (reg 2); lower tier review to normal pension age and stopping the pension (110, 111); upper tier reviews (114) (accessed 7 October 2026)
- Home Office: Police Pension Scheme 2015: Regulation 36 (consultation, 20 August to 17 September 2026) — ill-health exclusion; 2023 concession that it breached the Equality Act 2010; outcome not published at 7 October 2026 (accessed 7 October 2026)
- Police (Injury Benefit) Regulations 2006, regulations 30(4) and 38 (as made) — reduction of up to half for own default, on the SMP's decision (accessed 7 October 2026)
- Annex K determination text (copy hosted by Police Federation, West Midlands) — sick pay: no separate rule for mental health or duty injuries (accessed 7 October 2026)
- R (Weed) v Commissioner of Police of the Metropolis [2020] EWHC 287 (Admin) — PNB Circular 5/01 on discretionary sick pay; PMAB found anxiety and depression caused in the execution of duty though PTSD not substantiated; MPS indicative examples (accessed 7 October 2026)
- Metropolitan Police Authority v Laws [2010] EWCA Civ 1099 — reviews cannot revisit earlier clinical findings; psychiatric difficulties flowing from physical injury in that case (accessed 7 October 2026)
- Home Office: Guidance on medical appeals, sections 2 and 4 (archived 2022) — causation: no single incident needed; disciplinary proceedings; 'straw that broke the camel's back'; conditions described by ICD and DSM. Withdrawn (accessed 7 October 2026)
- Landmark Chambers, Police Injury Pensions, chapter 4 (2020) — PC Milton's case (R v Kellam, 2000) and the 'work circumstances' test; Stunt [2001] EWCA Civ 265 on complaints and disciplinary proceedings; Avon and Somerset [2019] EWHC 557 (Admin) on substantial causal connection; Boskovic on diagnosis. Secondary source (accessed 7 October 2026)
- Home Office: the 12-month rule in regulation 12, government response (22 April 2025) — respondents' concerns about mental health injuries; rule kept; further engagement (accessed 7 October 2026)
- HMRC Employment Income Manual EIM75900 (injury benefit schemes, including police and firefighters) — injury benefit 'can be paid tax-free' (accessed 7 October 2026)
- Police Care UK (charity, formerly the Police Dependants' Trust) — psychological support, grants and transition support for those harmed through policing (accessed 7 October 2026)
On this topic elsewhere
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Disclaimer
PolicePay.co.uk is an independent reference site. This page is general information, not legal, medical or financial advice, and the outcome of any injury award or ill-health retirement decision turns on the medical evidence and the facts of the individual case. Decisions are made by the police pension authority, selected medical practitioners and appeal boards, and the regulations are amended from time to time. Speak to your Police Federation representative or a solicitor about your own case, and your pension administrator about your figures. If you are struggling, speak to your GP or one of the services listed on our support directory; if you or someone else is in immediate danger, call 999. Details apply to England and Wales unless stated. Details are as checked on 7 October 2026.