When employees join the NHS, all eligible employees are automatically enrolled into the NHS Pension Scheme. If a member opts-out of the NHS Pension Scheme, you do not need to provide the member with alternative pension arrangements but if you do, this will be a local arrangement by the employer.
Employers should note that The Pension Regulator (TPR) does not allow employers to offer inducements to opt-out of a pension scheme. Employers should refer to the guidance around safeguarding for workers around automatic enrolment.