Hi Tim Cotter 48
Please have a look at the guidance at PTM051200 (
PTM051200 - Annual allowance: essential principles: when the annual allowance charge does not apply).
You will need to determine that the the payments meet the severe illhealth conditions. If they do, there is no pension savings tax charge.
If they do not, you can carry forwards the surplus allowance from the previous 3 tax years and add this to the current year threshold.
If the payment exceeds this revised sum, then a pension saving tax charge arises and a self assessment tax return is required, to declare the excess in SA101.
Please also have a look at
HS345 Pension savings — tax charges (2024), which advises how to declare the excess.
Thank you