Dr Tony Goldstone Profile picture
Jun 26, 2022 16 tweets 7 min read Read on X
1/ Grateful for @imogent_ @thetimes covering the @BMA_Pensions GP CPI calculator in ST

See the problem for yourself by accessing free BMA tool at 👇
bit.ly/CPIPensionDisa…

A financial advisor said "Doctors worry
about the tax bills in their pension. It has been part
of every
2/ conversation I’ve had with a doctor for
three to four years but now it is really front and
centre. This problem for the doctors is having an
immediate knock-on effect on waiting lists."
3/ The key problem is due to the rate of increase of inflation which is unprecendented
4/ Due to the complex way AA is calculated, a flaw in the Finance Act uses the previous september CPI to define "opening value" which is how much your pensions can increase before being tested by the Annual Allowance. Last years CPI was 3.1%
5/ But this year inflation is currently running at 9.1% with Bank of England predicting it might reach 11%. Even at 10% by September, plus 1.5% for dynamisation / revaluation - this could cause eye watering charges for doctors, especially GPs who have longer in a CARE scheme
6/ "According to the BMA, some GPs earning £115,000 (the average salary for a GP partner) could be lumped with an annual allowance tax charge bill of
more than £30,000 for the 2022-23 tax year"
7/ "Doctors are also being caught out by the lifetime
allowance, which is set at £1,073,100. If your pot or
pension benefits are worth more than this, you
could be taxed as much as 55 per cent on the excess,
when you withdraw it."

Please also note this is also a big problem
8/ with runaway inflation. Inflation at 10% this year equates to a 10% real terms drop in the LTA by it being frozen. We already know there is a close relationship between lowering the LTA & Voluntary Early Retirements 👇

What will a further 10% real terms drop in LTA do?
9/ "The BMA wants the NHS pension scheme to become a “tax unregistered scheme”. This would mean that doctors would not get tax relief on their
contributions, but then the pension would not be
tested against the annual or lifetime allowance."

This is absolutely correct long term
10/ However the urgency of the 22/23 situation will require more urgent action. @BMA_Pensions have already met with officials from DHSC & also HM Treasury to suggest 3 immediate actions that could help
11/ [1] The Finance Act is clearly broken. It is intended to measure growth ABOVE inflation, but currently is doing nothing of the sort. With a very small amendment a single value for CPI could be used
12/ [2] Another quirk in the Finance Act relating to "'negative growth" needs fixing at the same time
13/ [3] Finally if the Finance Act cannot be changed, other solutions like the 19/20 AA compensation scheme could be rolled out in all 4 nations
14/ Its fair to say we are extremely worried in @BMA_Pensions about the 22/23 tax year. Very high inflation is driving massive & unprecented AA tax bills, other quirks in the systen are driving early retirements & LTA is being destroyed by high inflation.
15/ Same edition of the ST @ShaunLintern reports 👇 that waiting lists could reach 14.3m by 2030.

We *must* urgently solve RETENTION of the senior medical workforce. @Jeremy_Hunt @sajidjavid @RishiSunak

Pensions tax is the elephant in the room

16/

Please take the urgent actions required to solve this huge threat to the NHS.

#taxunregistered #CPIdisconnect

Please RT / share if you agree

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr Tony Goldstone

Dr Tony Goldstone Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @goldstone_tony

Jun 29
1/ NEW & IMPORTANT: Quarterly NHS pay data updated 27/6/24 👇 In BREAKING NEWS NEW charts now show ALL SECTORS have reached #FullPayRestoration (though NOT, of course, the NHS)

We MUST fix pay/retention to fix #WaitingLists

Please read whole [long bumper] 🧵 & share widely/RT

Image
Image
Image
2/ You'll notice when ministers are in the media, they often talk about how hard "your viewers/listeners" have been hit by inflation. But what we need to do is separate fact from fiction (aka LIES), it was 👇excellent @jburnmurdoch @FT chart that really showed this well last year Image
@jburnmurdoch @FT 3/ But its not just government ministers gaslighting NHS workers that they have no right for their pay to keep up (like everyone else's), it was also so-called "independent" DDRB👇

Apparently doctors & dentists should not be protected when "its not taking place in other groups" Image
Read 33 tweets
Mar 29
1/ NEW & IMPORTANT: LOTS of new data this week incl new pay data 28/3/24 👇 NEW charts incl NHS satisfaction (SPOILER: Its grim #MindTheGap)

MUST fix pay/retention to fix #WaitingLists- next GE WILL be won/lost on NHS.

Please read whole [long bumper] 🐇🧵 & share widely/RT

Image
Image
Image
2/ You'll notice when ministers are in the media, they often talk about how hard "your viewers/listeners" have been hit by inflation. But what we need to do is separate fact from fiction (aka LIES), it was 👇excellent @jburnmurdoch @FT chart that really showed this well last year Image
@jburnmurdoch @FT 3/ But its not just government ministers gaslighting NHS workers that they have no right for their pay to keep up (like everyone else's), it was also so-called "independent" DDRB👇

Apparently doctors & dentists should not be protected when "its not taking place in other groups" Image
Read 35 tweets
Feb 24
1/ *VERY* concerned about the quality & type of information coming to @BMA_Pensions members to allow them to make choices in regards to McCloud.

For members who chose to move to 2008 (so called "choice 2", we saw the first of this information last week - deep dive 🧵
Pls RT

Image
Image
Image
2/ OK first of all, lets rewind. Pre 2008 we were all in the 1995 section. For most members that had a fixed retirement age of 60, and gave us "80ths" of final salary. Work 40 years, get 40/80ths or 1/2 of your final salary. Simple. Back in the day contributions were 5% or 6%
3/ As we all started to live longer, government felt this was unnafordable as we were spending longer in retirement. So they introduced the 2008 scheme
- 1/60th not 1/80ths
- Retire at 65 not 60
- So called "Reckonable" pay - based on best of 3yr in last 10, inflation adjusted
Read 30 tweets
Feb 22
1/ NEW: Consultation response out & confirmaiton of rates 1st April '24 , dropping the 13.5% tier.

Grateful government listened to concerns about feezing the top tier so tiers WILL uplift with CPI, not creating (another) "fiscal drag" for higher earners

gov.uk/government/con…
Image
2/ This repesents a change from previously announced where tiers were to be uplifts of AFC awards (largest employee group). I had suggested a "double lock" of greater of CPI or announced awards, which was supported by the scheme board, but sadly rejected by government Image
3/ @BMA_Pensions again raised concerns that the @nhs_pensions has a higher contribution rate than many public sector schemes, and has the steepest structure.
We continue believe it should be much flatter, or flat, in a CARE scheme will all paying the same for the same £1 pension Image
Read 6 tweets
Jan 15
1/ NEW & BREAKING: @instituteforgov supported in analysis by @CIPFA issue an UPDATED pay erosion chart for NHS workers including @TheBMA doctors & @theRCN nurses👇

WHY is this so relevant: This now includes pay data released in '24 to Sept '23 INCLUDING 6/12 of 23/24 pay awads
2/ This crucially important 📉shows

- pay erosion in NHS from austerity
- uses CPI preferred by gvmnt & some economists
- crucially shows 6/12 effect of DDRB 23/24- starting basis for all pay deals (i.e. not a lot) Image
@RobLaurensonD4P @_VivekTrivedi @TheBMA @BMA_Consultants @BMA_JuniorDocs @Doctors_Vote 3/ So this chart uses the latest available data (released in 2024) includes the latest pay deals

Despite this @BMA_JuniorDocs down a STAGGERING 25.0% in real terms

REMEMBER: This is using CPI, not RPI, which would produce a higher figure (RPI includes mortgage interest etc) Image
Read 11 tweets
Jan 7
1/ *Deeply* worrying from @RishiSunak @10DowningStreet on @bbclaurak

Watch the clip in full 👇and pick out the blatant untruths - its so unbelievable they went unchallenged Laura K?

Apparently "The government has now reached resolution with every other part of the NHS. ....
2/ "Nurses, midwives, paramedics, consultant doctors, specialty doctors most recently. "
"So EVERY other part of the NHS workforce, and I'm grateful to them for everything they're doing, has reached a resolution with the government on a reasonable, fair pay settlement. "
3/ According to our PM

"The only people that haven't are the junior doctors."

How can this go unchallanged?

To be clear @BMA_Consultants (nor @BMA_SAS) have *NOT* "reached a resolution with government on a "reasonable, fair pay settlement"

This is simply NOT true
Read 15 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(