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Dr Tony Goldstone 💙 Profile picture
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Jul 2 • 24 tweets • 8 min read
1/24 Some useful threads on NHS pension scheme, pension taxation, & why its *still* such a car crash for the NHS (retention). #TaperDidntFixIt

For me this has always been about two simple themes- patient safety & survival of the NHS

HOW IT STARTED ('19) HOW ITS GOING ('22)
2/24 I'm going to use this as a compendium of some of the more important /educative/impactful tweets/threads🧵 I've done over the last 18 months or so they are all in 1 place. For some, they are done annually each tax year. Here goes- enjoy I hope you find it useful
3/24 WHEN: Saturday, October 10 2020

WHATS IT ABOUT: 19/20 AA and tools

Length (tweets): 17

Initial Reach (impressions): 209000 👇

4/24 WHEN: Saturday, October 24 2020

WHATS IT ABOUT: Errors on AA statements - common causes

Length (tweets): 25

Initial Reach (impressions): 123000 👇

5/24 WHEN: Monday, December 7 2020

WHATS IT ABOUT: AA compensation scheme

Length (tweets): 22

Initial Reach (impressions): 208000 👇

6/24 WHEN: Saturday, January 2 2021

WHATS IT ABOUT: Sal sacrifice, AA & free tool

Length (tweets): 18

Initial Reach (impressions): 336000 👇
7/24 WHEN: Saturday, February 13 2021

WHATS IT ABOUT: McCloud, pension taxation, Hutton

Length (tweets): 37

Initial Reach (impressions): 352000 👇
8/24 WHEN: Sunday, February 28 2021

WHATS IT ABOUT: LTA freeze

Length (tweets): 1

Initial Reach (impressions): 569000 👇
9/24 WHEN: Thursday, April 1 2021

WHATS IT ABOUT: Chancellor april fool

Length (tweets): 2

Initial Reach (impressions): 471000 👇
10/24 WHEN: Sunday, September 26 2021

WHATS IT ABOUT: 20/21 PSS errors

Length (tweets): 8

Initial Reach (impressions): 52414 👇

11/24 WHEN: Sunday, October 10 2021

WHATS IT ABOUT: 20/21 AA, letter templates, youtubes etc to navigate AA in 20/21 tax year

Length (tweets): 21

Initial Reach (impressions): 286000 👇

12/24 WHEN: Saturday, November 27 2021

WHATS IT ABOUT: NHSEI Late retirement vs BMA calcs

Length (tweets): 33

Initial Reach (impressions): 265000 👇

13/24 WHEN: Saturday, April 9 2022

WHATS IT ABOUT: BMA Late retirement launch tool

Length (tweets): 38

Initial Reach (impressions): 222000 👇

14/24 WHEN: Thursday, May 5 2022

WHATS IT ABOUT: Late retirement NHSEI complaint

Length (tweets): 19

Initial Reach (impressions): 188000 👇

15/24 WHEN: Wednesday, May 18 2022

WHATS IT ABOUT: CPI announcement, tool teaser

Length (tweets): 7

Initial Reach (impressions): 202000 👇

16/24 WHEN: Saturday, May 21 2022

WHATS IT ABOUT: GP, CPI, AA, Tool

Length (tweets): 46

Initial Reach (impressions): 397000 👇
17/24 WHEN: Wednesday, May 25 2022

WHATS IT ABOUT: Recycling

Length (tweets): 17

Initial Reach (impressions): 137000 👇
18/24 WHEN: Saturday, May 28 2022

WHATS IT ABOUT: CPI, AA, Solutions

Length (tweets): 46

Initial Reach (impressions): 167000 👇

19/24 WHEN: Saturday, June 18 2022

WHATS IT ABOUT: Health Select Committee, Taper, AA, Tiering, Recycling, Solutions

Length (tweets): 44

Initial Reach (impressions): 165000 👇

20/24 WHEN: Tuesday, June 21 2022

WHATS IT ABOUT: West Streeting on GPs retention and pension taxation caps

Length (tweets): 4

Initial Reach (impressions): 112000 👇

21/24 WHEN: Sunday, June 26 2022

WHATS IT ABOUT: ST article on GP calculator

Length (tweets): 16

Initial Reach (impressions): 72900 👇

22/24 WHEN: Monday, June 27 2022

WHATS IT ABOUT: Feryal Clark MP question regarding CPI disconnect

Length (tweets): 21

Initial Reach (impressions): 41600 👇

23/24 WHEN: Monday, June 27 2022

WHATS IT ABOUT: Waiting list report

Length (tweets): 18

Initial Reach (impressions): 69400 👇

24/24 WHEN: Saturday, July 2 2022

WHATS IT ABOUT: GP numbers, Health Foundation report, Roundtable invite

Length (tweets): 35

Initial Reach (impressions): Awaited 👇

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More from @goldstone_tony

Dr Tony Goldstone 💙 Profile picture
Jul 3
1/6 If you follow me, you know what a car crash pension taxation is & what a *HUGE* threat it is to the NHS retention & patient safety.

Can you *please* spend a couple of minutes, right now, doing this 👇



If you think its a waste of time, read on.

RT!
2/6 Over the past 3 weeks in government (on both side of the political fence) there are green shoots that penny may be starting to drop.

For example (1) @wesstreeting (shadow health)

3/6 (2) @sajidjavid gives central support for recycling ♻️ ("make it clear that it is something that we, at the centre, are happy with"), & some superb questioning by GP/MP @drlukeevans

Read 6 tweets
Dr Tony Goldstone 💙 Profile picture
Jul 2
1/32 An important🧵 summing up some new worrying information & terrifying predictions, & how to reverse these concerning trends -gvmnt needs to finally take head out of the sand regarding pensions taxation (& and how *you* can help). Pls read to end & share/RT.
2/32 So contrary to the Conservative manifesto pledge of 6,000 more
family doctors by 2024, @thetimes reported yesterday now 27,627 fully qualified full-time GPs in England, down from >28,000 this time last year & almost 2,000 fewer than in 2015.

thetimes.co.uk/article/doctor….
3/32 But what the Times article fails to do is dive into the reasons WHY GP numbers are dropping (probably because they are too focussed on obsessing on drop in %age of face to face appointments). But very clear fewer GPs on ground delivering highest activity EVER.
Read 32 tweets
Dr Tony Goldstone 💙 Profile picture
Jun 27
Further motion about pension recycling ♻️at #ARM22 noting recent support from SOS @sajidjavid for ♻️
. @alanjrobertson speaking for the motion points out tax relief removed by steep tiering
. @Vish_Sharm points out its "completely shameful" for employers to keep your employer contributions
Read 4 tweets
Dr Tony Goldstone 💙 Profile picture
Jun 27
1/ Very grateful to @FeryalClark MP asking the Minister about rising CPI inflation & impact on pension taxation. A🧵

Its a CRITICIALLY important question, but we need to explore the answer given by Edward Agar, Minister for Health- because put simply- it is plainly wrong

Pls RT
2/ So to understand the problem start by reading this article in @bmj_latest. The full online article by @ingridtorjesen article is here 👇which has more important info. I would suggest reading the full version

bmj.com/content/377/bm…
3/ The full article contained a subtle but important error (caused by the editing process of a long & complex subject, but removal of two crucial words completely changed the meaning!) so please read alongside this rapid response which I thought needed urgent correction
Read 21 tweets
Dr Tony Goldstone 💙 Profile picture
Jun 27
1/18 Really important report by @dnepo @aneelbhangu out this morning as reported by @ShaunLintern in yesterdays @thesundaytimes

Grateful to have received an early copy for comment &here are some thoughts in a short 🧵
2/18 Firstly this is NOT and never was a "COVID" backlog. As I have repeatedly pointed out the backlog has building over a decade, only worsened by but not caused by COVID.

A key part of that has been - as acknowledged by the authors - the interaction with pension taxation
3/18 BUT the problem is not limited to consultants "not taking additional work" - far from it. That particular problem, largely driven by the tapered AA was/is real, but a much bigger threat is reduction in activity (from reduced sessions) and loss of activity by early retirement
Read 18 tweets
Dr Tony Goldstone 💙 Profile picture
Jun 26
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
Read 16 tweets

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