1/ NEW🕵️🧵: Good question from @wesstreeting but Im not so sure I understand the response from @mariacaulfield & perhaps more worryingly the response appears to me to be somewhat discrepant from previously published data by @DHSCgovuk

Pls share widely/RT
2/ This table is included in the response splits it into "age" and "early" retirement which the Minister describes as:

"Age retirements" are taken at or beyond 60 years old

"Voluntary early retirements" are taken before the age of 60 years old
3/ But this data also appears in the @DHSCgovuk to DDRB for example here for GPs starting at page 125 of

assets.publishing.service.gov.uk/government/upl…
4/ And here for Consultants
5/ So lets look at the response from the Minister in more detail as its confusing to separate "age" from "early" retirements
6/ If I have done my maths correctly, that would put average age of retirement for GPs at 59.2 and for hospital doctors at 60.7 - and that doesn't feel right to me (assuming I have calculated it correctly of course!)
7/ But now lets cross check against evidence submitted to DDRB. At first I thought the difference in hospital doctors could be hospital doctors vs consultants, but I suspect not as the GP figures are also WAY out
8/ There are some caveats in the table about being different previously published data but I think the data in the DDRB report fits more with my perception of what is really happening, and dont recognise the figures given by the minister to be correct IMHO
9/ It would be useful for @wesstreeting @FeryalClark to get clarity on which version is correct, as this is a really important question. In getting clarity I would ask @wesstreeting to go back to 2008, here is why
10/ We are in the midst of a @Conservatives leadership campaign. We heard last night for a third time from @trussliz that she will sort this mess out stating "weve got a lot of doctors leaving the profession early because of the perverse way the pensions work"
11/ But experience tells us that sometimes promises made in leadership campaigns dont always come true, do they @BorisJohnson ?
12/ Why is this important, well its important because whilst @RishiSunak in his leadership campaign was keen to tell us about the changes to the taper, he may have omitted what he did to the lifetime allowance in the March 2021 budget.
13/ And why is that so important - well with inflation likely to hit 11.3% this September, this is what is happening to the LTA in real terms
14/ And how is this relevant to this thread about early retirement numbers? And the answer to that is an extremely close correlation between the slashing of the value of the LTA (blue line) nd the rates of early retirement (orange line). Its a *potent* driver to early retirement
15/ So whilst ministers say VER rates are flat as they did recently to @feryalclark that was before when LTA was indexed to inflation (i.e. flat) this years MASSIVE cut to the LTA - what will happen to the orange line? (assuming of course the data you get is correct as above).
16/ A further note of caution if retirements are average for GPs at 59.2 and for hospital doctors at 60.7 (which I highly doubt).... stay a day beyond 60 & this is what you do to you hard earned and paid for 1995 pension. You just burn it. We need #LateRetirementFactors
17/ Make sure you #KnowYourNumbers

1️⃣bma.org.uk/doesntpaytostay

🆓Peri-retirement🛠️(hos👨‍⚕️) #DoesntPayToStay

Understand now if you are paying to stay on - most consultants age 59/60 will lose >£100k by delaying retirement by a single year
18/ And also make sure you understand how you will be punished by AA in 22/23

2️⃣bma.org.uk/pay-and-contra…

🆓AA🛠️(GP) 22/23 #CPIdisconnect
19/ Please will somebody sensibe in government listen and fix this before its too late to recover waiting lists

Pls share / RT @TheBMA

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More from @goldstone_tony

Aug 21
1/ As one of the leading experts on pension taxation in NHS I've personally reached out to @trussliz @RishiSunak with my thoughts on this existential threat to the NHS & solutions

If you want #TalkToTony I'd be happy to explain this complex issue.

Read 👇& RT if you agree Image
2/ I start by explaining in detail how about tax relief in the NHS is *not* the same as the private sector, nor is it the same as other public sector schemes Image
3/ Much of the general problem has been explained many times, including in the recent excellent @CommonsHealth report that correctly concluded that "It is a NATIONAL SCANDAL that senior doctors are being forced to reduce their working contribution" Image
Read 7 tweets
Aug 2
1/ 🧵 on "Total Reward Statements" (or Annual Benefit Statements)

Dear @nhs_pensions

As you know Ive been asking publically & privately if you could PLEASE make the TRS slightly less useless?

Here's why you need to change it, & quickly (please RT if you agree)
2/ Average retirement age in the NHS is somewhere around 59-60, and falling. We have had the 2015 scheme for 7 years, and now everyone is in it. What is the point of ONLY showing pension benefits at full retirement age/SPA, AND when those retirement ages are different?
3/ We were promised a pension portal by June 2020, and that's not happened. COVID obviously set things back, but seriously, why are we still waiting?
Read 18 tweets
Jul 31
1/ RANT🧵: don't normally bite at complete trash published by @Telegraph on public sector pensions but @Jessica__Beard this one is taking the p*$% - I think some people- even telegraph readers - might be more interested in funding the NHS properly *and* fixing potholes/libraries? Image
2/ Not entirely sure where the quoted "there is currently a funding shortfall of £4.8bn a year, and the taxpayer has to pick up the bill" has come from - last time I looked at NHS pension accounts, a £3.64b surplus flowed back to treasury? Image
3/ And as for your "experts" like @Pension_Helen @HLInvest "When you pay tax you like to think that it goes towards things that everyone gets use of, like libraries or road repairs, but that’s not the case with these pensions." Image
Read 11 tweets
Jul 30
1/22 Short🧵 on a free new "McCloud" calculator for most NHS staff👇

You may have preconceived ideas about "McCloud" or worse still, don't know what it is! This tool should help you explain what it is, & how McCloud might affect YOU, for example if a doc or a nurse. Pls shr/RT
2/22 So to introduce the concepts around the "McCloud" judgment, and see an introduction to the modeller, watch this short video

3/22 So to use this tool you will need

- March pay slips
- A total reward (TRS) or annual benefit statement

Access the free tool at bit.ly/McCloudCalc
Read 23 tweets
Jul 24
1/30 BREAKING 🧵 New @CommonsHealth report 👇

"Its a NATIONAL SCANDAL that senior doctors are being forced to reduce their working contribution to the NHS or to leave it entirely because of NHS pension arrangements"

Highlights & my analysis. Pls read to end & share/RT👇.
2/30 A huge thanks to @Jeremy_Hunt @drlukeevans @rosie4westlancs & colleagues at @CommonsHealth for this really important report released today. Some vital recognition of problems relating to punitive pension tax & recommendations re pensions. Please read all carefully to end.
3/30 First & foremost is recognition that

1) Its a "national scandal" doctors forced to reduce hours or leave it because of NHS pension taxation
2) Crucially, the problem persists *despite* changing the taper rate of the annual allowance.
Read 30 tweets
Jul 23
1/ Pleasing to wake up this morning to news that - FINALLY - were hearing about the NHS in the leadership contest for our next PM. Similarly pleasing to see the word crisis. As for the NHS, crisis is very much where we are. Some tips @RishiSunak

Pls RT

bbc.co.uk/news/uk-politi…
2/ Lets look in a bit more detail. "From day one of being in office I'm going to put us on a crisis footing." - OK as above - this is a welcome step. Snr NHS leaders have been reluctant to use the word "crisis" when asked in recent weeks by @Jeremy_Hunt

3/ Now onto the detail. @RishiSunak "promise to accelerate NHS targets to cut waiting lists". Great, but the problem is not a lack of targets. We have targets we are not acheiving. These are predicted to get *very* much worse, perhaps reaching 14.6m👇

Read 14 tweets

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