Dr Tony Goldstone Profile picture
Dec 5, 2022 20 tweets 10 min read Read on X
1/ BREAKING: As reported overnight in @thetimes there is a new consultation out later today

google.com/url?rct=j&sa=t…

A short 🧵 in some of the detail

TLDR: Some helpful bits, but too litttle, too late with NOTHING for AA/LTA
2/ The consultation is expected to be published later this morning

Heres a snapshot of what it covers (and what it doesnt)
3/ The main areas cover 3 main areas

- Some pension flexibilities around retirement only
- Some changes (not enough) to deal with inflation
- minor access changes to PCNs
4/ (1)

Changes to pensionable retirement - i.e. retiring from 1995 pension and being re-employed in 2015 and still earning 2015 benefits (a big deal - weve been asking for this for years)
5/ Previously if you worked beyond 60 you would burn 95 pension as there are no #lateretirementfactors

Now you can conintue to build 2015 pension whilst drawing some of all of your 1995 benefits (but reducing pensionable pay >10%)
6/ This option doesnt of course take pension taxation away, but it does mean for example a member could partially retire if they reached (the now falling in real terms) LTA and continue saving 2015 pension (still subject to AA and LTA; but at least they crystalised some benefits)
7/ Partial retirement will allow drawing 100% of the benefits in 1995 - important so AA issues will only arise from the other scheme not the interaction of schemes.
8/ The 16 hour rule also removed
9/ (2) Next the bits about inflation - or rather fixing the bits they have already announced ignoring #NegativePIAs

As previusly announced this will be done by moving revaluation dates in 2015 / 1995 GP scheme to 6th April
10/ This does help align revluation to the opening value for #CPIdisconnect, but IGNORES the massive problems with #fixnegativePIAs

Very dissapointing they didnt fix this - @thebma, @NHSEmployers & @AISMANewsline all asked @hmtreasury for this
11/ The failure to address this will leave members MASSIVLEY overpaying AA charges for non-existent growth in 2023/4 and 2024/5 - we will continue to lobby HM Treasury for this
12/ There will also be some small changes to scheme access to allow PCNs staff to acces the NHS pension scheme
13/ All in all there are some positives here - partial retirement & a fix of *some* of the problems relating to inflation #CPIdisconnect but IGNORING issues of inflation related negative PIAs (a *massive deal*).
14/ But crucially whilst this does help those who are peri-retirement, it does *nothing* for mid career doctors punished by unfair punitive AA and LTA taxes. They will continue to reduce activity / retire early to avoid these charges. Still need #taxunregistered #FixTheFinanceAct
15/ 15/ Read the @bma_pensions comment in the Times - "the proposed changes appear to be too little, too late...doctors will continue to receive sky high & completely unexpected tax bills by continuing to provide care for patients, care they desperately need"
17/ The @DHSCgovuk press release is here:

gov.uk/government/new…
18/ According to @willquince "senior staff will no longer feel forced to retire early, ultimately benefiting patients by ensuring their expertise remains in the NHS for longer so we can continue to deliver world-class healthcare."
19/ I disagree - unless & until @DHSCgovuk @hmtreasury recognise the driver of this is the general annual allowance & rapidly reducing lifetime allowance, I am afraid higher earning NHS staff will continue to reduce activity & retire earlier than they might have #TaxUnregistered
20/ Read the full consultation here:

gov.uk/government/con…

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More from @goldstone_tony

Oct 30
1/ Well after intense media speculation re: budget (speculation incl. reduction of tax free lump sum to £100k; flat rate relief at 30 or 20%; lifetime allowance re-introduction & pension "flexibility" [i.e. balance between pay & pension] .. speculation can now END....
Pls RT 🧵 Image
2/ Its now time for @RachelReevesMP to deliver her first budget ... I'll be live tweeting anything significant with a focus on #pensions and #pensiontax (if there is indeed anything!)

So keep following! Appologies for any typos/errors read to end for any corrections & docs Image
3/ So following #PMQs there is a statement that the contents of some of the budget has been made public before the budget and expresses dissapointment that this has happened Image
Read 27 tweets
Oct 17
1/ Longtime followers may remember this update from 4.5 years ago. Id met the then head of @nhs_pensions and the senior leadership team. They made lots of promises to improve things around Annual Allowance that BADLY needed improvement....

Pls read, share and RT
2/ Chief among those promises was to have an end to waiting till October for a PSS. Indeed no more brown envelopes. 85% of people would get their "digital brown envelope" by June (starting in 2020) 👇

3/ And furthermore for those that dont get automatic PSS (then around 85%), 15% would be able to see in this portal, from June 2020 why they DONT have a PSS i.e. you need manual calculations, or they cant issue one as they are awaiting info from employer

Read 14 tweets
Sep 7
1/ ICYMI Ive done a couple of videos 📹 on the tapered annual allowance - and why it could be hugely problematic for higher earners in the NHS *THIS* tax year (24/25)

Its crucial you have an understanding of chart 👇 if you are in affected groups.

Please share 👇/ RT & 👀📹 Image
2/ This was the first of two videos introducing the problem via a real case study

I discuss why its crucial that @wesstreeting @jamesmurray_ldn get an urgent grip of the dreadful tax policies they inherited affecting lower and higher earning consultants

3/ In second video I discuss a case in more detail & look at some strategies to try & mitigate this nightmare tax cliff.

None are desirable & tax needs changing to remove the huge discincentives to not to extra work, or worse still, reduce current

Read 4 tweets
Aug 20
THOUGHT FOR THE DAY: many senior doctors desperate to help waiting lists & would be willing to give up evenings/weekends to help out.

But current tax rules will mean some could end up #PayingToWork 👇

RT if you want @wesstreeting @jamesmurray_ldn to fix this ludicrous tax trap Image
2/ Per the chart with taxable income 242,400 after income tax, NI and AA post tax pay is around 95,056.40

However the same member earning 199,999 also gets 95,083.88 post income tax, NI, and AA

Why would this member do over £40k extra work, and PAY TO WORK?? Image
3/ Looking at it the other way the member earning 200,001 takes home 72,584.96

But the member earning 157,500 takes home essentially the same 72,559.40

*HOW IS THIS FAIR*

[CLUE: it isnt] Image
Read 6 tweets
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

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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
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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

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