1/ Pleased that the government finally appear to be listening mode 👇as to what will work (addressing root cause of the "doctors tax" as they call it - AA & LTA) rather than what wont work (massivley complex flexibility)
Some thoughts, please read & RT
2/ First things first - the obvious point. Whilst both taxes (AA & LTA) important, AA is significantly more of an issue than the LTA (& also has complexity of tapering). But lets take them in turn
3/ Weve been hearing for a while that government know the LTA is a problem for higher earner in the NHS. @BorisJohnson hinted that he will "fix it" in 2019
4/ Far from fixing it, combined effect of freezing it, & then unexpected high inflation now due to Ukraine conflict & energy etc, the LTA has tumbled fast.
It was £1.8m in 2011 which would be £2.2m in real terms today, so the "rumours" of a rise closer to this level are welcome
5/ But as I said certainly eyeing "doctors tax", the AA is significantly more of a problem
And its also dropped *much* more from a peak of £255,000 in 2010/11 (and thats without correcting for inflation, nor the addition of tapering).
6/ With bumpy pay scales / promotonal pay increases etc, the reported level of £60,000, whilst a good step in right direction, will still causes problem - so why restore the LTA to near its peak, but AA to only a fraction of it?
7/ On tapering, I couldnt agree more with @PJTheEconomist's comment on the "ridiculous" tpaering rules "If you increase AA from £40k to £60k, but then taper it so people with high incomes cant use it, its probably not going to be massively effective".
I agree. Taper = car crash
8/ So I would strongly agree that the taper needs addressing too, either scrapping it entirely, or at least restoring or improving the prior minimum (£10k) and index linking that to get the highest (& often most senior / productive) back to the NHS
9/ Which brings me to another crucial point. INDEXATION.
A large component of #retention is lack of indexation. You cant have a CARE scheme on one hand (causing ever increasing PIAs) & then frozen allowances on another. Whatever AA/LTA is raised to, NEEDS indexing to maintain
10/ Penultimately, raising AA & LTA does not remove the hideous unfairness of negative PIAs. If you want to measure growth *really* above inflation, ignoring negative growth doesnt achieve that. Grateful gvmnt fixed CPI disconnect, but you *must* #FixNegativePIAs as well 👇
11/ Finally, don't give with one hand & take away with another to replicate problems elsewhere. Significant changes to tax free lump sums, or huge hikes in state pension ages (when mortality improvements slowing massivley) would take away a lot of the benefit
12/ So @Jeremy_Hunt has opportunity to address pension taxation issues that have cause so many problems. Would strongly urge
🔼LTA to where it was
⏫AA = bigger problem, so dont restore to a much lower level than prior peak
⚠️Dont ignore tapering
⚠️Index
⚠️FixNegativePIAs
RT!
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Chancellor @Jeremy_Hunt is on his feet and starting to give his speech. I'll be tweeting live on anything related to NHS pensions in particular (& lots of changes expected so pay attention!)
Read to the end, & RT once you have!
2/ There has been intense media speculation over the last week so we are expecting that will be movement on #pension taxation as per the headline of the @Telegraph yesterday.... so lets see what makes it to the FINAL budget 🍿
3/ Please make sure you read to the end
As with all of these things #TheDevilisInTheDetail, this 🧵 will expand during the chancellors speech, & finally detail will be added once the budget documents are added later this PM (including any required addenda as more detailed known)
2/ The @FT covering a point I made yesterday questioning why the LTA is rumoured to be restored to its near previous peak, however the AA (a *much* bigger problem in the NHS), is being restored only to a fraction of it
3/ And whilst I agree with the quote it will help people doctors remain in the worforce.... (though raising the AA more would help even more) .....
"GPs and consultants will continue to be 'pounded unfairly' by tax penalties despite changes to the NHS pension scheme announced by the government, doctors' leaders have warned."
2/ @Vish_Sharm "Fundamentally, these changes do not directly address the issues caused by annual or lifetime allowance and do nothing for the tens of thousands of mid-career consultants and GPs, for whom partial retirement would not be an option"
3/ BMA pensions adviser Dr Tony Goldstone said on Twitter that the decision to delay partial retirement rules until October this year was a 'very poor decision' that could drive some doctors out of the NHS.
Some important answers in there (& some factually incorrect ones) so lets break them down, as its very important & shows govmnt (misguided) thinking
👀&RT
2/ The SOS claims "there's something that was started in Covid, the ability of people to, to return to the workforce whilst continuing to top up their pension" - this is not correct.
3/ That was about "abatement" which only affects a tiny proportion of the workforce (for doctors thats only mental health officers, a *tiny* proportion of all doctors).
2/ Its really important to take the time to respond to the consultation.
There are different templates for GPs & consultants/hospital doctors, & also those close to retirement, & those (completely ignored by government) who are <55yrs
As always *PLEASE* take a few minutes to customise your response - let them know how this car crash of pension taxation is affecting YOU / your service / practice & your patients