1/ BREAKING - #Budget2023 🧵 is now live

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)
4/ 4/ States that the OBR now expects inflation to fall from 10.7% to to 2.9% by the end of 2023 (including measures to be announced). Clearly inflation has an important link to both pay and pensions (and pension taxation)
5/ References doctors retiring early [and makes excellent snipe at Matt Hancock]
6/ BREAKING:
✔️ The LIFETIME ALLOWANCE has been abolished
7/ BREAKING🚨
✔️ The (General) ANNUAL ALLOWANCE ⬆️ to £60k (previously £40k, peak £255k 10/11, excl. inflation, excl. tapering)
❓ Unknown [currently] whether INDEXATION will be restored (stopped 2011) to maintain the value of this (will update )
✔️ Good for NHS #Retention
8/ BREAKING🚨
❌ Taper ANNUAL ALLOWANCE remains (still an issue for some medics)
❌ Threshold income remains at £200k
• Adjusted income assumed to increase to £260 (i.e. threshold plus general AA)
✔️ Minimum tapering RESTORED to prior level of £10k
❌ Still bad for #Retention
9/ BREAKING🚨:
✔️ Government *finally* does something to #FixNegativePIAs
✔️ Negative growth in one scheme (i.e. 1995 benefits) can be combined with positive growth in 2015 so only *real* growth above inflation measured
10/ ❌ Negative overall growth cannot be carried forwards / backwards which is disappointing
✔️ Overall big win for #Retention
❌ Will continue to campaign for a more substantive fix incl. Carry forward/back to help anomalies with salary sacrifice, temporary promotion etc
11/ Full details / Budget documents to follow at

gov.uk/government/top…
12/ SUMMARY so far
✔️AA⬆️to £60k (prior £40k)
❌? AA indexed to keep value
✔️LTA Abolished
✔️Good but partial fix to #FixNegativePIAs (no carry forward/back)
❌Taper remains but
✔️⬆️Adjusted £260k (prior £240k)
✔️⬆️Min £10k (prior £4k)
13/ Confirmation about #FixNegativePIAs
14/ Confirmation about changes to #taper

❌Taper remains but
✔️⬆️Adjusted £260k (prior £240k)
✔️⬆️Min £10k (prior £4k)
15/ Last but by no means least, today's significant progress is in no small part due to lots of work in the background- many people working v. hard on this especially staff & other elected members @BMA_Pensions & extensive engagement with @hmtreasury for which we are grateful
16/ And of course a huge thanks to many thousands of @The_BMA members have taken part in campaigns, consultations, written to MPS etc- which has been hugely influential, as well as numerous grass root campaigners who have been fighting this for many years. Thank you
17/ Today’s announcements are probably the most significant changes since I wrote this @FT letter in 2019. They will take many NHS staff out of AA, LTA is in the bin, but tapering still remains & so does AA. But definitely a lot to be thankful for, so thankyou @Jeremy_Hunt
18/ Addendum: Though lifetime allowance has been abolished from 6th April 2023, the tax free lump sum will be frozen at a limit based on the existing LTA and not indexed (which is a shame)

Anyone who is >LTA & retiring between today and 5th April 23 might want to review that
19/ Addendum 2 - More important technical details added today by government on LTA protections (this only applies to people who already hold valid LTA protections before 15th March 23), can accrue pension from 6th April 23 w/o losing it for TFLS

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More from @goldstone_tony

Mar 15
1/ Good article by @FT covering budget leak in Telegraph yesterday with a range of diverse opinions

ft.com/content/248b0d…
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) .....
Read 5 tweets
Mar 14
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
Read 12 tweets
Mar 11
1/ Good article @GPonlinenews

"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."

gponline.com/nhs-pension-ch… Image
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" Image
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. Image
Read 7 tweets
Mar 7
1/ BREAKING: Government publish response to partial retirement & CPI disconnect consultation

gov.uk/government/con…
2/ Its *EXTREMELY* dissapointing they have ignored feedback on #FixNegativePIAs

It's completely untrue to say the member "has not had a reduction in pension benefits"

If pensionable pay falls *relative* to inflation, that exactly what you have had #pensiontheft

& they know it
3/ Its incredibly misleading to suggest if pay rises, so does pension "as long as there had been increase in pensionable pay".

Everybody knows (incl. government officials I've met) that the intention of the Finance Act is to measure growth *above inflation*, so 👇REMAINS untrue
Read 11 tweets
Feb 1
1/ Thank you very much once again for bringing up pensions @MartynDaySNP yesterday at @CommonsHealth to @SteveBarclay

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).
Read 11 tweets
Jan 20
1/IMPORTANT - If you are a doctor we need YOUR Help please! (Free tool)

PLEASE take a few mintues to to respond to the DHSC consultation on pensions taxation

More info here - especially on the crucial government ommision to fix inflation issues with #FixNegativePIAs

See👇 & RT
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 Image
3/ Use the free tool here

bit.ly/StopPensionThe…

It should only take a few minutes to use.

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
Read 7 tweets

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