Dr Tony Goldstone Profile picture
Jul 20, 2023 29 tweets 10 min read Read on X
1/ Short 🧵 on lies, damned lies, & statistics

I've seen some rather misleading use of statistics on the BBC / Sky today, its not clear whether they dont understand the differences, or they are trying to mislead

Please read all & share / RT Image
2/ First of all lets rewind back a couple of months to @CommonsHealth from May of this year with @BrineMP chair of that committee disputing the 35% pay restoration figure (juniors) with the excellent @ERunswickBMA
@CommonsHealth @BrineMP @ERunswickBMA 3/ The claim made by @BrineMP was wrong on many levels (as pointed out by Emma)
- conflating pay erosion with figure to needed restore (listen to her excellent explanation)
- different inflation measures (RPI vs CPI vs CPIH)
- different dates (i.e. 2008 start vs 2010)
@CommonsHealth @BrineMP @ERunswickBMA 4/ But its the rather dismissive quote "the 35% figure has been has been heavily disputed by the @IFS, who I assume you respect, a more accurate figure would be X,Y" - if @IFS want to criticize the BMA or anyone else, then at least try and make the comparison more valuable
@CommonsHealth @BrineMP @ERunswickBMA @ifs 5/ For example one of the key differences between the BMA and @IFS were the start dates. The BMA like almost every other union had started from 08/09 as that is broadly when austerity started. Missing that initial loss is *HIGHLY* significant & precludes useful comparison Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs 6/ When I first asked (the excellent) @benzaranko from @IFS why he started his calculation in Aug 2010 he very frankly admitted he used that start date as that was when the dataset he had used started Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko 7/ But others including @FT, the BMA and myself have also used the same datasets from NHS Digital, but have been able to work back to March 09 (covering 08/09)- which would provide a better comparator to allow other non-experts / journalists to compare more fairly Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT 8/ To be entirely fair to @BenZaranko he said at the time he agrees the methods are not comparable (contrary to their comparison for example by @BrineMP in the select committee)👇 Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT 9/ So this lunchtime Ben was on BBC news and presented this chart - showing pay erosion for juniors at 15%-18.9% & consultants at 17.2% (from Aug 10 - Mar 23). I cant read the small print but I know Ben's preferred inflation measure is "CPIH" Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT 10/ CPIH is a measure of inflation from the ONS (their preferred one) although it is almost always ignored by the media (Ben did say he shared both CPI and CPIH btw - Im guessing CPI erosion would have been higher, so interesting choice by BBC who always ignore CPIH usually!
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT 11/ Ang again in an interview this morning, trying to compare directly different figures (like the BMA pay erosion based on RPI, and net pay, from 2008) directly with Bens figure of 17.2% which is gross pay, different time period & CPIH.
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT 12/ So when journalists are trying to compare figures for example as they did this morning using most recent IFS analysis, they are just not directly comparable (as apparently Ben told the BBC)

@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT 13/ So its really important if journos want to compare figures, they are are clear they comparing apples with oranges. Ben did say he pointed this out to the BBC, but Im not sure this was fairly reflected in the reporting. Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT 14/ I suspect there is a media undertone that the BMA are trying to be dishonest, when I suspect its the media either not understanding the subtle differences, or some examples deliberately misrepresenting them. This example from @skynews "research" Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 15/ The graphic is blatantly wrong, BMA have never produced a comparison to 2010 as far as I know (happy to be proven wrong), so they are comparing apples with oranges, and they are not even faithfully reporting what the apple was (different start dates, RPI vs CPI, net v gross) Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 16/ And no offence to the Nuffield methodology but thats the least relevant, not only is the time period different, it also is only based on estimated earnings for 22/23, now known Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 17/ But coming back to today's @IFS data I would make 3 observations

(1) There is, in my personal opinion, a valid debate about use of CPI vs CPIH vs RPI. Personally in my own charts, I prefer to use CPI (as per the @FT charts).
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 18/ But Im not as dismissive as Ben and some others of RPI. I think there are valid concerns including that RPI is used by government when it suits them (i.e. student loans which are now often >£100k for medics), and elsewhere). RPI also includes things like mortgage interest.
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 19/ For those interested there is a reasonable discussion of the three main methods here - I would highlight that "Some stakeholders are concerned that the Government is intentionally sidelining the RPI in favour of a measure that shows lower inflation"

incomesdataresearch.co.uk/resources/news…
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 20/ (2) I accept the Ben has stuck to Aug 2010 because he wants to include other NHS groups in his data to show comparisons WITHIN the NHS, but in my opinion that is at the expense of provide a valid comparison to groups in pay dispute to allow a more valid comparison
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 21/ (3) Whilsts Ben's comparisons to other NHS groups is excellent, and his chart still puts doctors at the bottom of the pack, I do think its valid to look at other groups outside the NHS (and comparator professions).
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 22/ I know I wont win the inflation argument with Ben who will stick with his preferred CPIH, but I thought it would be useful to update my charts to give a better comparison covering points (2) and (3) above
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 23/ So this my pay chart (CPI left); (CPIH right)

Fin & Bus. ⬆️ 4.8% CPI, 8.3% CPIH
Prof Sci & Tech ⬆️2.5% CPI , 6.1% CPIH
All workers, All sectors ⬇️-3.5%, -0.2% CPIH
Nurses ⬇️⬇️ -12.8%, -9.8% CPIH
Junior Doctors ⬇️⬇️-24.2%, 21.6% CPIH
Consultants ⬇️⬇️-23.9%, 21.2% CPIH Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 24/ Looking at each profession (CPI left);(CPIH right)

NHS = BRUTAL Real-terms Cuts - £5-40k/ each & every year DOWN

Whole economy = NOT so much - £1k/yr down - £2k/yr UP

Please *ANY* politician tell me this is "FAIR" or REASONABLE 👇
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@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 25/ And finally gross loss in real terms (CPI left);(CPIH right)

Again please someone tell striking workers this is REASONABLE 👇
and inflation is "hurting" us all, and we should show "restraint"
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@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 26/ To summarise to journalists, please try & be more careful. Dont compare apples with oranges.
Look at
- start & end date
- inflation measure
- gross vs net pay
- consider comparators professions & dont use misleading generalisations we are all affected equally Image
@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 27/ The bottom line is that pay has been destroyed in the NHS whether measure of inflation is used. Ministers may gaslight that strikes are causing waiting lists, but they are not. Waiting lists are a #PoliticalCHOICE

RT if you want this/next government to #FixPay #RETENTION
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@CommonsHealth @BrineMP @ERunswickBMA @ifs @BenZaranko @FT @SkyNews 28/ Addendum 1 - I understand that in relation to tweet 16 the Nuffield analysis is no longer based on predicted 22/23 pay data, but now known 22/23 pay data. The criticism remains that this is a different time period, deliberately misrepresented by @SkyNews Image
@CommonsHealth @BrineMP @ERunswickBMA @BenZaranko @FT @SkyNews 29/ Addendum 2
Much more balanced reporting here IMHO including a comparator to all workers, correctly starting when pay erosion started from @catherine5news


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More from @goldstone_tony

Oct 4, 2025
1/6 Many thanks 🙏👏 to the *HUGE* response to sign ups to my future modelling work at

Following a meeting with colleagues at @TheIFS its really got me thinking about the ridiculous #TaperTaxHell. More info watch the 📹 & 🧵👇

Pls RT/Shr/WhatsApp/FB etc bit.ly/GPFTinterest
2/ With BMA colleagues we discussed ridiculous tax cliffs in the system which provide a massive discincentive to do extra work (both £100k & £200k tax cliffs) & incentives for some to even DECREASE extra work. Terrible for patients #WaitingLists

Who would want to #TaperTaxHell Image
3/ But my chart (left) & DHSC example they used to DDRB in 24/25 show only THAT individual, in THAT tax year (and 24/25 was terrible for many).

But it doesnt help an INDIVIDUAL know THEIR position, especially given disatrous pension admin from NHS pension (often years late) Image
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Read 6 tweets
Aug 19, 2025
1/ NEW & important - for many of you (the lucky ones) in England & Wales, the new style annual benefit statement - or "Total Reward Statement" has dropped for the 24/25 - but this one is different - very short 🧵

Log in to see if yours is there at

Pls RT totalrewardstatements.nhs.ukImage
2/ So what's different this time? Crucially this is first set of statements to acknowledge the McCloud remedy for those affected (usually those in NHS pension in March 2012 and between 2015-22).

You will basically get 2 sets of statements "STANDARD" benefits and "ALTERNATIVE" Image
3/ STANDARD will show ROLLED BACK benefits. Your STANDARD benefits will be in your OLD legacy scheme i.e. 1995 or 2008 for 7 year between 2015-22

ALTERNATIVE will have those 7 years in the 2022 scheme.

EVERYONE (in both set) is in the new 2015 scheme from 2022 Image
Read 8 tweets
Jan 23, 2025
1/ NEW & V IMPORTANT update from @nhs_pensions on pension savings statements for 23/24
•@nhs_pensions have self reported to the regulator
•what do YOU need to do for Self Assessment (31/1)
•What compensation might be due
•Next steps

Summary 🧵please read & share/RT Image
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2/ So firstly after @BMA_Pensions wrote to the NHSBSA CEO this is the first time they have openly confirmed in this letter that thay have reported this issue to The Pensions Regulator (our complaint in the quoted tweet below) 👇

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3/ So importantly WHEN are YOU expected to get your 23/24 PSS which you need for your self assessment 31st Jan 2025 (8 days away)

Well they expect to START issuing them by February 27th 2025

@nhs_pensions have asked @BMA_Pensions to be involved in assurance after the errorsImage
Read 14 tweets
Dec 26, 2024
1/ V. Important 🧵 if you are CONSULANT in England. This week I used my FREE modeller to identify & correct an error in #AnnualAllowance for 24/25 which I suspect may be a common error. It will save me over £2,600 from my AA liability, buckle up & see if you are affected
Ps RT Image
2/ As many of you will know Twitter/X is now really difficult to see the information you want to see from the people you follow so please help by RT, but also sending your colleagues on whatsap / FB groups if you think this will help them Image
3/ In preparation go onto ESR, download Mar '24, May '24 + Nov '24 payslips & 23/24 TRS (+/- 22/23 TRS) - and then I will talk you through IF you are also affected by this "misallocated arrears" error, tell you how to model the impact of this, and how to correct thisImage
Read 21 tweets
Dec 12, 2024
1/ THOUGHT FOR THE DAY: Whilst I'm grateful for the changes to LTA/AA, the AA and the dreaded #taper still remain. And here's your regular reminder why its PARTICULARLY unfair, and stupid, in the NHS (from @BMA_Pensions @TheBMA evidence to DDRB).

Short 🧵pls read & share Image
2/ We are all in CARE now, so should all be paying generally the same employEE contributions.

But we aren't - and its worst - by a garden mile - in the NHS per this chart showing the ratio of conts from the highest earners : lowest earners in the public sector 👇Image
3/ So unlike in the private sector where there is no difference in cost for higher vs lower owners other than tax relief, we go through this ridiculously unfair step in the NHS - far worse than anywhere in the public sector - that strips away our higher rate reliefImage
Read 5 tweets
Dec 10, 2024
1/ very important and NEW: @nhs_pensions have overnight issues guidance on 23/24 tax year where they have failed to send you a pensions savings statement on time (which was their legal duty)

nhsbsa.nhs.uk/public-service…Image
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2/ the bottom line is they expect you ESTIMATE your carry forward and PIA and any charge in the normal timescale ie by Jan 31st 2025 …. Which is going to be extremely difficult ….. Image
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3/ after you estimate you will have until Jan 26 to correct your estimation based on the real figures Image
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Read 13 tweets

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