Dr Tony Goldstone Profile picture
Radiologist/CIO. National Clinician Adviser on Pay & Pensions (@TheBMA) & Dep Chair @bma_pensions. Passionate re NHS. Thoughts mine. Tweets personal
Claire Ramsey Profile picture Dave Profile picture Desley Neil Profile picture john miller Profile picture Elfyn Thomas Profile picture 18 subscribed
Mar 29 35 tweets 17 min read
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
Image
Image
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
Feb 24 30 tweets 13 min read
1/ *VERY* concerned about the quality & type of information coming to @BMA_Pensions members to allow them to make choices in regards to McCloud.

For members who chose to move to 2008 (so called "choice 2", we saw the first of this information last week - deep dive 🧵
Pls RT

Image
Image
Image
2/ OK first of all, lets rewind. Pre 2008 we were all in the 1995 section. For most members that had a fixed retirement age of 60, and gave us "80ths" of final salary. Work 40 years, get 40/80ths or 1/2 of your final salary. Simple. Back in the day contributions were 5% or 6%
Feb 22 6 tweets 3 min read
1/ NEW: Consultation response out & confirmaiton of rates 1st April '24 , dropping the 13.5% tier.

Grateful government listened to concerns about feezing the top tier so tiers WILL uplift with CPI, not creating (another) "fiscal drag" for higher earners

gov.uk/government/con…
Image 2/ This repesents a change from previously announced where tiers were to be uplifts of AFC awards (largest employee group). I had suggested a "double lock" of greater of CPI or announced awards, which was supported by the scheme board, but sadly rejected by government Image
Jan 15 11 tweets 5 min read
1/ NEW & BREAKING: @instituteforgov supported in analysis by @CIPFA issue an UPDATED pay erosion chart for NHS workers including @TheBMA doctors & @theRCN nurses👇

WHY is this so relevant: This now includes pay data released in '24 to Sept '23 INCLUDING 6/12 of 23/24 pay awads 2/ This crucially important 📉shows

- pay erosion in NHS from austerity
- uses CPI preferred by gvmnt & some economists
- crucially shows 6/12 effect of DDRB 23/24- starting basis for all pay deals (i.e. not a lot) Image
Jan 7 15 tweets 7 min read
1/ *Deeply* worrying from @RishiSunak @10DowningStreet on @bbclaurak

Watch the clip in full 👇and pick out the blatant untruths - its so unbelievable they went unchallenged Laura K?

Apparently "The government has now reached resolution with every other part of the NHS. .... 2/ "Nurses, midwives, paramedics, consultant doctors, specialty doctors most recently. "
"So EVERY other part of the NHS workforce, and I'm grateful to them for everything they're doing, has reached a resolution with the government on a reasonable, fair pay settlement. "
Jan 5 31 tweets 14 min read
1/ NEW & IMPORTANT: So we need to talk about NHS pay. NEW shocking [post DDRB] data just in 4/1/24 👇 (SPOILER: Not "fair & reasonable")

We need to fix pay/retention to fix waiting lists- increasingly clear next GE will won/lost on NHS

Please read whole 🧵 & share widely/RT

Image
Image
Image
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), and it was 👇chart from excellent @jburnmurdoch @FT that really showed this well Image
Dec 20, 2023 9 tweets 4 min read
1/ Very concerned about comments on waiting lists from @RishiSunak yesterday to @BrineMP to @CommonsLiaison

A number of factual errors need correcting IMHO ..... 2/ The PM states "I think what we have seen in the past month or so, when there has been no industrial action, you have seen the waiting list come down"

This is not correct.
Oct 1, 2023 25 tweets 11 min read
1/ NEW & IMPORTANT: OK on the eve of junior/consultant strikes, we need to talk about these charts (NEW data just in!) 👇

We need to look at them to fix waiting lists & its increasingly clear next GE will be won or lost on the NHS

Please read the whole 🧵 & share widely / RT

Image
Image
Image
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), and it was 👇chart from excellent @jburnmurdoch @FT that really showed this well Image
Sep 20, 2023 29 tweets 12 min read
1/ Another 🧵 on lies, damned lies, & statistics (@SteveBarclay did another media round yesterday)

I've seen some rather misleading use of statistics on the BBC & eslewhere on doctors pensions... so lets dig a bit deeper into Mr. Barclay's stats

Please read all & share / RT Image @SteveBarclay 2/ So lets start by rewinding to August when Mr Barclay was on @BBCr4today with @bbcnickrobinson

He claimed then (somewhat laughably) that consultants can retire NOW (my emphasis) at 65, with a *TAX FREE* pension of £73,000 Image
Sep 8, 2023 12 tweets 5 min read
1/ V IMPORTANT & BREAKING:

McCloud part 2 consultation is out covering lots of crucially important aspects i.e. contingent decisions.

Extensive involvement from @bma_pensions in the response

gov.uk/government/con…
Image 2/ Where members have opted out 6 months before the remedy peripod (i.e. 6/12 before 1st April 2015) to the end of the remedy period (31st March 2022) will be able to buy back lost service with a "low bar" for evidence Image
Aug 14, 2023 13 tweets 3 min read
1/ 🧵I can't keep up with Mr Barclay's claims about consultant's pensions, last month (17th July @thetimes) it was £60,000 pensions, now the claim is "consultants when they retire *now* aged 65 will get a *tax-free* pension of £73,000" ?! https://t.co/jQasjwUTsu
Image 2/ I suspect Mr. Barclay is being very badly advised by his advisors (or is asking the wrong questions). So lets clear a couple of points up

(1) Firstly as to "retiring now aged 65", thats cloud cuckoo land. Average age for retirees for consultants is around 60 (& 59 for GPs)
Aug 5, 2023 9 tweets 4 min read
1/This is the shockingly poor reality of the deal offered @BMACymru👇

Even just looking at the 3 year period from 2021-24, would see welsh junior docs fall 19.6% below RPI inflation by the end of that period.

Are Welsh juniors worth a *FIFTH LESS* in just 3 years. Disgraceful! https://t.co/ZG6gTTU2Xg
Image 2/ Offering just 5% for 23/24 is an absolute disgrace compared for example to @BMAScotland who have been offered 12.4% for 23/24

Its even below the "rigged" (according to a @Conservatives MP) DDRB suggesting 6%

Disgraceful! Image
Jul 20, 2023 29 tweets 10 min read
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
Jul 15, 2023 17 tweets 8 min read
1/ VITAL🧵 So people have had a couple of days to digest the DDRBs "independent" reports & their imposition by governemnt.

TLDR;they represent further MASSIVE pay cuts.

Lets start with some history and look at what happened BEFORE the current high inflation

Pls read all/RT Image 2/ Just before inflation started to bite "junior doctors" avg gross pay were some 14.3% below CPI (government preferred measure of inflation, RPI is much worse) and consultants down 17.1% vs CPI.

Lets call that "Austerity 1.0"
Image
Image
Jul 1, 2023 21 tweets 9 min read
1/ IMPORTANT🧵: Its been a busy week. A new #workforceplan- (supposedly) #RETENTION central to it, to help #CutWaitingLists.

But something is missing from the plan... a plan for PAY.

I produced that chart 👇 2 months ago, new pay & wait data are just in - pls read to end & RT!

2/ The most common come back when people talk about public sector pay is that "everyone has taken a hit" especially given high inflation, but as @JohnBMurdoch @FT showed very nicely in his charts, NHS workers, especially junior doctors, have fared worst of all 👇
May 6, 2023 18 tweets 60 min read
1/18 THOUGHT for the #Coronation W/E:

Our NHS is a "jewel in the crown" of UK. But pay in the NHS has been #RoyallyScrewed 👇

If you want to understand why nurses, junior doctors (& potentially consultants) are striking, start with this graph
Short🧵 pls read to end & share/RT Image 2/18 Firstly H/T @jburnmurdoch - the graph above was very much inspired by his excellent analysis & charts on NHS pay. This thread of his (which excluded consultants pay) is very much worth a read

May 1, 2023 29 tweets 49 min read
1/29 We need to talk about these graphs 👇

We have nurses & junior doctors on strike & consultants potentially joining them very soon. Lets talk about inflation & pay. How to fix this car crash (& perhaps more importantly, how NOT to). Please read full 🧵 to end and share / RT ImageImage 2/29 Lets start with the excellent pay graphs from the excellent @jburnmurdoch from the @FT published this week.

What do they show? They show we are NOT "all in this together" ImageImage
Mar 21, 2023 6 tweets 3 min read
1/ There's no doubt whatsoever that the changes announced in #Budget2023 will significantly help #NHSpensiontaxcrisis @JosephineCumbo

Many have contacted me since last week to say they are changing plans

Would make 3 points

(i) The media focus is on LTA but changes made to AA 2/ in the level has increased, and also a partial fix to #FixNegativePIAs and also minor changes to the taper. All of these will help doctors not reduce hours & avoid extras

(ii) The media focus is also on retirements only, but capacity in the NHS is also about how much work one
Mar 15, 2023 19 tweets 8 min read
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 🍿
Mar 15, 2023 5 tweets 3 min read
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
Mar 14, 2023 12 tweets 5 min read
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