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Jonathan Kay
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Ivaan
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Typical political spin on the money.

It's only new old money yet again!

BECs Rule !
Jonathan Kay
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"HM Treasury will be reviewing the impact of the tapered annual allowance for public sector workers, after doctors have been campaigning to scrap it for months.

In a joint statement published today (August 7), officials from Treasury and the department of Health and Social Care announced that a further consultation on the rules of the NHS Pension Scheme will soon be published, replacing the document published two weeks ago."

And the sooner the better. This has been an enormous problem, and totally self-inflicted.

Apart from the direct effects on patients it's got in the way of us finding experienced practitioners who are prepared to contribute to national projects. And it's very hard to identify and transfer good practice without them.

Jonathan

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Excuse me for going a tad of piste but what is all this about doctors, tax, pensions & overtime. Do they have to work extra hours. Yes I know that it is a professional thing to go the extra mile but do they sign their rights away to regulated hours? If so then they should have understood what might happen.

Unfortunately the move by the government to ameliorate the effect of losing the overtime pay through tax could be seen as discrimination against other professional staff in a similar position.

In my (ex) line of work most civilian licenced aircraft engineers were in the higher tax brackets shunning time & a half due to the fact taxation would recover it all. Double time was accepted if the extra work was over an extended period of shifts so clawing back some £s into the pocket instead of the tax mans.

The only time it made sense was on call out (call out pay+bonus+over time). And there was the company pension scheme to consider as well......

Jonathan Kay
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Do they have to work extra hours. Yes I know that it is a professional thing to go the extra mile but do they sign their rights away to regulated hours? 

It's different for different types of doctors. For those affected by the pensions fiasco:

Consultant contracts in England are based on four hour sessions. Beyond the base they have to offer further private sessions to their NHS employer before working them anywhere else. Extra sessions are used to address waiting list backlogs. And for specific projects or responsibilities.

GPs were predominantly self-employed working in partnerships which contracted for NHS work. An increasing number are now employees of those partnerships instead. But both of those are still able to join the NHS Pensions Scheme.

If so then they should have understood what might happen.

Most of those affected were already in their current positions before the government changed the rules. The changes weren't a contractual issue and there weren't any negotiations.

...

The FT's explanation, but it might be paywalled.

And the Kings Fund's, which isn't.

Some examples of how individuals have been affected.

Jonathan

Jonathan Kay
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"Independent Review of Adult Screening Programmes in England"

If you go to the Appendices there's a discussion of each programme, including its current performance.

Jonathan (I spent a lot of my time in the NHS working on screening)

Jonathan Kay
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There's quite a lot in the thread above about foreign doctors working in the NHS. And the problem of visas. Ministers' statements told us that was being solved by specific changes to the visa rules. 

But it's been blocked by the Home Office: Guardian coverage.

Jonathan

Jonathan Kay
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Another day, another policy. No, that's not the word I was looking for... another press release.

Jonathan

Jonathan Kay
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File on 4: "Drug shortages".

Quite a good attempt at explaining what's going wrong. (But a really slow start with an affected patient's story.)

Jonathan