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Supporting nhs consultant doctors industrial action

453 replies

Lapland123 · 31/01/2023 13:54

I hope this has public support. Consultants have seen the largest pay erosion in public services- now 35 % pay erosion since 2010.

Add the pension debacle, where we are asked for real money now for a theoretical glitch in how pensions are calculated. The ‘real money ‘ bill now can be 6+ months of your take home pay annually. Yes, really.

Vacancies exist in multiple specialties and the day to day job is more and more difficult in the context of vacancies throughout the nhs

I hope we have support for industrial action due to this government’s disgraceful erosion of our pay though we are working harder than ever

OP posts:
Thread gallery
5
TreadLight · 31/01/2023 22:16

Dinogeorge · 31/01/2023 22:08

They are asking them to pay the £32k in one go, via self assessment tax return.

It’s all very well having say £10k in your pocket and being asked to pay £4k in tax. Because you have £10k to pay this from. Being asked to pay £32k from money you don’t yet have - how is that fair or reasonable?

There was a comment earlier in this thread that you can use your pension pot to pay the tax bill, but understandably if you go down this route you end up with a slightly smaller pension. It is called scheme pays and the BMA provides guidance to doctors.

www.bma.org.uk/pay-and-contracts/pensions/pensions-tax/nhs-pension-annual-allowance

SpideyCraw · 31/01/2023 22:19

Its not a one day solution, things take time. BUT, care to explain how paying more money will suddenly bring stress down and create more time?

More consultants would be willing to work in the NHS or to work more in the NHS, which would ease the workload

edwinbear · 31/01/2023 22:20

I think the issue @TreadLight though, is they don’t WANT to use their pension pot to pay for it. Happy to let funds accumulate in there for a nice retirement, but not so keen to pay the tax on it.

Jazz12 · 31/01/2023 22:20

Dinogeorge · 31/01/2023 22:13

If you don’t understand by now, it’s probably best to just let this conversation go.

No, it simply means you are hiding facts.

care to explain how you are being asked to pay tax for nothing? That’s not how things work!
Tax is on income /income related benefits. There was a miscalculation and you are being asked to pay what you ACTUALLY OWE.
I paid all my taxes. Being a doctor doesn’t automatically exempt you from paying yours. Everyone pays their taxes. What’s your problem? Are you saying it’s because the money went into your pension pot not paid in cash? It’s still YOUR pension pot!

Wowzel · 31/01/2023 22:21

I'm a nurse and i support you 100%.

The pension stuff is just unbelievable, good consultants dropping PAs and retiring early because they are being hit with hypothetical tax for the future!

Jazz12 · 31/01/2023 22:21

edwinbear · 31/01/2023 22:20

I think the issue @TreadLight though, is they don’t WANT to use their pension pot to pay for it. Happy to let funds accumulate in there for a nice retirement, but not so keen to pay the tax on it.

THIS is what it actually is!

TreadLight · 31/01/2023 22:21

More consultants would be willing to work in the NHS or to work more in the NHS, which would ease the workload @SpideyCraw

There are three times as many applicants for need school as there are places. Finding people willing to be doctors isn't a problem.

Jazz12 · 31/01/2023 22:22

SpideyCraw · 31/01/2023 22:19

Its not a one day solution, things take time. BUT, care to explain how paying more money will suddenly bring stress down and create more time?

More consultants would be willing to work in the NHS or to work more in the NHS, which would ease the workload

Where will more consultants suddenly come from?

Jazz12 · 31/01/2023 22:23

TreadLight · 31/01/2023 22:16

There was a comment earlier in this thread that you can use your pension pot to pay the tax bill, but understandably if you go down this route you end up with a slightly smaller pension. It is called scheme pays and the BMA provides guidance to doctors.

www.bma.org.uk/pay-and-contracts/pensions/pensions-tax/nhs-pension-annual-allowance

Re-posting for more visibility

Jazz12 · 31/01/2023 22:24

TreadLight · 31/01/2023 22:21

More consultants would be willing to work in the NHS or to work more in the NHS, which would ease the workload @SpideyCraw

There are three times as many applicants for need school as there are places. Finding people willing to be doctors isn't a problem.

Also there are plenty of foreign trained top class doctors ready to work for the NHS for current pay scales.

TreadLight · 31/01/2023 22:24

edwinbear · 31/01/2023 22:20

I think the issue @TreadLight though, is they don’t WANT to use their pension pot to pay for it. Happy to let funds accumulate in there for a nice retirement, but not so keen to pay the tax on it.

NHS consultants, Tory chancellors. Seem to be cut from the same cloth.

Bucketheadbucketbum · 31/01/2023 22:27

I support you and all the doctors OP.

STRIKE!

84K for a consultant brain surgeon vs 70k for a train driver! Mental!

Jazz12 · 31/01/2023 22:28

TreadLight · 31/01/2023 22:24

NHS consultants, Tory chancellors. Seem to be cut from the same cloth.

Can’t agree more!

However, I fully support pay rises for junior doctors, nurses and support staff in line with inflation.

monitor1 · 31/01/2023 22:30

Onnabugeisha · 31/01/2023 20:51

Not a reason to add more dead bodies to the pile.

I don't know if you're deliberately being obtuse or you find this stuff difficult to understand.

No strikes = no change in working conditions = NHS continues to haemorrhage doctors = more people die

On strike days there will be no elective activity and a level of cover for emergencies. Data on previous strike days has shown less mortality.

Be under no illusion, we are fighting for the survival of healthcare in the UK. With the govt we have in power, they will not allow a managed transition to a European style system. It will all go up in flames and we'll end up like the US where people regularly go bankrupt for medical expenses.

GarlandsinGreece · 31/01/2023 22:30

Jazz12 · 31/01/2023 21:55

Tech pays very high salaries in San Francisco. Should all the tech people here be striking for more pay then!? Ridiculous!

NHS consultants are free to migrate, start their own private practices. They won’t move. Not because they are all so selfless or anything. It’s because, NHS gives them rock solid job security, great pensions and their student loans are less than 1/10th of those in the US.

People on really low pay scales are striking in the UK because inflation has made lives difficult for them. Consultants on £100k salaries striking for more money is pure greed.

Student loans are astronomical in the US, but consultants here earn 400k-2.5m. It is shocking how poorly consultants are paid in the UK.

Dinogeorge · 31/01/2023 22:30

Jazz12 · 31/01/2023 22:20

No, it simply means you are hiding facts.

care to explain how you are being asked to pay tax for nothing? That’s not how things work!
Tax is on income /income related benefits. There was a miscalculation and you are being asked to pay what you ACTUALLY OWE.
I paid all my taxes. Being a doctor doesn’t automatically exempt you from paying yours. Everyone pays their taxes. What’s your problem? Are you saying it’s because the money went into your pension pot not paid in cash? It’s still YOUR pension pot!

I’m not hiding anything, what a strange thing to say. I understand how tax works. I understand how their pension tax charges work. I spent years working in this field. I understand how the scheme pays election works - fine, if it’s a one off. I would recommend it - but repeatedly, year after year. Knowing your pension is going down the more you work. How does that make sense? Where is the incentive? Personally, I value our consultants and the work that they do and the lives that they save.

monitor1 · 31/01/2023 22:31

Jazz12 · 31/01/2023 22:24

Also there are plenty of foreign trained top class doctors ready to work for the NHS for current pay scales.

😂😂
Tell me then why my practice has been down several GPs for the last ten years, because we can't recruit? Tell me why many job ads for NHS consultants get zero applicants. You're living in a fantasy world.

Jazz12 · 31/01/2023 22:31

Bucketheadbucketbum · 31/01/2023 22:27

I support you and all the doctors OP.

STRIKE!

84K for a consultant brain surgeon vs 70k for a train driver! Mental!

NHS salary of a newly qualified entry level brain consultant. Do you know how much they make through private practice? Tax payer trained them for it through heavily subsidised tuition.

monitor1 · 31/01/2023 22:32

Jazz12 · 31/01/2023 22:23

Re-posting for more visibility

Consultants are being affected by this within 5 years of becoming a consultant. If they do scheme pay for 25 years + they'll have no pension at the end of it.

Jazz12 · 31/01/2023 22:33

monitor1 · 31/01/2023 22:31

😂😂
Tell me then why my practice has been down several GPs for the last ten years, because we can't recruit? Tell me why many job ads for NHS consultants get zero applicants. You're living in a fantasy world.

Thats why we need to open doors to highly trained foreign doctors.

monitor1 · 31/01/2023 22:33

Jazz12 · 31/01/2023 21:31

I totally agree that NHS need more doctors. More nurses. More support staff.

I don’t understand how paying NHS consultants more money suddenly takes away all the stress and improve working conditions? Some more money and suddenly they find the current situation acceptable!?

We'd be fully staffed

A friend of mine is an obstetrician. To be safe, her unit needs 14 midwives per shift. Usually they have about 8. They cheer when it's 12. Can you not see that working week in, week out, in an environment that is dangerously understaffed is exhausting and pushes people away.

monitor1 · 31/01/2023 22:34

Jazz12 · 31/01/2023 22:33

Thats why we need to open doors to highly trained foreign doctors.

The doors are open. No-one is walking through them. And in fact the cohort of GPs who arrived from India/Sri Lanka 40+ years ago are retiring now and that's a major issue.

monitor1 · 31/01/2023 22:35

Jazz12 · 31/01/2023 22:10

it you owe taxman money, you owe them money. I still don’t understand what the problem is!

It has been very clearly explained, these are taxes on money you never earnt. If you've read the thread carefully and you still don't understand it then maybe you never will.

Boisey · 31/01/2023 22:36

monitor1 · 31/01/2023 22:33

We'd be fully staffed

A friend of mine is an obstetrician. To be safe, her unit needs 14 midwives per shift. Usually they have about 8. They cheer when it's 12. Can you not see that working week in, week out, in an environment that is dangerously understaffed is exhausting and pushes people away.

I can see why we need to pay midwives more. That’s obvious. Consultants? Not clear at all.

JustAWeirdoWithNoName · 31/01/2023 22:37

Honestly I don't think they should have to strike, or nurses for that matter. The number of vacancies alone for these positions should be ringing alarm bells in the heads of the powers that be. However, as these alarm bells are being ignored, I have no choice but to be in favour of strike action.