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IMPORTANT: Its crucially important higher earners at risk of #taper understand risks, especially in year where pay/pension has *started* to be *restored*👇[still way down] With upcoming budget its crucially important policy makers understand risks Wes Streeting MP James Murray

Lots of concern amongst consultant colleagues regarding pension tax bills and other tax "cliff edges" Rumours re upcoming budget are adding to the unease Most of the (partial) solutions involve doing less work, which is obviously bad news for NHS services 😞

1/ For *most* non-GPs, 23/24 will be OK - thats because the opening value was 10.1% (Sept 22 CPI) and pay growth was way below that. So if you didnt increment that year - combined with the rules changes - 1995 will generally be negative and can offset 2015 - hence in the case

Key thing is … wait ! Many things need resolving not least contingent decision making rules

Dr Tony Goldstone Wes Streeting MP James Murray This is incredible. Thank you very much. I appreciate you are not providing financial advise - but one couple way to mitigate the tax would be to pay into a spouses private pension and or tax relief qualifying investments 🙏

Dr Tony Goldstone The BMA BMA Consultants BMA Pensions Committee Mike Henley 🤨 HCSA – the hospital doctors' union Philip Banfield 💙 James Murray James Mirza-Davies Bryn Davies Completely agree with all of your points Tony. The only saving grace is that many consultants will have some unexpected carry forward from the last 3 years, after McCloud remedy has been applied, due to subinflationary pay rises.

Dr Tony Goldstone The BMA BMA Consultants BMA Pensions Committee Mike Henley 🤨 HCSA – the hospital doctors' union Philip Banfield 💙 James Murray James Mirza-Davies Bryn Davies In 2025/6 you will have a double whammy of early-years consultants clobbered by the £100k tax Cliff edge and the mid- and later-year consultants clobbered by AA / taper.

if you want your waiting posts to come down then please leverage your MPs to change the pension rules for doctors-many are still effectively having to pay to go to work….