𝘿𝙧 𝙍𝙤𝙝𝙞𝙩 𝙅𝙪𝙣𝙚𝙟𝙖 💉 😷

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

THOUGHT FOR THE DAY: many senior doctors desperate to help waiting lists & would be willing to give up evenings/weekends to help out. But current tax rules will mean some could end up #PayingToWork 👇 RT if you want @wesstreeting @jamesmurray_ldn to fix this ludicrous tax trap

I don't know who did this But you are amazing paprojectwatch.wordpress.com

Woooah… this is a very smart/evil scam. The web savvy will immediately spot the dodgy email address, but I bet plenty won’t.

A copy of yesterday's webinar is now available here: youtu.be/9TKYBUFr12w For our NHS pension support service, please visit medifintech.co.uk/register If you are an employer and would like to discuss how we can help you help your employees, please email admin@medifintech.co.uk

ICYMI My 🧵on #TaperTax #PayingToWork 👀a short explanatory video below (and pls share/RT)

1/ 🚨IMPORTANT: We need to meet again @jamesmurray_ldn @wesstreeting to talk about pension tax. Houston, we have a big problem #PayingToWork #TaperTaxHell James & Wes would like to talk you through this REAL case study (shared with permission) 👇[& others] Please share/RT

The 6% pay award could end up costing some Consultants more in tax and lost benefits than is received in extra income🤦‍♂️ We'll be covering this (and some of the options available) in our free webinar on Wed 7th Aug at 19:30 Register here: @b222c994-bc91-4134-844e-ae8ba493abb2" target="_blank" rel="nofollow noopener">events.teams.microsoft.com/event/8afc4885… Please share/RT

Could be one of our most popular webinars, which is why we have no limit on attendees. There are certain things Drs can do to make this year efficient. Big pay rises likely reintroduce AA tax for most, checking position in advance can potentially avoid sleep walking into a charge

New Pension Award Check service launched We've found many errors on pension awards recently, costing members £,000s: Wrong pensionable pay LTA charges applied Wrong payment date Additional lump sum deducted, rather than paid Email admin@medifintech.co.uk for more info

We've had lots of questions today about the impact of the pay deal Many concerned about pension taxation To help explain how this could impact you, we're putting on a free webinar Join us at 19:30 on Wednesday Aug 7th Register here: @b222c994-bc91-4134-844e-ae8ba493abb2" target="_blank" rel="nofollow noopener">events.teams.microsoft.com/event/8afc4885… Please share / RT

You won’t remember, but in 2006/7 you threatened to kick me out of medschool at the end of the 4th year. My crime? I failed the cardiology module following a head injury which meant I missed a significant part of the clinical teaching. I was awarded NO sympathy. I was told you either retake & pass, or on your bike. Fast forward to now, & here you are advocating PAs as a “route into medicine”. Many of whom have NOT passed the PANE nor the PAVMR exam yet are replacing doctors on medical rotas in trusts up & down the country. Oh the nerve… I had no intention of making this story public, but seen as you keep replying to my posts (& I don’t follow you), I felt the general public should know.

Really interesting email being sent out today at St George’s Medical school to final year students Concerns have been raised by medical students around placements and medical students being treated as second rate students to PAs, how their teaching is suffering being taught by PAs rather than doctors, they witness unsafe practice by PAs and are being gaslit. But the big one: the justification given around PA pay and why that is higher than a highly skilled doctor and they are pushing the false narrative of equivalence. @StGeorgesUni should be absolutely embarrassed. If I was one of their final year medical students I would be boycotting the graduation

Do you use #Propofol for #PONV? This month's #Infographic by Dr. Naveen Nathan Graphic: buff.ly/3LqR9EU Article: buff.ly/3S6OaF8

Replacing doctors on medical rotas with PAs presents a huge threat to patient safety. But as the Mail reports today (£) it is all too common. After no action from the previous Government, we need @wesstreeting to stop this practice in its tracks. dailymail.co.uk/health/article…

I’m still thinking about this. Paramedic practitioner tells @mrjamesob: 🔸It doesn’t matter that he hasn’t studied medicine 🔸He’s better than doctors because he looks up from his screen 🔸He’s essentially done medicine vocationally as he was questioned ‘for weeks’ ☠️ ☠️ ☠️

I just listened to Tony Blair being interviewed on Radio 4. I can recall the days when Tony Blair, who had apparently never turned on a PC, believed that IT was the solution for every problem in government . Now it seems that he thinks that AI is the answer to every question. Amongst the problems that he seems to think it might solve will be the junior doctors’ dispute in the NHS, because he spoke about AI when asked what the solution was. The implication of his comments was that he does not see the reason for much of what junior doctors do. It would seem that he thinks that the decisions that they make can be made by AI, and lower qualified staff can deliver the services as a consequence. This then solves the pay dispute, by removing the pay grade. He was not as blunt as this, but that is, I think, where he was going, by inference of what he said, and the context of his other comments. There have been many occasions when Tony Blair has got things terribly wrong. That is because there have always been a very obvious limits to his understanding. This is now the case with regards to junior doctors. Firstly, junior doctors are not junior. Many of them will have been in the job for well over a decade. They are the backbone of the entire hospital system. Secondly, AI works on the basis of algorithms, and they need data. In contrast, the whole point about medicine is that it takes seriously incomplete information, the vast majority of it being communicated nonverbally, and interprets that based on the intuitive experience of the practitioner. The weightings provided are those that at the moment when the decision has to be taken (3am at the bedside of an unconscious elderly person with multiple co-morbidities) seem best to the doctor using a combination of all the heuristics that years of experience has provided to them, many of the inputs for which they will never have time to record. It is, in other words, an exercise in the management of risk in the face of extraordinary uncertainty, including very often not knowing what the patient actually has wrong with them. Good luck in finding any AI system that can process that in a few seconds, including all input time, right now or at any moment in the foreseeable future. It is not going to happen. So, Blair is wrong, again. I am not saying AI has no uses. It is contextually autocorrecting my typing as I write this, often, but by no means always, getting things right. That’s useful. But when a politician possessed of little wit and even less knowledge, let alone understanding, think AI can undertake tasks like those a junior doctor is asked to undertake two things will follow. The first would be massive medical errors. The second would be senior doctors without the experience that comes from years of appraising the human condition. The loss to society would be immeasurable. But, no doubt, somebody funding the Tony Blair Institute would have profited considerably in the meantime, and Tony Blair would define that as a success. Please pardon my cynicism, but incomprehension in the face of reality on this scale is very hard to accept when hinted at as if it is a truth by the likes of Tony Blair.

1/ NEW & IMPORTANT: Quarterly NHS pay data updated 27/6/24 👇 In BREAKING NEWS NEW charts now show ALL SECTORS have reached #FullPayRestoration (though NOT, of course, the NHS) We MUST fix pay/retention to fix #WaitingLists Please read whole [long bumper] 🧵 & share widely/RT

Should we be gowning for single-shot spinals? Environmental vs infection risk? Survey from ⁦@RCoANews⁩ and ⁦@ANZCA⁩ ESN. ⁦@archiecurium⁩ Single-shot Spinals: To Gown or Not to Gown? | FormSG form.gov.sg/64dd8427d3feb3…

🚨IMPORTANT: PHYSICIAN ASSOCIATES SCANDAL UPDATE • Doctors across country raise alarm • Royal College of GP’s @rcgp calls for halt to recruitment of PA’s in general practice @TheBMA has called for IMMEDIATE halt to recruitment of PA’s & Anaesthesia Associates