Drew Maxted 💙

Children's doctor - particularly kidneys

[Dr Tony Goldstone @goldstone_tony]

Wow! 🎉 A huge thank you to everyone – we've just hit our 5000th registration including for our free growth modeller covering 23/24, 24/25 & 25/26! 🚀

Check it out here: https://t.co/O2vFkCKfAq

As the tax year comes to a close you have a not to be repeated opportunity to #KnowYOURnumbers - if close to the awful £100k/£200k tax traps you might be able to take action in the next 3 weeks to get under those tax cliffs and potentially save £000s in tax - but only if you know your numbers. Don't leave it too late!

Our popular 'concierge' service is now fully rolled out for hospital doctors across England & Wales 🏴󠁧󠁢󠁥󠁮󠁧󠁿🏴󠁧󠁢󠁷󠁬󠁳󠁿 and we've helped hundreds of doctors (around HALF had errors in backpay which would cost them THOUSANDS in extra AA if not corrected).

There are paperwork issues in the other nations which make a concierge service (at a rock bottom price) more challenging due to the relative lack of information on payslips and ABS (and the lack of ABS themselves) ☹️ – we are still actively looking into it though.

Thanks again for the amazing support! 🙌 🙏

Remember lots of people are struggling with AA admin, and many aren’t on social, so feel free to share on FB / WhatsApp / etc and RT

[Dr Tony Goldstone @goldstone_tony]

17/17 If you agree change is needed, please share. Try not to stress about Annual Allowance—free help is available including our free growth tool. #NHSPension

https://t.co/Mt66LYfml8 #PensionTax
Hoping for real improvements in 2026! RT! #ItsTooComplicated

[Dr Tony Goldstone @goldstone_tony]

IMPORTANT: Many of you will soon be opening brown envelopes and seeing some pretty large numbers for 24/25, which can be scary. Others will be modelling them if you haven’t received a statement yet because the scheme failed to send it within the legal timeframe (you can model growth for free here: https://t.co/xwAun9BU40).

But it’s important to remember a few things.
You have a charge because your pension has increased significantly. I know it feels unfair—as it’s correcting years of prior erosion—but that’s one of the many problems with the Annual Allowance.

Please don’t lose sleep over the Annual Allowance. It might not be as bad as you think (so model it, and remember carry forward, for many there will be significant carry forward in 23/24 especially for hospital doctors due to #negativePIAs which many people have been lobbying for many years!). Some people will have the ability and choose to pay; others may opt for Scheme Pays, through choice or necessity.

I previewed my Scheme Pays analysis a few months ago in a YouTube, and hopefully it will be available shortly as an add-on to my free or premium modellers (sneak preview below). Scheme Pays has a lot of moving parts—because the interest depends not only on rates but also on when you plan to retire from each scheme. There isn’t a single “Scheme Pays impact”; it’s dynamic and varies based on several factors including several things that may change including when you want to retire, and also your health. None of 👇 is advice, its just to help you understand your numbers. Some people way wish to get formal financial advice i.e. from an IFA around this decision.

Also remember to consider whether you can do anything THIS tax year we are in which may also see big growth numbers for many—can you avoid tapering, or should you ignore it and carry on? Scheme Pays may not be as bad as feared (and has improved versus a few years ago for technical reasons), so you need to #KnowYourNumbers and #ModelYourPension to make an #informedchoice.

Last but not least, remember that despite its many problems—including catastrophically poor administration and the Annual Allowance being poorly suited to schemes like the NHS—it’s still a good scheme. Leaving the scheme is almost never the right decision.

Here’s a sneak peek of what’s hopefully coming soon as an #AddOn 👇, so model your numbers today and sleep better knowing your position. Remember there is no downloadable model this year - the only way you can get it is by registering at https://t.co/xwAun9BU40 !

Please share/RT with people who are struggling.

[World Kidney Day UK @kidneydayUK]

Want to tell them what it's really like?

We've created a poster for kidney patients to share. It's got myths and facts around kidney disease and a link to our symptoms checklist.

Download here> https://t.co/jKMhoGpJw6 #WorldKidneyDay #KidneysMatter

[World Kidney Day UK @kidneydayUK]

There are usually no symptoms of kidney disease in the early stages.

It may only be discovered if you have a blood or urine test for another reason.

Find out the symptoms> https://t.co/9SnT8yWtWE #KidneysMatter #WorldKidneyDay

[World Kidney Day UK @kidneydayUK]

Not long to go!🌟

To get involved, head to our website to download video call backgrounds and lots more!

We'd love your help in spreading the kidney facts and dispelling the myths!

https://t.co/jKMhoGpbGy

#WorldKidneyDay #KidneysMatter

[World Kidney Day UK @kidneydayUK]

Kidney community, listen up! 👂

Want to help us this #WorldKidneyDay? Now is the time to use your voice!

We've made a template for you to share your story and send to your local paper or radio.

Find out more and download it here > https://t.co/jKMhoGpJw6
#KidneysMatter

[Kidney Care UK @kidneycareuk.bsky.social @kidneycareuk]

❗ The countdown is on! Just 3 weeks until #WorldKidneyDay! Will you join us in spreading awareness? Stay tuned to find out how you can make a difference💛

@UKKidney @PophamKidney @KidneyWales @NKF_UK @Kidney_Research @PKDCharity @kidneydayUK

#KidneysMatter

[Dr Tony Goldstone @goldstone_tony]

If you have been left in this appalling position by @nhs_pensions and need to self assess by 31/1/25 I have created some free resources (videos and a free calculator) to help you try and navigate this mess. Please share with those not on Twitter too who may be struggling

[Dr Tony Goldstone @goldstone_tony]

Wow🤩🙏thank you over 6000 ppl have now downloaded my free tool 👇#annualallowance after being failed by the pensions agencies maladministration this year & need to “estimate”, please see below
https://t.co/qXxndVfVbF (help videos📹 below)

[World Kidney Day @worldkidneyday]

Just two months to go until #WorldKidneyDay!
Mark your calendars for 13 March 2025 to celebrate and spread awareness about #kidneydisease. Explore our campaign materials and resources to plan your activity today!

👉https://t.co/sCDd7tWc9e

#AreYourKidneysOK #KidneyHealthMatters

[Hans-Joachim Anders @hjanders_hans]

Open access online in @NDTsocial

SGLT2 inhibitors: approved for adults and cats but not for children with CKD

🧐Why have SGLT2 inhibitors not been tested on children with CKD during the approval process?

▶️https://t.co/sUklveLcPz

[Drew Maxted 💙 @docdrewm]

After lunch starts with @RLWczyk talking with Helen Parker about their AKI service @nephrology_RMCH and the role of an AKI nurse, interesting to hear the use of additional biomarkers in diagnosing AKI (such as Cystatin-C) #AKI @EMEESYkidney

[Drew Maxted 💙 @docdrewm]

Next up @pearl_pugh16 presenting data on nutritional management of AKI and nutritional needs on RRT - can lose 0.1-0.28g/kg/day protein on PD! @EMEESYkidney #AKI

[Drew Maxted 💙 @docdrewm]

What to do with neonatal AKI? @mcstarr1 paper being discussed with recommendations for neonatal renal follow up #AKI @EMEESYkidney

[Drew Maxted 💙 @docdrewm]

Next up @DrKaren_N discussing neonatal AKI and the differences compared with older children - failure of creatinine to fall after birth as important as rising creatinine in older infants, how can we prevent #AKI ? Baby Ninja study showed good outcomes… @EMEESYkidney

[Drew Maxted 💙 @docdrewm]

@EMEESYkidney study day on AKI starting with looking at embedding eGFR and AKI alerts into everyday practice… #AKI @BAPNnephrology

[Drew Maxted 💙 @docdrewm]

@DrDeano presenting interim data on @ESPNSociety survey on work-life balance (or as we have heard from @MedEdMahan work life integration) - fascinating responses and thoughts on what is important! #espn2024

[Drew Maxted 💙 @docdrewm]

INTENT trial - starting MMF early (after steroid induced remission) is non-inferior to steroids with slightly favourable side effect profile - should we change our initial treatment of nephrotic syndrome? #espn2024

[Drew Maxted 💙 @docdrewm]

APRIL blockade with monoclonal antibody Sibeprenlimab reduces proteinuria in IgA nephropathy phase 2 trials - but sadly adult only data currently - need trials in children! #espn2025