Richard Hull

Kidney doctor, dad, husband, food lover and bread baker. Run a bit too. Own views etc.

[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.

[New Victoria Hospital @NewVicHospital]

If you’re living with arthritis, you might be thinking twice about booking that summer holiday 🌞✈️ Consultant Rheumatologist Dr Dobrina Hull shares practical advice – this is your go-to guide for pain-free travel 👉 https://t.co/sJr9F1fnnt #ArthritisAwarenessMonth

[Royal College of General Practitioners @rcgp]

RCGP governing UK Council has today voted to oppose a role for Physician Associates working in general practice.  

You can read more here. https://t.co/RUOciy6FpY

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

So let me get this right

The president @FPARCP had a vote - may have been the casting vote to swing @RCPhysicians policy on PA register

And then resigns

While @gmcuk tries to influence vote

Well, someone has to do it

So I am

I am formally asking for this vote to be re-run.

[Royal College of Emergency Medicine @RCollEM]

We have today (07/06/24) published our updated position regarding Physician Associates in Emergency Medicine.

News story - https://t.co/qo4X6JwQ95

Position Statement - https://t.co/WVCXRmIRdt

[Swapnil Hiremath @hswapnil.medsky.social @hswapnil]

Wow

Minimal change disease RIP

Roughly half (higher in kids?) = anti nephrin podocytopathy

Multicentre study validating @AstridWeins et al findings at #ERA24 in @NEJM

https://t.co/BRYryNvald

[Iain Farrington @IainFarrington]

We've made new versions of great opera arias for schools. Fun, accessible and inspiring for children. An excellent initiative by @RoyalOperaHouse.

[George Palmer @george_palmer7]

UPDATED LETTER

Amazing NEW signatures including Sir Simon Rattle and John Rutter

The college has prevented the choir from posting anything further on its social media platforms - so please SHARE THIS

Petition: https://t.co/v9rM8SL81g

#saveSJV

[Richard Hull @richardphull]

Really happy to be part of this work with @debukidney @paulineswift5 supporting our teams in SW London to improve kidney care

[NHS South West London @SWLNHS]

A £2m programme in south west London is raising awareness of chronic kidney disease, boosting detection and improving care, especially for people with kidney disease and conditions like diabetes and heart failure: https://t.co/2YjEkBymXc @wandbc @StGeorgesTrust #WorldKidneyDay

[NHS South West London @SWLNHS]

A £2m programme in south west London is raising awareness of chronic kidney disease, boosting detection and improving care, especially for people with kidney disease and conditions like diabetes and heart failure: https://t.co/2YjEkBymXc @wandbc @StGeorgesTrust #WorldKidneyDay

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Ok then

I am breaking ranks

As Councillor @RCPhysicians

Open letter to council

Time for senior leadership to consider their positions

Silence is complicity

And that? Isn’t me

Enough.

#RCPEGM

[Indranil Chakravorty MBE 🇮🇳🇬🇧🌏 @indranilc]

As a Fellow of @RCPhysicians I am deeply disappointed that our leaders allowed a #Biased presentation of data, deliberately misleading us at #RCPEGM. Brought the college and entire profession to #disrepute @AoMRC and #Federation of @RCPEdin @rcpsglasgow need to take note

[Indranil Chakravorty MBE 🇮🇳🇬🇧🌏 @indranilc]

I think 2 outcomes are clear and inevitable to me after the unfortunate events at #RCPEGM - #FPARCP needs a new home and @RCPhysicians needs #new_leadership, #Transparency and #Governance after an #independent_inquiry @AoMRC

[Dr Asif Qasim MA PhD FRCP @DrAsifQasim]

I am appalled

We need to know who created the slides for the #RCPEGM from these survey data

Were they approved by the senior officers and PRCP

I am concerned that there seems to be serious issues of conduct and probity that should be urgently addressedd

@djnicholl @trishgreenhalgh @mmamas1973 @ShrillaB @TYoungstein @nolanjimradial @drsophiegp @Zudin_P @ExplosiveEnema2 @DrEilidhMaria @Xeon4f145d96s1 @Dr_Done_ @kidneydoc101 @charlot_summers

[Dr Asif Qasim MA PhD FRCP @DrAsifQasim]

#RCPEGM survey data is out

Specialty Doctors:
55% said PAs limit their training opportunities
71% said PAs limit their team's training opportunities

@trishgreenhalgh @djnicholl @TYoungstein @Xeon4f145d96s1 @ExplosiveEnema2

[The BMA @TheBMA]

“It is time for [@VictoriaAtkins] to launch an independent investigation to uncover the full extent of what is essentially a patient safety scandal.” @DrPhilBanfield responds to Telegraph reporting on instances of PAs replacing doctors on medical rotas: https://t.co/h608BqUCoR

[Mamas A. Mamas @mmamas1973]

This is one of the biggest safety scandals to happen in the NHS- patient lives are being placed at risk.

An independent review of how individual with a 2 years masters and no medical training are manning doctors on call rotas up and down the country needs to happen NOW and this should be stopped IMMEDIATELY .

This is a failure of senior management/ doctors at these trusts

[Dr Rachel Clarke @doctor_oxford]

In innumerable NHS hospitals physician associates - 2 year degree, no medical school - are being used to replace doctors on on-call rotas.

This is a patient safety scandal.

These trusts are colluding with a govt agenda to replace doctors with doctor substitutes.

Please read 👇

[platinumpizza™ @Xeon4f145d96s1]

I have received a link to the #RCPEGM which has just been leaked onto YouTube.

I suggest you all watch it.

Remember it.

Remember who is on your side.

https ://youtu.be/ G0Qu6BKDy98

[platinumpizza™ @Xeon4f145d96s1]

Yesterday 6pm, the RCPEGM was leaked by an anonymous account onto YouTube. Having watched it, these are some of the most jaw-dropping moments I heard, some not even factually true. Everyone should watch it for themselves though and make up their own mind. Link at the end.