Re: Crisis in the NHS
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You need to take into account Employers NI and the other classes of NI where people are paying extra to cover gaps in their employment and self employed people. All employees get an NI allowance.. An employee on NI Table letter A would be: (There are others for under 21s and Apprentices under 25 but these help the employer not the employee) Primary Threshold: £155 per week £672 per month £8,060 per year (This is where the employees start paying NI at 12% on everything above this) Secondary Threshold: £156 per week £676 per month £8,112 per year (This is where the Employers start paying NI at 13.8% above this) One people get to the UEL they pay 2 % on all earnings above that... this is because they have contributed enough for a full state pension. It used to be 0%, then 1% If we compare the NI threshold to the personal allowance of 1100L employees can earn appox £916 a month before paying tax at 20% (rising to 1150L / £958.33 in 17/19) This means people pay NI before they start paying tax but at a lower rate. There is one big discrepancy with NI which I think should be removed.. If you have more than one job you get the same allowance in both jobs (unlike tax where you can split the personal allowance or go onto a BR / 0T) unless you earn up to the UEL in one job.. you can get a certificate of deferment and just pay 2% in the 2nd job. One more thing.. the LEL (lower earnings limit) is used to determine if an employee is entitled to statutory payments like SMP or SSP. NI is also used in the calculation of the Employment Allowance and the Apprenticeship Levy (Which starts in 2017/18). National Insurance is more complicated than Tax (in my opinion) .. but has been simplified in recent years. |
Re: Crisis in the NHS
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http://www.bmj.com/content/337/bmj.a748 Quote:
http://www.bmj.com/content/337/bmj.a...J_UK_TrendMD-0 Quote:
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Re: Crisis in the NHS
Our local GP's were paid to "extend their opening hours"
They did, but just had a longer patient-free period between the morning and evening sessions. Morning sessions are at a set quota "first in, first seen, up to a maximum of 15". But if you are number 15 and a more "serious case" appeared you get told to come back the next day (no weekends of course). Triage by admin staff, not someone medical! And the 15 will one day be divided between a lone GP, the next it could be 2 or even 3. Evening sessions have strictly limited numbers too, by appointment only. |
Re: Crisis in the NHS
That BBC documentary that I linked to a couple of pages back showcased a GP surgery where they reduced the number of patients coming in and seeing a GP by 70%!
I'll say that again.....by working 'smarter', they reduced their workload by 70% Imagine if all GP practices did the same...... |
Re: Crisis in the NHS
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Re: Crisis in the NHS
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Re: Crisis in the NHS
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A more open and honest way is to throw this back to the public and how much they are prepared to contribute to the increasing demands on the NHS. (sorry another referendum...) Something along the lines of:- - contribute no more. The NHS only to provide emergency care, you need private care for anything else (I suspect this is where the Govt. wants to go) - 1p in the pound more tax. Try and maintain the status quo, with the NHS cutting some non-life threatening treatments. - 2p more, status quo - 3p more. More GP's and out of hours service - 4p more. All singing and dancing 7 days a week NHS providing all care. Not pretending these are the real figures or level of funding needed but an example of the choice we as the public, not politicians, need to make. Then we couldn't whinge because we'd made the choice. It would certainly be a more honest approach than the current Govts. i.e. just let the NHS rot, blaming Junior Dr's, GPs, immigrants etc etc. When it collapses bring your private sector mates to the rescue... |
Re: Crisis in the NHS
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Re: Crisis in the NHS
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btw, it takes around 10 years from beginning medical training to being a GP, so there are no quick and easy answers, but if the BMA had supported more training, half of those qualifying would have been GPs next year, which would have been helpful... |
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more money isn't the answer, it's a little bit of the answer but I wouldn't give it more money unless the whole concept of the NHS was completely reimagined. |
Re: Crisis in the NHS
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Which one of these 'concepts' do you want to 'reimagine'? Quote:
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Re: Crisis in the NHS
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So much for Labour "weaponising" the NHS. Looks like that backfired. |
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Re: Crisis in the NHS
We've all 'shot ourselves in the foot' by not funding the NHS properly. Even cancer operations are now being cancelled.
https://www.theguardian.com/society/...y_to_clipboard |
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