Remig Wrazen ๐Ÿ’™ (@rwrazen) profile picture

NHS Anaesthetist, Adopted Brit/EUcitizen, MBA Medical Leadership, Self-Determination Theory of Motivation

here, there, everywhere
Joined June 2010
Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)Photo by Remig Wrazen ๐Ÿ’™ (@rwrazen)
Remig Wrazen ๐Ÿ’™ retweeted
Some very reductive journalism today, this is a pay dispute but also very much a survivability, burnout and professional time dispute. 1/x
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Remig Wrazen ๐Ÿ’™ retweeted
A little thought on NHS compliance and why it may not work. Iโ€™m a senior paediatric intensive care trainee. We resuscitate more kids than any other specialty. We are experts in this. I have been an advanced paediatric life support instructor for 9 years. Todayโ€ฆ
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Remig Wrazen ๐Ÿ’™ retweeted
And if you want to support our work, we don't take donations... but TaxAid and its sister charity Tax Help for Older People do. They save people like Andrea from horrible financial/tax problems. If you can afford it, please consider donating. bridge-the-gap.org.uk/
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Remig Wrazen ๐Ÿ’™ retweeted
I'm standing for seats on @BMA_Consultants & @BMA_Pensions committees Poor pay (no, its NOT fixed) & repeated attacks on pensions are existential threats to our NHS If you're on RB #BMAARM25- ๐Ÿ™ vote for me. Please share if you support me! Link๐Ÿ‘‰elections.bma.org.uk/userNomโ€ฆ
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Remig Wrazen ๐Ÿ’™ retweeted
Would be great if people could help our excellent fellow, Angie, with this important project.
We at @Anaes_Journal are looking for patients or members of the public to get involved in developing plain English summaries for research articles in our journal! Message me by Friday 30th May 2025 for more information or to get involved! :)
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Remig Wrazen ๐Ÿ’™ retweeted
Our study of >2200 UK medical students is published Headlines: >50% felt allocation system for newly qualified (FY) doctor posts was unfair 46% noticed negative impact on physical/mental health Up to 48% are considering career outside NHS Link here: academic.oup.com/pmj/advanceโ€ฆ
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It's disheartening โ€” but entirely predictable โ€” that the risk of ยฃ1 additional income triggering a ยฃ22.5k tax charge is driving senior healthcare workers to reduce their hours. If the government is serious about tackling NHS waiting lists, they must urgently address these damaging tax cliffs that actively discourage vital extra work.
Our pensions survey has revealed that pension tax rules are potentially reducing NHS waiting list capacity by almost 10%. No one should be #payingtowork, the Government must scrap the annual allowance taper - tinyurl.com/3p7rt774
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Remig Wrazen ๐Ÿ’™ retweeted
Great chart below/right from @TheIFS about ridiculous tax cliff at ยฃ100k cuasing *obscene* marginal tax rates. But you can draw a very similar chart (left) for higher earning doctors affected by the stupid & ill-conceived #taper which is **really damaging** waiting list recovery @wesstreeting @RachelReevesMP Doctors want to help with waiting lists, but they cannot #PayToWork RT if you want government to finally #ScrapTheTaper
Economists: people don't understand marginal tax. If your tax rate increases above ยฃ100,000, you don't suddenly lose money when you earn ยฃ100,001 UK tax system: hold my beer
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Remig Wrazen ๐Ÿ’™ retweeted
VERY IMPORTANT: If a @BMA_Consultants youve received important email (left). It contains important survey takes *literally* 1 minute about YOUR pay expectations. Have a good hard ๐Ÿ‘€ at the chart on the right before answering - your pay vs others vs CPI. Pls share #PayRestoration
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Remig Wrazen ๐Ÿ’™ retweeted
To be brutally honest Iโ€™m not sure many people understand how difficult it is for people who have 9 years of missing data, and no backing data, to have a clue what to do. But yet here we are with a failing pension administrator expected to โ€œestimateโ€ Itโ€™s a bad joke
No RPSS, No 2023/4 statement, TRS blank because of a paltry practitioner contribution back in 1991. What on earth am I expected to do! ๐Ÿ˜ก๐Ÿ˜ก๐Ÿ˜ก๐Ÿ˜ก
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Remig Wrazen ๐Ÿ’™ retweeted
For those doctors or dentists who have received a Pension Savings Statement for 2023/24 from NHSBSA please note there are errors in them which need now to be corrected. ๐Ÿ‘‡
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Remig Wrazen ๐Ÿ’™ retweeted
Another shambles brought to you by @nhs_pensions nhsbsa.nhs.uk/error-202324-pโ€ฆ Its *really* not good enough. And isnt the "small number" actually *all* the ones you sent out? Its just you werent very good at sending them out by the statutory deadlines. Appalling @TPRgovuk
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Remig Wrazen ๐Ÿ’™ retweeted
IMPORTANT: (1) If you HAVN'T received PSS 23/24 you need to ESTIMATE for self assessment due 31/1/25. Free tool ๐Ÿ‘‡ (2) If you HAVE received a PSS 23/24 you need to IGNORE THIS & ESTIMATE for self assessment due 31/1/25 as ALL statements issued in E&W @nhs_pensions are WRONG RT!
1/3 ICYMI Ive done a couple of videos ๐Ÿ“น + FREE TOOL calculating annual allowance for self assessment 23/24 (needed by 31/1/25) without *MISSING* brown envelopes. And crucially also looking at the 24/25 tax year that could bring BRUTAL tax charges for some Please share ๐Ÿ‘‡ ๐Ÿ‘€๐Ÿ“น
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Remig Wrazen ๐Ÿ’™ retweeted
Merry Christmas to all those working in the NHS Many staff in the NHS are grossly underpaid (even on Christmas day๐Ÿ‘‡) but none more so than Resident Doctors who frequently graduate with >ยฃ100k debt RT to support them & ask government to pay them ALL fairly #PayRestoration
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Remig Wrazen ๐Ÿ’™ retweeted
(6) in my view itโ€™s past time @DHSCgovuk @HMRCgovuk to put out urgent guidance that due to the administration failures of @nhs_pensions (and to be fair other pensions agencies affecting doctors) that deadlines need to be formally relaxed around RPSS and SA for 23/24 RT if agree
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Remig Wrazen ๐Ÿ’™ retweeted
Our letter from @BMA_Pensions committee chair @Vish_Sharm warns the Chancellor that negative changes to pensions taxation in next weekโ€™s Budget would derail the Governmentโ€™s chances of meeting its pledge to cut NHS waiting lists. Read our press release: bma.org.uk/bma-media-centre/โ€ฆ
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Remig Wrazen ๐Ÿ’™ retweeted
1/ BREAKING : @BMA_Pensions write to @RachelReevesMP ahead of #Budget24 asking โšซNot reduce tax-free lump sum โšซNot reintroduce LTA โšซNot introduce flat rate tax relief (we lose higher relief via 'tiering of contributions) โšซIndex AA & fix taper Media: bma.org.uk/bma-media-centre/โ€ฆ
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Remig Wrazen ๐Ÿ’™ retweeted
Got a brown envelope & no idea where to start? Well start here ๐Ÿ‘‡ How to kick off the process in under 4 minutes! Links in video Sign up: bit.ly/MazarsGoldstone โ€œTriage on a pageโ€ to see if you can reclaim full cost of (2) accountants: bit.ly/TGMcCloudTriage Pls share/RT!
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Remig Wrazen ๐Ÿ’™ retweeted
Seeing some big errors even WITHIN 'RPSS' statements The one on the left almost 30k drop between tables, the one on the right 33.5k up Be VERY careful if navigating this yourself. Most can reclaim full cost of accountants Join @medicaccountant & me @8pm tonight๐Ÿ‘‡ Pls shr/RT
Worried, anxious or confused about ๐Ÿซตbrown envelope? Link for tonight Sunday 8pm: youtube.com/live/9R8ZCR3cPC8 @medicaccountant & I giving latest updates & answering YOUR questions (Subscribe to ask Q's) Print out 1 page triage helper here๐Ÿ‘‡ bit.ly/TGMcCloudTriage Pl shr/RT
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