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August 4, 2025 58 mins

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In this episode of the Medics' Money podcast, Dr. Tony Goldstone, a radiologist and pensions expert, and Andy Pow, a medical specialist accountant, join the discussion to delve into the complexities of NHS pensions. They cover topics such as the transition from traditional pensions to defined benefit schemes, the impact of the tapered annual allowance, and major changes following the McCloud Remedy. The guests highlight the administrative challenges and mismanagement issues faced by many doctors and emphasize the importance of staying informed about pension entitlements. They also offer practical advice for doctors on navigating their pension schemes effectively.

00:00 Welcome and Introductions

01:17 Tony's Journey from Radiologist to Pension Expert

01:47 Understanding the Pension Crisis

03:22 The Brown Envelope Shock

04:51 Developing Pension Tools and Political Advocacy

11:17 Taxation and Pension Growth Explained

15:52 The Impact of Tapered Annual Allowance

19:31 Recent Changes and Future Challenges

28:46 The Importance of Staying in the NHS Pension Scheme

30:14 Private vs NHS Pensions: A Comparison

31:18 Understanding the Career Average Scheme

31:53 Current Issues with NHS Pensions

32:12 The McCloud Remedy Explained

39:20 Challenges in Pension Administration

53:08 Advice for Doctors on Managing Pensions

56:58 Final Thoughts and Resources

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