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Showing posts from January, 2022

NHS Pension inflationary increase 2021-2022 - A storm coming

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The annual allowance allowance calculation for the NHS pension is confusing. I wrote about it here but I still have to go back to refresh my knowledge about it. The hard bit about working it out for tax purposes is to think that it's not the monetary amount you contribute, but its the annual growth of the your pension pot. The maths involved makes my head hurt. 

GP Stories - Onion Armpits

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Sometimes face to face is much needed to get a better idea of what is going on with a patient. Usually there are obvious reasons to bring a patient in for a face to face consultation: young children, chest pain, abdominal pain, shortness of breath and more. However the hard part of this age of remote consulting is deciding on when someone needs to come down. It could be the ambiguous history or the story that doesn't quite make sense - sometimes it's better to bring them down. However there is the constant thought of not creating too much covid-19 risk in your practice or putting too much pressure on your clinic.   One lady called in complaining of a weird smell from her armpits, she was smelling onions there. It wasn't just her though, her husband had also been smelling it. It was causing understandable anxiety and also meant they had to sleep in separate bedrooms, which was causing issues in their relationship. She had tried all manner of body washes and deodorants but t