11:45

In this live educational session, the hosts explain how UK personal tax rules can turn a £120,000 salary into an effective 60% tax rate for doctors and other high‑earning professionals. They start by defining the personal allowance (£12,570) and the “£2‑over‑£100k loses £1 of allowance” rule that erodes the allowance by £1 for every £2 earned above £100k, eliminating it completely around £125,140. The discussion covers adjusted net income, how pension contributions and other deductions can reduce it, and why the tax code changes at the adjusted net income threshold, not gross salary. They introduce practical tools such as a free NHS salary calculator and a downloadable checklist/guide to avoid the tax trap. Audience questions clarify individual versus joint allowances, marriage allowance transfers, the High‑Income Child Benefit charge above £60k, and the concept of fiscal drag caused by a stagnant personal allowance. The presenters stress that many doctors mistakenly think their top marginal rate is 45% when, due to the allowance loss, the effective rate can reach 60%, and they outline actionable steps—optimising pension contributions, using the calculator, and leveraging the guide—to protect earnings.

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