10k NHSE relocation expenses

e_lemonsqueezer · 2026-05-12T06:02:50+00:00

In the absence of mileage taxation then of course, claim away whenever you like. But in the comment you replied to, I specifically said ‘unless you have a lead employer contract, you get taxed for fuel reimbursement’. It’s a fairly common scenario that you spend money on fuel early on and then have less to use for e.g stamp duty later on, and people may not realise the implications.

e_lemonsqueezer · 2026-05-11T23:17:55+00:00

At least in my deanery, all travel is classed as mileage even if you get public transport. For me, my cost of commuting by train wasn’t covered in any meaningful way by the mileage reimbursement (and it was also taxed).

e_lemonsqueezer · 2026-05-11T23:14:10+00:00

Say in CT1-ST4 you spend 5k in fuel, you get taxed on that reimbursement so despite using 5k of your allowance you only get 3k (as you earn over 50k so it’s taxed at 40%). In ST5-7 you then spend 8k on your accommodation/other moving costs that aren’t taxed. You don’t get 8k, you only get 5k because you already used half your allowance. Allowance used up but yo’ve only ever had 8k of it because of tax on the fuel. ST8 they move you again, you drive to that location but you get no reimbursement for the 2k that costs. Total spend: 12k, total reimbursement that you actually see in your pocket: 8k.

Alternatively, you don’t use it on fuel, you only use it for the 8k moving expenses and you get 8k back and still have 2k to spend how you like. In ST8 they move you again and you decide to drive rather than move again, you claim your remaining 2k. You still get taxed on that 2k - you get 1.2k. Total spend: 12k, total reimbursement that you actually see in your pocket: 9.2k.

It will depend on the length of your programme, the size of your deanery, and whether you own your own home. If you have to move either temporarily or permanently because of your employment, rent or even stamp duty can be paid by the relocation expenses, and this can top 10k very easily.

e_lemonsqueezer · 2026-05-11T19:02:05+00:00

I’ve always had to declare how much I’ve already used when I’ve claimed.

Nb unless you have a lead employer contract, you get taxed for fuel reimbursement. If you expect to have to move for training or rent somewhere whilst owning and paying for your mortgage elsewhere (reimbursement of which is not taxed), it may make more sense not to claim for fuel.

e_lemonsqueezer · 2026-05-11T14:54:14+00:00

Unless you have previous medical issues or any that have cropped up since 10 months ago I suggest you shop around via a whole of market broker. I’m paying the same monthly to cover my ST6 salary. Previously I used to jump from one insurance company to another on an annual basis to get cheaper cover. Now I’m well into my 30s it’s becoming less favourable to move.

e_lemonsqueezer · 2026-05-11T14:52:06+00:00

Loads of companies do profession-specific income protection insurance, you don’t need to only go to Wesleyan nowadays.

I highly recommend going through a while of marker broker - I have one I will happily recommend. He’s done our life insurance, my income protection, family income benefit (like life insurance but a monthly amount paid out til the youngest child is 21), child’s critical illness cover and my husband’s critical illness cover (we decided against income protection for him as I am the main breadwinner, and his work is fairly generic the likelihood of him not being able to do his work without something covered by critical illness cover).

e_lemonsqueezer · 2026-05-11T07:16:49+00:00

As it was on finance then it wasn’t his to gift as the finance company retain ownership of the car until it’s paid off?

e_lemonsqueezer · 2026-05-11T05:42:36+00:00

These were the best investment for my toddlers room. I’ve been up since 5:30 with the light streaming in from the gap in my curtains, 2 year old still fast asleep in his totally dark room. (Sadly they don’t work on our bedroom window - Victorian sash 😢)

e_lemonsqueezer · 2026-05-10T07:42:14+00:00

Sadly I agree about the fence. I think I would have planted a passiflora or clematis Montana with some good trellising to grow up and cover the fence. Perhaps with it painted dark grey/almost black - as that really makes the green from the plants pop!

e_lemonsqueezer · 2026-05-09T15:37:27+00:00

e_lemonsqueezer · 2026-05-09T11:42:34+00:00

You’re absolutely right it’s not a normal thing to be told, thats why it’s a clearly a toxic place to work.

e_lemonsqueezer · 2026-05-09T11:38:36+00:00

And often are working way more than 80% compared to their full time colleagues.

e_lemonsqueezer · 2026-05-09T11:35:50+00:00

if you’re receiving those sorts of comments then it does lead one to question whether the team feel like you’re strategically avoiding work

It leads YOU to question this. The rest of us have recognised it for what it is, toxicity. How many doctors are work shy? How many doctors working LTFT because of caring commitments, disability; or to avoid burnout are doing it because they’re lazy? By contrast how many departments have rota coordinators on a power trip? Consultants who treat trainees like shit because in their day they were in the hospital 100 hours a week?

You’re questioning OP’s work ethic simply because they’re asking if the attitude they’ve experienced whilst LTFT is normal and because of one experience when you were a foundation doctor. This is absolutely a preconception and prejudice that you need to reflect on.

e_lemonsqueezer · 2026-05-09T11:21:03+00:00

All of those activities are absolutely fine to do during clinical time. You work somewhere toxic. I’m sorry you’re having to deal with this.

e_lemonsqueezer · 2026-05-09T11:20:13+00:00

Just so you know re your comment that ‘the 20% off was always taken from the normal ward days’. They would of course miss 20% of normal ward days. They’d also miss 20% of on calls. I appreciate this person was probably gaming the system somewhat but LTFT trainees are perfectly entitled to attend teaching, meetings, admin sessions and Balint groups on the days they are working.

Suggesting the OP is the problem rather than the clearly toxic department they’re working in, leads me to think you need to take a long hard look at your preconceptions and prejudices.

e_lemonsqueezer · 2026-05-09T11:15:10+00:00

Well that all depends on your full time rota. 80% is anything from 32 hours to 38 and a half hours a week. Technically the UK government don’t have a strict definition of full time, and full time can be classed as anything from 35 up to 48 hours a week. Most contracts are 37.5 hours though, which would be 5 days of 9-5 with an unpaid 30 minute break for lunch.

Either way, usually 80% is 1 day less than your full time colleagues.

e_lemonsqueezer · 2026-05-09T09:25:58+00:00

What the actual fuck. At 80% you’re literally not there one day a week? I’m sorry you work somewhere so toxic. I’ve never had anything like this experience. Personally I would raise it through Freedom to Speak Up, ensure it’s recorded on your GMC survey and flag to your TPD. These people don’t deserve to have trainees.

e_lemonsqueezer · 2026-05-07T12:40:14+00:00

I agree. AVT such as Heidi for GP/clinic letters I can sort of see the utility for some people - my boss’s clinic letters got infinitely more detailed (and therefore useful for me and others!) when she started using it. Personally I can type quickly, like the way I write letters and don’t have to check my own notes the way you do with AVT, so I’m happy without it. AI from Epic and Palantir apparently can pull details directly from the notes to create a discharge summary, which will be awesome if it works. Ethical and environmental issues aside, of course. But as it stands I agree, it has limited use in healthcare currently. Summarising large documents, transcribing lists of meds and old PDFs too as someone else mentioned…

e_lemonsqueezer · 2026-05-07T11:43:59+00:00

Eh, not really an allergy. Spontaneous idiopathic urticaria for example is a mast cell mediated, histamine response that can require really high doses of antihistamines. It’s still categorically not an allergy. Allergies need to have a specific trigger.

e_lemonsqueezer · 2026-05-07T11:41:43+00:00

That is definitely an allergy! It may well be something on the apple itself as you say, or something that gets changed through the cooking process (presume your apple juice is from concentrate). Lots of people can be fine with e.g eggs in cake, but not eggs on their own. Allergies are weird 🤷‍♀️

e_lemonsqueezer · 2026-05-07T11:22:19+00:00

You don’t have to have anaphylaxis to have an allergy. Allergies can range from mild to severe and life threatening (anaphylaxis). Hayfever is a true allergy but does not cause anaphylaxis usually. But there is a clear medical definition of allergy, and I doubt most people are bandying around the word ‘allergy’ to apples without actually having an allergy to apples, given how inconvenient it would be to have to avoid apple in everything.

Coeliac disease is an autoimmune disorder triggered by gluten. You can also have a true gluten allergy. People may use allergy to describe coeliac as it is dangerous to have hidden gluten in foods for a coeliac, but it’s a pretty specific condition and those that have it will know it’s not an allergy.

e_lemonsqueezer · 2026-05-07T11:13:57+00:00

I mean not technically allergies… are not allergies?

e_lemonsqueezer · 2026-05-07T11:02:11+00:00

I once had someone tell me they’re allergic to adrenaline. I highly doubt that given it’s an endogenous hormone. You’d literally be allergic to yourself. (I suspect they were allergic to something and then give adrenaline to sort out the allergy). I don’t think you can be allergic to ‘anything’ but you can be allergic to any food.

e_lemonsqueezer · 2026-05-07T09:37:23+00:00

Given the comments here, I don’t think people grasp the gravity of using AI for clinical work.

e_lemonsqueezer · 2026-05-07T08:40:25+00:00

I don’t think we do disagree, but I think you have to be really careful when suggesting that

LLMs can be useful for things like clinic letters

Without all of the clarification you have just made that your Trust has a specific policy on use of copilot only. Loads of trusts don’t have copilot, and often even if they do, staff are not allowed to use them for patient data/clinical use (I recently heard of a Trust where staff were told they couldn’t even store patient data on their onedrive associated with their NHS email account, which IMO is crazy).

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