u/Salt_Koala1521

As someone senior and a specilist overseas in a rich western country, working as a clinical fellow here, I would like to share some thoughts.

1. ANPs are definite taking on doctor roles here. They can prescribe, do invasive procedures and manage critical care patients indendpently.
2. ANPs, in my experience, dont have the same dedication or committment to patients or self education. If there is an emergency, they all take their breaks and hardly come to help. I have never hear them quote an article and refer something academic or evdience based. Its invariably, ''this is what we do here'', as if that is more important than thougthfuly individualised care
3. ANPs, - at handovers, I cant trust anything the say. Vast majority of is just repeition, with no sight, and full of factual errors. I really do wonder if they are actually helpful sometimes, because I have to repeat everything they do
4. ANPs may work well in very niche areas where there is little risk of patient harm and where guidelines completely dominate.
5. Dunning-kruger effect seems to be peaking in many of them.
6. Finally, the worst is their complete lack of responsiblity. If doctors F up, then you may not progress, you many not get that training post, you may not get that consultant post, you will not be respected. For them, they seem to have the fun without the responsbility or the accountability. That is a perverse reward system.

I think they act as F1/F2 level at best, but without the humility, the dedication and motivation to become better. For them, it mostly seems like a job, not calling

My experience are are based in two hospitals, one in outer London and the other in Scotland, at foundation trusts , all rated very highly

This budget changes severely impacts me.

I have worked full time when I was at uni, and now more than 6 days a week as a middle aged man

I am in the highest income bracket and I spent a huge portion of any spare time I have into studying stocks and share investing

my strategey is usually hold for 1-3 years and then use CGT 50% discount

I have a multimillion portfiolio due to my frguality, hard work, and skill/luck with investing

THis is a very bad outcoem for me

THough i have to agree that it seems unfair to tax wages much more heavily thant capital gains after 1 year of share investing

thoughts anyone?

HI everyone,

Going to buy a cheap new electric car - like BYD atto or Geely Ex2. Currently a sole trader anaesthetist with a mix of public and private work. Need to also consider taxation issues when selling the car if purchased as a business (sole trader) car. Can anyone shed light on this car purchase?