Alex Thomson

Liaison Psychiatrist 👨🏻‍⚕️. FRCPsych. RCPsych Psychiatric Educator of the Year 2020 😳
Self-harm, policing & mental health, staff wellbeing, adult protection

[Alex Thomson @AlexBThomson]

Our @TheLancetPsych article, "No safety without emotional safety", with @drdavidveale, Eleanor Robins and @ProfPaulGilbert is now available online

It's free to download without signing up until 14.01.2023 from this link - please retweet and share:

https://t.co/PAUOp4gpLM

[Alex Thomson @AlexBThomson]

@Calumn @anon_opin I still shudder when I remember witnessing the terror
Of R: Tape Loading Error

[Psychiatric Resident Doctors' Committee (PRDC) @rcpsychTrainees]

Save the date!

We will be hosting our annual #ChoosePsychiatry X/Twitter Takeover next week, from 7 to 8pm on Thursday 14 November.

Please get involved and share your experiences and questions!

[Alex Thomson @AlexBThomson]

@cerealburrito @RyanMarino Why is it dressed like it's Halloween?
It looks so absurd, it looks so obscene

[Alex Thomson @AlexBThomson]

@DGlaucomflecken I once responded to a call for doctors and it was for a sore eye

[Alex Thomson @AlexBThomson]

@dr_shibley

[Alex Thomson @AlexBThomson]

@cruncherwax This is the root of the NHS productivity problem. The service is so under capacity that a huge amount of time is spent servicing that lack of capacity: docs & nurses reviewing pts waiting transfer instead of seeing the next patient, managers spending hours on escalation calls

[Alex Thomson @AlexBThomson]

@Mike88881221 @petermbenglish Out of interest, did anyone ask about giving evidence as a professional witness rather than as an expert witness?

[Alex Thomson @AlexBThomson]

@mgtmccartney @LucyGoBag If an employer conducts an investigation and passes their findings to the GMC, it will consider whether any concerns meet the threshold for undertakings, a warning or a FTPhearing. However, if an employer refuses to investigate a legitimate concern, there is little the GMC can do

[Alex Thomson @AlexBThomson]

@mgtmccartney @LucyGoBag This is unsurprising. The GMC's investigations are paper-based only. So it is wholly dependent on investigations conducted by other parties. It doesn't interview victims, witnesses, complainants, or doctors and has no power to compel disclosure.

[Alex Thomson @AlexBThomson]

@Shrink_at_Large @DrAnneMurphy Trauma-informed care needs to prevent primary traumatisation as well as retraumatisation

[Alex Thomson @AlexBThomson]

@ShaunLintern What's being expressed is that even when executives or directors act vexatiously against patients, carers, or staff, there is no safeguard or remedy. The proposed solution may exacerbate this type of behaviour by raising the stakes. Does anyone have any better ideas?

[Alex Thomson @AlexBThomson]

@quantick @Herne_TheHunter You'd better beam me up or we will both be Scotty

[Alex Thomson @AlexBThomson]

@GreenDocScott @jim_crawfurd Some of this is about sexual violence and, in some cases, this includes sexual abuse perpetrated by health care staff. Is there any guidance about responding in a sensitive, trauma-informed manner that doesn't necessarily require disclosure of painful detail?

[Alex Thomson @AlexBThomson]

@emilyltownsend ...and completely unsurprising to those of us with experience of addressing organisational corruption within the NHS

[Alex Thomson @AlexBThomson]

@stand_for_all @LucyGoBag West London isn't exactly "in extremis" in terms of availability of halal wholesalers or caterers though

[Alex Thomson @AlexBThomson]

@alisonleary1 @RITB_ "One bad apple spoils the barrel"

The point about bad apples is that unless removed early they release substances which cause fresh apples around them to start rotting. It's a metaphor for institutional corruption. Does it apply to concerns about the introduction of the PA role?

[Alex Thomson @AlexBThomson]

@nuwandiss This is existing NHS mental health trust regional crisis lines brought under a single national number so that you don't have to look up a different 0845 number for each area. There's likely to be variation in service models

[Alex Thomson @AlexBThomson]

@alisonleary1 This is about accessing regional crisis mental health phone lines via a single national number, instead of having to look up a different number for each area

[Alex Thomson @AlexBThomson]

@LiangRhea @benbravery @WestSydHealth Grey scrubs = psychiatrist