I'm an A&E consultant and I'm tired after a weekend of nights.
But this am, I've handed over what I described as a "good department". This was said genuinely and with no hint of irony.
We provided great care and have very short waits to see an A&E doctor, but I'd forgotten how unacceptable it was to have 18 patients in the corridor, and elderly patients waiting over 2 days for a ward bed.
My lens of what is good and acceptable has been slowly warped by the slow & damaging effect of the working conditions of A&E departments up and down the country.
My biggest worry is that I'm starting to accept the unacceptable.
This is not about a lack of gp appointments, patients "abusing" the system or poor management - in fact we had excellent hospital management support, with patients boarding on each ward waiting there instead of A&E for a bed.
This is a simple case of patient demand being greater than what the overall health economy can cope with.
We have to either change the way we work, change demand via expectation management or increase resources.
If not, then the unacceptable becomes the norm and that's unacceptable.
Our patients and staff deserve better.
Fun fact: Brighton railway station opened #OnThisDay 11th May 1840. The roof is newer (1882) but look up: you’ll see dolphins leaping! They’re on this town’s (once known as ‘Brighthelmstone’) crest. Platform 8 btw, is the last at a major UK terminus to still all be built of wood.
A Christmas gift arrived early for music lovers in Baden-Baden, a fabulous concert with @PlacidoDomingo . The artists' happy faces and conductor Massimo Zanetti's laugh matched the public's delight in the Verdi gala. On stage with Domingo, @sirimajo and Ivan Magri. Bravi tutti!
Did you have a preferred childcare guru? Today @Emmabarnett meets hers. Naomi Stadlen has been writing about and talking to mothers for more than 30 years and never gives advice.
Each year we host a competition for students to design the robes worn by our unique and stylish Chancellor @Alan_Measles.
This year’s winner was @CSM_news BA (Hons) Fashion Knitwear student Yuze Li!
Find out more about the making of this year's robes ↓
https://t.co/4SAXsHaqwO
Born #onthisday in 1836 was Britain's first female physician and surgeon, Elizabeth Garrett Anderson🩺
Aged just 29, she gained her medical qualifications due to a loophole in the Society of Apothecaries’ entry requirements, which did not bar women specifically from exams.
My predecessor Tessa Jowell passed away 4 years ago
Thinking of Tessa’s lovely family; remembering her commitment to public service, energy & passion for change & the huge difference she made to so many in Dulwich & West Norwood & across the UK
Much missed & always remembered
I’m hosting @haveigotnews tonight; Ian’s guest is @rialina_ and Paul has @ShippersUnbound. I was very relieved to find there are lots of juicy news stories and silliness to be had, despite the current bleak state of the world. Hoping to provide a bit of fun, at 9pm on @BBCOne.
My website https://t.co/zSdEo68Y6W has been revamped and will now carry pictures of me and the garden by the great marsha_arnold as well as my own snaps. It is, of course, still packed with tips, advice and inspiration for your own April garden
🎂 Wishing a #HappyBirthday to British artist #PhyllidaBarlow who takes inspiration from her surroundings to create imposing installations that can be at once menacing and playful.
Channel 4 does not cost the public any money. It’s profitable. It supports an independent TV production industry across the UK. It nurtures new talent. It invests in investigative & foreign journalism like no other. C4 is an asset to the UK. There is no good reason to privatise.
Today is #WorldAutismAwarenessDay and we would love our followers to listen to our podcast: Women and Autism. The #podcast features two female patients who were diagnosed with autism at 32 and 65 years of age #Autism https://t.co/LDeB9mlSnx
“The reported decision to only ban conversion therapy for gay and bisexual people but not those who are transgender is discriminatory and very disappointing. We urge Government to reconsider." Read @DrAdrianJames' full response here: https://t.co/0jNyqe7yLl