Andrew Bentley

Doctor Respiratory & Intensive Care Medicine, Sale Sharks fan

[North East Assisted Ventilation Service @northeastHMV]

Delighted to share our study from @northeastHMV
Critical care outcomes in people with LD are good. Retrospective data do not support withholding critical care in this patient group (as observed in previous literature). Challenge therapeutic nihilism!
https://t.co/ZvLSDlZoy6

[Tim Cook @doctimcook]

Thanks for asking

As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with

Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cut things can improve efficiency. It is doing the opposite. Now not enough diagnostic centres, not enough doctors, not enough beds (numerous reports - ask @NuffieldTrust or @TheKingsFund or @HealthFdn)

The rest are relative minutiae but areas to address include

* understanding that promotion of the private sector as a realistic alternative to the NHS is flawed. The private sector can do sone things well (low risk procedural
stuff) but is no substitute for real NHS hospitals with the full gamut of services (staff, systems, space)
https://t.co/5UEr0DJIGc

*don’t dumb down medicine.
There appears to be a concerted effort to suggest that medicine has become less complex, easier to learn, answers available on google etc and as a consequence medicine can be taught over a shorter period and the role substituted by others who are notably less trained/qualified.
The truth is that medicine has become more complex, delivered to ever older more complex and more comorbid patients with ever higher expectations (most of which are actually met). https://t.co/MBvAISjraq This all happens in the framework of an environment in which litigation (certainly costs and numbers to an extent) is mushrooming. https://t.co/96MGGYPbjc While there may be value in working in new ways the lie that doctors can be replaced by less qualified alternatives because the job has become easier is misplaced, disingenuous and dangerous (as well as quite likely being cost-ineffective). There is a danger these systems will be brought in without testing of efficacy, safety or cost effectiveness.
https://t.co/KQM8KMpNO1

https://t.co/oFAYdi3s4n

* IT systems that are slow, outmoded, inefficient and don’t talk to eachother. Wasting thousands of hours of clinicians time every day.

Hope that is enough for now.

At the core it is FUNDING.
No point in reform without funding.

[Matthew Evison @MatthewEvison1]

Fantastic to see this published from @BTSrespiratory. A simple framework to diagnose and treat tobacco dependency that every hospital clinician in every specialty could implement & deliver substantial benefits - the building blocks framework

https://t.co/scr2xEcH95

[Ewan Goligher @ecgoligher]

Congrats on @RatanoD on leading this new publication (years in the making). In silico trials offer a novel means to explore heterogeneity of treatment effect, assess feasibility, and develop tailored interventions in respiratory failure.

https://t.co/WOG7nUKA49

[Alison Armstrong @AlisonArmstron]

This looks absolutely fantastic! Potential for VR in tracheostomy education! I love how innovative this is and can't wait to hear more about the outcomes! Well done everyone involved!

[Andras Bikov @BikovAndras]

@manuelSDT @mlduiverman @SchizaSophia @EuroRespSoc @SeparRespira Manchester (>10k patients on cpap and >2k patients on niv) would be keen to support this collaboration. Please, dm if interested.

[Rachael Moses @NHSRachaelM]

This is such a tragic shame for a huge amount of people who benefit from lung volume recruitment. A cheap easy to use and maintain device which is a lifeline for many.

Credit to @NippyVentilator for taking this on years ago & being our supply lifeline - we are forever grateful

[Simon Orange @SimonOrange1]

I see Bath have completely sold out for next season. Congratulations to them. Come on Northerners, let’s try and emulate them. Would be great to fill the stadium every game next season so you can help us on our way to Twickenham again!💪
Northernrugbymatters👍

[BBC Breakfast @BBCBreakfast]

'I knew how much it meant to him'

Kevin Sinfield spoke to #BBCBreakfast after carrying his friend Rob Burrow over the line at the end of the Leeds marathon named after his friend and rugby league legend

https://t.co/Zy5V86QBox

[Dr Tony Goldstone @goldstone_tony]

1/29 We need to talk about these graphs 👇

We have nurses & junior doctors on strike & consultants potentially joining them very soon. Lets talk about inflation & pay. How to fix this car crash (& perhaps more importantly, how NOT to). Please read full 🧵 to end and share / RT

[Nick Hoare @UKdemocrat]

The government has sold the Oxford Vaccination production unit to an American Company for £200m Built in 2014 to respond to Ebola and absolutely essential during Covid, we will not have it for the next pandemic. It would cost just £5m a year to keep open. Another Conservative Party benefical financial deal for somebody or just their normal incompetence? @RishiSunak, could somebody please look at this and explain why.

[Intensive Care Society 💙 @ICS_updates]

In collaboration with @BTSrespiratory we have published guidance on Models of Care for Specialised Weaning Units (SWU) ⤵️ https://t.co/PZJxCiSg6z

This document provides guidance on the standards of care, resourcing, and infrastructure for this enhanced care area.

[Allison Keegan @AllisonKeegan9]

One of our long stay #rehablegend finally went to the ward after 3.5 months on ICU. Very pleased to visit her today 🎉 A real MDT effort - medical team, excellent nursing care (including hair dye & weekly manicure!), physio, dietician, SLT, pharmacy & special help from NWVU 👏👏

[David Flatman @davidflatman]

As much as we all love and admire Kevin, we should probably all take 3 minutes to donate a tenner. Think of what he has given. 👍

[Andrew Bentley @Bemplex]

@DarkNatter @ResearchSolomon @charlot_summers @Selwyn1882 @NIHRresearch Congratulations Charlotte! Fantastic news.

[North West Ventilation Service @NWVU_MFT]

Today we have a lovely lunch for our Lead Nurse Debbie McCann who will be retiring on Friday after 16 yrs in the team. Thank you to Debbie for her dedication and support over the years. She’ll certainly be missed by staff and patients but we hope she enjoys her retirement

[Kenneth Baillie @kennethbaillie]

The news just now from RECOVERY is another massive improvement in care of patients with Covid-19. It also has implications for how we treat, and study, other life-threatening disease. 1/n