David Patch

wife, three (grown up) kids and with the passing of Stan, a new dog called Norman

[REACT-AVB @AvbReact]

🎉 Lucky number 7! 🎉
Two exciting updates:

Derriford Hospital @UHP_NHS our 7th site to open! Huge thanks to Dr. Cramp and the team for all their hard work! Welcome😀

Royal Free Hospital has just recruited their 7th patient, bringing our total participants in the trial to 12!👍

[David Patch @DavidPatch1]

@danielgoyal Realistically this will only happen if healthcare decisions taken out of politics ie like Bank of England interest rates, decisions are made independently of government

[David Patch @DavidPatch1]

@danielgoyal I agree with what you are saying. One point. The money pot is fixed in size. Healthcare will always over spend. Only answer is rationing and triage and big brave decisions which will mean some people do not survive. And a politician needs to be brave to take that Daily Mail hit

[David Patch @DavidPatch1]

@pbendoscopist Somehow knew I could rely on you!

[David Patch @DavidPatch1]

FBI comment on the BBC regarding the capture of a potential DT assassin :
"We had this place surrounded with helicopters and dogged within minutes," he said.
I wonder if they have seen the Peter Kay video…

[David Patch @DavidPatch1]

@ebtapper @jaumebosch9 It’s fascinating how things that were literally “dialled in” at the start of the century-are now being re-looked at. I’d add HAS for SBP and HAS for ascites drainage, and glypressin for Variceal bleeding to that list-and there is an imminent shortage of HAS in the UK

[David Patch @DavidPatch1]

Are the Paralympics a reflection of a country’s health service?

[David Patch @DavidPatch1]

That conversation needs to start happening. The health budget is fixed. Pharma will always outspend it. It’s called rationing- we’ve done it for decades. We just need to be honest about it especially now because drug development has exploded and choices need to be made

[David Patch @DavidPatch1]

If I had been the health minister I would have gone on air and said”this is an expensive drug, with overall questionable cost benefit. If I approve it, you tell me what I should then STOP funding? Hernia repairs? Cataract procedures? How about bowel cancer screening “

[David Patch @DavidPatch1]

Just extraordinary lack of nuanced discussion about NICE not approving a drug. Why is no one coming out and explaining that we are not funding some of the most basic elements of public health and that the back door of hospitals is effectively closed

[David Patch @DavidPatch1]

@Laconic_doc Main thing is that when you are 17, a year “out” seems like a lifetime. I’m now 60 and I look back after 35 years in the NHS and a year is just nothing. Those grades are amazing- all doors are open

[David Patch @DavidPatch1]

@NicolaAdamsOBE Loved it. Paris rocked- use of iconic building was brilliant. That photo of Remco at the end of the road race- amazing. Perhaps I’m really superficial(there are a lot of very negative comments) but nations competing in peace? What’s not to like

[David Patch @DavidPatch1]

@drobeirne Job done!

[David Patch @DavidPatch1]

@ebtapper @rajVuppaLanchi I think you’ve been on the ketamine again, Elliott!

[David Patch @DavidPatch1]

@AndrewJ31680521 @campbellclaret @FaiselSadiq @RoryStewartUK @RestIsPolitics I had a similar response to the duration of sentence- and then read the reasoning. I still feel the sentencing was overly harsh, and I just wish there was a “better” punishment than prison when violent crimes receive much smaller durations on incarceration

[David Patch @DavidPatch1]

@RhonddaBryant @VernonRabbetts I think you have identified the problem. The speaker is no different from OFWAT- had the power- doesn’t use it.

[David Patch @DavidPatch1]

@metpoliceuk Completely disproportionate sentencing and a really poor message from the Met Police who I think need to take a long look at themselves. There was no violence, no one died. How about locking up Baroness Mone, or the post office management, or water bosses?

[David Patch @DavidPatch1]

Five years in prison. Five years for blocking the M25 for Just Stop Oil protester- but a motorist can mow down a cyclist and get penalty points, or a fine, or an imprisonment- but never 5 years. No wonder prison’s are full. I do not think that is proportionate justice

[David Patch @DavidPatch1]

@OTavabie @pbendoscopist Trump back. Johnson, Farage and Truss all sniffing around. Too hideous to contemplate