James Morrow

NHS GP, Managing Partner & Enthusiast for Integrated Health Care

[Pippa Heylings 🔶️ MP for South Cambridgeshire @pippaheylings]

In my campaign, my focus was on state of NHS & fairer funding for Cambs GPs.

I warmly welcomed the swift invitation from @Doc_Morrow to visit @MedicalGranta Practices in #Sawston to meet team & hear directly about their & patients’ experiences of local NHS (good & bad).

[Cambridge University Hospitals NHS @CUH_NHS]

We're delighted that @Doc_Morrow has been appointed as a Non-Executive Director of our hospitals.

James is a GP and a partner at Granta Medical Practices, where he was instrumental in its creation and growth.

He takes up the position from today.

https://t.co/i4D4Vlz4sp

[Granta Medical Practices @MedicalGranta]

Tonight on @itvanglia, @Doc_Morrow of @MedicalGranta talks about NHS workforce retention and recruitment.

[James Morrow @Doc_Morrow]

@jeremyblevy @TheEconomist When you understand that the NHS funds an unlimited year of general practice attendances at a rate less than the going cost of insuring a gerbil for vet’s fees, it becomes clear just how little resources are available in NHS general practice

[Shaun Lintern @ShaunLintern]

Does public sector pay drive inflation? https://t.co/gLeHm0qCoH

[Parody RCGP @Parody_RCGP]

This hit me hard.

I am so sorry to the Junior Doctors that we have let down by not calling for this sooner.

I am sorry to my children and parents who if they stay in this country will likely have a poorer health service.

I am sorry to the public for not shouting louder.

[Nish Manek BEM @nishmanek]

As a GP on mat leave there's not much I can do to help the juniors, but here's my piece with some honest truths.

We are at risk of putting off lots of bright graduates from choosing medicine.

https://t.co/aZ5uqV69sd

@TheBMA @denis_campbell @RoshanaMN @BMA_GP @BMA_JuniorDocs

[BMJ Quality & Safety @BMJ_Qual_Saf]

@ChristineSinsky and @Doc_Morrow‘s editorial discusses the costs of physician turnover and the value of a continuous relationship between physicians and patients in primary care. https://t.co/AWVXxjfgLJ

[Professor Azeem Majeed @Azeem_Majeed]

My local ADHD clinic has an *8-PAGE* referral form that needs to be completed (along with a referral letter and the results of an ADHD questionnaire) before a referral will be accepted for review. How can all this work be done in a typical 10-15 minute GP consultation?

[Christine Sinsky @ChristineSinsky]

"The solution to clinician burnout is to fix the environment that causes burnout in the first place." @Ted_Melnick.

In @JAMA_current we rec $50M/yr x 10 yr in research into optimizing practice environment. (< 0.1% of current research budget) https://t.co/Op5wIAbdrg

[Christine Sinsky @ChristineSinsky]

Physician turnover is costly

In the US: There is an estimated $86 000 excess healthcare expenditures for each departing primary care physician (GIM, Peds or FM), totaling $1 billion per year across the USA. (1/7)

https://t.co/vLgvSTEX95

[Christine Sinsky @ChristineSinsky]

Rec #2: Reduce WOW (i.e. after hours work or “pajama time”) and ensure that physicians are fully unplugged from the EHR while on vacation. (7/7)
@BMJ_Qual_Saf @AmerMedicalAssn @Doc_Morrow #healthcare #patientsafety #burnout #MedTwitter

[Dr Steve Taylor @DrSteveTaylor]

Why it might be hard to see a GP

27000 total - 1900 fewer than 2010

130000 Hospital Drs - 29000 more than 2010

7% increase in population

15% increase in the number of patients per GP

#GPCrisis

[James Morrow @Doc_Morrow]

Delighted to have co-authored this commentary with @ChristineSinsky

Relationship-based medicine produces better care and cheaper care. It also enhances both physician and patient satisfaction.

We need all of these.

Time to prioritise relationships ahead of transactions

[Christine Sinsky @ChristineSinsky]

High cost of broken relationships w/one's PCP: ↓Q, ↑costs. Our rec's:

(1) prioritize enduring relationships with patients and
within teams;
(2) push more decision authority to the physicians closest to patients

@AmerMedicalAssn #burnout @BMJ_Qual_Saf https://t.co/vLgvSTEX95

[Granta Medical Practices @MedicalGranta]

Tonight on @itvanglia, @Doc_Morrow of @MedicalGranta and Dr Cain Hunt talk about the pressures being faced by GPs in primary care and the problems of GP retention.

#teamgranta #primarycare

[James Morrow @Doc_Morrow]

Great to see so many people and organisations coming together around the shared vision of new Cancer and Children’s hospitals.

[Cambridge University Hospitals NHS @CUH_NHS]

1/2 This morning, @CUH_NHS, @CambridgeUni, @CPFT_NHS and @CRUK_CamCentre are coming together at @HouseofCommons to present their revolutionary approach to personalised NHS healthcare to MP’s.

#MakingItPersonal

[Skarbek @skarbekassoc]

A Book for People Who Want to Make Things Happen by People Who Made Them Happen. Compelling stories from which to glean actionable insights into the successful implementation of your strategy #BestBusinessBooks #leadership https://t.co/EVm3oBFDt7 @BloomsburyBiz @BloomsburyBooks

[Sir Jeremy Hunt MP @Jeremy_Hunt]

How can you deliver a two week appointment guarantee without increasing capacity? It’s not more targets the NHS needs but more doctors, as I said today.