Harriet Feldman

Psychiatrist holidaying in the ivory tower. Moderately well kempt, killer of plants, good enough mother. South Eastern PTC rep.

[Harriet Feldman @HattyFeldman]

@DrLKVaughan @Anisocyte I think people choose their own appointment for mammography online? If so, should be straightforward to offer some guaranteed female mammography (could divide e.g. by site). Some women would take chance of male staff for sake of convenience - I know I would.

[Harriet Feldman @HattyFeldman]

@DrLKVaughan In the psychiatry wards I have worked in, we have accommodated trans people by default in the ward that matches their expressed gender - but always after careful risk assessment. Setting a rule like this means taking away clinician's autonomy to balance risks (2/2).

[Harriet Feldman @HattyFeldman]

@DrLKVaughan Hard disagree here Louella - though I'm with you on a lot of other things and respect you a lot. I suspect that the most likely perpetrator of sexual assault in hospitals is a staff member rather than another patient, but I don't see calls for banning male staff (1/2)

[Harriet Feldman @HattyFeldman]

@Parody_RCGP GPs: We won't prescribe hormones for trans people

Transphobes: YERR

GPs: ... until you put in place a robust shared care protocol with adequate compensation for work passed to primary care.

Transphobes: ... wait what? I didn't follow that.

[Harriet Feldman @HattyFeldman]

@jewishmemequeen I have three kids who I adore but honestly I would love, just love, a single shabbos like the second one.

[Harriet Feldman @HattyFeldman]

@Laithalexander @TheBJPsych Interesting finding for bipolar! Do
you think this is due to lithium?

[Harriet Feldman @HattyFeldman]

@drraja_ Because we’ve had a brain drain of experienced staff over the last few years and supervisory/educational capacity already stretched. Speak to RCPsych and they will tell you about how hard it is to find enough supervisors for existing training posts.

[Harriet Feldman @HattyFeldman]

Whoops he said it out loud. Hear that, resident doctors? You can’t train because we need you doing discharge summaries.

[Mohan @SMohanakumar93]

@DrEilidhMaria @arvsinghal @ramey999 @DrMaxSayers @RajaTiwaryST @cmwilliams99 Then who should do discharge summaries as they're a important part of the patient pathway/future treatment?
You'd probably kick off if we let ACPs who have a lot ot experience/training in a particular area (I.e. EM, cardiology, etc) do them.
We should bring solutions not tears

[Harriet Feldman @HattyFeldman]

@sally_hines Hi Sally, would you be able to repost the link to Dr Upton’s fundraiser? DM me if you want to confirm legitimacy. https://t.co/fzIO32qmGx

[Harriet Feldman @HattyFeldman]

Donations coming in steadily, presume the transphobic hate is actually spreading the word about the crowdfunder 😊

[Harriet Feldman @HattyFeldman]

If anyone else is pretty horrified at what's happening to the doctor at the centre of the changing room row, please do send her a message of support here: https://t.co/fzIO32pOQZ

[Harriet Feldman @HattyFeldman]

If anyone else is pretty horrified at what's happening to the doctor at the centre of the changing room row, please do send her a message of support here: https://t.co/fzIO32pOQZ

[Harriet Feldman @HattyFeldman]

It’s the best way to manage the risk to the organisation.

[louis appleby @ProfLAppleby]

@vicharrisuk Agree. I don’t know at what point discharge to the GP became the best way to manage risk.

[Harriet Feldman @HattyFeldman]

@RITB_ When my bosses were training, people with paranoia worried they were being spied on by the Russians. Now they are paranoid that they are being spied on by the DWP.

[Harriet Feldman @HattyFeldman]

@ClinOncDoc @thetimes Times is not a public institution so not subject to FoIA. Better off FoI’ing prime suspects instead eg NHS England

[Harriet Feldman @HattyFeldman]

@ProfRobHoward @mancunianmedic I wholeheartedly disagree that competition on the basis of the MSRA benefits our patients; I think the opposite is likely true.

[Harriet Feldman @HattyFeldman]

@ProfRobHoward @mancunianmedic IMGs were 49% of all those recruited to psychiatry in 2023. We are back to this.

[Harriet Feldman @HattyFeldman]

@ProfRobHoward What nonsense

Like most things with doctors, enforced by requirement for probity.

Non-UK doctors already require a CREST form signed by consultant equivalent in country they work. Is this 'not credibly enforceable'?!

[Harriet Feldman @HattyFeldman]

@ProfRobHoward This was the case until 2018 - until changes in visa rules meant first round applications were opened internationally. Were those who got a training place before 2018 not 'the best of resident doctors'?

[Harriet Feldman @HattyFeldman]

@ProfRobHoward Ask for a CREST form signed by a consultant registered in the UK with an NHS responsible offer. Add to the CREST form a declaration that the applicant has had 2 years experience working in the NHS. Simples.

[Harriet Feldman @HattyFeldman]

@HeldinEU @ProfRobHoward We don't know. I have heard whispers from within HEE as was that it's a concern but not in their interests to show data. IMGs arriving in 1992 likely v different cohort than today.