Jane Fish

Retired Nurse. Former well established consultancy business in the health care management and health care education sectors. The views expressed are my own

[Jane Fish @JaneFish2]

@drsanjoykumar Dr Kumar I can’t begin to imagine the pain you are going through listening to this. Devastating & catastrophic failings at every level. Sadly I am not surprised. It really is not good enough. No “care”, no accountability, no responsibility & a total lack of remorse for failure.

[Louella Vaughan @DrLKVaughan]

@PauletteHamilto It's a political choice.

Last year, there were 3000 Physio grads. Only 50 jobs in England suitable for newbies.

This is despite insufficient Physio provision in many hospitals.

Similar in the ambulance services. OT. Nursing.

There are unemployed doctors.

It's all broken.

[Jane Fish @JaneFish2]

A different era indeed. Many tributes to Professor Ellis. He was a legend.
In my opinion what is worse today than earlier years in NHS, is the demise of the clinical firm with Drs now doing shifts, nurses doing 12 hour days, continuity of care has been lost and more fragmented.

[Dr Luke Evans MP @drlukeevans]

▶️No answer about where those now kept from being referred to hospital are recorded - they won't appear on waiting lists in secondary care, so where will they be?

Simply waiting elsewhere in the system, not showing in stats!

There are many more questions to be answered!

3/3

[Dr Dave Triska @dave_dlt]

This morning. One GP practice. One hour. 240 clinical tasks before most people had started work. Four every minute. No political thanks. No headlines. Just a small teamy doing what they do every single day. When these practices close, nothing replaces them. Nothing.

[I'LL NEVER PAY FOR PRIVATE HEALTHCARE! ⚫ 🔶#FBPE @WendyNowak]

I have had enough of this. It's doing my head in!!! NO PATIENT IS SAFE UNTIL THE LENG REVIEW IS IMPLEMENTED. Pls sign/share this petition far and wide! #StopReplacingOurDoctors #TakeBackOurHealthcare #AskForADoctor #ScrapHeapPatient #PutPatientsFirst https://t.co/tf4Mn3Dcgl

[Dr Chris Day @drcmday]

"What's the problem. We did our job. We crushed the whistleblower. We stopped the case being heard and got rid of all the bad news ...and it was a bargain - half a million pounds"

Is this really how we want NHS whistleblowing cases to be dealt with particularly when they involve serious patient safety issues linked to avoidable death?

I am assuming the answer is no but I am beginning to wonder.

Would be great to get the thoughts of some lawyers or Judges on all of this either on here or in private

Have read

https://t.co/RUtggzJtb4

[Artur Nadolny @ArturNadol7566]

A doctor has now spent almost 12 years in a legal fight after raising patient safety concerns inside the NHS.

Think about that.

A junior doctor speaks up about risks to patients, loses his job, then spends more than a decade trying to prove he should have been protected for doing the right thing. Now Dr Chris Day @drcmday is back in court, arguing that the legal effort to deny whistleblowing protection to junior doctors relied on contracts that were kept out of sight at the time and only uncovered later by journalist Tommy Greene.

This case goes far beyond one doctor.

If whistleblower protection can be argued away with hidden documents and technical contracts, what does that say to every NHS worker who sees danger and wants to speak up?

You cannot tell staff to raise concerns, then leave them exposed when they do.

Patient safety depends on people being able to speak freely, early, and without fear. Protection must apply at every level. Otherwise the system protects itself first.

Dr Chris Day kept going. Most people could not fight for 12 years. They should never have to.

If this is how the system treats a doctor who raised safety concerns, how many others stayed silent?

[Jane Fish @JaneFish2]

@alisonleary1 @mancunianmedic Alison you really do not deserve these comments. Surely not made by anyone who knows you. You are held in very high regard nationally in the nursing profession and multi professionally. Your work and research has really made and continues to make a difference. #safestaffing

[Jane Fish @JaneFish2]

@parthaskar Partha - I closely follow your tweets -& your work: diabetes/Royal Colleges/physician associate threads. Your passion for your patients and their safety through medicine I find so impactful. Thinking of you - this is tough. Your Mum clearly inspired you. Take care of you. 💕

[Jane Fish @JaneFish2]

@mancunianmedic David I totally empathise with you. I saw only a few weeks ago that Nottingham hospital declared a critical, safety incident at the early stages/introduction of EPR across the Trust. Nightmare.

[Prof Katherine Sleeman @kesleeman]

This is the crux of it for me. The @RCPhysicians, @rcpsych and @GeriSoc have all said they can’t support this Bill. They have also said it does not adequately protect vulnerable people.

What do these Peers (and the 314 MPs who voted aye) know that these institutions don’t?

[Roy Lilley 💙 @RoyLilley]

in 2016 the NHS tried to cut headcount; managers, admin, back office.
redundancy cheques were huge
the work didn’t go away. It came back as consultants on day-rates, interims and agency cover.
Consultancy spend trebbled to £22.65m in just two years.

[Dr Steve Taylor @DrSteveTaylor]

GP Crisis has been manufactured by successive Govts @NHSEngland @DHSCgovuk

GPs are desperate to increase access for patients but have seen 20% £/patient funding

The alternative approaches to access have been more costly, created fewer appts & worse have seen fewer GPs available

[Roy Lilley 💙 @RoyLilley]

stuck with redundancy costs for a chaotic reorganisation he can't not finish, an unaffordable 8.5yr plan he can't start...
... a row with the doctors he doesn't know how to end and nowhere near the beginning of sorting out social care. https://t.co/434PTEex28

[Prof Jane Ball (FRCN)💙 @JaneEBall]

Who better to get us to think differently about nursing workforce challenges than the inimitable Prof Alison Leary?
#NursingLive @alisonleary1 @annemarieraffer @ShaunLintern

[James Titcombe @JamesTitcombe]

“We need to rethink the ‘scandal’ narrative in the NHS”

https://t.co/1njLdmJiNL

[EveryDoctor @EveryDoctorUK]

There are 69 NHS trusts still paying off old PFI debts.
And new PPP schemes could lock us in again.

The NHS can’t afford another generation of debt.
It’s time to say: no more private profit from public care.

We can’t let history repeat itself.

👉 https://t.co/2He914sc07

[Anish K Patel @anish_k_patel]

I speak to retired GPs and the pattern is obvious. They miss the patients, not the job. Not the grind, the tick boxes, or holding a service together on a shoestring.

Most stayed as long as they could, then hit eject for their own sanity. There is a warning here for all of us.

[alan drummond @alandrummond2]

Every shift I feel like I'm being set up to fail. Government neglect leading to crowding, hallway medicine and reliance on a CT scanner 25 kms away. Some solace in knowing that my misery is shared by every other emergency physician.