Simon Howarth 💙

[Simon Howarth 💙 @QMCBrainSurgeon]

@iifiilv It’s Wagyu 🤦‍♂️

[Simon Howarth 💙 @QMCBrainSurgeon]

@Jennifer55gt Surely the answer is to pick up your 20 and walk out? Outrageous.

[Simon Howarth 💙 @QMCBrainSurgeon]

@RandomTheGuy_ No it didn’t. This is just Ai slop

[Simon Howarth 💙 @QMCBrainSurgeon]

@therealaskilroy @kirawontmiss Well the system clearly doesn’t work does it? Why not just pay them properly?

[Simon Howarth 💙 @QMCBrainSurgeon]

@horrifiedofhh @MagnificoPedro @Shr_Nottingham @TheBMA There are approximately 166,000 beds in the NHS across the UK. The vast majority of high level complexity work currently is unsuitable for most private providers in terms of infrastructure and staff. There would have to be a sea change for the private sector to absorb this work.

[Simon Howarth 💙 @QMCBrainSurgeon]

@horrifiedofhh @MagnificoPedro @Shr_Nottingham @TheBMA You seem to be under the misapprehension that anyone other than Consultants can practice in the private sector. This simply isn’t true. For all below Consultant grade the NHS absolutely IS a monopoly employer in the UK. For Consultants there are a few other (not great) options.

[Simon Howarth 💙 @QMCBrainSurgeon]

@trentconsultant I wouldn’t hold your breath

[Simon Howarth 💙 @QMCBrainSurgeon]

@bisto1066 @_Sheryl_H Well it’s costing Wes £1B to “get rid” of NHS England so I doubt there will be much left over for anything else!

[Simon Howarth 💙 @QMCBrainSurgeon]

@theveindoc @Dave__Chambers @DocMeezbah Sorry David but that’s increasingly nonsense for many “high risk” specialities with cripplingly high indemnity such as spinal, cranial and gynae/obstetrics. I do private work but “a bit” of that certainly won’t double my NHS salary any more. Many tariffs are unchanged from 1990s

[Simon Howarth 💙 @QMCBrainSurgeon]

@errjustsaying @narindertweets Yet again another example of her only passing acquaintance with the truth.

[Simon Howarth 💙 @QMCBrainSurgeon]

@prospectivetACP @ClearThinker66 @slingcamp @DrHuw Not necessarily- they’re only a fellow if they’re in a fellowship. They could easily be a senior resident (ST7/8) a year away from a potential consultant post. Depends on speciality.

[Simon Howarth 💙 @QMCBrainSurgeon]

@PeterStefanovi2 @TrevorPTweets There’s absolutely no chance of that

[Simon Howarth 💙 @QMCBrainSurgeon]

@simsgazette Eventually he will come to the conclusion that the relationship was so rewarding he will want to explore the possibility again but in his own time.

[Simon Howarth 💙 @QMCBrainSurgeon]

@KemiBadenoch This isn’t the vote winner you think it is

[Simon Howarth 💙 @QMCBrainSurgeon]

@gold103x @ProfRobHoward They do and the sum is eye watering and going up every year. It’s billions.

[Simon Howarth 💙 @QMCBrainSurgeon]

@fletchjack Sorry but this kind of hysteria is why you’re losing public opinion BMA. This just isn’t a sensible take.

[Simon Howarth 💙 @QMCBrainSurgeon]

@billwells_1 @CMO_England @FraserNelson Specialist training is designed to provide residents with a CCT in their chosen specialty and provide the lions share of evidence required for registration to allow for appointment to the level of Consultant. Care in the NHS is Consultant led and increasingly Consultant delivered

[Simon Howarth 💙 @QMCBrainSurgeon]

@billwells_1 @CMO_England @FraserNelson Well we’ll have to agree to disagree. I’ve been intimately involved in both ends of speciality training for over a decade and it’s certainly not perfect. I think many of the changes have been detrimental. However, we certainly don’t teach a paternalistic view.

[Simon Howarth 💙 @QMCBrainSurgeon]

@billwells_1 @CMO_England @FraserNelson There’s a huge emphasis in medical training all the way through on treating the individual patient. The paternalistic model is long since defunct. However, this is a completely separate conversation and has nothing to do with this speciality training document.

[Simon Howarth 💙 @QMCBrainSurgeon]

@dirtybird12345 It isn’t