Rachel G

GP and palliative care nerd. Loves all things realistic, honest and patient centred. Optimist, question asker, idea generator. All views are my own

[Rachel G @RVG_101]

@Gini_220 1881

[Rachel G @RVG_101]

@Neuro_Matt It’s very hard. Probably why everybody hates us!! 😩

[Rachel G @RVG_101]

@BrennanSurgeon Genuinely curious… what are the criticisms? Makes immeasurable sense to me

[Rachel G @RVG_101]

@Neuro_Matt Well in many ways they will have a viable perspective on how success happened for them. With student debt as it is I kind of don’t blame them… although feel the weirdness too. Just one side of a story

[Rachel G @RVG_101]

@dr_tomparrott They work every hour of the clock. And their medical students graduate streets ahead of their British peers.

[Rachel G @RVG_101]

@InfamousGasman Have you come across the Elaine Bromiley case? Nurses had concerns but felt inept to raise. I don’t think vilifying a single professional group here is helpful. Toxic culture needs addressed, the problem is wider

[Rachel G @RVG_101]

@DoctorAngry This is not new. In 2008 my friend asked for leave for her wedding 8m in advance. 6w before she got confirmation- finishing nights morning of wedding and then leave

[Rachel G @RVG_101]

@NoToMisogyny @AmandaPritchard And the reason for that js because GPs are also completely hammered and working well over capacity. I can promise that they are not drinking coffee

[Rachel G @RVG_101]

@AmandaPritchard @AmandaPritchard respectfully GPs are hammered too, and also working to unsafe levels managing often unwell patients in an undifferentiated population.

[Dr Dean @DeanEggitt]

Patient still in hospital.

Advised by hospital team to phone GP for a sick note.

I am encountering more and more patients calling me from a hospital bed for support and advice.

#NHS

[Rachel G @RVG_101]

@nes_qi Inspired to learn this week that 40% of the nursing staff in acute medicine forth valley have improvement training. Whole department embracing QI culture. Transformative for the department and for residents of forth valley @NHSForthValley

[Sandra Campbell(FRCN) @SandraC65402031]

@Palliative_Scot @AuditorGenScot The Macmillan Palliative Care Project in SAS working in collaboration with multiple teams across Scotland has shown how a whole system approach to care can help keep people in their own homes and improve their experience at the end of life @sasmacmillan @Palliative_Scot

[Rachel G @RVG_101]

@stevemac234 @afneil Whatever the morals I’m disappointed that in a week where there have been monumental changes in our society this is all we can talk about. Sad times

[Mark Hazelwood (mostly on Bluesky) @Palliative_Scot]

Good to hear the near universal support of MPs for the need to improve palliative care, regardless of their positions on #AssistedDyingBill. Let's hope they sustain their interest and use their positions of power, privilege and influence to deliver real change, especially ££.

[Mary Kelly Foy MP @marykfoy]

After much research, consideration of opinions, reading emails from constituents and painstaking deliberation I cannot find it in me to vote for the #AssistedDyingBill tomorrow.

I will be voting against it in its current form.

[Rachel G @RVG_101]

@Dr_BellaR Appreciate your frustration but believe it or not… GPs also deal with emergencies and may also struggle to keep to specific time for the same reasons you might. No easy solutions. They also deal with them alone often, without the benefit of a team around them.

[Helen Bevan @HelenBevan]

Increasingly as leaders of change we work with & through community. We can define this as groups of people with shared interests, held together by a sense of connection & mutual support. Leaders in this area talk about "community weaving" rather than "community building" as you can't just build a web of relationships in a mechanistic way. I've discovered "The Community Weaving Handbook" via @pforti which offers outstanding learning about communities. It sets out five elements that strengthen the health of a community. They are factors that any of us who seek to bring people together with shared purpose should reflect on:
The Fire: What brings us together?
The Web: What holds us together?
The Rhythm: How do we connect regularly?
The Circles: What roles can we play?
The Spiral: How do we journey together?
It contains links to many excellent resources to support community: https://t.co/gtWOsT2riD

[Rachel G @RVG_101]

@mrsbiffy Yes and in my healthboard during the pandemic more people died in the community than in acute hospitals. District nurses, hospice staff and GPs- the overlooked ‘front line’ of the nhs

[Rachel G @RVG_101]

@sugarplumNat I would write to the patient relations team to point out the diabolical patient journey- and I would copy the letter to the hospital quality team. BW so sorry your dad is going through this