Richard Greenway

GP in South West. NHS supporter. Views are my own

[The BMA @TheBMA]

The loss of rural GP practices puts patients at risk. Over the last decade we’ve lost thousands of GP partners across the country and rural practices are at particular risk. They need better protection.

https://t.co/WEA91vI9Eg

[Richard Greenway @RichardGreenway]

@JamesG480798 @DrSteveTaylor That’s not my experience. My referrals yesterday.
1. Carpal tunnel recurrent after my injection. Now muscle wasting.
2. Teenager talking of suicide ( referred long wait) to CAMHS
3. Subfertile man with varicocoele for surgery/ intervention. NB all diabetes dealt with in house

[Richard Greenway @RichardGreenway]

@dr4cirrus @Thebestfigen ‘Pulled elbow’ in Uk. Still impressively quick with distraction

[Richard Greenway @RichardGreenway]

But hang on. So GP saw patient with Angina -referred. How was it their fault that cardiology took 6-8 weeks? A) what happened to RACP clinic B) 111 said 7 hrs chest pain and no 999 ? And this was the GPs fault?

[@medicalmodelwithabriochebun @medicalmodelbri]

Another patient dead

Another PFD report

The coroner was clear. The Info sent to the GP practice by NHS 111 was reviewed by a non medically trained staff member who decided not to escalate to a CLINICIAN- a MEDICAL PROFESSIONAL and did not add this to the medical record 😡

[Richard Greenway @RichardGreenway]

@JanettedelvD @nightsong53 Not private businesses in the normal sense. No share holders to pay. No external investment. 99% of their work and income comes from a contract with the NHS to deliver care. No ability to overspend. Patients dont pay. Many have closed sadly

[Richard Greenway @RichardGreenway]

@DrSteveTaylor Worried we now have to code every contact at point of very first contact as urgent / routine. This is then in records for patient or solicitor to retrospectively disagree with. My GP practice isnt binary

[Richard Greenway @RichardGreenway]

@Parody_RCGP They do get their prescription. The pharmacies are largely online -so post it out. But local pharmacy loses you as a regular

[Richard Greenway @RichardGreenway]

@Microbedoc2 I think HMG does charge for repatriation flights?

[Richard Greenway @RichardGreenway]

‘GPs to have money taken away from Cardiovascular prevention . May be able to earn some of it back by prescribing Mounjaro to selected few most overweight subject to complex rules, with the rest having to purchase privately from dodgy online pharmacies ’
Not so snappy?

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

We are only 2 months into 2026

And we already may have a winner about the most uniformed tweet

The sustained effort to denigrate GPs?

Continues.

TL:DR?

It’s a click bait nonsense headline.

[Richard Greenway @RichardGreenway]

Concern is an understatement. This is another nail in partnership model.
If they want salaried model -fine - start negotiations. Premises buyback. Staff transfer. Money where mouth or improve this offer

[The BMA @TheBMA]

GPs have expressed concern following today’s sudden release of details on contract changes in England by the Government.

The GP committee in England has been in dispute with the Government since 1 October over its broken promises. On Thursday, the committee will scrutinise the detail of the new contract and decide next steps.

Find out more https://t.co/weONLpF2NM

[Richard Greenway @RichardGreenway]

@drkeithsiau Not palpated ribs, too medial, too high , pleural not lung drainage

[Richard Greenway @RichardGreenway]

@DrSteveTaylor @wesstreeting Spot on
I don’t want all these pts with severe diarrhoea turning up urgently

[Richard Greenway @RichardGreenway]

@cobrakell @jayjayaah Yes- was is going up or downhill?

[Richard Greenway @RichardGreenway]

@aitortoo This means when your GP knows that you need referral ( say angina- cardiology) patients now have to wait even longer. And GPs have to do an extra consultation or 2 for every referral with pointless ‘advice’. Your GP won’t be doing your heart bypass / stent.

[Richard Greenway @RichardGreenway]

@Megsenmumdr 25% already walked. If partnership is going to die a slow death , we should be asking for a salaried option. -All GPs on something like consultants pay scale , no more employer status, buy back premises, no data controller

[Richard Greenway @RichardGreenway]

@partywcrypto @Megsenmumdr Not true. I’m driving a 2004 Toyota. Many GP partners arent earning as much as salaried or locums. That’s why 25% have jumped. The remaining partners may be holding their income but split between a shrinking number in an unsustainable Ponzi scheme

[Richard Greenway @RichardGreenway]

@iDrSunny Train everyone to have a tiny area of expertise. They must refer to other staff with other tiny areas of expertise when pts are ‘complicated’.
Make sure each referrer has huge waiting lists and doesn’t talk to each other or the pt.

[Richard Greenway @RichardGreenway]

@iDrSunny Every time someone makes a mistake , add another control loop plus training.
The put in a level of inspection at every point by people who hate ice cream .
Pay the inspectors much more than the workers.
(Inspectors must only criticise not praise )

[Richard Greenway @RichardGreenway]

@MattACrawford @__MarieTherese_ Not replaced - just allowed to close slowly. Managed decline