@jim_crawfurd I'm hoping this is doing reform harm for the majority of voters. This is the most obvious hijacking of a tragedy and stirring up of racial tensions. The common person surely sees through this.
@adamdobson123 But you're not going to worry about a BCC, much less worried about the spread of prostate cancer if they've had a low PSA recently etc... So it's not an automatic concern. But I keep my threshold very low, if myself or the patient have even an inkling of concern I request imaging
@adamdobson123 Mostly I would strongly consider imaging, and if the patient is worried about cancer spread I would request the scan. MRI scans can't answer a lot of patient questions very well, but it's pretty good at ruling out nasty stuff.
@IrritableChris@MartinSLewis The resources money can buy is finite and that's the purpose of money. To buy things.
If the rich have 10 homes and the poor are renting them it's a problem. If the rich have 2 homes and the poor can also own homes it's better.
@Anisocyte Patients tend not to mind repeating a history when seeing a new team for the first time. They don't like when you can't see what another specialist has said or can't see tests results from GP/other hospital. This should help that.
It doesn't stop you asking the history again
@alisonleary1@realdrdoolittle@caspertown24@Bex_Runs@bmj_latest In the MSK sphere we diagnose. It's in my scope to diagnose msk stuff and my extended scope for non msk masqueraders. We are also good at recognising when it's not msk even if we don't know exactly what's going on, if it doesn't fit an msk pattern. Then refer/ask for help.
@DanNeidle You have to ban mid contract price rises. It's scandalous, longest contracts are 24 months and if you can offer a competitive price and make a bit of profit on that time frame without jacking up the price you should go out of business.
@YardleyShooting As you say that provider is doing NHS scans as well, but are paid much more for private ones. They prioritise private scans for money. Nothing to do with NHS efficiency.
@howayinvestment The balance between the reward for work and investment needs addressing. Currently there's no point in working with the low wages and high taxation. I'm sure you'll still invest post any changes and maybe more people will get working.
@howardbakescake@anaesthetic_spr As are you Becky. I think this whole ACP debate frames anyone doing anything (e.g. podiatrists as working in ED), the one I know is in a vascular team assessing diabetic feet. Much like the overwhelming majority of advanced practice roles which are well suited to the candidate.