@BucksHealthcare
Massive shoutout to phleb reception and staff at WGH this morning 29/06
Jan and Adil in reception could not have been more pleasant, professional or helpful, and Bebe the phlebotomist was by far the best ever to access my veins. True superstar, delightful lady.
@PharmacistExpat It’s ridiculous. Also a child can still be very unwell with a normal temp/O2. Paeds is high risk, a child can be poorly & compensate exceptionally well. A child with new onset undiff abdo pain should only be assessed by a doctor.
If an A&E clinician needs to rely on a GP letter to make a correct diagnosis in a child with acute abdominal pain….
they are NOT qualified to manage undifferentiated patients in A&E.
It is that simple.
I discuss this almost every week here, and I wonder how many deaths will occur before something is done.
If an ED clinician can't assess a neurodivergent child without a GP letter instructing them what to do, they shouldn't be seeing patients in the ED in the first place.
There were at least 20 red flags in this case: no blood tests, no urine dip, no senior review before discharge, giving an enema for 10/10 abdominal pain, no proper history taking about fevers, etc.
This isn't a "systemic error"—it's a direct result of doctor substitution in emergency paediatrics. We need to start documenting these preventable deaths and calling them what they are.
My heart goes out to Ethan's parents, who will be utterly devastated by all this and may blame themselves for a very preventable death.
Even the coroner's report seems to point at the GP, when a child was seen for at two levels (triage & eventual ANP review) in a Paeds ED with failures at almost every stage of his review and treatment.
We must actively push to end this farce of doctor substitution and ensure that the correct pathways and systems are re-established. Only doctors should be on doctor rotas; this shouldn't be controversial. Anyone who wants to be on one should return to medical school.
Regulation doesn’t fix bad care and the answer isn’t more inspections. I firmly believe in strong regulation but it will never be enough to transform or improve care - it monitors at the baseline of acceptable, if that. Truly better care needs better commissioning oversight.
"You're spending something like £65 billion on defence and £360 billion on welfare. Lucky you, you must not feel any danger..."
Polish Foreign Minister Radek Sikorski on Britain's defence spending.
#Newsnight
How to demoralise staff and students at the Uni of Glasgow: jump on the bandwagon of dismantling the institution, stop the promotions process, freeze recruitment, open a voluntary severance scheme, be very vague about what will happen in the future & more
https://t.co/Hepj1OlNAN
@annaturley@AshfordSchool must be so embarrassed by you.
That’s where your parents paid for you, even if on scholarship.
And you don’t understand that paying fees and subsidising state PAYS TWICE??
Hmmm
Idiot.
@annaturley If I CHOOSE to send my children to private school (as I do), paying fees out of taxed income and saving the state the cost of educating my children, how on God’s earth does this represent a “tax break”?
When Gerald Ratner described his own products as ‘total crap’, the issue wasn’t whether some of the jewellery was good or bad.The issue was that the chief executive had publicly undermined confidence in his own business.
Dash has given us a Ratner moment. https://t.co/PpfwAxUp5h
@NHSEngland I’m a consultant doctor. I cannot rely on an ACP to safely do what an F1 can.
You’re lumbering me with a medically unqualified workforce replacement, expanding their numbers, while telling me you can’t afford more doctors on my MEDICAL team.
I’m struggling to understand this.
The Abbey is a great place to come and find some shade during the #heatwave.
If you are visiting us this week, please look after yourself in the heat:
- Bring water with you
- Wear a hat/sunscreen
- Use an umbrella for shade
- Wear loose, light clothing
If you are feeling unwell, please speak to a member of our staff. We also have supplies of water on site if you need it.
You can find out more about visiting the Abbey at: https://t.co/het1zgfo7s
Calling all historians! Entries for the 2026 MHS Essay Prize are open! Check to see if you're eligible and get writing! And please, please share this post so that as many people as possible find out about this great opportunity! Details at https://t.co/kkLpIIQwEf