benedictwarner.bsky.social 🦋

Respiratory Med Reg 🫁; dad to two. He/him. @MMPhDHP fellow @UofGlasgow & @MEIRU_Malawi 🇲🇼 | @EADTMH 🇹🇿🇺🇬 | @AHPdoctors 🇿🇦 | @RCPEdinTrainees T&MC

[benedictwarner.bsky.social 🦋 @benedictwarner]

I need a new social network like I need a hole in the head (I am trying to wean off them in general) - but engagement is an important part of science, so you can now find me over at BlueSky @benedictwarner.bsky.social 🦋 see you there!

[Heather Walker @h_j_walker]

Exploring KFRE performance in frailty, use of cystatin C based eGFR and competing mortality risk

[RCPEdin Trainees @RCPEdinTrainees]

Dr Giannoudi speaks with Dr Schoeman about the genitourinary medicine (GUM) clinic. They discuss the prevalence of STI's, approaching patient's sexual health and interesting cases from Dr Schoeman's clinical experience.

Listen now: https://t.co/5u68TtXRzn

[Royal College of Physicians of Edinburgh @RCPEdin]

At our #rcpeEMU on Respiratory Medicine Prof Charlotte Summers will discuss ‘Case-based discussion: Putting the NCEPOD CAP Report into practice.’ For the full programme, visit: https://t.co/3THhsZn9a7 #rcpeEMU

[RCPEdin Trainees @RCPEdinTrainees]

At our EMU on Respiratory Medicine on 22 Oct, Dr Tom MacKay will discuss ‘Non-clinical: Setting up a virtual Respiratory ward.’ More info and booking: https://t.co/ww2frJqBkR #rcpeEMU

[benedictwarner.bsky.social 🦋 @benedictwarner]

In danger of losing my coffee in my enthusiasm. Honestly, it was great to share some of our work from @MEIRU_MALAWI - I find discussing it always helps clarify my thinking on what we are actually doing. It was also inspiring hearing all the other research going on in Malawi!

[Kamuzu University of Health Sciences @KUHeS_mw]

The last poster session featured 111 posters covering diverse themes, including Maternal, Neonatal, and Child Health, Infectious Diseases, Non-Communicable Diseases, Clinical Management, Epidemiology and Public Health, and Environmental, Climate Change, and One Health.

[Dr Jackie Sham @JackieSham]

So I have received a reply from the clinical director of the specialty service - and I am afraid it is a pile patronising boo-boo.

1/

[MEIRU MALAWI @MEIRU_MALAWI]

@Owen_Nkoka Dr @CharlotteMSnead , a PhD student at @LSTM, doing a secondary analysis with MEIRU data, is presenting on 'Association between impaired kidney
function and all-cause mortality in rural,
Northern Malawi." #3rdKUHeSRDC

[MEIRU MALAWI @MEIRU_MALAWI]

Dr @Owen_Nkoka our Cohort Manager, is presenting a preliminary analysis from our NCD longitudinal population study; which shows a rapid rise in diabetes in our cohort, with adult all-cause mortality for those with diabetes now comparable to HIV. #3rdKUHeSRDC

[MEIRU MALAWI @MEIRU_MALAWI]

@Owen_Nkoka @CharlotteMSnead @LSTM Dr @benedictwarner PhD Fellow at @UofGlasgow and MEIRU is presenting on the association of multimorbidity with physical activity levels in a rural and an urban site in Malawi.

[benedictwarner.bsky.social 🦋 @benedictwarner]

But we can’t know how that money would have been spent, because the decision had already been made centrally how to spend it - on anyone but doctors

[benedictwarner.bsky.social 🦋 @benedictwarner]

I don’t this is quite fair-more likely offer of a free PA via ARRS seen as a lifeline to save overwhelmed practices. But it does show how the workforce landscape is consciously shaped by ARRS scheme & not primarily by choices of practices responding to needs of their communities

[The NHS Whistleblower @ItsnotrightUK]

#askforadoctor GP partners are in part responsible for the mess we are in.

Each PA they employ saves £100k in paying a GP.

The partner gets the PA for free via ARRS.

Unlimited scope is a product of the Partners greed.

[benedictwarner.bsky.social 🦋 @benedictwarner]

I suspect if practices were offered the salary of a PA to spend as they choose, many partners might have taken a pay cut to supplement it enough to employ a salaried GP instead - opposite of greed

[Dr Rachel Clarke @doctor_oxford]

Oof. The @RCPEdin is not pulling its punches here, calling for:

- legislation regarding PA regulation to be delayed in its implementation.

- @gmcuk not to regulate PAs until clear, nationally-agreed scope & ceiling of practice protocols are in place.

Thank you @RCPEdin 🙏

[benedictwarner.bsky.social 🦋 @benedictwarner]

I guess the question - which should be answered by research - are why/when do people want to see a doctor (rather than eg a physio, pharmacist, or PA) and how do outcomes differ when people are seen by another professional where previously they’d have seen a doctor?

[benedictwarner.bsky.social 🦋 @benedictwarner]

The bottom line here is the government (and by extension health workforce planners) have decided we as the UK cannot for everyone that wants to see a doctor, to see a doctor. I don’t think there has been enough public conversation about this.

[Roy Lilley 💙 @RoyLilley]

Optimal interventions are made by shifting the physician-patient-contact to the earliest process. https://t.co/BVn6eCX7BU

[benedictwarner.bsky.social 🦋 @benedictwarner]

The choices boil down to whether public want:
a) to spend same £ on healthcare & continue to struggle for timely 1’ care appts
b) spend same £ on healthcare + get timely 1’ care appoints, but potentially not w/a Dr
c) spend more on healthcare & get timely 1’ care appts w/ a Dr

[MEIRU MALAWI @MEIRU_MALAWI]

@MEIRU_MALAWI team all geared up for Day 2 of @KUHeS_mw #3rdKUHeSRDC

#KUHeSRDC2024
#MW2063

[benedictwarner.bsky.social 🦋 @benedictwarner]

Also, I am sure my dad would have been delighted that this scientific conference is being opened by two poets - adding a powerful human dimensions to all the stats and methodologies to follow

[benedictwarner.bsky.social 🦋 @benedictwarner]

Excited to be at the #3rdKUHeSRDC @KUHeS_mw Research Dissemination Conference in Blantyre, along with the wonderful @MEIRU_MALAWI team. So much great health research work on display - looking forward to finding out what other #multimorbidity research is happening in Malawi