My children, uncomplainingly, curtailed their socialisation to protect older members of the community. Their generation drink less, smoke less, get pregnant less than mine did as teens. They have been failed on climate, health and education. We owe them service, not them us.
Today we officially opened the South West Peninsula Children’s Surgical Unit @UHP_NHS It’s a been a long road but we now have a bigger facility to see & treat more children locally with our dedicated paeds teams 🥳 #SWPCSU
Thanks for asking
As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with
Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cut things can improve efficiency. It is doing the opposite. Now not enough diagnostic centres, not enough doctors, not enough beds (numerous reports - ask @NuffieldTrust or @TheKingsFund or @HealthFdn)
The rest are relative minutiae but areas to address include
* understanding that promotion of the private sector as a realistic alternative to the NHS is flawed. The private sector can do sone things well (low risk procedural
stuff) but is no substitute for real NHS hospitals with the full gamut of services (staff, systems, space)
https://t.co/5UEr0DJIGc
*don’t dumb down medicine.
There appears to be a concerted effort to suggest that medicine has become less complex, easier to learn, answers available on google etc and as a consequence medicine can be taught over a shorter period and the role substituted by others who are notably less trained/qualified.
The truth is that medicine has become more complex, delivered to ever older more complex and more comorbid patients with ever higher expectations (most of which are actually met). https://t.co/MBvAISjraq This all happens in the framework of an environment in which litigation (certainly costs and numbers to an extent) is mushrooming. https://t.co/96MGGYPbjc While there may be value in working in new ways the lie that doctors can be replaced by less qualified alternatives because the job has become easier is misplaced, disingenuous and dangerous (as well as quite likely being cost-ineffective). There is a danger these systems will be brought in without testing of efficacy, safety or cost effectiveness.
https://t.co/KQM8KMpNO1
https://t.co/oFAYdi3s4n
* IT systems that are slow, outmoded, inefficient and don’t talk to eachother. Wasting thousands of hours of clinicians time every day.
Hope that is enough for now.
At the core it is FUNDING.
No point in reform without funding.
Random acts of kindness - handed a bouquet of flowers when shopping Sainsbury’s this morning . Much appreciated ! Little kindnesses make such a difference 😊💐
#RightToRehab
Please help us to make sure everyone who needs Rehabilitation in the UK has access
Hear and see more patient stories on https://t.co/CqGv6s1fy5
I often get asked for ideas on group facilitation techniques & approaches. So today & tomorrow, I'm going to post some of my favourite sources. Today is the Hyper Island toolbox; a "resource kit you can use to apply creative collaboration and unleash potential in your team or organisation". The techniques are well explained & easy to use. They can be sorted by the length of time you have available & group size: https://t.co/CY5M1VhXjF. By @hyperisland
Today teaching Advanced Life Support with legends from across the South west
Can you guess my favourite part…. Yes Post Resuscitation and Recovery!!
Survival is not the only metric and it is great to see the @ResusCouncilUK highlight this more and more every year ❤️❤️
Would surgeons accept two patients in an Opertaing theatre?
Would intensive cares have two patients sharing one cubicle space?
Would oncologists accept other patients in the corner of their consultation and room when breaking bad news?
Of course no to all three - but in A&E we accept corridor care and it's unacceptable
We have to change what's happening to our nhs
It doesn't matter how many of these I see, they still get me every time. Organ donation is a powerful force for good. For donor families as well as transplant recipients. I am humbled every day by these amazing families.
Things that can make or break my day: include patient & surgeon
But right up there is the ODP*
Undervalued, often unseen & consistently underpaid. Loads of them travelling the country to bolster NHS work. Great folk.
*operating department practitioner :an anaesthesia factotum