@ExWHUEmployee@ExWHUEmployee I think the problem some people have us that when we were sniffing around dael fry we were told we had made enough money to buy better (like disasi) + PL level players. It's that classic poor PR that gets people moody 🤣
@bobsxr1098@tomrenniesoccer I don't tend to look into pre season games. Overall kwp contributes defensively and offensively to our game, in contrast Scarles doesn't read the game well enough to know where to position himself defensively/offensively during open play; struggles to contribute as a result.
@jacob6913@riobeare Agree that was a good singular action. I was more referring to his overall performances respective to others; offensively doesn't contribute enough, defensively doesn't contribute enough.
@WhufcSloth Trouble is he doesn't read the game at an elite level like kwp - hence doesn't make the right decisions at the right time, or make a significant impact at either end of the pitch
@AranNicol1994 Trouble is he doesn't read the game at an elite level like kwp - hence doesn't make the right decisions at the right time, or make a significant impact at either end of the pitch.
@TheEMboardround Why don't you use self development time (SDT) to go and get some exposure in those other specialties and apply to both in the meantime.
Check out @mindthebleep MSRA resources & win a free MSRA question bank subscription. Thanks to @TheBMA for this giveaway! https://t.co/lLaktvyQBz #MSRA#MedTwitter
When things go wrong in the NHS (as they do each year and get progressively worse):
Department of Health - ‘it’s the greedy doctors. GPs not doing enough. Resident doctors trying to hold the public to ransom with strikes’
NHS E - ‘we need more money, our hands are tied and we need to restructure. This time we’re going to move this chair on the titanic…’ (under their breath - we seem to be running out of chairs to rearrange - so we’ll just merge with DoH next year and get rid of the illusion that we’re arms length)
RCEM - ‘we need more beds, that’s the only thing stopping our hardworking practitioners in ED’
RCGP - ‘there’s enough work to go around, let’s pump in more non doctor roles, that’ll solve the problem’
RCP - ‘the NHS is burning down? Sorry we’ve just been focused on our membership growth with PAs and international members, give us a little more time to come back to you on the workforce plan’
GMC - ‘20k doctors left the NHS last year? Don’t worry we’ve got 50k IMGs doing PLAB, you’ll be able to hire more with substandard contracts in LED roles and force the pay down as we know we’re getting rid of these pesky doctors and replacing them with ACPs and PAs - but we’ll place them on the GMC register to make sure we still get our cut’
Patient safety group - ‘don’t worry nothing to see here, everyone is working hard to deliver safe care, we only advocate for stuff that comes out as a scandal 20 years later, till then we need funding from DoH’
CQC - ‘don’t look at us, we hire toxic Ex NHS execs intentionally so they can help other organisations bury the bodies properly’
Press and Media - ‘I mean we’re owned by billionaires, we need to have a good relationship with DoH and they feed us awesome stories- mainly about doctor failures to help sell our papers’
"negotiate on jobs"
Wes, this country is short of specialists needed to treat the population and waiting lists are growing. Increasing training posts is part of your basic job description as health secretary, not a bargaining chip to avoid paying doctors what they are worth.
As I said to you in the room, the labour government did not give 28%. About 12% of that was given by the tories via DDRB (iirc), and stating it like this ignores the catastrophic pay erosion doctors have experienced (~50%).
In fact, doctors are still paid less than before the pandemic.
It is deeply disappointing that the state of negotiations that we left for the new RDC officers is not the one DHSC was willing to continue, instead watering down and weakening aspects that both sides had aligned on.
You have left resident doctors with no choice but to strike.
🚨 Strike action confirmed 🚨
Resident doctors in England will walk out 7am, 14–19 Nov.
We don’t take this step lightly but pay restoration and jobs can’t wait.
🔗 https://t.co/x6dUubNcEn #PayRestoration#EndTrainingCrisis
If there is one thing I could bring back into the NHS, it will be proper bedside teaching.
Those teachings where a resident doctor will present by the patient's bedside, demonstrate clinical skills, followed by proper detailed discussions. Every resident can rat out stuffs that we now need to check on BMJ best practice or uptodate. But the sheer volume of work both on the consultant and residents side is a big barrier to this.
Residents these days are being chased around for bloods and canulas, even being pulled out of ward rounds for discharge summaries.
This is where I feel PAs could have helped.
Knowledge that should have been memorised by rote on ward rounds are now just being learnt for exam purposes. Skills that should have been perfected at the bedside are now being learnt in PACES courses.Fundation doctors are getting greatixes based on how many discharge letters they could complete in a day.
Medical education in the NHS definitely needs a reform.
#MedicalEducation #medtwitter
@ExWHUEmployee@ExWHUEmployee did we not accept it because of the period of time the 40 would have been paid over compared to the 55 spurs paid? (Bearing in mind it was probably PSR related...?)
@peterkyle Almost there... Just change the punctuation a little so it reads: "Because of her millions, she will have a secure job and a safe home to live in."
@RockyWhu@RockyWhu I actually thought lopetegui got it all wrong yday rather than individuals - tried a back 5 with Alvarez dropping in center for mavro and Kilman to push up and press which left too many one on one situations. We just haven't got the pressing right at all yet