kevin fox

[kevin fox @drkevin_fox]

I’m sorry but I don’t think swapping PMs is going to make much difference. Our political system / politicians are stiffling bold change

[kevin fox @drkevin_fox]

Long-term effects of colonoscopy screening on colorectal cancer incidence and mortality: a multicountry, population-based randomised controlled trial - The Lancet https://t.co/dL6BsNXGgw
So no mortality benefit at 13yrs. There would be huge savings by stopping screening

[kevin fox @drkevin_fox]

Once-weekly semaglutide reduces binges versus in patients with alcohol use disorder and comorbid obesity: RCT in The Lancet. Patients on GLP1 agonists report drinking less to me - and surely part of the cause of weight loss. https://t.co/GpJE9baluq

[kevin fox @drkevin_fox]

Martha’s rule may have saved more than 500 lives in England since 2024 | NHS | The Guardian Is this really true? if so a grave indictment of NHS care. But the science needs to be robust and I am not sure. https://t.co/NNAf80sLHN

[kevin fox @drkevin_fox]

Pulsed Field Ablation as Initial Therapy for Persistent Atrial Fibrillation | New England Journal of Medicine. Interesting BUT - what about GLP1 agonists (BMI av 30) as a treatment option? https://t.co/EEtWekenKz

[kevin fox @drkevin_fox]

11 cancers on the rise in young people - scientists find first clue why it's happening - BBC News. Another study linking young death to BMI. UK delayed rollout (rationing) of GLP1 agonists is scandalous. COVID vaccine told us we can move fast to save lives https://t.co/KSOK6hoqhQ

[kevin fox @drkevin_fox]

People in UK spend fewer years in good health than a decade ago, study finds | Health | The Guardian. A reflection of successive government failings. However child food advert restrictions, GLP 1 agonists and smoking sale restrictions offer hope. https://t.co/0WUWjmWpgy

[kevin fox @drkevin_fox]

Minimal coverage but a real step forward for public health https://t.co/KGWg0GsuZM

[kevin fox @drkevin_fox]

@steverichards14 Aren’t the big losers Reform - their momentum stalls

[kevin fox @drkevin_fox]

Starmer was chosen and supported as leader. He did a rare thing - got labour into power. There may be no loyalty in politics but to labour MPs - be careful what you wish for. Knuckle down and deliver

[kevin fox @drkevin_fox]

Scotland's health boards given £230m bailout loans - BBC News. So this madness. Scot gov give bailouts to support Boards saying they break even. Clinicians should push back to defend services against the ‘no money’ claims by managers https://t.co/Wufa6Ql21h

[kevin fox @drkevin_fox]

US and Ukraine promise ‘updated’ peace framework after criticism of pro-Russian points in original plan | Ukraine | The Guardian

This feels far too close to Chamberlin and Munich agreement. Awful choices for Ukraine who have endured so much https://t.co/55Fgeh1lSl

[kevin fox @drkevin_fox]

NHS failing to cut waiting times as promised in recovery plan, report warns. Streeting continues to disappoint https://t.co/cKMFuyhWYn

[kevin fox @drkevin_fox]

https://t.co/AonvfRKl0e.
So no incentive to balance books - just wait for the bail out. NHS Scotland crisis continues - no meaningful plan and blaming the Health Boards wont wash. They are not unsustainable - NHS Scotland is

[kevin fox @drkevin_fox]

The tories were never forgiven for Black Wednesday. I wonder if Reeves breaks an election pledge the same will happen to Labour.

[kevin fox @drkevin_fox]

Ex-health minister Jeane Freeman blames governments for state of NHS - BBC News. Well this honesty should be applauded Perhaps an apology? But no solution offered https://t.co/24oIsJqNFL

[kevin fox @drkevin_fox]

New cardiac guidelines push the ‘heart team’ but MDTs are resource heavy& opinionated get undue influence. Consider a trained up to date specialist with network of colleagues & a continuous patient relationship. Evidence level ‘C’ - the same

[kevin fox @drkevin_fox]

Physician associates need new job title, says review - BBC News. The (mainly resident) docs who raised concerns are largely vindicated. RCP and others inc PA bodies need to reflect . Now we must move on and use and value PAs wisely https://t.co/B7a6qOntUT

[kevin fox @drkevin_fox]

Physician associates need new job title, says review - BBC News. À measured report. Fascinating how the name change, seemingly minor, can be seen as critical to subsequent problems. It confused patients AND managers https://t.co/B7a6qOntUT

[kevin fox @drkevin_fox]

So there are some positives in the 10yp - mainly on smoking obesity and alcohol
But too much is rehashed old (failed) ideas and no inroads into the fundamental challenges of demand v affordable supply. We need a concerted push back from doctors