Hugs to those who find Father's Day a struggle. Whether you don't get on, he's no longer here, you can't be with him or whatever your story, I'm sending
love xxx
@hjluks@DrJN_SportsMed We’re all “patients” eventually aren’t we? It doesn’t half give some perspective. Every good wish to you both, thank you for your informative + fascinating tweets.
Each round of strike action costs circa £300m.
There’s been 16 rounds of strikes in all.
That’s about £4.8bn.
Full pay restoration for residents would cost treasury circa £1bn.
Not tabling a credible offer to settle is what’s “unrealistic, unaffordable, and unsustainable”.
If resident doctors end up striking again in this dispute on jobs and pay, remember;
1. This 21 hour wait at a London A&E outside winter or any strike action.👇🏼
And;
2. The fact that 8555 resident doctors have been turned away from emergency medicine in late 3 years alone.
.@fletchjack explains that a shortage of radiologists in the north east means that a specific live saving strike treatment can't be provided, and yet the NHS is turning away 3,000 fully qualified doctors who want to be radiologists!
How does this make sense?
Wes Streeting has never worked a day in the NHS
He has never operated on someone, resuscitated someone, talked through diagnoses & tests
He isn’t the one sorting waiting lists, seeing patients
He is the one blocking training, encouraging Drs to leave & destroying the future
Absolute disaster for the NHS. An expert resident doctor exposes massive government incompetence. While 54,000 patients wait over 12 hours in A&E, the Prime Minister is actively cutting training jobs and turning away fully qualified doctors. Total system failure.
I’ve been doing this GP malarkey for nearly 20y now. It struck me today that the only way I can carry on practising the way I used to is if I do it at my own personal expense. It never used to be like this - there was enough time in the day for bereavement visits, wellbeing checks, proactive care, time with colleagues to discuss patients & build relationships.
General practice today is decision making at the same speed as a shoot-em-up game. Today was just me for 55 same day requests for appointments, clinical supervision of three members of staff, medical student education, paramedic education and all routine needs for a population of 1250 patients.
We’re fortunate to have personal lists - though the new contract doesn’t value the continuity at all - and that matters to me deeply.
Leaving work at 7, I decided to pop in to a patient of mine that I’ve known for 14y. In their 80s, they’ve just had joint replacement surgery and are having a bit of a wobble. We had a chat, they felt better, we have a plan & I’ll check in next week.
This is the kind of GP I want to be.
My day would have been less frantic, I’d have eaten/urinated at a sensible time, and I’d would have been less snappy with the children whom I saw briefly before bed if there hadn’t been so much nonsense crowding my day: 25 mins on hold trying to get through to a specialist (and failing), an insurance company slyly demanding a conversation with me about a non-urgent issue because it saves them money, dealing with consequences of private tests not requested by me but with the inevitable ‘see your GP’ as disposition, missing discharge medication, delayed follow-up, inappropriate ‘GP to’ as the heart failure team have a waiting list - and much more.
Commissioning gaps, poor clinical pathway planning, govt targets on access over quality, media perpetuation of entitlement over responsibility and disproportionate investment & expansion of specialists over general practice have caused this. This is not ‘part time’ GP working - as a partner that’s never a thing. This is expectations from everywhere without resourcing to match.
We want to deliver the things we did 20y ago - that’s why we went into this.
If you want your family doctor back then you need to support us - because we want to be that too. I’m a GP, but also a Mum, wife and daughter of aged parents. I can’t do this at my own expense any more, and nor should I have to. Arguments of laziness and greed always abound, but really what we need is a properly resourced service. Please stand with us - a fight is coming.
#Meningitis can develop quickly and early action is vital.
Symptoms can come on quickly and may include a high temperature, headache, vomiting and a rash that doesn’t fade when pressed.
Knowing the symptoms and acting quickly could save a life. https://t.co/wb06q2jHQx
📣We’re recruiting at ROH📣
A rare split role in Ortho education📚 & MSK physio⛑️combining:
Clinical practice
MSK teaching
Academic development
Mentored by me in a strong team.
A great opportunity for someone wanting 2 grow into Adv practice.
Retweets🙏🏿
https://t.co/aVjUhmLOYH
So this is ‘snowballing’ in a good way
It’s a ‘who’s who’ of MSK medicine
And we are at 600 pages 👀
All profits of the book will go to
‘My Name5 Doddie’ Motor Neurone Disease Foundation
Exciting times
‼️Final Chance!
The Young Adults with Hip Pain PSP survey is nearly closed!
Please fill in this survey to help guide future research and keep it centred on what matters most to patients, carers, and clinicians.
https://t.co/xNlQNvrOvP…
If you’re driving around Cardiff, do be beware that a lot of drain covers in gutters have been stolen. There was an accident on Rover Way already. Loads of places affected. Surely there’s loads of video evidence around for the police to catch the gits.