@sensorystories_ It really does. I’m about to head into a completely unfamiliar environment at work and already feel the symptoms brewing. Have to hold it together but I know I’ll pay for it later.
Any UK medics know if there is contractual agreement around DCC allocation for admin? Previously had 1.5 PAs but proposed to go pro-rate to 1.5 to 7 clinical. Also, anyone know if OOH shifts count towards total ( on shop floor not off site)?
@Jcalcolado Very lucky to have trained 25 years ago with grants and free housing in foundation year. No idea how I’d manage now - probably by studying something else.
Medical schools have worked hard to broaden entry and address socio-economic barriers but once students are offered a place, the economic hardship is very real and long-term…
When is someone going to look at the health economics of having NHS clinical staff work normally when Covid positive (“if they feel well enough”)? Because knocking out other staff - which then causes bank/agency spend - is surely £££. Plus costs of infecting patients.
Anyone else had issues with @Doctors_net_uk deleting your inbox and not responding to emails asking for support? I’ve lost documents I had there for easy access and safekeeping that are expensive and difficult to replace.
@Doctors_net_uk please help me get back my email inbox. No response from your help services and my inbox was wiped without warning this week. Contains train tickets and other important info I really need access to.
I’ve read a lot of tweets this week referring to “signing a DNAR” form as though it means condemning someone to death.
CPR is in fact a very specific treatment for a specific condition and only works if the person has enough physiological reserve to be revived.
@DrLindaDykes
Doctors on the ground would be very happy to help the understanding of those who may want to help solve this problem
Down to providing the minutiae of what would be helpful and how PAs could be *helpfully* and *safely* employed
They just need to ask
Thanks for reading
End 🙏🏻
@DrSelvarajah Absolutely true! All our discharge summaries from our geriatrics department have an opening paragraph to the patient in non-medical language. Seems popular with patients and local GPs as saves phone calls to explain things.
At the end of the day a lot of medicine can be summarised into guidelines. It took doctors to do the research, to appraise the data, to write the guidelines to come up with them! But sometimes you have to think beyond them. And you have to recognise when you need to do that!
High tech hospitals would undoubtedly save money. They’d have saved money if they’d been invested in decades ago.
MPs need to spend some time with us on the ground to see the tech situation, and see how far away we are from this. Because of successive government failures.
@drjonchambers1 So true. I spent 10 years in the med reg role (periods of mat leave and LTFT training) but came out at the end with volume of experience (work and life) that meant I was a much better consultant (at least in my opinion). No substitute for experience on back of proper education.
Weekend update!! 📰 12 patients visited with 11 discharged at home. Equipment provided, therapy and clinical reviews with some phone triage added into the mix! ☎️ supporting our frail and vulnerable in our society @swasFT @NHSBSWICB @HCRGCareGroup