Ian Sheldrake

Consultant in ICM and Anaesthesia. HEMS Doctor with TAAS

[Your Local Air Ambulance WNDLR 💛 @CEairamb]

There’s nothing we love more than seeing our frontline crews and retail teams side by side – all part of the same mission to keep @CEairamb flying.

These photos were taken at The Hanger Melton Mowbray Superstore, where our crew dropped in to speak with our retail team, see the incredible work happening in store, and thank the team and customers who support our lifesaving service every day.

A huge thank you to HEMS Paramedic Stephanie Cook for sending in these brilliant shots – and to everyone who shops with us, donates, or volunteers, helping us be there when every second counts 💛

[Ian Sheldrake @i_sheldrake]

@drjonchambers1 Thanks for all your hard work and dedication @drjonchambers1

[Nick Mark MD @nickmmark]

Here’s another pulmonary physiology question that *everyone* who gives O2 to patients ought to know:

What is the primary mechanism by which supplemental oxygen can increase PaCO2 in someone with severe COPD?

1/

[Ian Sheldrake @i_sheldrake]

@nickmmark Great thread. Thanks!

[Ian Sheldrake @i_sheldrake]

@drjonchambers1 Many congratulations @drjonchambers1! Very well deserved

[Ian Sheldrake @i_sheldrake]

@mrseleanorohara @intensive_bear This is unacceptable

[Ian Sheldrake @i_sheldrake]

@gaslad @iDrSunny This is nothing to be proud of. Highly suspicious at best. Are the standards really THAT low?!

[Ian Sheldrake @i_sheldrake]

@Xeon4f145d96s1 This is a complete joke. How have we arrived at this position where physicians are valued so poorly. Ridiculous

[Ian Sheldrake @i_sheldrake]

@mtcsawyer @dsairambulance @PHU_NHS Wow! Amazing. Congratulations! Very well deserved Matt!

[Dr Sandeep Bansal @iDrSunny]

Spoke to another 3 doctors today at various stages in their careers, all looking to leave the NHS and one of them looking to leave medicine in its entirety.

All 3 were British born UK graduates

Common themes:

- not wanting to work in an environment which doesn’t allow them to deliver excellent care
- sense of lack of training and just being fodder for service provision
- lack of support from the organisation and sense of feeling just like an outsider compared to permanent team members
- HR issues
- lack of pay and unable to keep up with costs
- not what they signed up for
- not feeling valued
- not feeling fulfilled

These are just themes from 3 doctors. I’ve heard this similar stuff from over 40 doctors I’ve spoken to in the last 2 weeks.

I imagine 1 of these 3 will completely leave the system and medicine. 2 will probably move towards partial roles in healthcare and mix of other roles in or outside healthcare/NHS.

How many fresh junior doctors will it take to replace the brain power/knowledge and organisational memory of the 20 years NHS worked experience they have between them?

Do you see why the NHS is falling down?

[Philip Proudfoot @PhilipProudfoot]

Well, this will be the last time the BBC tries to interview a highly competent professional.

[Daniel Mercer @danny_mercer]

Jaw drop moment.

A clear, planned route for consultant doctors to turn physician associates into SHO, Reg and Consultant level practitioners.

No medical degree, membership exams, UKMLA, rotational training, other specialty training or prescribing

This IS the plan

[ʇɟıɥsI̍CͨMͫpɐɹɐd ≆ Dr Justin Kirk-Bayley @PARADicmSHIFT]

You can’t put the genie back in the bottle; I must that Sugammadex is definitively the best most recent anaesthetic drug development.

But it has been so expensive, for so long.

Well, no longer. A generic version is now here in the UK.

@MSDintheUK’s monopoly ended by @Teva_UK

[Mike Henley 🤨 @trentconsultant]

My wife was 'on call' for anaesthetics on Saturday. She went in for 0800 and got back at 2000. Why are you stealing her (and other NHS staff's) pay? The NHS needs to be funded by the nation not the staff @SteveBarclay fix the DDRB & fix pay = fixing staffing.

[Dr Steve Taylor @DrSteveTaylor]

JUNIOR DOCTOR - PAY EXPLAINED

2008 - 24 Tins of beans an hour

2023 - 10 Tins of beans an hour

#PayRestoration

[Ben Ivory @bennoivory]

Schrödinger’s junior doctor. Simultaneously vital for elective care and at the same time not worth paying properly.

[Mike Henley 🤨 @trentconsultant]

If you're a junior Dr considering not taking action tomorrow (or consultant feeling a bit 'fatigued') then look at this graph from the FT and ask yourself why the difference between train drivers and medical pay? Are we made of less strong stuff than train drivers? Stand together

[Ian Sheldrake @i_sheldrake]

@brisgasdoc @gmcuk Not just consultants! 🤯