Lucy Jones

ex-EM Consultant now Consultant in Acute Med
Still #proudtocare despite the bruises

[Lucy Jones @indiana2000]

WIN X4 VIP TICKETS TO SEE BRYAN ADAMS 🎪: https://t.co/8Qqrxqf510

[David Hartin @davehartin]

"Lesser injuries" aren't the reason for ambulance ramping & 400 waiting for beds.

The days of the Christmas bed clearout have gone. There are no beds. Flu has hit everyone hard. Exit block is endemic. And patients *will die* as a result.

#CrowdingKills

https://t.co/l1amnkMXQb

[Iain Beardsell @docib]

Here we are again, in the storm of an emergency care crisis in our hospitals and communities, and somehow it feels like a surprise, despite this happening every single year without fail for the last decade (at least).

[Ian Higginson @RCEMpresident]

@ShaunLintern Trivial improvements in four hour standard performance pale into insignificance when the 12 hour stays (from Time of Arrival) are considered. Both metrics need equal operational attention

[Ian Higginson @RCEMpresident]

@ShaunLintern Measuring the four hour standard in all places (Type 1, UTC, MIU + Eye units) hides important information as to where the harm is.

[Dr Steve Taylor @DrSteveTaylor]

Charlie Massey is more concerned about being ‘on track’ & worried about FOIs & legal challenges

He should be considering his position, given the concerns being raised & expressed, he has blocked & delayed access to information, hired lawyers & ‘followed’ social media accounts

[SAM Online @acutemedicine]

Call to arms for Acute Medical Consultants! We need help with interviews.
PLEASE PLEASE can you let us know if you are able to help

Panel verification – 8th January 2025 – 15th January 2025Interview – 10th – 14th February 2025

https://t.co/33O9g3NpF1

[Dr Steve Taylor @DrSteveTaylor]

Sadly this won’t ‘bring back the family doctor’

The average cost per GP practice of NI Employers & staff costs estimated to be £40k - £260m
GP core budget is £10bn - inflation at 2.6% - £260m
This leaves £369m increase or 3.7%

GPs have seen a 20% £/patient cut in 8yrs - £2bn

[Royal College of Emergency Medicine @RCollEM]

We have made it clear that the NHS temporary escalation spaces (TES) guide is "normalisation of what is an unacceptable and dangerous situation".

RCEM Position Statement: https://t.co/7ck9CTFwBu

RCEM News: https://t.co/r3GxB1TCVJ

TES guide: https://t.co/bjKuCEgEuj

Independent's coverage (in quote repost): https://t.co/MICgayv24i

[LBC @LBC]

“I can’t believe this isn’t a political priority at the moment.”

Speaking to @NickFerrariLBC, Dr Adrian Boyle emphasises the need for the government to address the ‘untenable’ state of A&E departments.

[The BMA @TheBMA]

“The Government has acknowledged patient safety is potentially under threat from the way physician associates and anaesthesia associates are employed in the NHS.

“It's therefore its responsibility to ensure NHS England puts in place safety measures while the situation undergoes urgent review.”

Our response to the @UKHouseofLords debate on the roles of PAs and AAs:
https://t.co/I61Sef7JaD

[Dr Rachel Clarke @doctor_oxford]

I will write more fully on this shortly - but this is a breathtaking abdication of responsibility by the UK’s medical regulator.

This is mass medical deregulation - the @gmcuk literally saying PAs can do whatever they want if their local employer says they can. An NHS scandal.

[SAM Online @acutemedicine]

"Despite the positive rhetoric around tackling waiting lists, our concern is that the government continues to avoid acknowledging overtly that there will be no elective recovery without emergency care recovery” says SAM immediate past president @acutemed2 https://t.co/B2cozlptrc

[Neena Jha @DrNeenaJha]

As an NHS doctor I resent this deeply

Why are my mandatory GMC fees being used to pay for private health care for GMC employees?!

I don’t even have private healthcare myself!

**£642,000 spent on 1066 staff** ‼️

I do NOT give consent for my fees to be used in this way! 🤬

[Ian Higginson 🌈 @RCEM_VP]

Data shows we’re in a mess going into winter. COVID confirmed need to be in good shape to deal with other predictable events. Yet here we are again: no plan, not on the priority list, and worried. Need heads out of sand fast. ⁦⁦⁦⁦@RCollEM⁩ https://t.co/GkG7u8T2QU

[Dr Steve Taylor @DrSteveTaylor]

It’s quite hard to explain medical education

But it’s built on foundations of knowledge which enables a Dr to have a depth & breadth of knowledge
On this is built communication, listening, differentiation, risk, practical, experience

It’s complicated & takes time

First 2yrs👇🏼

[🇺🇦 Dr Kevin O'Kane 🇺🇦 @DrOKaneAgain]

Independent inquiry finds serious governance failures at the Royal College of Physicians of London | The BMJ

⁦@RCPhysicians⁩ Council & trustees must resign now to begin the process of restoring confidence in RCP London. https://t.co/ajgBxDPod7

[Dr Steve Taylor @DrSteveTaylor]

Is the @rcgp going to be clear about the role & scope of PAs in GP Practice or are there too many COIs?

PAs cannot see undifferentiated patients safely

10 years of medical training often isn’t enough to pass MRCGP & even then it’s only the beginning

COIs need declaring
#TeamGP

[Dr Steve Taylor @DrSteveTaylor]

The problem isn’t Physician Associates - they are decent people doing their best to help

The problem is a NHS leader/system/policy choice that fails to value training/expertise over numbers of staff

The result is unsafer, more inefficient care for patients & will be more costly

[Shaun Lintern @ShaunLintern]

Yeah this doesn't pass the sniff test does it?