Mita Dhullipala

Woman type. All views my own.

[Miss.MarComms @LeiciaFeare]

Thank you to @mita_dhullipala, Sarah and Jordan from @stripecom for travelling up to Leeds on a Saturday to help me and the rest of the @BHI_LEEDS board discuss branding and strategy.

It was a fantastic session and we're all excited for what's next!

#charitycomms
#branding

[Dov Waxman @DovWaxman]

To the people celebrating the mass murder of Israeli civilians, you have lost your humanity. To the people enthusiastically calling for Israel to decimate Gaza, densely populated with 2 million Palestinian civilians, you have lost your humanity. Israelis and Palestinians are real people, just like you and me.

[PRWeek UK @prweekuknews]

Having health conversations in unexpected places means greater cut-through #pr #comms @mita_dhullipala @stripecom https://t.co/yR5lzYkrhi

[Rob Galloway @DrRobgalloway]

Thoughts on the NHS…..

Einstein said the definition of insanity is doing the same thing over and over again and expecting different results.

But this is what is happening in the NHS right now; hoping things will improve when just giving the same failing medicine.

As an A&E doctor, I am proud of what I do and would not want any other job

But I am getting increasingly demoralised that despite best efforts, it can seem like we are moving deckchairs on the NHS titanic and just applying a sticky plaster to ever expanding gaping wounds of deep routed societal problems.

The relentless pressures are getting worse and we are insane if we think the same solutions will solve the problems we have – even with more money and slightly different politics.

We need to have a different approach if we are to have a functioning NHS in the future

We need to look at the issues and potential solutions

1) A large amount of the problems we see are preventable - problems from poor diet, lack of exercise, smoking, drugs and crucially poverty and people’s lack of opportunity and optimism about the future. Efforts should be made to prevent the problems not react to them

2) We must ask ourselves are we doing too much for people and extending their length of life but not addressing if it gives them a quality of life that they would want. Just because we can do so much for patients, doesn’t mean we should.

3) On the whole, the clinician treating you now, are feeling less happy with taking on risk than those ten years ago – hence why there is often over investigation instead of simple reassurance. The risk of being complained about and being sued is one reason. But how to take risk is not taught explicitly and we are losing significant numbers of highly experienced senior decision makers such as GPs who have learnt these skills through years of practice and are replacing them with much more junior staff who are good at working within their defined skills and protocols but who do not have the training and experience to be good “riskaticians”. This is also true of algorhythm based triage systems where the default position is often 999 ambulance and A&E without consideration of this decisions on other patients whose care is delayed because there are only finite resources.

4) We are providing care in the wrong place. I see so many people who could have been cared for by out of hours senior decision makers who can make a judgment call to treat at home, rather than coming to hospital. Instead, paramedics have to bring these complex elderly patients into hospital where they are then seen by junior staff who often can over investigate and admit which leads to deconditioning and deterioration.

5) Medical services are designed around 9-5 Monday to Friday working. This needs complete overhaul so that the same quality of care is provided 24/7

6) The private sector is not the solution. Where profit becomes before patients there is often a hidden bias to overinvesting and over-treating. The money spent on private sector investment run diagnostic centres may well be used in a better way.

7) Mental health care needs to be prioritised as much as medical care. Both are under resourced but the lack of beds and community care for mental health patients creates enormous pressures on emergency services and crucially leads to unacceptable care for the most vulnerable of patients.

8) Any remodelling of the NHS has to be a phased approach – stabilise the current crisis with investment in community as well as hospital care and then longer term transformation so that we truly become a health service rather than a reaction to illness service,

9) Key to a needed NHS transformation is keeping experienced staff and the only way to do this is empowerment of their decision making, flexible working and appropriate renumeration and recognition. The biggest risk to the NHS is that staff will soon stop caring and just go into self-preservation mode. So worry when people like me stop writing messages like this, rather than when we do!

My biggest worry is that politicians won’t want to face up to these incredibly difficult problems and will try and kid themselves and us that a bit more money and tinkering will solve the issue.

It wont. We need radical new thinking now and the politicians to realise this. Without this, the NHS will wither away to be replaced by privatised medicine and the care which will all deserve, will only be available to the richest in society.

Please feel free to share these thoughts so that politicians of all shades can see the reality and thoughts of someone on the front line rather than just the sanitised version of the NHS they are shown.

Thank you for reading my post weekend literary catharsis

Rob Galloway , a tired but still optimistic (just) A&E Doctor.

📷

[Mita Dhullipala @mita_dhullipala]

Really?

[Calgie @christiancalgie]

The dream team

[ActiveCitizenshipNet @activecitnet]

#VaccinAction
🔵Every year, vaccine preventable respiratory diseases (VPRDs) result in significant illness and hospitalisations across the EU. Vaccines can protect against VPRDs, protecting individuals, communities, and healthcare systems.
👉https://t.co/SsPjslgLqR

[ActiveCitizenshipNet @activecitnet]

#VaccinAction
🔵Did you know that Diphtheria kills 1 in every 10 adults who get it? 𝐕𝐚𝐜𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐩𝐫𝐞𝐯𝐞𝐧𝐭𝐬 𝐩𝐞𝐨𝐩𝐥𝐞 𝐟𝐫𝐨𝐦 𝐠𝐞𝐭𝐭𝐢𝐧𝐠 𝐬𝐲𝐦𝐩𝐭𝐨𝐦𝐬 𝐨𝐟 𝐭𝐡𝐞 𝐝𝐢𝐬𝐞𝐚𝐬𝐞, 𝐰𝐡𝐢𝐜𝐡 𝐜𝐚𝐧 𝐛𝐞 𝐬𝐞𝐯𝐞𝐫𝐞.
👉https://t.co/SsPjslgLqR

[ActiveCitizenshipNet @activecitnet]

#VaccinAction 🔵Pneumococcal disease is responsible for around 230,000 deaths in the EU, yearly. It can lead to serious infections in the lungs,lining of the brain and spinal cord,and blood.The pneumococcal vaccine protects adults against this infection
👉https://t.co/SsPjslyUEZ

[ActiveCitizenshipNet @activecitnet]

#VaccinAction
🔵Did you know that influenza can increase the risk of having a heart attack or stroke up to 10 times? 𝐈𝐧𝐟𝐥𝐮𝐞𝐧𝐳𝐚 𝐯𝐚𝐜𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐩𝐫𝐨𝐭𝐞𝐜𝐭𝐬 𝐚𝐠𝐚𝐢𝐧𝐬𝐭 𝐭𝐡𝐢𝐬 𝐫𝐢𝐬𝐤.
👉https://t.co/SsPjslgLqR

[ActiveCitizenshipNet @activecitnet]

#VaccinAction
🔵 Meningitis kills 1 in every 10 adults and 20% of survivors have long term neurological problems which can require lifelong care. 𝐕𝐚𝐜𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐢𝐬 𝐚 𝐬𝐢𝐦𝐩𝐥𝐞 𝐬𝐨𝐥𝐮𝐭𝐢𝐨𝐧.
👉https://t.co/SsPjslymPr

[ActiveCitizenshipNet @activecitnet]

#VaccinAction
🔵Not just #COVID19: diseases such as meningitis, pneumococcal disease, herpes zoster, diphtheria, hepatitis and influenza can have serious consequences. Vaccination helps reduce the impact of these diseases
👉https://t.co/SsPjslymPr

[Larry the Cat @Number10cat]

You had your chance Liz and Rishi, but it’s time for a real leader. #Larry4Leader #YesWeCat

[Emily Porter, M.D. @dremilyportermd]

I had a guy friend with a Ph.D in engineering ask me last week how women pee with a tampon in and this is why men shouldn’t be passing laws about women’s bodies.

[PRWeek UK @prweekuknews]

Think Brexit means EU healthcare policy experts aren’t needed? Think again https://t.co/bDZrRNf8rr @mita_dhullipala

[Larry the Cat @Number10cat]

“I can no longer, in good conscience, live with this Prime Minister. Either he goes, or I do”

[Layla Moran 🔶🕊️ @LaylaMoran]

Boris Johnson said he will be PM until 2030. Is that BCE or BST…

[John Phipps @John__Phipps]

You make the best of life in Britain. You go on a little weekend break, you sightsee in your own city, you even realise that hey, it’s got a lot going for it. And the hot second you get to Europe you realise you hail from a land God has abandoned

[Layla Moran 🔶🕊️ @LaylaMoran]

Hey @BorisJohnson. The party's over.

[Dara Ó Briain @daraobriain]

When are Allegra Stratton’s leaving drinks?