@GoldnGuitars Genuinely curious as to why you label the March low as an ICL when it never reclaimed the 10 week moving average or turned it back up. What criteria were you using, timing only? Or other?
Andrew Neil reveals there’s £9 billion ready to be spent on defence:
“There’s plenty of money around, if we had a government that had the guts to do it.”
@Afneil | @KateEMcCann | @StigAbell
@NorthstarCharts@GoldPredictors It’s an Elliot wave thing. Base channel is drawn from 0 to 2 with 1 as top (3 points). Wave 5 channel is drawn from 2 to 4 with 3 as the top. Helps identify what wave and aids with targets.
@baldwinbiogas @twallin_james I used to think this was the solution too. Unfortunately because the hydrogen molecule is much smaller than the natural gas molecule the pipe network is not up to containing it and it will just leak out.
@OnlineAccforweb@LizWebsterSBF@williamkeegan Cheers. My point is that the actual data doesn’t bear this out. On the attached figures UK outgrew your example of Germany by 0.8 not the other way round. Looking at the last 10 years GDP growth rate doesn’t show a significant change pre and post vote though Covid can be seen.
@Garret_Beggan @LizWebsterSBF@williamkeegan Ah cheers. It would however suggest a change in GDP growth rate should be apparent and persistent some time after the Brexit vote surely. Used in the context given it would also suggest a persistent underperformance of the EU block in the same time frame. I can see none of those
This is a thread.
Today I carried out an enhanced appraisal on a colleague who I rate very highly. They are clearly able, skilled and caring. No issues as regards ability to practice. I myself would be ecstatic to be treated by them and my standards are stratospherically high.
Im genuinely worried from a patient safety perspective, if we are going down this route of inexperienced staff having to make complex difficult diagnostic decisions.
I've been a doctor for over 22 years plus 6 years at medical school.
Undifferentiated abdominal pain is probably the most difficult thing to diagnose and manage
I'd hate to be responsible for it with just two years training
This is nothing against PAs who absolutely have an important part to play in the NHS.
This is about giving too much responsibility to anyone without sufficient experience and training.
It's about ensuring that as a patient you are diagnosed by someone not unconscious incompetence
If I had abdo pain I'd want to be seen by an experienced GP who knew me and who could make the best possible judgment calls on when to reassure and when to investigate
Article published today around the sad case of Peter Marshall -who presented with excruciating abdominal pain and was diagnosed by a PA with irritable bowel syndrome (IBS) and suggested over-the-counter peppermint tablets. He died a few months later from bowel cancer having though he was seen by doctor: https://t.co/zM78wm4cE5
This is a patient safety issue. There is a reason why doctors undergo 5 years medical training and 5-10 yrs clinical training before they become GPs.
We need a sensible discussion around this nationally- rather than focusing on attempts to silence doctors / patient safety advocates @BBCPanorama@C4Dispatches
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