Angela Waterhouse (Steele)

GP, GP trainer,wife and Mum juggling hard work with wine and chocolate.

[Dr Peter Weeks @DrPeterWeeks1]

Dear @wesstreeting , let’s simplify the resourcing of General Practice . Put ALL the funding from PCNs and ARRS into the core contract Let the patients and practices find the solutions together. End of tweet .

[Dr Andrew Meyerson @AndrewMeyerson]

Take 2 minutes to watch this. It’s one of the best interviews I’ve seen so far on the #DoctorsStrike. Thank you @DrHilaryJones.

[Dr Tony Goldstone @goldstone_tony]

Merry Christmas to all those working in the NHS today

Many staff in the NHS are grossly underpaid (even on Christmas day👇) but none more so than Junior Doctors who frequently graduate with >£100k debt

RT to support them & ask government to pay them ALL fairly #PayRestoration

[Dr. Kirsty Cole MBE @_KColeo]

As an #NHS #GP I often feel like the conductor of a big dysfunctional orchestra. But not only am I expected to conduct, I'm also expected to know how to play in all the various sections and even more inexplicably am expected to play across multiple sections all at the same time😓

[Professor Azeem Majeed @Azeem_Majeed]

I was explaining to a student recently how we did literature searches in the 1980s and 1990s.

We had to look up articles in a printed copy of Index Medicus, and then pushed a trolley around the library to collect the journals so we could photocopy the articles.

We also had to pay for the photocopies, which made us very selective about the articles we used in our literature reviews. There was an incredulous look in her eyes.

And when we got to the photocopier, we had to hope that it had not broken down or that the queue to use it was too long. Arriving well before library closing time was also important. Online articles did not exist then and sometimes we had to wait for weeks for articles to arrive using the Inter-Library Loan Service if they were not in the library’s own collection.

Eventually, printed copies of Index Medicus were replaced by a CD-ROM version (which you have to book a slot in advance to use) and then eventually by online bibliographic databases. And now, we have immediate access to online journal articles.

I then went onto explain that the terms 'cut' and 'paste' in modern computer programs are there because that is once what we had to do. We cut out graphs and diagrams with scissors and then pasted them into documents using glue. More incredulous looks followed.

When we presented our work, we used hand written acetates on an overhead projector. Moving to printed acetates was a big step forwards (or so it seemed at the time). Presenting at professional conferences meant using (expensive) slides. Errors that you couldn't correct were common. Eventually acetates and slides were replaced by PowerPoint projectors.

When I was a student in the 1980s, all our course work was hand-written. Most of us did not have typewriters and very few of us could type. When word processing software became common later in the decade, it meant no more Tippex or retyping whole documents to correct errors.

My first printer was a 9-pin dot matrix. It was noisy, slow and the quality of the print was poor. But it produced much more legible output than hand-written documents. Moving to 24 pin dot matrix printers was a big advance in the quality of printed documents. Eventually, affordable ink jet and laser printers became common.

Moving from cassettes to floppy disks and then hard disks for storage were big advances. My first hard disk was 20MB in capacity. Such was the small size of computer programs and their data files in the 1980s, I couldn’t come close to filling it. Now a word document with some embedded images can often be larger than 20MB.

My student clearly thought I had grown up in a technological stone age. In many ways, her reaction was like mine when older people used to tell me what life was like in the 1930s and 1940s during the Great Depression and World War Two.

But although the 1980s and early 1990s were a more technologically-backwards era than now, there were benefits in being a student then. We had our course fees paid and received a grant to cover our living costs, so we did not graduate with the vast debts that current students have.

[Resident Doctors @BMAResidents]

Thanks to this Government, junior doctors can now make more money serving coffee than saving patients.

From tomorrow we take #JuniorDoctorsStrike action so we’re paid what we’re worth.

[Angela Waterhouse (Steele) @nahasteele]

@rcgp This is so upsetting for the ST3 cohort especially those 80% who are planning April sitting,working really hard ,to be told 4 days before registration for the RCA they now can’t do it. 🤷🏻‍♀️
Another June RCA please ..#RCGP #BMA

[Dr Rachel Clarke @doctor_oxford]

So Pret baristas will now be earning up to £14.10 an hour.

New NHS doctors - after their 5-year medical degree, whopping £80,000 of student debt, & life & death responsibilities - get paid £14.13 an hour.

And the government wonders why they're striking?
https://t.co/fJuLHPuHaF

[Graham Crossley (NHS Pension Wonk) @gdcuk]

Good article from @laurenalmeida_l highlighting why government needs to urgently address NHS pension issues

"Graham Crossley said that the Government had moved too slowly. The proposed measures still fall short"

https://t.co/9LAhDWx1qV

[Fern Britton 💙No tick but the real deal @Fern_Britton]

Men, when you are out this week/next week and onwards please check your mates who may be hassling women. We need you to make it safe for women to walk the streets, enjoy a night out with their friends and not be frightened or threatened. Only men can stop the fear. Thank you 🙏

[Ollie Burton @ollieburtonmed]

Your reminder that a GP practice gets £130 PER YEAR to look after you with as many appointments as you need.

[Dr Kartik Modha (Tiko) 💙 @DrKartikModha]

Devastating post on TGG today about a GP who has died by suicide 😢

Consent from Gail’s husband for these screenshots to be shared. The pressure NHS GPs are under is immense. It needs urgent action.

What’s the plan @BMA_GP @rcgp @NHSEngland? 👀

[Angela Waterhouse (Steele) @nahasteele]

@curtsmith Absolutely brilliant night,loved every minute of it

[Angela Waterhouse (Steele) @nahasteele]

@DrJonGriffiths A very useful piece of work,hopeful this can be rolled out over the whole country,it certainly would be a great help in primary care

[TG ☕️ @TG22110]

Definitely wait for it.

[Angela Waterhouse (Steele) @nahasteele]

@AbbieTutt Being a GP-the continuity and variety of care,seeing babies become young adults ,middle aged become elderly and going through life’s journey of physical and mental health with them-hearing words of true gratitude just from listening. Working in a great team of staff.

[Joseph Cosgrove @JosephCosgrove7]

Drinks anyone?

[Angela Waterhouse (Steele) @nahasteele]

@AbbieSBrooks @PrimaryCareNHS @NikkiKF @rcgp @sajidjavid @RebuildGP @DAUK_GP @parthaskar @JThambyrajah @bmj_latest Totally agree with your thoughts ,thank you for sharing

[Angela Waterhouse (Steele) @nahasteele]

@GP_Templates Wow - looks fab ,glad to see some system one basics videos for me!

[Angela Waterhouse (Steele) @nahasteele]

@AbbieSBrooks We have used the Newcastle to Amsterdam ferry several times into Europe when we had younger children, avoid Friday nights out as it’s a wild party boat but other overnight crossings have been fine - good kids club.