Access GP online 🩺💙

Account maintained by @cwfrith -#clinicalarchitect rtd: #GP #CCIO #NHSonline Tweets how #patientaccess to data is #empowering patients to safely #selfmanage.

[Dr Phil Hammond 💙 @drphilhammond]

Why could Ben Myers find no expert witnesses to defend the insulin poisoning theory, whereas Mark McDonald has found plenty?

Letby’s fate was effectively sealed at the pre-trial expert meeting, when experts on both sides agreed exogenous insulin had been given to two babies, alongside a theory as to how Letby might have secretly spiked nutrition bags. The jury never heard expert explanations of the unreliability of the tests, particularly in neonates, and the far more plausible causes for the prolonged hypoglycaemia in these two particular neonates.

The judge knew about the expert agreement on exogenous insulin before the trial started, the jury found unanimous guilt on the insulin cases and were then directed by the judge to use this finding of guilt in making judgements on other cases.

Even if the CCRC concludes there is reasonable doubt in the insulin cases, having been given very detailed experts reports that the jury never saw, Letby may not get an appeal because these experts could have given their evidence at the original trial. Which comes back to my first question. Why couldn’t Myers find experts prepared to challenge the insulin poisonings when McDonald can?

My full report on the pre-trial joint expert meeting is below. Other reports at

https://t.co/zZSiVAVofl

[𝑲𝒐𝒔𝒎𝒐 @Kosmo100]

@DrSteveTaylor Someone should tell that to the idea of a "booking" system which is anything but a booking system. I can book a restaurant. "Booking" a doctor is a terrifying form. It should be identical to a restaurant booking.

[Dr Steve Taylor @DrSteveTaylor]

To fund the missing 7000 GPs

£12 per person per year

or £22 per taxpayer

[Access GP online 🩺💙 @NHSaccess]

Marine Official Praises Bulls Supporters | Hereford FC - The Official website of Hereford FC https://t.co/H9VJRbbDvZ

[Access GP online 🩺💙 @NHSaccess]

https://t.co/iVHHeUE3Qd

[Access GP online 🩺💙 @NHSaccess]

@HerefordFC @hereford-fc.bsky.social
Looking forward to seeing the grand planetary parade and a few goals for The Bulls v Bucks at Edgar St tonight ;-)

[Access GP online 🩺💙 @NHSaccess]

@krishnakolidoc @NHSEngland Surely it is far more efficient and educational for whoever requested the test to act on the report rather than you having to? This sounds like your practice and you are asking for trouble or wasting your valuable time.

[Access GP online 🩺💙 @NHSaccess]

2/2 Then refusing to investigate citing confidentiality, processes & departmental borders, or blaming lack of staff or quoting exaggerated times for processes in order to support in patients the idea that the NHS is failing.
NHS needs quality control rather than targets to help.

[Access GP online 🩺💙 @NHSaccess]

1/2 Has the NHS been told so often it is failing that it now feels that everyone else in the NHS can’t cope rather than helping patients by checking why requests and referrals havent been passed between clinicians rather than simply blaming others and IT for poor communications.

[Access GP online 🩺💙 @NHSaccess]

Is it common practice for NHS hospitals to have a delay of several weeks before their referrals are put on their system even when sent by the NHS Electronic Referral System? If so this is a dangerous situation as letters are delayed in getting to the clinicians for prioritising.

[Access GP online 🩺💙 @NHSaccess]

Shouldn’t Musk be persuading Trump to stop the monitrisation of open-AI rather than offering to buy it along with ChatGP?

[Dr Steve Taylor @DrSteveTaylor]

These stats are frankly bonkers. If anybody is complaining about why they are waiting to see a GP. They need to ask why successive governments have not supported the same growth in GP numbers as it has hospital medic numbers
⁦⁦@wesstreeting⁩ fix it or fail

[Access GP online 🩺💙 @NHSaccess]

@DrSteveTaylor The chart does not include practice nurses only hospital nurses. In the UK we possibly now have as many excellent nurses working in primary care as doctors. This may not be the case in other countries so makes us look worse than we actually are.

[Access GP online 🩺💙 @NHSaccess]

Great to see a plan to enable AI in the NHS and other public services. This should make us healthier and safer and will boost our economy. Those in primary care have been aware of the advantages of intelligent IT for decades.
Clinical benefits must be prioritised.

[Access GP online 🩺💙 @NHSaccess]

Hopefully funding or at least paying for the equipment, software and for the audit data extracted from CQC to encourage independent practices to release this business sensitive data eventually came through? #RCGP #BMA

[Access GP online 🩺💙 @NHSaccess]

Could be useful when patients view their own records.

[Lexacom @LexacomDictate]

Some BIG News: Lexacom Echo speech recognition software is now powered by the Lexacom Comprehension Engine.

A system that AUTOMATICALLY explains complicated medical terms in plain English as the doctor dictates or writes patient notes.

[Henry Han @HanCardiomd]

Beta-Blockers for Secondary Prevention following #MI in Patients Without Reduced Ejection Fraction or #HeartFailure: An Updated Meta-Analysis

Meta-analysis of 24 studies (290,349 patients) shows:

📍No significant mortality reduction in patients post-2010 with preserved EF (HR, 0.97).
📍Trend towards increased CV mortality (HR, 1.29) and significant rise in MACCE (HR, 1.24).

https://t.co/uQ4X9Fe0qt
#EAPC @ESC_Journals @escardio

[Saudi Arabian Football Federation @saudiff_en]

In partnership with @FIFAcom and @WHO, Saudi Arabian Football Federation is helping to raise awareness about the risks of concussion among players 🤝

#SuspectAndProtect

[Laure @LaureJames]

It's been a particularly special day - we launched #SuspectAndProtect into the world.

FIFA's social impact campaigns aim to create just that, and hopefully this raises valuable, global awareness - at all levels of football.