Partha S Kar 🇮🇳🇬🇧🏏🎥

Consultant Diabetes, @PHU_NHS
GIRFT Clinical co-lead, Diabetes @NHSEngland
IMG- From Kolkata 🇮🇳
Bengali

Rest? Click link!!

Motto?
He who is brave? Is Free

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Response to @RCPhysicians ask re @lengreview clinical protocol done- as a Fellow of RCP.

I believe in transparency- so here are my views on some of the key questions.

In summary?

Needs a rejection on key areas of PAs seeing undifferentiated patients.
And certainly not lean on Gen Next to be liability sponge.
And let @rcgp make their own decisions regards primary care- no need to interfere.

NB:

Don't like it, give a counter view.
Don't abuse or be snarky. It's a democracy- it's my view. You are welcome to give yours.

@mmamas1973 @djnicholl @Mumtaz_Patel_1 @OGMustafa @BDChadwick

Link:

https://t.co/oJAazzAkYq

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@LucyGoBag same

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@Aurorablast I don’t think that’s ever possible

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

5 months ago…today.

As a doctor…I knew
As a human…I hoped different.
Desperately.

But I knew.

Amidst all the beeps in that ITU.
I knew.
The scans told the medically trained brain enough.

And since that day?

I stopped believing in many things
Miracles being one of them.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@Dr_XYZ @DrNeilStone Got the Nobel Prize- today. 103 years ago.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@docwas @ShivaniM_KC @kamleshkhunti @FionaQuigs @ObesitySociety @PNewlandJones @HannahBeba @drpatrickholmes @scelee1 @Rezaidi @ABCDiab @UK_ASO @DUK_research agree.
Karte hai kuch phir Lala.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

SGLT2i became part of “standard” #T2Diabetes care when the class of medication became generic

GLP-1 use as “standard” #obesity care will happen when it goes generic

The money for any else regards strategy?
Isn’t there.

Everyone knows it
But won’t say it openly.

Fact.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@Gerogrios All I can say is that I don't feel that.
I can't account for others.
I know my limitations- and happy with it too.

Good you are worried about the lack of SOP- pick that up with those who should do that in that case- rather than come to my tweet?

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

I will say this- again.

In a safety critical 'industry' like healthcare?
Lesser trained staff usage-at scale-will cause harm.

You will 'get away with it' a lot of times.
Yet all it needs is 'one miss'.

And the higher training reduces the chance of that 'one' - it's what training is all about.

If you don't understand that?
You fail safety issues

And you fail as an educator and trainer.

Thank you @JanetEastham for continuing to raise the issue.

The irony?

Every single person responsible for such decisions regards 'what the public can have' - reaches out to a doctor when they need help for their loved one.

'Cake for me. None for you.'

[Janet Eastham @JanetEastham]

Dylan Cope died after an A&E nurse practitioner mistook his abdominal pain for flu, having ignored his GP’s referral for suspected appendicitis. His family thought she was a doctor.
A coroner found he would have survived had a senior doctor examined him.
https://t.co/jK9zaA18rz

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@Gerogrios anyone working outside their competence based on their training- is a quack.

I would be one if I tried doing a session as a physiotherapist.
Or a GP.
Or a Podiatrist.

Hope that helps.

Be more worried about safety & death than my tweets.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@LucyGoBag And I have so much to say too.

So much about this organisation.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

25th October 1923

103 years ago today?

The Nobel prize was awarded to Frederick Grant Banting and John James Richard MacLeod “for the discovery of insulin”(further shared with Charles Best & James Collip)

Trivia yet of utmost significance

A saviour of millions of lives #gbdoc

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@Mike66837873181 working to ensure local grads only get training posts.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

"It seems to me that a decision has been made to replace doctors and to remove distinctions between doctors and other professions.

It's no coincidence that the NHS continues to struggle with efficiency, productivity, and safety problems while we progress further towards a blended workforce without the necessary training supervision or regulation."

Via @bmj_latest

https://t.co/NXgW4ePlLG

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

And then somedays?

People…

Just do things that are…

Kind
And makes you..emotional

And you know humanity isn’t lost.

However bleak it sometimes appears to be

Thank you ❤️

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@GLTrax @ShivaniM_KC @kamleshkhunti @FionaQuigs @ObesitySociety @PNewlandJones @HannahBeba @drpatrickholmes @docwas @scelee1 @Rezaidi needs to change a lot. Most pay lip service to the whole issue. And a whole lot of performative nonsense abounds.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@BBCSouthNews looking at the provider concerned...why does this not surprise me any more.

@HIOW_ICS

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Friday evening.

A haunting silence..

The air laced with grief..sadness...melancholy.

Weekends...are different nowadays.

Huh.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@Jeremy_Hunt you must be a Jedi in chutzpah.

There can be no other explanation.