🌟 Rahul Keith

GP @lancastermedics . Views expressed my own etc

[Andrew Giles @giles_home]

Good discussion tonight with consultants from @UHMBT and local GPs.

Excellent work underway to support GP trainees with short placements in surgery, which led to a very encouraging offer to deepen GP training through other training days - building bridges for the future.

A thoughtful discussion about expedite letters and potential improvements.

Learning about the different SDEC services.

And a short update on Single Point of Access - or perhaps, Fewer Points of Access. 😁

Delighted to see improvements being led by individuals just trying to do what they can to make things better for their colleagues.

🙏

[Deep End GP Scotland @deependgp]

We need more investment in general practice, with a focus on relational continuity of care (cos it saves lives!)

https://t.co/1Do8O5nq3J

[Dr Steve Taylor @DrSteveTaylor]

12% hospital beds have patients fit for discharge
But…
Population ⬆️7% 2012-24
❌GPs ⬇️7%
❌District nurses⬇️42%
❌Health Visitors⬇️30%
❌Learning Disability Nurses⬇️23%
❌School Nurses⬇️25%
❌Nursing home beds⬇️12%
❌Residential home beds⬇️16%
❌Social care cuts

@wesstreeting

[The BMJ @bmj_latest]

NHS hospitals are missing opportunities to record people’s wishes for care at the end of life, according to the National Confidential Enquiry into Patient Outcome and Death, which highlights the importance of “normalising conversations” about dying
https://t.co/D0XSl0a66e

[Dr Steve Taylor @DrSteveTaylor]

General practice has protected NHS from the effects of 7m waiting for hospital treatment, 1.6m for investigations, 0.5m more long term sick
5million more appts a month than 2019 ~ 31million
A&E 2million, OPD 9million attendees a month largely unchanged from 2019
No extra funding

[The BMJ @bmj_latest]

"Medicine is difficult. We need to continue to attract the brightest to train as doctors. We need to ensure that their training is long enough to make them equipped to do the difficult daily work of the doctor."

@AndrewElder @RCPEdin
https://t.co/IiJFUpcx3d

[NHS Practitioner Health @NHSPracHealth]

Emergency service healthcare staff are constantly dealing with moments of crisis. It's essential that they can receive specialised mental health support. If you are unable to receive confidential therapy or addiction treatment, register with us today. #NHSPractitionerHealth

[🌟 Rahul Keith @RahulKeith]

@x100wdy

[The Health Foundation @HealthFdn]

Our evaluation provides the first robust causal evidence that NHS-owned and run elective surgical hubs can significantly increase treatment volumes, which could help reduce the waiting list for elective care.

Read more ⬇️

https://t.co/sOfuuBOCSC

[@DrKatie.BSky.Social @doctor_katie]

A 10% drop in GP capacity would roughly equate to a c60% hike in traffic to others

The 33% increase in 999 calls yesterday reported by @Ldn_Ambulance suggests GP activity dropped by c5%

Which is impressive, given we reverted to pens paper & prescription pads…

Food for thought

[Dr Dave Triska @dave_dlt]

@DrSteveTaylor @DrSelvarajah @doctor_katie No extra funding? Tough. You have to do it. Someone off sick? Tough. Get on with it. We are *the* most cost effective part running at £0 deficit. Imagine if we had just a little help.

[Dr David Wrigley @DavidGWrigley]

Congratulations @wesstreeting on your appointment. I hope @BMA_GP @doctor_katie and her team can have a very early dialogue with you about what we need to make general practice fit for the future. We have the answers to make our NHS GP service the jewel in the crown once more

[Dr Phil Hammond 💙 @drphilhammond]

My top priority for @UKLabour is to end child poverty. They made some headway last time. In 1999, Tony Blair said; ‘our historic aim will be for ours to be the first generation to end child poverty. It will take a generation. It is a 20-year mission. But I believe that it can be done.’ Labour set targets and responsibilities for reducing child poverty, enshrined into law by Gordon Brown under the Child Poverty Act 2010, which passed with cross party support. There was a National Childcare Strategy, Sure Start children’s centres for under-fives and their carers, the national minimum wage, the Family Nurse Partnership, a New Deal for Lone Parents and a child tax credit system. As a result, there were sharp reductions in child poverty, especially for lone parents and children in larger families. So it can be done. And it must be done. 4.2 million British children whose parents have too little income to support them properly – 29 per cent of our future generation. We are fouling our nests and destroying our future.

[The BMJ @bmj_latest]

"We need more doctors, and as soon as possible, but it would be short sighted to sacrifice quality for speed."

@HelenRSalisbury on the plan to have four year medical degrees
https://t.co/WKxe19zfkT

[Sir Michael Marmot @MichaelMarmot]

My comment on the report: "We used to think of the combination of undernutrition and obesity as a feature of low and middle income countries. We are now seeing it in Britain in 2024".

[@DrKatie.BSky.Social @doctor_katie]

🚨
REBOOTED TEAMS LINK FOR THURSDAY EVENING’S GP ACTION WEBINAR:
👇
https://t.co/UTqvSk1Yfo

Pls RT & share - with 5 GPs/GPRs/PMs/GPNs you know!

@theRCN
@unisontheunion
@Parody_RCGP
@BMA_GP
@DAUK_GP
@NextGGP
@m_ratwatte
@msteggy
@HelenRSalisbury
@doctor_oxford

[Jennifer Stevenson @JenMStevenson]

Thanks for opportunity @GeriSoc to share this at yet another inspirational #BGSconf. To be able to discuss this and next steps https://t.co/FCPeLN0A9z @UMCGlobalSafety with @Krockdoc in person was beyond imagination 🙏🥰☺️

[Jugdeep Dhesi @JKDhesi]

Useful resource to support medicines optimisation in patients with orthostatic hypotension ⁦@GeriSoc⁩ ⁦@JenMStevenson⁩

[Lancaster District CVS @LancasterCVS]

Progressive partnership collaboration at the recent Vulnerable Communities Workshop at @lancasterUni👏 #LocalPartnership #CommunityCollaboration

[Dr Tony Goldstone @goldstone_tony]

SNEAK PEAK: Started work this week on a new mini (i.e. simple takes <2mins) modeller for McCloud.

Its *VERY CLEAR* that working beyond your normal pension age in 1995 is 'burning' pension you have already paid for.

To access this you need to either retire (=/- return/partial)

[🌟 Rahul Keith @RahulKeith]

@karenkyle16 @Richardruss98

[PPL @PPLthinks]

We’re really proud to launch our South East Region Virtual Wards Evaluation report today with NHS England.

This is the culmination of nine months of work to assess the impact of Virtual Wards on activity, expenditure, and quality in the South East England region.