Rachel Miller

a norn irish GP in Glasgow; likes dermatology and womens health, and a dog lover

[Dr Steve Taylor @DrSteveTaylor]

Your occasion reminder that there are now more Surgeons than qualified GPs

That GP practice appointments are now 31-35m a month

That the number of operations hasn’t changed

And the share of NHS funding to GPs has reduced considerably

[Dr Sandeep Bansal @iDrSunny]

6/
On paper, replacing senior clinicians with Advanced Practitioners or Physician Associates looks like saving money.

In reality it’s a false economy:
– More supervision time
– More tests and duplication
– More errors and longer stays

Every minute lost compounds across the system.

[Dr Steve Taylor @DrSteveTaylor]

GPs in Northern Ireland are on their knees

They are trying really hard to improve services for patients

Yet the government declined a request for 11p per day per patient to improve services

Who’s to blame for poor services?
Simply it’s not GPs is it? @mikenesbittni @BMANI_GP

[Neil Stone @DrNeilStone]

The human race did indeed survive for thousands of years without vaccines

50% of babies didn't make it to their 1st birthday though but you stick to your argument.

[Dr Luke Craddock @DrLukeCraddock]

If you are lucky and have no dependents or pull factors. Then you can leave to abroad. However if you do have reasons for why you cannot leave? What choices do you have?

Either leave medicine to a different sector, or stay unemployed job searching.

14/16.

[David Oliver @mancunianmedic]

Just to be clear
Key court rulings regarding DNACPR decisions
Do oblige doctors to discuss/explain with/to a patient (or if they lack decision specific capacity) their family
However they do *not* oblige doctors to provide CPR on demand
Nor do they require a consent form

[Coasting GP @CoastingGP]

General Practice is going the same way as Dentistry

We are not too far away from a generalised private GP system

[Animesh Singh @DrAnimeshSingh]

Hospital OPD

Wrote a Med3 for a patient

Took 30sec

Contractual obligation + offloads unnecessary pressure from GPs + helps the patient

[Rachel Miller @RLMiller_86]

@DrAnimeshSingh Without sounding overly dramatic I think I love you (from a GP)

[Neil Stone @DrNeilStone]

Vaccines don't cause autism

The idea arose from a tiny study in 1998 which turned out to be fraudulent and was retracted.

Since then huge studies of hundreds of thousands of kids has shown no link.

So it's BEEN studied. It's NOT the cause.

Why waste more time and money on it?

[Lucy Pollock @lucypgeridoc]

Here’s some things I love about #HospitalAtHome for people with frailty and acute illness: 1. Patients love it. 2. Patients love it. 3. Patients love it. For the right person with the right support, treatment at home works. It’s not right for everyone. But for many, it’s great.

[Dr Steve Taylor @DrSteveTaylor]

One in 10 appointments in general practice could be avoided if patients always saw a regular GP, according to research that suggests continuity of care could dramatically reduce practice workload.

Who knew🤷🏻‍♂️
Not ⁦@NHSEngland⁩ ⁦@NHSE_WTE⁩ https://t.co/nMQlqfVlz3

[irish_hcworkers_for_palestine @IrishhcwforPal]

#FreeDrHussamAbuSafiya

[Cat Rubens @catrubens]

1. I don’t often tweet about my personal life, but on 1st November, my mum Jane was hit by a large vehicle as a pedestrian in St. Louis, USA. She suffered a severe brain injury & remains in a coma in hospital.

Here's Jane & me in happier times.

[Animesh Singh @DrAnimeshSingh]

It’s entirely possible to issue med3 sick notes from hospital

As this patient’s consultant, I have a better idea about the period of sick leave needed versus their GP

[Animesh Singh @DrAnimeshSingh]

@Dr_Ellie @DrSteveTaylor @ankitkant This is of course :

1. Contractual
2. What we would expect if you apply the ‘granny test’ to our patients
3. Saves GP time
4. Saves patient time

[Dr Done @Dr_Done_]

Suing the GMC is so cathartic for all of us

Please donate if you can, this will change everything

☠️ ☠️ ☠️

[Rachel Miller @RLMiller_86]

@Dr_BellaR Lanyard looks good. You can order your own badge on Amazon, there’s a few different ones, and put whatever you want.

https://t.co/XkOuZvWufQ

[platinumpizza™ @Xeon4f145d96s1]

What you’re saying is GPs have been providing services worth £1.5B/ year for free.

[Mark Toshner @mark_toshner]

Long form 🧵on lung clots, chronic complications and Covid. Data is emerging that call into question how prevalent and important this really is. I think we are in a better place now to be clearer.