Sanchez990099

[Sanchez990099 @Sanchez99000]

@PaulaMc007 My son is autistic, not mildly, but the training delivering is just annoying. LD care is imperative, but incorporating this in 'mandatory training' alongside fire safety and data governance is a waste of time.

[Sanchez990099 @Sanchez99000]

@PaulaMc007 Paula, I truly admire your work but speaking through anonymity. Casing OM training within mandatory training means it will be skipped to assessment/switched off in F2F lectures for most doctors. We have 1, 2-hr session a month for updates and if once a year.

[Sanchez990099 @Sanchez99000]

@MedRegoncall1 @ShoooTsw @TheGPhC But is this chap above wrong? GPs complain about workload and patient numbers, but then complain when other services offload minor illnesses

[Sanchez990099 @Sanchez99000]

@DrNeenaJha What do you do when you as said GP assess and refer to breast clinic, to be assessed by (checks notes), Breast Specialist Practioner....?

[Sanchez990099 @Sanchez99000]

@henrytaylorgill But... What have they actually achieved other than spreadsheet champions?

[Sanchez990099 @Sanchez99000]

@AliceHodkinson Why can't we run our own diabetes service? Heart failure, COPD/Asthma services. List goes on. We don't need a trust or 'community trust to run this'. 90% of non-procedural work in any specialty, GPs can and should do. Let PF have the rashes, give me the higher level stuff.

[Sanchez990099 @Sanchez99000]

@AliceHodkinson No I don't. I don't think GPs value themselves near enough. Instead of bickering about who can deal with a skin rash, we should be focusing on how we can take work we traditionally did at primary care level back from hospitals 1/2

[Sanchez990099 @Sanchez99000]

@AliceHodkinson @vincristine @DrSteveTaylor Dual trained GP and rehab consultant but it doesn't take a genius to make a plan.

[Sanchez990099 @Sanchez99000]

@AliceHodkinson @vincristine @DrSteveTaylor As I suggested to another responder - no two GPs would agree on the 6 diagnoses here and management plans. A pharmacist would have more than enough knowledge to do so with appropriate escalation and safety netting.

[Sanchez990099 @Sanchez99000]

@AliceHodkinson @vincristine @DrSteveTaylor Cool, so you'd see all 6 of those out of your probable standard 30 odd appts a day in your session times? Why can't your pharmacist do that?

[Sanchez990099 @Sanchez99000]

@SpSallie Apologies yes I skimmed over that. Absolute shit show that.

[Sanchez990099 @Sanchez99000]

@mgtmccartney What's the difference between a patient presenting to their pharmacist with a migraine, rash or ear ache before and after this scheme? Nothing really except now they get paid for it. Also, most referrals to PF come from GP triage. Stop scaremongering.

[Sanchez990099 @Sanchez99000]

@vincristine @DrSteveTaylor Well go on then....

[Sanchez990099 @Sanchez99000]

@neilorpen @grok You must be running a campaign for patients my friend. Not everyone needs surgery.

[Sanchez990099 @Sanchez99000]

@MCFCDamo @DanNeidle I think that's I suspect his perspective matters more. About time we have people qualified make qualified opinions as opposed to what SoMo would say.

[Sanchez990099 @Sanchez99000]

@PhilSmithIsBack @AlexPanton1 And even more so - do some pilots who do lesser years and less intense training, do different flights to others? No they broadly don't. We're in the midst of a MNP/SNPs coming through and looking to see what services we can offer from sec care - so can't complain vice versa.

[Sanchez990099 @Sanchez99000]

@PhilSmithIsBack @AlexPanton1 In fairness, as a GP myself and dual trained , Alex isn't wrong. The standard of GP training and most GPs coming to CCT suggest that actually, GPs shouldn't be the only ones because quite frankly, a broad section of our doctors are quite poor.

[Sanchez990099 @Sanchez99000]

@DanNeidle No, what would you do? Not what tax change is best £for£. What would make best sense given how politics is now a social media and perception game? You and I both know changes to triple lock would be beneficial but... Would you do it?