KS

#proudtobeagp #northeast

[Department of Primary Care & Public Health @Imperial_PCPH]

@Azeem_Majeed NHS England data shows that general practice’s share of the NHS budget remains substantially below its mid-2000s level. This relative decline has occurred despite primary care delivering more patient consultations and holding the greatest potential for prevention.

[Nat Martin @The_HiggsBoson]

@dave_dlt nails it.

Three partners equivalent to ten salaried GPs in terms of clinical activity.

That’s just the logged clinical work.

It doesn’t include all the other, clinician requiring, partnership work.

A practice isn’t just appointments. Ownership changes behaviour.

[KS @sidhuGP]

@SKinnock Would you abolish CQC for GP practices given pharmacies don’t need CQC registration ?

[Elisabeth Benn @benn_elisbenn]

@SKinnock More actual General Practitioners ie doctors would do much more. Often quicker accurate diagnosis.
How many Pharmacies have proper wheelchair access & consulting rooms that can accommodate them or large baby buggies, induction loops & access to interpreters including BSL ?

[Parody RCGP @Parody_RCGP]

@LuggJudith What would you be able to get done with 34pence a day Jude?

[Louella Vaughan @DrLKVaughan]

@LarcombePeter @Azeem_Majeed I pretty much said this to one of the residents last week.

If Medicine was only about pathways and guidelines, then there is no need for doctors.

If one feels uncomfortable about treating outside guidelines, then one doesn't know enough.

[Dr Steve Taylor @DrSteveTaylor]

Instead of real beds we have 10,000 ‘virtual beds’ (in your own home) which cost £165 per day (the same as the annual cost of a GP services)

The unpaid carers subsidise this, as do community services

Yet hospital trusts, NHSE & DHSC ‘clap’ themselves for their cost savings

[BDA @TheBDA]

When millions are struggling to access care NHS practices are left paying the price for no-shows.

https://t.co/St3Q0zbUQR

[Ash Paul @pash22]

Poor @NHSEngland admin deters patients, says @TheKingsFund research https://t.co/MRv6Rg6cdq

[Dr Steve Taylor @DrSteveTaylor]

@sib313 It’s not the nurses & doctors that are the problem

The balance of staff, the number of beds , the funding comparisons

Most other nations have more highly trained staff, more beds, more infrastructure & more scanners

[Just Dave now @justdavenow89]

Gary Lineker, "I actually think that 80-90% of the country just want to get on with their lives, be friendly with their neighbours" "They don't look at people of different religions, skin colours, beliefs, traits, and think badly of them"
Who agrees with Gary True words to me

[Dr Steve Taylor @DrSteveTaylor]

There is only one European nation with fewer hospital beds per capita than the UK

Sweden but they have the highest number of care home & nursing home beds

26% fewer care home beds
23% fewer nursing beds

Fewer hospital beds

Then people wonder why A&E is blocked

[Parody RCGP @Parody_RCGP]

They are paying £30/appointment for this.

£30 per appointment!

Can some journalists actually do their job and not just regurgitate government spin!

Sick certificate via social prescriber £30
Simple Ear inf mx by pharmacists £15
GP for the complex stuff 34 pence.

[Vikramjit Mitra @MitraVikramjit]

Thank you to all the industry partners to support the hands on training stations in our JAG course. Sharing your knowledge and skills has always been hugely appreciated by the physician & nursing colleagues

[Neil Stone @DrNeilStone]

Vaccine Anti vaccine
research research

[Doc Em🕷🇪🇺 @DocEmUK]

If you're a medical secretary, or a consultant with a medical secretary, please stop telling patients to contact the GP to write an expedite letter for OPA. You know it's pointless. We know it's pointless. It makes absolutely no difference whatsoever to waiting times, but it does get the patient off the secretary's case and onto ours, which is immensely unwelcome, as we are the ones with the least influence on triage.

[Dr Steve Taylor @DrSteveTaylor]

With 388,000,000 appointments @ over double the amount of other interactions 0.02% of interactions result in a complaint 😉🤦🏻‍♂️

Complaints need to be addressed but the fact that GP practices are being asked to do more & more without the funding needs to be taken into account

[Ivan Camphor @IvanCamphor]

In just ten years, general practice’s share of the health budget has fallen from 11% to under 7%. That underfunding means fewer GPs, less capacity, and longer waits for patients. Who is looking after GP Partners?

[Michael Inzlicht @minzlicht]

Imagine a 19-year-old scrolling TikTok. She watches a creator list five "signs you have undiagnosed anxiety." She recognizes three in herself. By the end of the week, she's describing herself as anxious to her friends. A month later, she's avoiding situations she used to handle fine.

What went wrong?

In a new paper by my PhD student Dasha Sandra, titled "Why mental health awareness can harm: Converging explanations for a societal problem", we argue that well-meaning mental health awareness can backfire, and we identify how. Four separate literatures (concept creep, nocebo effects, prevalence inflation, and illness self-labeling) have been circling the same problem from different angles. We show they converge on three mechanisms:

1.Awareness lowers the threshold for what counts as a disorder.
2. It trains people to scan their inner lives for symptoms and reinterpret normal distress as pathology.
3. Once someone adopts an illness identity, they behave in ways that confirm and deepen it.

The evidence is wide. Learning that loneliness is harmful makes solitude feel worse. Learning that stress is harmful worsens well-being and performance. Awareness videos about fake conditions like "wind turbine syndrome" produce real headaches. Trigger warnings raise anticipatory anxiety without reducing distress.

This does not mean awareness should stop. It means awareness can have unintended consequences, including manufacturing the suffering it tries to prevent. Inoculating people against these mechanisms works, and we already have evidence it does.

Link to paper: https://t.co/ucoGyhEuAj

[Grant Ingrams @gji1964]

@Jenny_1884 Most appoints are F2F & these are easier/less stressful. GP numbers have shrunk with each GP looking after 300 more patients, practices now paid £40 less per patient, appointments have increased to 31 million/month. All reviews show GPs are expected to do too much with too little