Loving the misspelled sign at @GaryDelaney in St Helens tonight. Really makes the place.

If @wesstreeting thinks GPs are stuck in 20thC, visit a hospital We are the science museum! ➡️Electronic records since 1991 ➡️Online triage ➡️Ambient scribes ➡️SMS ➡️Online bookings ➡️Electronic prescribing ➡️Online referrals ➡️Video consults DAYS after 1st lockdown…. 1/x

Standard govt tactics. Announce 2.8%. "Concede" 4%. Claim "inflation busting" payrise via sympathetic media. CPIH to April 25 is 4.1%, RPI is 4.5%. Pay restoration getting further away, not closer. GPs even worse. "Pay portion" of GMS doing some heavy lifting in the announcement

GPC England has agreed to the 2025/26 contract changes after securing a written commitment from the Government to fully renegotiate the national contract within this parliament. We’re now out of dispute and working on next steps. 👉 Learn more bma.org.uk/gpcontract

We’ve written to @wesstreeting about the 2025-26 GP contract, and future contract reform. Read the letter here 👇

🚨 The @BMA_GP Committee has agreed in principle to the proposed changes to the 2025/26 GP contract. A funding uplift of £889m has been secured—but it comes with conditions. This deal does not “fix” #GeneralPractice, but it’s a step forward. 🧵👇 #RebuildGP

Zero deficit. 20% increase in activity since 2022. Last year 370 MILLION! appointments in General practice. Real terms reduction in practice resource over 15 years. Frankly miraculous we are achieving what we are with what we are given. 7% of NHS budget.

Still haven't received your pension statement like me? Vital thread about what to do and what compensation you will be due.

🤝 Fantastic day today representing @RebuildGP at @UKParliament 💬 Great to meet with MPs, GPs and colleagues from across the country - hearing about the @CogoraGroup #GPWorkforceReport - hosted by Dr Simon Opher MP 📊 The report is clear - General Practice is in crisis 🧵1/7

It’s hard to describe what it feels like to be a GP. Sitting in a room alone, with patients rotating in and out, tackling a never-ending list—there’s no space to breathe. It can be relentless. 🧵

Dependent practitioners do not get to dictate to their supervisor what their scope should be. It never ceases to amaze me the entitlement of PAs who feel they should be telling doctors their scope.

Do you have confidence in the GMC as a regulator of doctors and impending PAs/AAs? @Dr_Done_ @medicalmodelbri @Doc_IonaCollins @DrNeenaJha @Dr__Sarmy @iDrSunny @DavidSmithWales @DrSteveTaylor

"Lazy fat-cat GPs"...

Pay non-dependent clinicians who are able to complete an episode of care independently to do them. You know, professionals who can prescribe independently, legally order imaging including the use of ionising radiation. Doctors. Nurses.

With great sadness, we received the news about the passing of Auschwitz Survivor Denise Holstein. Denise Holstein (6 February 1927 – 16 November 2024) dedicated her life to sharing her testimony and educating future generations about the atrocities she endured. She wrote two books about her experiences and participated in a documentary, recounting her story with unwavering courage. Denise was born into a Jewish family in Rouen, France. During the war, her father, Bernard, was briefly interned at the Drancy camp in 1942 but was released after three months. By 1943, however, the Holstein family’s fate took a darker turn. On January 15, Denise and her parents were arrested during a mass roundup of Jews in Rouen. While her parents were deported to Auschwitz later that year, Denise, sick with diphtheria and mumps, was initially spared and placed under the care of the Union Générale des Israélites de France (UGIF), living in homes for Jewish children whose parents had been deported. By 1944, at just 17 years old, Denise was acting as a caretaker for younger children in the UGIF home in Louveciennes. Despite her young age, she took on the role of mentor and protector for a group of children, trying to shield them from the horrors surrounding them. However, on July 22, 1944, the home was raided on the orders of German officer Alois Brunner, and Denise, along with the children, was taken to Drancy. On July 31, 1944, Denise was deported to Auschwitz with 34 children from Louveciennes. Denise did her best to comfort the children, singing to them and offering whatever solace she could. Upon arrival at Auschwitz, Denise narrowly escaped death. A French deportee advised her not to take the hand of a crying child, a decision that could have led to her immediate execution in the gas chambers. While this advice saved her life, the children she cared for were all sent directly to the gas chambers upon arrival. In Auschwitz, Denise worked long hours transporting heavy stones and endured brutal roll calls. At one point, she fell seriously ill with scarlet fever and was sent to the camp infirmary, where she encountered Josef Mengele. In late 1944, Denise was transferred to Bergen-Belsen concentration camp. She was liberated there on April 15, 1945, by British forces. Emaciated and suffering from typhus, she required immediate medical care but began the slow process of recovery and reintegration into life after the war.

The call for a purely salaried GP workforce gets trotted out semi regularly. Given the cost effectiveness of the partnership model it would be a spectacular own goal. Putting the only part of the health service that has never run a deficit in employment to bodies that do is dumb

In what crazy world does a dependent practitioner tell their supervising clinician, who carries ALL the medicolegal risk, what safe practice looks like? The hubris is breathtaking. If my practice gets a copy of this it will be getting shredded and used as hamster bedding

This old tweet of mine has gained some traction this week. To be clear, my position hasn't changed. PAs can either be cheap or safe. The 2 are mutually exclusive. If you safely supervise a PA you are paying them v v well to cosplay being a healthcare professional.