Retired Nurse. Former well established consultancy business in the health care management and health care education sectors. The views expressed are my own

Joined July 2014
164 Photos and videos
Jane Fish retweeted
Replying to @PauletteHamilto
It's a political choice. Last year, there were 3000 Physio grads. Only 50 jobs in England suitable for newbies. This is despite insufficient Physio provision in many hospitals. Similar in the ambulance services. OT. Nursing. There are unemployed doctors. It's all broken.
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A different era indeed. Many tributes to Professor Ellis. He was a legend. In my opinion what is worse today than earlier years in NHS, is the demise of the clinical firm with Drs now doing shifts, nurses doing 12 hour days, continuity of care has been lost and more fragmented.
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Jane Fish retweeted
▶️No answer about where those now kept from being referred to hospital are recorded - they won't appear on waiting lists in secondary care, so where will they be? Simply waiting elsewhere in the system, not showing in stats! There are many more questions to be answered! 3/3
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Jane Fish retweeted
This morning. One GP practice. One hour. 240 clinical tasks before most people had started work. Four every minute. No political thanks. No headlines. Just a small teamy doing what they do every single day. When these practices close, nothing replaces them. Nothing.
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Jane Fish retweeted
10 Jul 2025
"What's the problem. We did our job. We crushed the whistleblower. We stopped the case being heard and got rid of all the bad news ...and it was a bargain - half a million pounds" Is this really how we want NHS whistleblowing cases to be dealt with particularly when they involve serious patient safety issues linked to avoidable death? I am assuming the answer is no but I am beginning to wonder. Would be great to get the thoughts of some lawyers or Judges on all of this either on here or in private Have read lnkd.in/dvBDnU7f
As a UK taxpayer why do I have to put up with a Judge ignoring large amounts of evidence and even ignoring evidence being destroyed? Would apply to any case but a whistleblowing case about a doctor raising serious patient safety issues on an Intensive Care Unit linked to avoidable death - come on computerweekly.com/news/3666…
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Jane Fish retweeted
A doctor has now spent almost 12 years in a legal fight after raising patient safety concerns inside the NHS. Think about that. A junior doctor speaks up about risks to patients, loses his job, then spends more than a decade trying to prove he should have been protected for doing the right thing. Now Dr Chris Day @drcmday is back in court, arguing that the legal effort to deny whistleblowing protection to junior doctors relied on contracts that were kept out of sight at the time and only uncovered later by journalist Tommy Greene. This case goes far beyond one doctor. If whistleblower protection can be argued away with hidden documents and technical contracts, what does that say to every NHS worker who sees danger and wants to speak up? You cannot tell staff to raise concerns, then leave them exposed when they do. Patient safety depends on people being able to speak freely, early, and without fear. Protection must apply at every level. Otherwise the system protects itself first. Dr Chris Day kept going. Most people could not fight for 12 years. They should never have to. If this is how the system treats a doctor who raised safety concerns, how many others stayed silent?
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Jane Fish retweeted
This is the crux of it for me. The @RCPhysicians, @rcpsych and @GeriSoc have all said they can’t support this Bill. They have also said it does not adequately protect vulnerable people. What do these Peers (and the 314 MPs who voted aye) know that these institutions don’t?
I can’t think of a single Royal College that supports the Bill as written. Will peers calling for @UKHouseofLords to rush through approval of the Bill just dwell on that fact for one minute and listen to themselves?
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Jane Fish retweeted
in 2016 the NHS tried to cut headcount; managers, admin, back office. redundancy cheques were huge the work didn’t go away. It came back as consultants on day-rates, interims and agency cover. Consultancy spend trebbled to £22.65m in just two years.
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Jane Fish retweeted
GP Crisis has been manufactured by successive Govts @NHSEngland @DHSCgovuk GPs are desperate to increase access for patients but have seen 20% £/patient funding The alternative approaches to access have been more costly, created fewer appts & worse have seen fewer GPs available
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Jane Fish retweeted
stuck with redundancy costs for a chaotic reorganisation he can't not finish, an unaffordable 8.5yr plan he can't start... ... a row with the doctors he doesn't know how to end and nowhere near the beginning of sorting out social care. myemail.constantcontact.com/…
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Jane Fish retweeted
Who better to get us to think differently about nursing workforce challenges than the inimitable Prof Alison Leary? #NursingLive @alisonleary1 @annemarieraffer @ShaunLintern
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Jane Fish retweeted
There are 69 NHS trusts still paying off old PFI debts. And new PPP schemes could lock us in again. The NHS can’t afford another generation of debt. It’s time to say: no more private profit from public care. We can’t let history repeat itself. 👉 everydoctor.org.uk/talking-p…
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Jane Fish retweeted
I speak to retired GPs and the pattern is obvious. They miss the patients, not the job. Not the grind, the tick boxes, or holding a service together on a shoestring. Most stayed as long as they could, then hit eject for their own sanity. There is a warning here for all of us.
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Jane Fish retweeted
Every shift I feel like I'm being set up to fail. Government neglect leading to crowding, hallway medicine and reliance on a CT scanner 25 kms away. Some solace in knowing that my misery is shared by every other emergency physician.
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Jane Fish retweeted
Today I’ve taken a quiet moment to reflect on how this life, this journey - truly began. It started the day we lost our beautiful little boy, George. His sudden death shattered our world, and in those darkest hours, nobody came. That silence changed everything. From that heartbreak, a new path unfolded. One built from grief, love, and a fierce determination to make sure no other family walks that road alone. The last few days, the last few years, they all trace back to that moment. To George. To the love that still surrounds him. If you believe in compassion, in showing up when it matters most, please support bereaved families. Whether through kindness, conversation, or contribution, your presence can be the light in someone’s darkest hour. Ensure they are reminded they are not alone. Thank you to everyone who walks beside us now. You are part of the hope that grew from the deepest pain. ❤️
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9 Oct 2025
What a glorious sound @thebachchoir, @LonYouthChoirs and 8 amazing soloists made this evening with the fabulous @davidhconductor performing Mahler’s eighth symphony. The acoustic and setting of St Paul’s Cathedral made this truly a performance to remember. Superb. Thank you. 🥳💕
This is the unmistakeable, inimitable opening of Mahler’s Eighth Symphony. Can you imagine how it could sound alongside the might of the @Philharmonia, @LonYouthChoirs and eight stellar soloists? Find out at @StPaulsLondon on 09/10. Book here - thebachchoir.org.uk/concerts…
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The insinuation that resident doctors work part-time to take advantage of locum shifts is ridiculous. Also no mention of impact on career progression/longer in training. Quarter of junior doctors work part-time. thetimes.com/article/8fa5108…
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12 Aug 2025
Delighted to see this. However, e.g.Croydon University Hospital 91 nurses graduating, no jobs. ONE year recruitment freeze across all professions, ditto University of Northampton 180 graduates - this is England wide for nurses, midwives & not your remit but AHPs too this year.1/2
Newly qualified nurses and midwives are the future of our professions. With the Graduate Guarantee, we're opening up more opportunities across health and care and supporting graduates to do the jobs they’ve trained for, in every setting and community. gov.uk/government/news/job-b…
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12 Aug 2025
1/2 And medical students graduating. What is point of expanding medical school places if you don’t expand FY1/YY2 numbers & postgraduate training numbers? Workforce planning across NHS England is dire. We MUST do better for our future health & social care workforce & our patients
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