GPs have won a major protection for patients in their negotiations with NHSE & Govt Guarantee of referral, no target for rejections, clear documentation of Advice and Guidance with Consultant name & GMC number Patient safety is always the priority Govt needs to listen to GPs

I do not support the introduction of a 'maternity commissioner'. We already have a person responsible and accountable for maternity care - @wesstreeting. All of the things it is said a maternity commissioner would do are his job. I don't want any distractions from that.

What I’m taking away from is is #boycottSharpies.

So, what I want to know is, as door chains cost £7 each and take almost no time or skill to install, has @TravelodgeUK ensured that every bedroom is fitted with one? If so, good! Make it public. If not, why not? It’s the easiest gesture to say “we care about your security!

So, what I want to know is, as door chains cost £7 each and take almost no time or skill to install, has @TravelodgeUK ensured that every bedroom is fitted with one? If so, good! Make it public. If not, why not? It’s the easiest gesture to say “we care about your security!

If you choose to become a Dr in the NHS (or any HCP) know that 1. You will need a therapist 2. You will be treated as cannon fodder in the event of a health crisis. 3. That no one in authority has your back even though you make really tough decisions - life changing ones It can still be a good job, but this is the reality.

Again, public needs to understand this. These training places are how you get the specialists that patients require for clinics, operations and cancer care. They should not be anything to do with a scrap between unions and politicians - they're necessary.

Wes is failing to understand extent of the bargain that the men who went before him struck. They asked young doctors to graduate early and throw themselves into a disease response. Compromise health and behaviour working in a broken NHS. To treat them like this is beyond contempt

I’ve been doing this GP malarkey for nearly 20y now. It struck me today that the only way I can carry on practising the way I used to is if I do it at my own personal expense. It never used to be like this - there was enough time in the day for bereavement visits, wellbeing checks, proactive care, time with colleagues to discuss patients & build relationships. General practice today is decision making at the same speed as a shoot-em-up game. Today was just me for 55 same day requests for appointments, clinical supervision of three members of staff, medical student education, paramedic education and all routine needs for a population of 1250 patients. We’re fortunate to have personal lists - though the new contract doesn’t value the continuity at all - and that matters to me deeply. Leaving work at 7, I decided to pop in to a patient of mine that I’ve known for 14y. In their 80s, they’ve just had joint replacement surgery and are having a bit of a wobble. We had a chat, they felt better, we have a plan & I’ll check in next week. This is the kind of GP I want to be. My day would have been less frantic, I’d have eaten/urinated at a sensible time, and I’d would have been less snappy with the children whom I saw briefly before bed if there hadn’t been so much nonsense crowding my day: 25 mins on hold trying to get through to a specialist (and failing), an insurance company slyly demanding a conversation with me about a non-urgent issue because it saves them money, dealing with consequences of private tests not requested by me but with the inevitable ‘see your GP’ as disposition, missing discharge medication, delayed follow-up, inappropriate ‘GP to’ as the heart failure team have a waiting list - and much more. Commissioning gaps, poor clinical pathway planning, govt targets on access over quality, media perpetuation of entitlement over responsibility and disproportionate investment & expansion of specialists over general practice have caused this. This is not ‘part time’ GP working - as a partner that’s never a thing. This is expectations from everywhere without resourcing to match. We want to deliver the things we did 20y ago - that’s why we went into this. If you want your family doctor back then you need to support us - because we want to be that too. I’m a GP, but also a Mum, wife and daughter of aged parents. I can’t do this at my own expense any more, and nor should I have to. Arguments of laziness and greed always abound, but really what we need is a properly resourced service. Please stand with us - a fight is coming.

6 GPs working at this practice today, in 3 hours the team has processed an insane 585 clinical tasks. If you are struggling to see your GP, it isn't because they aren't busy. Lack of chaos doesn't equal quiet, we are just very efficient at processing an invisible workload.

BBC investigation I was involved in about preventable deaths of babies in Oxford. My daughter isn't even counted in those numbers of 58 babies where internal reviews found care issues, despite an independent MNSI report making 5 safety recommendations "contributory" to her death.

As I reflected on the Covid Enquiry with @NickFerrariLBC on @LBC I was reminded of the loss We need to take healthcare/NHS away from Politicians The politicians need to be told what is necessary & it’s their job to make it possible with funding The opposite is happening

Jeremy Hunt ruined the NHS, oversaw yrs of historically low funding increases~1% Compared with 6% 1997-2010 And 4.3% advised by the OBR He finished it off by refusing to pay staff & fund GP Practices Wes Streeting isn’t doing enough to fix it sadly opendemocracy.net/en/jeremy-…

6300 Neighbourhood Health Centres already in walking distance of 90% of the population Cost to bring hospital to community just 1.5% of NHS budget £50 per patient per year Yet @wesstreeting doesn’t want to do it instead it’s 43 centres rather than investing in GP practices

Your solution: Force GPs to deal with unlimited numbers of patients every day. Reduce waiting lists by allowing hospitals to reject GP referrals. Share confidential GP records with private companies. I’ve never known a health secretary show such hostility to General Practice.

Advice and Guidance is going to move NHS waiting lists to the community ‘From Hospital to Community’ that’s what @wesstreeting meant It doesn’t reduce referrals the data proves this there are more A&Gs but no fewer referrals It will remove patient choice & undervalues GPs

Well that was bloody exhausting again. Less people overall, but more I was worried about. I think I need to write about this, and how the response post- covid had shown NO learning and how HCP are considered expendable, physically and mentally and public health responses and Comms are still confused.

A friendly reminder that #Meningitis B #vaccines weren't part of routine #childhood immunisations until 2015. "Regular" meningitis #vaccine doesn't cover men B. If you think you have symptoms, listed 👇, speak to your GP. Antibiotics are effective and easy.

If Social media is a person, X is bots and Nazis and some earnest people still trying to find connection, while Threads is a chaotic AuDHD perimenopausal bisexual auntie, and it’s a hell of a lot more relaxing over there.

How meningitis rash looks on Black skin 👇🏾 Take note because there is no mention of how it presents itself on Black people.