saveourfamilydoctors @SOSfamilydoctor
Family Drs save lives. We are about to lose UK General Practice. 10,000 have made their voice heard - sign here ✒️ https://t.co/poMVnX3NRA saveourfamilydoctors.org.uk London, England Joined February 2024-
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@DrNeenaJha When the system is privatised this is exactly what they want. 3 paid consults prior to a final one that actually gives a diagnosis. More appts means more money for someone.
Quick newsflash: There is no such thing as a “GP equivalent level” clinician. You’re either a GP Or you ain’t. Next.
Quick newsflash: There is no such thing as a “GP equivalent level” clinician. You’re either a GP Or you ain’t. Next.
"Instead of helping GPs to do our job—providing expert medical care to our registered patients—it seems that the funding arrangements have been deliberately engineered to ensure the destruction of traditional general practice." @HelenRSalisbury's latest bmj.com/content/385/bm…
We should ALL be hugely concerned 🚨 The NHS is rapidly replaced doctors with Physician Associates with a plan to significantly increase their number Whilst limiting jobs for doctors so they’re facing unemployment despite YEARS of training The money is clearly available as…
✅The NHS has created thousands of jobs for Physician’s Assistants. ✅Widespread replacement of doctors with PAs on rotas. ✅Doctors can’t find jobs. ✅This is a difficult time for our integral differently-trained PA colleagues. Remember to #BeKind bbc.co.uk/news/health-68…
GP - the recognised front door to the NHS. Rather than ensure resources are there to meet patient’s needs, the plan is to fragment & divert people away from their GP. Introducing inefficiencies & being bounced between more unnavigable services is the plan. #BackGPs
More NHS England shambles Medical students with no jobs Foundation Doctors with no training pathways GPs with no work NHS England are failing patients by failing to provide the Doctor The reason is policy decisions at Board level using alternative staff or poor workforce plans
The insight this gives me about the models of triage is invaluable Short story: Alogarthims has nothing on a clinician #TeamGP bjgp.org/content/73/731… 1/5
If a GP receptionist triages patients to a PA clinic instead of a GP based on "complexity" they must already know the diagnosis. Because there's no such thing as a simple presentation. A presenting complaint could be anything. So are receptionists now trained diagnosticians?
The idea primary care can partition off ‘simple’ problems is for the birds. Simplicity is retrospective - can only say once assessed, diagnosed and successfully treated. Undifferentiated pts require experienced clinicians who can deal with full spectrum of complexity. #teamgp
@msteggy Totally agree 💯with you, Mark. General Practice is not ‘simple’.
💯 The idea you can fragment Primary Care into simple/complex, acute/chronic & that anyone can safely do the job of GPs is the deeply flawed premise that is driving policy. What’s ‘simple’ for GPs is only so because of the expertise & experience gained over years of training.
💯 The idea you can fragment Primary Care into simple/complex, acute/chronic & that anyone can safely do the job of GPs is the deeply flawed premise that is driving policy. What’s ‘simple’ for GPs is only so because of the expertise & experience gained over years of training.
Doctors want to train to be GPs but applicants outnumber training places 2.67 to 1 The number of training posts decreased by 5% this year. Do not believe govt or NHS England when they say 'there just aren't enough doctors' The problem is lack of funding to train and employ them.
Patients need doctors Doctors need jobs. The govt will tell you that they have a Workforce Plan, that they are training more doctors, but they don't apparently have a plan to employ them. This is horrible for the doctors involved. What a stupid waste. @NHSEngland
Patients need doctors Doctors need jobs. The govt will tell you that they have a Workforce Plan, that they are training more doctors, but they don't apparently have a plan to employ them. This is horrible for the doctors involved. What a stupid waste. @NHSEngland
Continuity of care has the potential to make GPs into better doctors. @HelenRSalisbury argues that the direction of travel for general practice, with its fragmentation and loss of continuity, will deprive GPs of opportunities to learn and grow as doctors bmj.com/content/385/bm…
Why are NHSE/ICBs pursuing plans that cost more, reduce patient care? Same day access plans are dangerous, fail patients, are being driven by failed understanding of data/needs http://https//www.lmc.org.uk/news/why-improving-access-with-core-hours-same-day-hubs-misses-the-point/
@anish_k_patel @BenAllenGP Yep, in our relentless drive to productise relational therapeutics we have lost the essence of what a "Family Doctor" was to patients & community. As humans, we only realise the true worth of something when we have lost it! Hope the current assault won't be the end of PC
@anish_k_patel The assumptions have been made by the leaders that AE pressures are due to poor same day access in primary care. Anyone with the ability to analyse data will be able to see-through this within 60 seconds.
Shocking data that reveals the scale of doctor substitution in NHS organisations
Shocking data that reveals the scale of doctor substitution in NHS organisations
@pulsetoday Are they going to threaten us patients too?
Hilary @rankinhilary75
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Jame Shulthess @ShultheJ
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Tosha Liranzo @tos_liran
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Amanda Reifschneider @AmandaReif45149
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Cher Huebert @hueb_ch
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Mark Green @DrVoles
1K Followers 1K Following GP, Berkshire County Chair of @bbolmc Amateur wine reviewer. Just ran 5K. T1DM. #wearenotwaiting DIY Artificial Pancreas user. @TheOnCallRoomUK
Eric Rose 🔶 @DoctorAngry
7K Followers 5K Following Retd. GP & medical politics.Angry re Destruction of NHS. Humanist Celebrant. Love books food drink laughing Archers walking photography and travel espec. India
Liam Hosie @liamhosie
783 Followers 885 Following Man City fan. GP in Wigan. Dad of two. Tweets are my own views. Cancer and End of Life lead GP Wigan/ LMC member/ GMEC SCN Primary Care Palliative Care lead.
Sarah is The Poet who.. @sacosw
2K Followers 2K Following Poet: Forward Prize, Pushcart and Best of Net nominee. The Crow Gods from @SidhePress. The Poet Spells Her Name out now @BlackBoughPoems
DocInTheHeed 🦀 @HeedDoc
3K Followers 2K Following GP in and out of hours, Chair of Gateshead and South Tyneside LMC/NE Regional LMC, BMA Council 2022-26,husband of academic, parent & runner. All views my own.
Good Hut Charity @goodhut_ug
27 Followers 236 Following We are dedicated to caring for the elderly and supporting the needy.We provide essential services and strive to create a compassionate world for all.
Stephen Jessie . @StephenPye19
2K Followers 5K Following pobol y Cwm fan(Welsh soap) on S4C.the archers.animal rights. vegan 🌱 spartans Scottish women's football team. 🇵🇸🇵🇸🇵🇸. Celtic FC.L.F.C.
NHS Million @NHSMillion
828K Followers 14K Following Creating a team of a million people who are willing to fight for the NHS and its staff at this challenging time. Here to highlight key issues and boost morale.
Nikolai Davila @nikolai_da47132
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Christal Westmorland @ChristalWe89832
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Corrie Lagraize @CorrLagra
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Nola Anglebrandt @NAnglebran51573
39 Followers 3K Following Nola ~ 22 ~ Earn now with crypto presale👇💎
Jaime Mcsparin @McspaJa
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Amanda Hypolite @AmandHypol
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Marie Cusack @mariecusack09
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Steve Langton @Langton_Steve
106 Followers 176 Following Retired NHS consultant surgeon. MSc, DPhil Evidence-Based Healthcare (Oxford), past Director of Cancer Services, Training Programme Director, Raven Tutor RCSEng
Dr Helen Salisbury @HelenRSalisbury
25K Followers 2K Following GP, educator, BMJ columnist. Campaigning to save the NHS. Aspiring girly swot, do-gooder and postponer of death. Bunny hugger. Independent SAGE
Dr Nóra Murray-Cavan.. @now_its_nora
4K Followers 6K Following Wester Hailes #DeepEndGP & GP #HealthInequalities Lead @NHS_Lothian #TeamPublicHealth | @BMAScotland @intedalumni @GP_IFN | #littlefreelibrary #poetry #Feminist
DON’T BID FOR WITHN.. @SaveWithnellHC
173 Followers 304 Following Save Withnell Health Centre . A small practice with a big reputation . Continuity of Care saves lives . #SOSSaveOurSurgery
Leila Franch @franc_lei
42 Followers 5K Following
Uwa Ima-Edomwonyi @uwa_ie
2K Followers 2K Following Lover of God | Family man | GP👨🏽⚕️🩺 @TeamGP | @RCGP Council member | Vice Chair @NWERCGP | GP mentor @NGPUKgp • views=own • RTs ≠ endorsement 🇳🇬🇬🇧
Alaina Ligget @AlaiLigg
89 Followers 5K Following
Niti Sodhi @DrNitiSodhi
1K Followers 1K Following GP/ Trainer- passionate about traditional General Practice; keen amateur artist
Greg Lawton @thisislawton
2K Followers 2K Following Pharmacist specializing in patient & medicines safety, staffing, data protection, privacy and healthcare policy. Personal account.
zeem @Zaeem_Mahmood1
903 Followers 2K Following Co-chair (Resident) Doctor's Committee BMA Mersey. Passionate about improving doctor’s pay and condition. @MerseyRJDC
Aysha S. Raza @DrAyshaRaza
5K Followers 6K Following @EalingLabour #Greenford @CoopParty @GMB_union @thefabians @UCL #Anatomy #Neuroscience #PublicHealth #SaveOurNHS #TacklingInequality All views my own
Keep Our NHS Public @keepnhspublic
66K Followers 3K Following We campaign for a publicly funded/provided/accountable NHS. We oppose NHS privatisation and fight for a fully funded #NHS. Follow us! Join us! #SOSNHS
Nikki Fox BBC @nikkijfox
10K Followers 7K Following BBC Health Correspondent (East). Proud mum of child who calls “mummy” @ TV but prefers music [email protected] https://t.co/JNJKsiikz0
Eric Rose 🔶 @DoctorAngry
7K Followers 5K Following Retd. GP & medical politics.Angry re Destruction of NHS. Humanist Celebrant. Love books food drink laughing Archers walking photography and travel espec. India
Mark Cockerton Don’.. @CockertonMark
32K Followers 15K Following Leadership and Advisory roles in NHS urgent care services. Didn’t vote for little Britain. Please Don’t visit Rwanda they trade in human beings. #HullCityAFC 🐅
Dr John G Hughes @johnghughes3
3K Followers 4K Following A pint of plain is your only man. All views are my own and rarely influenced by others. Claster of icons. That fecker/thon boy #HardLineCentrist
Berks, Bucks & Oxon L.. @BBOLMC
279 Followers 93 Following The Secretariat of the Local Medical Committees serving all General Medical Practitioners (GPs) in Berkshire, Buckinghamshire and Oxfordshire.
Mark Green @DrVoles
1K Followers 1K Following GP, Berkshire County Chair of @bbolmc Amateur wine reviewer. Just ran 5K. T1DM. #wearenotwaiting DIY Artificial Pancreas user. @TheOnCallRoomUK
Sarah is The Poet who.. @sacosw
2K Followers 2K Following Poet: Forward Prize, Pushcart and Best of Net nominee. The Crow Gods from @SidhePress. The Poet Spells Her Name out now @BlackBoughPoems
C Schoeb @Schoeb76
109 Followers 524 Following
Sally 💙 Oldbury �.. @OldburySally
2K Followers 3K Following Primary Care PM. QITN, Q Member @TheQCommunity, @TheIGPM, @DignityCampaign, QI, @MHFAEngland. For networking, moaning&stupid stuff. Views my own
Anish K Patel @anish_k_patel
320 Followers 375 Following A GP tweeting thoughts related to general practice and healthcare
Prof. Kevork Hopayian @KevorkJan
330 Followers 231 Following UK General practitioner. NHS supporter. Professor General Practice, University of Nicosia. Father of two musicians: @ziazansong and @CevanneMusic
RCPEdin @RCPEdin
10K Followers 794 Following Standard-setting & professional membership organisation representing 14,500 Fellows & Members @RCPEdinTrainees @RCPEVenue @RCPEHeritage
medConfidential @medConfidential
5K Followers 409 Following Campaigning for confidentiality and consent in health and social care
Craig Nikolic @CraigNikolic
4K Followers 1K Following NHS GP Federation COO. Not a GP/clinician. Ex artillery forward observer, with dodgy knees and hearing.
NHS Million @NHSMillion
828K Followers 14K Following Creating a team of a million people who are willing to fight for the NHS and its staff at this challenging time. Here to highlight key issues and boost morale.
Mary Dixon-Woods @MaryDixonWoods
12K Followers 1K Following Director @THIS_Institute @Cambridge_Uni, fellow at @HomertonCollege. I study healthcare quality & safety. Views: Own
laura donnelly @lauradonnlee
17K Followers 1K Following Health Editor of The Telegraph. Opinions my own. Mainly. Contact [email protected]
Natalie Silvey @silv24
34K Followers 1K Following Anaesthetic consultant. Dabbles in healthcare policy & healthcare data geek. Feminist & European
Medical Journalists' .. @mjauk
4K Followers 2K Following We have more than 450 members in health & medical journalism in UK media. See https://t.co/XPjwb5XGFB for the benefits of joining or partnerships
IV Facts @IVfacts
281 Followers 67 Following Helping you unlock the NHS matrix with each tweet. Your STAT dose of facts 💉
Dr Bharat Pankhania @doctorshaib
31K Followers 3K Following Senior Clinical Lecturer at University of Exeter Medical School. Over 25 years experience in Communicable Disease Control & Infectious disease management.
Steve Langton @Langton_Steve
106 Followers 176 Following Retired NHS consultant surgeon. MSc, DPhil Evidence-Based Healthcare (Oxford), past Director of Cancer Services, Training Programme Director, Raven Tutor RCSEng
Kim Nurse @kimsnurse
645 Followers 684 Following NHS Doctor GP | SEL Workforce Development Team I Ex FMLM TSG I National Clinical Policy Lead Specialised Commissioning NHS England 18/19 | Darzi Alumni 17/18
CHPI @CHPIthinktank
13K Followers 10K Following Championing health & social care based on the founding principles of the #NHS, independent from both government & corporate interests
Sally Gainsbury @sallygainsbury
9K Followers 1K Following NHS policy & finance analyst @nuffieldtrust. Ex-FT & HSJ. Woman. Intrepid explorer of rabbit holes and describer of problems. Home school juggler. Views own
Tom Stocks 🦀 #Join.. @TomStocks1982
5K Followers 2K Following Stethoscope-wearing street fighter. BMA UK Council 2022-26 #DoctorsVote
Louise stone @GPswampwarrior
2K Followers 185 Following Loves the messy swamps of medicine. Believes in fierce compassion and dogged kindness for all,including Drs. MH GP/educator/researcher/policy maker.Views my own
Secret Physician @SecretPhysician
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National Hand Sanitis.. @NHSHandSan
812 Followers 353 Following Heart of a doctor, brain of a nurse. Often empty inside. Thank you for using me.
We Coproduce CIC @wecoproduce
3K Followers 2K Following We are a social consultancy delivering authentic coproduction and disruptive thinking for braver solutions in health and social care. [email protected]
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11K Followers 8K Following Regulatory lawyer advising doctors, pharmacists, paramedics & other regulated professionals. Likes fairness/laughing/animals/EDI/accuracy. Personal views only.
Healthcare Leader @HCLeaderNews
12K Followers 2K Following News, interviews, features, roundtables and case studies focused on primary care at a system level in Integrated Care Boards (ICBs) and their places.
Alison Moore @AliJaneMoore
6K Followers 758 Following Freelance journalist covering the health service - southeast & ambulance for HSJ. Not fond of authority whoever's in power. DMs open [email protected]
Niti Sodhi @DrNitiSodhi
1K Followers 1K Following GP/ Trainer- passionate about traditional General Practice; keen amateur artist
docjon 💙 @docjon55
2K Followers 915 Following Retired GP. Covid-19 shines a bright light on all the divisions in society; lets address them together. ※ NO JUSTICE, NO PEACE ※
Helen Atherton @H_Atherton
2K Followers 820 Following Professor of Primary Care Research, Uni of Southampton. Expertise in digital primary care and access. All views my own.
Greg Lawton @thisislawton
2K Followers 2K Following Pharmacist specializing in patient & medicines safety, staffing, data protection, privacy and healthcare policy. Personal account.
zeem @Zaeem_Mahmood1
903 Followers 2K Following Co-chair (Resident) Doctor's Committee BMA Mersey. Passionate about improving doctor’s pay and condition. @MerseyRJDC
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Cllr Hitesh Tailor (M.. @Hitesh_T
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5K Followers 3K Following Senior Research Fellow, Nuffield Trust; Consultant Acute Physician, The Royal London. 18th Harveian Librarian + Historian, RCP. Antipodean. Views own.
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NHS Supporters @nhs_supporters
11K Followers 3K Following Citizens and NHS staff protecting our NHS: Care for all, free at the point of use, and for our community, not profit. (1989-2022) https://t.co/wWihR7hUWl
Protect our NHS SW �.. @ProtectourNHS
670 Followers 606 Following Protect our NHS Bath & NE Somerset is a community group campaigning for full funding of the NHS & social care & against privatisation of health services
Rachel Sylvester @RSylvesterTimes
21K Followers 2K Following Columnist on @thetimes. Chair, Times Education and Health Commissions. @timesradio podcast What I Wish I’d Known. Book: What I Wish I’d Known When I Was Young"Instead of helping GPs to do our job—providing expert medical care to our registered patients—it seems that the funding arrangements have been deliberately engineered to ensure the destruction of traditional general practice." @HelenRSalisbury's latest bmj.com/content/385/bm…
Hi @rcgp & @gmcuk, How have we ended up in a situation where 1000s of qualified doctors trying to get GP posts can’t get a job, while PAs, fully funded through ARRS, are walking into GP jobs and seeing undifferentiated patients?
@timricketts_ 4000 GP trainees coming out this summer, barely a couple of hundred jobs advertised across the UK. Yet patients complain they can’t see get to see a GP. My job interview was against 27 other GPs, colleagues have reported interviewing against 40+ other GPs.. But there are plenty…
We should ALL be hugely concerned 🚨 The NHS is rapidly replaced doctors with Physician Associates with a plan to significantly increase their number Whilst limiting jobs for doctors so they’re facing unemployment despite YEARS of training The money is clearly available as…
GP - the recognised front door to the NHS. Rather than ensure resources are there to meet patient’s needs, the plan is to fragment & divert people away from their GP. Introducing inefficiencies & being bounced between more unnavigable services is the plan. #BackGPs
More NHS England shambles Medical students with no jobs Foundation Doctors with no training pathways GPs with no work NHS England are failing patients by failing to provide the Doctor The reason is policy decisions at Board level using alternative staff or poor workforce plans
✅The NHS has created thousands of jobs for Physician’s Assistants. ✅Widespread replacement of doctors with PAs on rotas. ✅Doctors can’t find jobs. ✅This is a difficult time for our integral differently-trained PA colleagues. Remember to #BeKind bbc.co.uk/news/health-68…
Who wants to be a doctor? ▪️Graduate with £100k debt after 5+ years of study ▪️no guaranteed job ▪️expected to be grateful for any job anywhere in the country ▪️work for £15 an hour ▪️while your assistant is paid more & takes the training opportunities bbc.co.uk/news/health-68…
@Ask_foradoctor “GP receptionist triage” aka “care navigation.” It is a similar thing that 111 call handlers do with a rigid set of rules. If you don't have the rules set 🤔 good luck with CQC 🫣 True triage is done by a health professional. Did a thread on it not so long ago 👇
...this should be a warning for those in #TeamGP thinking of doing care navigation The algorithms used by care navigators will have to be over cautious The need will be assessed higher than the reality The burden will fall on higher-level clinical staff 4/5
If a GP receptionist triages patients to a PA clinic instead of a GP based on "complexity" they must already know the diagnosis. Because there's no such thing as a simple presentation. A presenting complaint could be anything. So are receptionists now trained diagnosticians?
This means profitable/unprofitable.
💯 The idea you can fragment Primary Care into simple/complex, acute/chronic & that anyone can safely do the job of GPs is the deeply flawed premise that is driving policy. What’s ‘simple’ for GPs is only so because of the expertise & experience gained over years of training.
@allanson_j Yup. Much of the research has been retrospective, which fosters nonsense. And you can't tell from coding what is going on. UTI in an 18yo is NOT the same disease in an 80yo who is now delirious and bed-bound. Prospective studies show how the simple often disguises the complex.
The idea primary care can partition off ‘simple’ problems is for the birds. Simplicity is retrospective - can only say once assessed, diagnosed and successfully treated. Undifferentiated pts require experienced clinicians who can deal with full spectrum of complexity. #teamgp
@msteggy Totally agree 💯with you, Mark. General Practice is not ‘simple’.
💯 The idea you can fragment Primary Care into simple/complex, acute/chronic & that anyone can safely do the job of GPs is the deeply flawed premise that is driving policy. What’s ‘simple’ for GPs is only so because of the expertise & experience gained over years of training.
The idea primary care can partition off ‘simple’ problems is for the birds. Simplicity is retrospective - can only say once assessed, diagnosed and successfully treated. Undifferentiated pts require experienced clinicians who can deal with full spectrum of complexity. #teamgp
Doctors Vs. Non-Doctors (Nurses and Physician Assistants) in a Hattiesburg Primary Care Clinic, Mississippi, USA Are we repeating the same mistakes? 🤔
There is this clinic in Hattiesburg, Mississippi, USA. Due to a lack of primary care doctors, in 2005 they decided to hire more nurses and physician assistants. They would manage their own list of patients "in relation with a collaborating physician". 2/10
Continuity of care has the potential to make GPs into better doctors. @HelenRSalisbury argues that the direction of travel for general practice, with its fragmentation and loss of continuity, will deprive GPs of opportunities to learn and grow as doctors bmj.com/content/385/bm…
They also found between the two groups referrals and AE visits were higher for those managed by the non-doctors. And remember, they were handling less complex patients and were supervised by a doctor. 7/10
Why are NHSE/ICBs pursuing plans that cost more, reduce patient care? Same day access plans are dangerous, fail patients, are being driven by failed understanding of data/needs http://https//www.lmc.org.uk/news/why-improving-access-with-core-hours-same-day-hubs-misses-the-point/
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