Tim Cooksley @acutemed2
Consultant in Acute Med at MFT and The Christie. Immediate Past President @acutemedicine. Editor Acute Medicine. Joined October 2015-
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The real tragedy is that this is no longer news but the accepted "new normal". The short term incentives focused on hitting 76% target in March also feel like have led to the predicted April bounce. It is an "eternal winter" and totally grim.
The real tragedy is that this is no longer news but the accepted "new normal". The short term incentives focused on hitting 76% target in March also feel like have led to the predicted April bounce. It is an "eternal winter" and totally grim.
The right policies could stop this. Increasing 4 hour access standard to 78% from 76% doesn’t work. Instead focus on 12 hour length of stay, it’s already in the contract. Not doing this puts elderly people’s lives at risk
The right policies could stop this. Increasing 4 hour access standard to 78% from 76% doesn’t work. Instead focus on 12 hour length of stay, it’s already in the contract. Not doing this puts elderly people’s lives at risk
The data starkly illustrates the reality for politicians about to write manifestos. There is a binary choice: significant investment with sustainable plans increasing capacity or presiding over a system that is permeated with degrading corridor care and unnecessary deaths.
The data starkly illustrates the reality for politicians about to write manifestos. There is a binary choice: significant investment with sustainable plans increasing capacity or presiding over a system that is permeated with degrading corridor care and unnecessary deaths.
One month until SAM Belfast (2nd/3rd May). Fantastic programme. Great speakers. We are excited to see old and new friends. Few in person spaces remain. Register for in person or online. eventsforce.net/eventage/front…
There's been a bit of recent interest in long Emergency Department stays and risk of mortality. NHSE and DHSC have been trying to reduce the problems in Emergency Department with their Recovery Plan and the recently released Planning Guidance. So how's it going? a 🧵
Absolutely crackers!!!
"A funding cut could be the final straw for many colleagues and would undoubtedly cause severe harm to large numbers of patients. Funding is only part of the solution but a crucial one. A reduction at this stage could be a terminal event" @acutemed2 theguardian.com/uk-news/2024/m…
Important thread from @RCEMpresident. The artificial focus on quick wins over next few weeks will potentially cause harm to the sickest and most vulnerable patients. If target "hit" in March and "missed" in April what has been achieved?
Important thread from @RCEMpresident. The artificial focus on quick wins over next few weeks will potentially cause harm to the sickest and most vulnerable patients. If target "hit" in March and "missed" in April what has been achieved?
Bold action needs to be taken by government across the health and social care system to have a positive lasting impact so patients can receive the right care when they need it. Read our response to the latest NHS performance data 👇 rcplondon.ac.uk/news/rcp-respo…
"Degrading corridor care and prolonged waits causing significant harm is tragically and increasingly the expected state in urgent and emergency care" @acutemed2 in the @Independent @Rebeccasmt @RCEMpresident independent.co.uk/news/health/a-…
There’s not really evidence. that they’re going to relieve the pressures on acute hospitals or are a magic bullet @mancunianmedic Fundamental problem remains that demand has exceeded healthcare capacity in all settings for a significant period @acutemed2 theguardian.com/society/2024/f…
The sitrep is up and running now! Is your SDEC ‘bedded’? The sitrep is open every day until 25th February acutemedicine.org.uk/sitrep/
Felt to be me it fell a long way short of being a pledge. @VictoriaAtkins also expressed liking the idea. Sad that neither could be stronger on this key recommendation
Felt to be me it fell a long way short of being a pledge. @VictoriaAtkins also expressed liking the idea. Sad that neither could be stronger on this key recommendation
Fantastic Times Health Commission launch. @wesstreeting told @RSylvesterTimes "We have never spent more on the NHS at the same time outcomes have never been worse." Big injection of cash is not imminent.
Is your SDEC "bedded"? Important @acutemedicine SITREP data as part of @SAMBA_Acute. Vital to inform policy. Grateful as always for all those who support. @Catatkin @csubbe @DanLasserson @acutemed2 @DrBenLovell acutemedicine.org.uk/sitrep/
Many congratulations Dr Dr @csubbe !! A true research leader in @acutemedicine Has been a great privilege to work with you delivering @SAMBA_Acute Looking forward to seeing all the great #patientsafety innovations you will develop on your clinical academic path
Many congratulations Dr Dr @csubbe !! A true research leader in @acutemedicine Has been a great privilege to work with you delivering @SAMBA_Acute Looking forward to seeing all the great #patientsafety innovations you will develop on your clinical academic path
Privilege for @acutemedicine to be at launch of BMJ commission in @UKParliament this evening. Calls for a national emergency approach following next election whoever is elected. There is complete professional unanimity as to the severity and scale of the crisis.
Privilege for @acutemedicine to be at launch of BMJ commission in @UKParliament this evening. Calls for a national emergency approach following next election whoever is elected. There is complete professional unanimity as to the severity and scale of the crisis.
New #JITC article: Management of infliximab refractory immune checkpoint inhibitor gastrointestinal toxicity: a multicenter case series bit.ly/3Umnd23 @harvey_catriona @SerineLo @mcquadeMDLAc @MattCarlino @ProfGLongMIA @ProfCUBlankNKI
SAM Online @acutemedicine
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5K Followers 2K Following Editing @lrb (again), after years as Guardian non-fic editor. Writing book on sandals, sunbaths, 'bearded fruit-juice drinkers'... Campaigning for Martha's Rule#ICYMI Professor Paul Lorigan, one of our consultants, was on @BBCBreakfast this morning talking about a new personalised vaccine for #melanoma that's going to be trialled at The Christie. Watch the video to find out how the vaccine works. 👇
An important trial of the world's first "personalised" mRNA vaccine against the deadliest form of skin cancer - melanoma - is now under way in the UK. Health correspondent Sophie Hutchinson had more details on #BBCBreakfast bbc.co.uk/news/health-68…
@wesstreeting Thanks for asking As some one who has worked in the NHS for 35 yrs and examined its working throughout that time my list of what needs changing would start with Stop breaking the system by defunding it in the name of efficiency. It is way beyond the point at which trying to cut…
The right policies could stop this. Increasing 4 hour access standard to 78% from 76% doesn’t work. Instead focus on 12 hour length of stay, it’s already in the contract. Not doing this puts elderly people’s lives at risk
🔴Elderly patients waiting average of seven hours on A&E trolleys telegraph.co.uk/news/2024/04/2…
Wonderful to gather with colleagues in @nhsuhcw Acute Medicine today to wish Bev a fond farewell after a phenomenal 52 years caring for communities across Coventry and Warwickshire @MarieFogarty7 @DrEdHartley @DPeach22 @BrigstockTracey @SueNoyes1 @CNOEngland
It happened! It happened!!!! Thank you to all the lovely people in Acute Medicine who have carried me through the past 6 years. @acutemedicine Here’s to the most fun specialty in the hospital 🥳
Acute patients discharged without an established diagnosis This register-based cohort study identified nonspecific diagnoses. Outcomes were 30-day mortality and readmission. Read the results here: sjtrem.biomedcentral.com/articles/10.11…
Great day spreading the word about Acute Internal Medicine, with @BDChadwick, at @unisouthampton. Lovely to chat to medical students about AIM as a training pathway for their future careers. AIM offers a flexible & interesting hospital option. #TakeAIM @acutemedicine
ST4 Infectious Diseases and General Medicine ✅ Looking forward (with some trepidation) to a move to the North East to start training in the speciality I've been working towards since my 3rd year of medical school. It hasn't quite sunk in yet!
"This undermining of healthcare staff is now a system failure within the NHS and government. What the public needs is a healthy, satisfied workforce." @KamranAbbasi in this week's Editor's Choice bmj.com/content/385/bm…
Great news! 🇬🇧 🤝 🇦🇺 @lewisjwau @SpainLavinia
We've signed a joint partnership agreement with The Peter MacCallum (Peter Mac) Cancer Centre in Melbourne. We'll work in partnership to improve cancer outcomes, focussing on education and training, research and clinical service programmes. More 👉 bit.ly/4d7jahl
Seen in the notes: 2/7 SOB O/e crackles, widespread wheeze Plan D-dimer ?CTPA Salbutamol neb We are losing the plot. Clinical thinking, problem solving, interpreting history and signs. Need to sort out how we train people to think in medicine.
Over the moon, I am officially a Charge Nurse for Acute Medicine 😍😍 Thank You to @AMUMRI1819 @donna_mft for believing in my potential 😊😊🥳
Loving the @acutemedicine podcast. Highly recommended.
I’m going to be an acute medic!! 🥹 Absolutely thrilled to have been offered an ST4 post in the EoE. To find out today whilst working in the very same unit that I first fell in love with the speciality as an FY1 feels very fitting. 🥰 #MedTwitter #Acutemedicine
@acutemed2 Almost every acute trust will already have a reasonably mature SDEC setup. Pushing even more patients through there will increase risk due to overcrowding, staffing pressures, and downstream impact on diagnostics.
How much data, repeated how many times do we need to see before we understand that “social” care must be fixed? And not just to help treat people at the front doors of our hospitals, but to support those people stuck in hospital who don’t want or need to be. @RCPEdin @GeriSoc
Situation 'getting worse instead of better'. Another grim set of A&E stats - these statistics would have been unthinkable a few years ago 'Deplorable' A&E waits see one in 20 spending more than 12 hours in emergency units heraldscotland.com/news/24240833.… heraldscotland.com/news/24240833.…
'It's distressing': Mental health patients twice as likely to wait 12 hours in A&E | ITV News. itv.com/news/2024-04-1…
Junior docs - please don’t ’prep’ patients for me. Work the patient up, go and see them, make your own decisions. Go on, I will support you! You are not my glorified scribe!
"The extremely high level of bed occupancy continues to be a serious concern." Read @RCEMpresident 's response to the latest NHS Sitrep data for England 👇 rcem.ac.uk/the-system-has…