Discover and read the best of Twitter Threads about #carehomes

Most recents (8)

#7MemesFor7Days of political immaturity, incompetence & idiocy —or evil by design?

(Stories tended to break late in the day this week, so I've gone for themes instead of days.)

1. Tory hypocrisy vis-à-vis #NHS laid bare by *clap on Sunday, clamp on Monday*

2. Johnson made his mismanagement of C19 in #CareHomes worse by BLAMING them for the high death toll —a mistake he's tried to row back from, but refuses to do the one thing that might help: apologise, even tho' Starmer gave him 3 opportunities to do so at #PMQs.

3. The Times announced Cummings will cut the UK's armed forces. One Tory backbencher (#TobiasEllwood)found his backbone & questioned *Why Dom?* Another(#MarkFrançois) took it as a cue to threaten a General he'd get Cummings on to him. Silence from DefenseSec...🙄
Read 7 tweets
Science, Research & Technology Capability and Influence in Global Disease Outbreaks (#COVID19) @CommonsSTC

Summary THREAD

Prof Mark Woolhouse is the first witness (epidemiologist):

Harms will be done by lockdown, healthcare provision, mental health, social wellbeing, education, & economy

Balanced assessment needs both sides to be modelled, only one side of the equation was quantified by modelling
Q: Have we been too reliant on predictions?

Lessons to be learnt on communicating outputs of modelling, need to give a range of scenarios, single prediction not helpful
Read 61 tweets
My stance and thread on June 1st #schoolsreopening just so the #dfe don't bully you with blind Science... I think the way #DominicCummnings was treated totally different to anyone else sums up the real lack of trust from the #government from Parents and teachers alike. 1/3
We wanted to start with Y6 on June 1st in bubbles BUT only 9/46 wanted the kids to return. Sadly this is not possible now as only 50% of the #PPE order has arrived. Im not opening my school (other than #Keyworkers / #vulnerables) until I can guarantee staff and children's safety
I am not willing to have the #DFE blood on my hands. The disaster in the #carehomes and with #edenred shows their decisions are pretty 'rubbish'. Thus following the RA, Y6 return June 15th ... Y1 June 29th (if things go well) and Rec July 13th. I have full Gov backing and....
Read 4 tweets
There are over 15k #carehomes housing approx half a million people. The vast majority of whom are, very elderly, and have underlying health issues.
So far, just over 12.5k people, have died, in a care home, and #Covid19UK was mentioned on the death certificate.
In an average April, just over 8.5k people, would be expected to die, in care homes (all causes), this April, the total was just over 26.5k (all causes), with 8k attributed to #Covid19UK in some way.
These figures are terrible, but, it’s still an average of less than 1 death, per home.
Some homes, will have had no deaths, some, many more.
What this tells you, is that, this isn’t a national failure, it’s a failure of individual homes, or groups of homes.
Read 7 tweets
More than a quarter of deaths in #CareHomes have involved #COVID_19 - @ONS.
Thread >>
On its website, on February 25th, the government published 'guidance for social or community care and residential settings on COVID-19.
Under the heading 'Guidance on Facemasks', it said:
"During normal day-to-day activities facemasks do not provide protection from respiratory viruses, such as COVID-19 & do not need to be worn by staff in any of these settings. 2/8
The next sentence of that is crucial: "It remains very unlikely that people receiving care in a care home or the community will become infected."
This guidance remained on the website for another seventeen days. 3/8
Read 8 tweets
When I started working on #scabies outbreaks in #carehomes some of my colleagues thought it was a weird, marginal interest. Now with #COVID19 it's changing. Everyone's realising that infection is a big deal in these #EndOfLife settings. Image
#Carehomes for older people are hard to study. Residents often have #dementia, staff are run off their feet, #consent to research is difficult - brilliant colleagues including @MedVetAcarology sorted this…
Life expectancy on entry to a #carehome for older people is typically 8 months - these settings are largely #LastHomes. Everyone needs a plan for what will and won't happen for the common things likely to make them ill or deteriorate. #CPR probably not part of it
Read 13 tweets
My mantra has been : #COVID19: People who make bad decisions continue to make bad decisions.

Their latest = #carehomes

It's part of the "we're following the science" ritual. But are we? You don't need to dig much to say: I'm sorry, we ain't following the right scientists
I need a lot of tweets for the record. But if you want the short version it's this:

The scientists we need - the ones with feet-on-the-ground experience in slowing #COVID19, keeping care homes safe? Our Government has excluded them.

No, I'm not kidding.
let's get into it:

I shout at the TV, again.
Our "Medical Advisor" had just said at UKGov's #coronavirus press conference, we had nothing to learn from "developing markets" in the strategy for #covid19

She helped. No real scientist could ever say that
I'll try to make this interesting
Read 27 tweets
With the opportunity to engage and influence Draft #PCN guidance, I will do a full twitter thread on each aspect of the new Service Spec!

The aim is to be objective, so there will be no screaming etc!

Why on twitter
1. I would like it to be public
2. Easy to share images
Spec ONE - Structured Medicine Reviews #PCN
As a concept SMRs are a positive initiative, polypharmacy should be addressed.
The draft assumes that the SMRs will be delivered in principle by Clinical Pharmacists. Funding for the post is available via PCN monies therefore, should not impact GP workload.
Read 32 tweets

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