Discover and read the best of Twitter Threads about #carehomes

Most recents (24)

Since 2015, Owen Paterson MP has been a paid consultant to Randox, a diagnostics group
Paterson, MP for North Shropshire, has disclosed that he is paid £8,333 for 16 hrs work as an advisor a month by Randox, totalling more than £500,000
committees.parliament.uk/committee/290/….
#lobbyingscandal
2017
Two employees of Randox Testing Services arrested, with 484 police inquiries based on toxicology results under review
At the time, it raised the possibility that hundreds of people could have been the victims of miscarriages of justice
theguardian.com/uk-news/2017/f…
December 2018
More than 40 drug driving prosecutions quashed over manipulation of data at Randox forensics lab
Police called the scandal the worst evidence breach in “living memory” and fear that the figure could double
archive.md/OSZYH
Read 33 tweets
All cause deaths in Scotland last week were the highest since records began. Deaths up by +30% on 5 year average (5YA)

Week 40

1,353 deaths (2021)
1,038 deaths (5YA)
+315 excess deaths (+30%)

Of the 315 excess deaths ‘only’ 108 were ‘Covid’ deaths

What is causing the Excess? Image
All cause deaths in Scottish #CareHomes last week were the up by +26% on 5YA

Week 40

291 deaths (2021)
231 deaths (5YA)
+60 excess deaths (12 were ‘Covid’)

The week previous, vax #Booster roll out begin. 4 weeks previous deaths were ‘normal’ around 5YA

What’s cause of Excess? ImageImage
All-cause deaths in all-locations from NRS.

Excess deaths in last 5 weeks on 5YA

127 (13%) 62 were Covid
251 (25%) 124 were Covid
218 (22%) 142 were Covid
209 (20%) 118 were Covid
315 (30%) 108 were #COVID19

What is causing the huge increase in excess deaths? It’s NOT Covid Image
Read 5 tweets
There is a strong case for Mr Pritchard to publish all income he receives. How that income is spent, what percentage of private work is undertaken and the hours he works? The government needs to call for more transparency & champion taxpayers' interests @Keir_Starmer. /1
I am also tiring of the lambasting of all GPs by Tory’s & their supporting newspapers. I tend to let this stuff wash over me but as @parthaskar has noted this feels sustained & is accusing my staff of being lazy, part time & not seeing patients. It’s time for facts and balance
/2
First fact: primary care sees 95% of patients on 9% of the NHS budget. That’s ~ £19 billion of the £212billion allocated for spending this year by Dept Health and socialcare. You may want to compare this with NHS track and trace back which had double the budget ~£37 billion.
/3
Read 14 tweets
🧵WHY AREN’T WE TALKING ABOUT CARE HOMES?🦠

Today four brave care professionals, including a husband and wife, lift the lid on the appalling conditions facing residents and staff in England’s care homes, exacerbated by the looming mandatory vaccination deadline.

Read more👇🏻
Through their courageous & very personal testimonies, I can reveal an alleged litany of failings inc:

• care homes at breaking point & residents left to wet themselves in isolation

• staff sobbing in corridors & regularly working illegal shift patterns due to under resourcing
• “endless pressure” and “bullying” from central HR teams to coerce employees into having the vaccine

• mental health insinuations against those choosing not to be vaccinated

• minimum wage carers pressurised into work when previously sick, who now face losing their jobs.
Read 37 tweets
1/3 If we're testing #ivermectin for #COVID19, it exposes the scandal that #ivermectin is not licensed for routine use for #scabies outbreaks in the #UK. We know it works for #scabies (unlikely in #COVID19). It's on the @WHO #EssentialDrugs list! @UniofOxford @CMO_England
2/3 .. our #scabies research explores why this local and global #NeglectedTropicalDisease gets missed in #UK #carehomes. Take a look here at our research. Why aren't we using #ivermectin routinely? @UniofOxford @NIHRresearch
3/3 so #ivermectin is being trialled in #COVID19 while remaining unlicensed and hard to obtain for #scabies? Hope those @OxfordMedSci scientists will join us #scabies folk to get this changed #Principles
Read 5 tweets
A metal ion orients SARS-CoV-2 mRNA to ensure accurate 2′-O methylation of its first nucleotide
» doi.org/10.1038/s41467…
The #SARSCoV2 #coronavirus is able to utilize the changes in metal ion concentrations to disguise itself in the human host body thus evading immune responses. Image
Efficacy of #clarithromycin on #COVID19 pneumonia without oxygen administration; protocol for multicenter, open-label, randomized-controlled, 3-armed parallel group comparison, exploratory trial #CAMECOVID
» doi.org/10.1101/2021.0…
Japan Registry of Clinical Trials jRCTs071210011 Image
The influence of #HLA genotype on the severity of #COVID19 infection
» doi.org/10.1111/tan.14…
A genetic link has been discovered explaining why some people catch #Covid but don't get sick. The gene is found three times as often in people who are #asymptomatic. Image
Read 199 tweets
🔝5 Concerns about #SARSCoV2 #Biology: A Call to Pause, Deliberate, and Revise Policy─This review is intended both as a basic resource and to initiate an open and critical dialog about SARS-CoV-2 biology for an independent and public call to action. jjcouey.medium.com/5-concerns-abo…
Structural basis of ribosomal #frameshifting during translation of the #SARSCoV2 #RNA #genome
» doi.org/10.1126/scienc…
A unique feature of the SARS-CoV-2 genome controls protein synthesis and presents an "Achilles heel" of the virus. Image
Brainstem neuropathology in two cases of #COVID19: #SARSCoV2 trafficking between #brain and #lung
» doi.org/10.1007/s00415…
Neuropathologic evidence strongly suggests that the pathophysiology of COVID-19 related respiratory failure includes a neurogenic component. Image
Read 213 tweets
Reducing #COVID19 #Airborne #Transmission Risks on #PublicTransportation Buses
» doi.org/10.1101/2021.0…
Wearing of #facemasks reduced the overall particle count released into the bus by an average of 50%, the dispersion distance by several feet and #aerosol particles by 84.36%. Image
🔝#SARSCoV2 Infects Human Engineered Heart Tissues and Models COVID-19 Myocarditis
» doi.org/10.1016/j.jacb…
#COVID19 can kill heart muscle cells, interfere with contraction. Details of how #coronavirus infects #heart: models of tissue damage may help develop potential therapies. Image
High-content screening of coronavirus genes for innate immune suppression reveals enhanced potency of SARS-CoV-2 proteins
» doi.org/10.1101/2021.0…
196 protein products of seven coronaviruses: the genes encoded by #SARSCoV2 are generally more potent immune suppressors than others Image
Read 236 tweets
🚨Today in West Devon🚨 @NHSDevonCCG & @Devon_LMC approved iCOPE (Integrated Care for Older People), the UK's first #populationhealthmanagement strategy for older people to be implemented.
/1
We will proactively identify older people across West Devon with reduced physiological robustness (aka medical diagnosis of #frailty) and offer evidence-based interventions & #Personcentredcare to support patients to achieve their goals (see plan on page below) 👇
/2 Image
It's based on @ageingwell @nhsrightcare Frailty Toolkit & is our local answer to #anticipatorycare spec in the @NHSEngland #longtermplan. It is:
👉Proactive & goal orientated
👉Community-based
👉Focusses on prevention
👉Identifies mild frailty so we can intervene EARLY
/3
Read 10 tweets
1/3 Once you get the #scabies itch, it's hard to get rid of it! @michaelghead and @MedVetAcarology doing fantastic international work #NTD
2/3 Which builds on our #NTD work in the UK, would you believe. Here's why we're looking forward to seeing #scabies again in #carehomes as #COVID19 ebbs jackiecassell.com/scabies-in-car…
3/3 With #scabies - like #COVID19 - we must ask "Can rates of infection be too low?" Same for #syphilis - took early #AIDS epidemic in #UK, and Maoism in #China. Something I ask students when teaching on #STI #HIV. Serious question.
Read 4 tweets
⚠️#Ocular #MRI Findings in Patients with Severe #COVID19: A Retrospective Multicenter Observational Study
» doi.org/10.1148/radiol…
All patients had nodules in the macular region, 8/9 (89%) had bilateral nodules, 2/9 (22%) had nodules outside the macular region. Screening needed. Image
⚠️🔝New-Onset #IgG #Autoantibodies in Hospitalized Patients with #COVID19
» doi.org/10.1101/2021.0…
An international team of researchers studying COVID-19 has made a startling and pivotal discovery: The virus appears to cause the body to make weapons to attack its own tissues. Image
⚠️🔝Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance
» academic.oup.com/eurheartj/adva…
Damage to the heart found in more than half of #COVID19 patients discharged from hospital who show raised levels of troponin. Image
Read 235 tweets
Apologies for inactivity on Twitter. Our #PlymouthCOVIDCollaborative has been hard at work. The task: vaccinate 80 carehomes, 1800 patients, 2700 staff, across 17 GP surgeries, in 5 #primarycarenetworks IN 10 DAYS. What follows is a brief chronology of events /1
Tues 5th Jan: I was asked to join amazing #Plymouth PCN COVID Collaborative team as #COVIDvaccination coordinator for #carehomes.
Thursday 7th Jan: 1st 400 doses of #astrazenecca arrive
Monday 11th Jan: 1st of 80 #carehomes to have AZ vaccines piloted in @PathfieldsMG PCN
/2
Tuesday 12th Jan: 3 other #primarycarenetworks - Drake, Waterside, and Mayflower - also pilot. Our city works well together and, true to Plymouth form, our #vaccteams are a mixture of teams from #primarycare and #communityservices (courtesy of @livewellsw) -thanks Livewell 🙏 /3
Read 14 tweets
@JeaneF1MSP responds to calls for safer #PPE. All other parties (representing >50% of 🏴󠁧󠁢󠁳󠁣󠁴󠁿) supported this.

@scotgov has not committed to updated guidance. They say professionals can use judgement to select PPE they feel is safest.

This doesn't protect HCWs and patients 👇 (1/)
This sounds clever & like the issue is put to bed but there are some real questions:
🔴 Is protecting people in hospitals & #carehomes from infection optional?
🔴 How does this flimsy statement translate to effective PPE getting to staff?
When I make decisions to admit patients, I have to weigh up the risk of them becoming more unwell from whichever illness they've presented against the risk of getting infected with Covid in hospital. I know that staff and patients are often the biggest risk to them.
Read 4 tweets
Thread.
Tomorrow it will be 300 days since I had a meaningful visit with my mother, or held her hand. These photographs were taken exactly one year apart, on her birthday on New Year's Eve. She has lost over 2 stone and pretty much all all of her sparkle....
2/
The visits in the glass pod in the care home car park have been horrible for us both. Speech therapy has stopped so she has no speech now. She can barely hear. She used to read avidly and loved TV. She does neither now. Covid has swept through...
3/ her care home so all residents have been confined to their rooms for weeks. All visits were cancelled since early December and there is no news on when or if they will recommence. iPad calls are hopeless. The vaccines are being given so I've begged for "care partner" status...
Read 10 tweets
1/. Extraordinary!

Sir Patrick Vallance yet again washes his hands entirely of any responsibility

Here, @PippaCrerar asks why the whole country isn't in lockdown

“The Tier decisions are not for me,” he says. Really?!

It’s a system designed to ensure the buck stops with no one
2/. I’m not a body language expert, but @uksciencechief’s habit of adjusting his glasses, looking away & um-Ing & ah-ing whenever he’s asked a penetrating question is getting wearily familiar.

Here is Vallance being questioned by @Jeremy_Hunt in May.
3/. In July, Vallance claimed he couldn't remember which date SAGE called for lockdown!

"The 18th or the 16th, I don't remember” he said

SAGE’s @JeremyFarrar says it was 13th

If these people’s memories are so bad now, imagine what they will be like in 2022 at a Public Inquiry!
Read 7 tweets
This nationwide complete analysis of all adult deaths in #England & #Wales has found that the #COVID pandemic has resulted in an abrupt inflation in acute #cardiovascular deaths above that expected for the time of year. heart.bmj.com/content/early/…
That is, about 2000 additional deaths over a 4 month period.
Nearly half of the deaths occurred outside of the #hospital setting, either at #home or in #carehomes.
Read 23 tweets
Far from having laid a #ProtectiveRing around #CareHomes, as @MattHancock shamelessly claimed in May, and despite more empty promises, Govt's failing to deliver even the basics (i.e. #testing for t'most common transmission vectors) in AUGUST!

A case of
cps.gov.uk/legal-guidance… ?
And it's not like there aren't now clear *evidence-based* priorities 👇

Ministers should stop dicking around with their meaningless big number 'targets' and start ensuring that which NEEDS doing is done, before @10DowningStreet is charged with #senicide.

Its centralised initiatives are proving to be not only inept and ineffective, but actively dangerous. With body count.

Time for another approach:

Read 3 tweets
In May my wonderful mother and amazing Oma to my son died. A long thread about, her, #mentalhealth #rheumatoidarthritis #cancer #NHS #carehomes #covid19 1/43 Marie Frosch stood at lake
I couldn’t have asked for a better mother, she embodied one of her favourite poems ‘Why god made friends’ 2/43 Image
And a former neighbour, about 50 years younger than her, captured her so beautifully when she wrote this 3/43 Image
Read 44 tweets
THE WEEK IN POLITICS
#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*
#7MemesFor7Days

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.
#7MemesFor7Days

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
Mystery woman knew. What a filthy piece of toerag.

Johnson's parsletongue on #carehome staff was skin crawling

Too cowardly to face his mess, #Johnson now wants to blame others.

The #CareHomeScandal top 5* Government acts of negligence
(of ~ 50 total)
Image
New to this?
You've got bits and pieces:

🔵 20,000 dead
🔵 Maybe they'd be dead anyway
🔵 didn't the Government throw a ring of protection around
🔵 PPE
🔵 And we defended the #NHS
🔵 it was unprecedented?

Sound right?

Congrats!
UKGov PR has worked.

What actually happened?
Let's just start this year Jan 1, to even do that you need to pretend the existing problems, effects of austerity e.g. reduced base level track and trace capability had no bearing.

They did.

But it helps isolate what Johnson and gang were directly answerable for
Read 9 tweets
#SAGE #CareHomes Working Group publishes its analysis from mid-May...
gov.uk/government/pub…

...which considered the following questions, including 'data gaps': Image
And - finally! - #staff and #residents in #CareHomes will receive regular (re)testing from next Monday:

gov.uk/government/new…
Read 3 tweets
This 👇

On #hospitals, @NHSEngland maintains/publishes a list of NHS Hospital #Trusts, each of which may have several actual hospitals (which TBF are linked):

england.nhs.uk/publication/nh…

Though it doesn't seem to have updated the #OGL version on data.gov.uk since 2015.
As the statutory regulator, you'd hope @CareQualityComm would have a complete and up-to-date list of #CareHomes - but all its site appears to allow you to do is search for individual ones:

cqc.org.uk/what-we-do/ser…

Which, as a public #register, is less than helpful...
Mind you, speaking of statutory regulators, it's pretty appalling that @ICOnews - the #DataProtection regulator itself! - publishes a #register, supposedly under #OGL, that contains a whole *bunch* of #PersonalData it doesn't even bother to redact...
ico.org.uk/about-the-ico/…
Read 3 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

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