Discover and read the best of Twitter Threads about #gp

Most recents (24)

Read 168 tweets
This headline 👇 will be no surprise to anyone who's been following @NHSEngland's plans (and actions) for a while.

But @JonUngoedThomas's article reveals some crucial details about what's intended for your #NHS #HealthRecords that are worth unpacking...

theguardian.com/society/2022/n… Controversial £360m NHS Eng...
First, and possibly most significantly, is @NHSEngland officials' confirmation that its '#FederatedDataPlatform' will incorporate patients across England's #SharedCareRecords: Health officials confirmed ...
Why is this so important? Because #SharedCareRecords - which every new #ICS* is supposed to have - include your #GPdata, which @NHSEngland has been trying to get hold of for years (most recently last summer)...

__
*#IntegratedCareSystem explainer here:

kingsfund.org.uk/publications/i… Map 1: The 42 integrated ca...
Read 21 tweets
Read 194 tweets
#CunningPlan #ToriesUnfitToGovern #CostOfLivingCrisis
What’s behind the Treasury idea that #GP’s should prescribe cash for those in #fuel poverty?
~ Richard Murphy
taxresearch.org.uk/Blog/2022/08/2…
/2 According to the Guardian ‘GPs could write prescriptions for money off energy bills for the most vulnerable under a plan drawn up by the Treasury’. Let’s just think about that for a moment. A thread….
/3 To provide a caveat, the #Treasury has not said Team #Truss has adopted this plan as yet, but it’s been put out as an idea for a reason, and it must exist, so what’s wrong with this proposal? #ToriesWrong #CostOfLivingCrisis
Read 16 tweets
So let’s talk about #GP burnout, because it’s Sunday night, I’m back in tomorrow, and I’m sure many are dreading it. The work is hard, the hours are ludicrous and the staff are too few. But none of those are the main reason I find the job almost unbearable sometimes. 🧵1/?
I am lucky - I am still in training, I am well supported and in a lovely practice with a great team. I work 3 days a week, because wonky body isn’t gonna manage any more than that. I’m constantly learning, and second guessing myself,but I can handle that. So far, so bearable. 2/?
What I find too much to bear is watching patients not get the help they need from the wider system.The NHS is dying, our politicians know it, & rather than putting out a crash call, they’re rubbing their hands with glee at the potential cash they’ll make from privatisation. 3/?
Read 10 tweets
Scott Morrison made an announcement about reducing PBS Medicines. Trouble is he INCREASED them on Jan 1st, 2022, during a Pandemic

affordablemedicines.com.au/home/ #auspol @Mark_Butler_MP Image
Anyone see the Irony here. On the same day Morrison announces cheaper medication and healthcare - He cuts Heart scans, ECG’s from #Medicare Rebates. #LNPCutsToHealth

themandarin.com.au/187973-electio… ImageImage
The moment Liberals Distracted Voters, while they Cut #MRI’s, sleep apnea, #spinal fusion, skin lesion treatments and #Allergy Testing in 2018.
#LNPHealthCuts @RACGP @gedkearney #Medicare #auspol2022 Image
Read 11 tweets
When I was 7 yrs old, my cousin Sameera died from #leukaemia

She was 15 & initially we thought she had the ‘flu

There were no curative treatments in the 80’s & she sadly died

I was heartbroken

In our faith, people gather at the family home to pay their respects

1/5
After school, I would go & visit my aunt & cousins

The front door was always open

People would come & join in prayers

And I remember our childhood #GP , Dr Minwalla, coming after surgery

He wasn’t #Muslim but was very much our family dr & came every evening

2/5
He would come in, take off his shoes & just sit in the corner with a cup of tea

I remember his burgundy socks & sometimes he would smile at me as I said a prayer on little colourful beads

He’d stay for a bit & then head home

At the time, I thought this was rather special

3/5
Read 5 tweets
TREAD: Ho letto la ormai celeberrima intervista del #Riformista a #lucianocanfora e faccio la seguente valutazione: 1. La storia di #Zelensky in affari con #BidenJr è una cazzata sesquipedale. 2L’articolo del @guardian su #Zelensky è molto bello, ben documentato e inquietante👇
Image
3. (il 2 è l’intervista a Canfora). Ma anche se #Zelensky fosse il peggior figlio di puttana di tutta l’Ucraina,nessuno può ragionevolmente sostenere che gli ucraini meritino la catastrofe che #Putin gli sta infliggendo. Averlo eletto presidente è forse un crimine? 👇
Read 13 tweets
THREAD:

Below are all user(s) CONFIRMED to be scammers. We provide beyond a reasonable doubt that such information is wholly truthful and accurate. Such CAN be confirmed quickly through evidence. Information provided here is not to be used for solicitation or harassment. #habbo
🕵️‍♂️ BEWARE: The user AntFood is a known quick trade scammer, please be cautious while trading with him. He's scammed many & continues to do so. RT to spread awareness.

picture credit: @number24_habbo

#AntFood #habbo #scams #habboscammers #endhabboscams #EHS #scammer #ScamAlert ImageImage
🕵️ BEWARE: The user ashwinb11 many user(s) paid for his "giveaway" and when people started to win he then :kickedall. RT to spread awareness.

picture credit: @ReeceGamingTV

#ashwinb11 #habbo #scams #habboscammers #endhabboscams #EHS #scammer #ScamAlert ImageImage
Read 145 tweets
In principio fu GP x i soli matrimoni per agevolare turisti da estero , in alternativa a tamponi o vaccino (ingresso in Italia)
Il primo decreto GP (battaglia #Borghi) x accedere a ristoranti, sagre e musei - esenzione minori -
1
BOCCIATO DALLA MAGGIORANZA sia a voto palese che segreto.
Segue #obbligovaccinale (#Ronzulli). Alla #lega fu lasciata libertà di voto (e molti lo trovarono ragionevole sebbene #Salvini contro obbligo). Votarono contro in 48, in maggioranza della lega (su 630)
2
Segue la scuola: #gp con trasporti a lunga percorrenza (la settimana dopo i ristoranti): era chiaro che sarebbe passato anche questo.
C’è n stato un errore di sottovalutazione della #lega? Forse. Ma recriminare ora non serve.

3
Read 6 tweets
1/6
Problems in #NHS today are not caused by #COVID19 but worsened by it. As proof-here’s some quotes from @ChrisCEOHopson 5 years ago on #marr

Hint:not about face2face appointments then & isnt now, whatever some in media say (#GPCrisis)
-be good if Sajid Javid points this out!
2/6
All areas of the #NHS have been under pressure this summer from GPs to hospitals to ambulance services to mental health services. Covid cases will increase this winter (seasonal variation) and this extra workload will cause prolonged & deepened pressure

#marr #phillips
3/6
Attacks on GPs in the last few weeks have been aimed at drawing attention from supply issues stopping routine blood tests and hospitals bursting at the seams in summer - real problems that attacking GPs doesnt solve (substitute junior doctor for GP 5 yrs later)

#GPCrisis
Read 6 tweets
THREAD
1/I have joined Twitter under a pseudonym because this tweet makes my blood boil. #Homophobic #bullying, which went unchallenged at primary and secondary school, is what led to my daughter declaring she was a boy. Only then she was protected.
2/Only then was there #safeguarding. But it was I who was seen as the safeguarding risk. Her rapid #mentalhealth decline was not of interest. Because #transgender children are magical and special. #safeguarding no longer applies.
3/Our #stonewalldiversitychampion school told me I was the problem: a bigot, a fantasist, a danger to my child. Our #GP did not help, our #MP did not help, our #localcouncil did not help. Instead they recommended parenting courses, for me.
Read 10 tweets
Chris Scott from the Whistle Stop Cafe spoke at this packed unmasked “Alberta Unity Project” event in Grande Prairie this weekend where they discussed Alberta becoming its own country. It was live-streamed on the cafe’s FB page. #covidab #gp
They had a bus to the event. Because why not share confined spaces for hours during the explosion of new cases of “the flu.”
Dennis Modry makes it clear the Alberta Unity Project is about a pipe dream: Alberta becoming its own country.
Read 11 tweets
1) #longcovidkids Group post.

16 mths of fighting to get a diagnosis.

“Finally had in writing confirmation today from my kids #neurologist to my #GP that they both have #PIMS / #MISC, along with #postcovid immune mediated neuropsychological syndrome/#PANS and #longcovid,
2) Took 16 months of fighting for them to get heard!! How many of our children have some form of PIMS/MISC that has gone unacknowledged and untreated for so long!

I think there’s so many unrecognised by medics to greater or lesser degrees but it’s all the same
3) - Inflammation & immune mediated response!
My children had a 40 + temp for 3 wks solid and dangerously low oxygen levels (85%) and struggled to breathe every day, blue lighted to hosp yet medics couldn’t wait to get us out and gave us virtually no help. I
Read 7 tweets
I looked at my computer screen to see who was coming in next:

96 years old, male

He walked in, standing tall & proud

Wearing a three piece, perfectly pressed suit

& a pure white turban

His eyes were tired with cataracts, but they still had a twinkle

1/7
He waited for me to offer a chair, before he sat down

He told me about his headaches & his dizziness & medications

& I assessed him & we planned what to do

“Where are you from, betta (daughter)?” he asked

We both had a connection in our roots

2/7
& we started conversing in #Punjabi

Sometimes I would get muddled & mix in #Urdu words

& he would chuckle & say, “It’s ok, betta, you speak our language really well”

He had fled with his family during the partition of #India

& so had my grandparents, during that time

3/7
Read 8 tweets
There seemed to be some confusion about (the use of) words in @CommonsHealth Committee yesterday morning, so here's a [Thread] to try to clarify.

First "#commercial". It is of course the case that many parts of the #NHS use commercial providers, e.g. of software, whether that...
...is @Microsoft365 for word processing, spreadsheets & e-mail; or IT systems to handle patients' records in hospitals (e.g. @CernerUK) & General Practice (e.g. @TPP_SystmOne, @EMISHealth, @CegedimHS); or software to drive complicated equipment like #MRIscanners, etc.

This is...
..entirely normal use of #commercial software & software services, for which the #NHS body is the #DataController. Apart from when that software goes wrong, I don't believe many would have concerns about this.

Then there are #commercial providers of #NHS services, about which...
Read 13 tweets
Here's a fun #NINO - the UK's National Insurance Number - [Thread] to start the weekend 👇

Maybe I should do an #NHSnumber one sometime? It's a fascinating story, which (ironically) starts with these...
[With thanks to @guy_herbert, @TomSamaki, @PrivacyMatters & others for encouragement!]

Before I start a geeky 'deep dive' on the #NHSnumber, to provide some (personal/professional) context that will hopefully become apparent, I'll just drop these two images here:
So, to begin.

After the Second World War, in a time when we started to think (again) what a #civilised society would be, and when our leaders tried to agree #principles like #UDHR that might prevent the recurrence of genocide, and support #dignity and #HumanRights for all...
Read 32 tweets
The Government has instructed GPs in England to hand over your lifelong medical history.

Your GP may not have a choice, BUT YOU DO... until 23rd June.

If you don’t want your family’s sensitive data sucked up by Hancock’s sneaky #GPdata grab, send or give this letter to your GP:
Here’s the link to a printable PDF version of the letter:

medconfidential.org/wp-content/upl…

And here’s an editable MS Word (.docx) version:

medconfidential.org/wp-content/upl…

And if you need further instructions, visit our straightforward ‘How to opt out’ page:

medconfidential.org/how-to-opt-out/
This really is happening 👇 but the Government is keeping quiet; @MattHancock doesn’t want you to know.

So please tell your family and friends.

They may not know this is about to happen, but if they don’t opt out before their #GPdata is uploaded IT WILL NEVER BE DELETED.
Read 8 tweets
The Government has instructed your GP to hand over your lifelong medical history – your GP doesn’t have a choice, but YOU DO... until 23rd June.

If you don’t want your family’s #GPdata used & sold to Hancock’s cronies, send/give this letter to your GP:

medconfidential.org/wp-content/upl…
While @NHSDigital’s #OptingOut page* says a #Type1 “can only be recorded by your GPpractice” & doesn’t even link to the form, it’s worth noting #GeneralPractice is currently the busiest it’s ever been. Why is @DHSCgovuk putting even more work onto GPs?

* digital.nhs.uk/about-nhs-digi…
Decisions aren’t only made by @NHSDigital, of course -but it WILL give your data to others.

Like #CPRD, which gives it to companies to #identify specific patients’ #records; and #PHE, which gave #cancer patients’ data to a “causes of cancer” study run by a #tobacco company...
Read 6 tweets
The last few months in #generalpractice have felt hectic, even by usual #GP standards.

short 🧵👇🏻 looks at what appointment/workforce numbers show, with some thoughts on the important bits that those numbers can't tell us....
1. Total appointment numbers in March were high (28.5m), BUT

2. The number of appointments done by GPs was particularly high (14.7m - the highest since the dataset began).

3. GPs did 2.5m more appointments in March '21 than in Feb (nb there were 3 more working weekdays)
- The absolute number (and %) of F2F appointments is creeping up (15.8m in March) AND

- The number of phone appts in March 21 (11.4m) is also the highest on record.
Read 9 tweets
Dangerous editorial by @jkaffash demonstrates selective blindness & historical amnesia.
Here's why. 1/13
pulsetoday.co.uk/views/editors-…
Underplaying significance of American corporate raiders following recent annoucement of Centene's UK subsidiary takeover of GP practices ignores dominance of various US players now metastasised throughout NHS not least in @NHSEngland board 2/13
lowdownnhs.info/news/us-takeov…
most notably #Mckinsey #UnitedHealth.
Business model of American privatised healthcare is built on fraud and denial of care. 3/13
economist.com/leaders/2014/0…
nytimes.com/2017/05/19/bus…
Read 13 tweets
Face au Covid-19, la Formule 1 (@F1) a remis à 2022 son grand chambardement et attaque dimanche une saison à nouveau promise à @MercedesBenz et @LewisHamilton, qui peut devenir le pilote le plus titré de l'histoire ⤵️ #AFP 1/7
@F1 @MercedesBenz @LewisHamilton Principal attrait de cette saison, #Hamilton, qui a égalé Michael @schumacher l'an dernier avec sept titres, peut désormais dépasser l'Allemand - dont le fils @SchumacherMick arrive par ailleurs en F1 à 22 ans #AFP 2/7
@F1 @MercedesBenz @LewisHamilton @schumacher @SchumacherMick Troisième en 2019 et 2020, le Néerlandais @Max33Verstappen sera encore en embuscade. Mais pourra-t-il faire mieux? #AFP 3/7
Read 8 tweets
“How do open-ended questions improve interpersonal communication?”

TL;DR: They do not.
 
Let’s explore a common #communication assumption about 'open' and 'closed' questions with some data to see what they look like, and what they do, in real interaction.
 
1. Thread. 🧵
2. Google "open and closed questions” and you’ll find loads of articles and (often written or hypothetical) examples about them - tweet 1 is just one of many.

As @d_galasinski pondered recently: “I wonder who is responsible for fetishising open questions.”
3. When we examine questions as they are actually used - ‘in the wild’ - we find that yes/no (‘closed’) questions routinely receive more than ‘yes/no’ in response.

And just because a question is ‘open’ doesn’t mean it'll be answered.

Let’s see some examples.
Read 18 tweets
One of the most utterly heartbreaking things I had to learn when an illness I had no idea about was destroying my life was “there’s no point going to a #GP without a fucking itemised list of goals. #chronicillness #disabled
You need to give them the service you want them to refer you to, often with an actual consultant’s name and sometimes with their secretary’s email address. And you need to phone back next week to make sure they’ve actually put the referral through. And keep phoning to chase it.
(If you, like me, are #autistic and find phone communication nightmarishly difficult, you need to suck it up because no GP seems remotely willing to communicate with patients by email).
Read 9 tweets

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