I am a doctor in the #NHS.
Every scrap of evidence I’ve seen points to total disaster if #NoDealBrexit comes to pass. We must #StopBrexit - here is why. /thread
Thus far I’ve tried to focus solely on the facts, and the facts alone. Informed consent is the bedrock of medicine- I don’t believe anyone knew the consequences of leaving EURATOM or the EMA for example when they voted. Feel free to prove otherwise. /1
It’s not my job to tell people what to do. And I am not. If you still think Leaving with No Deal will be good for the NHS after absorbing all of the above, then that is your decision. You are wrong, but it’s your right to be wrong. /2
It is sad that the positive case for the EU has not been made more loudly. But equally dumb that few understand quite how brilliantly we have exploited the EU - we truly have rolled over Jonny Foreigner & stitched him up like a kipper.
We secured opt outs from the most toxic crap like “Ever Closer Union” & the Social Charter. We are not in Schengen and we will never join the Euro. We maintained the most flexible labour market in Europe. We did ALL this whilst ALSO having unfettered access to the Single Market
As a result, two truly great things happened.
1. We totally dominated EU capital markets. Today, governments and companies all over Europe are totally reliant on the City. We make an absolute mint out of this, it props our economy up. Pierre & Fritz HATE this, but there is
"#OrganDonation is an altruistic act that should be celebrated..." (p6)
So why not do that, and devote more resources to making donation easier - an approach that has delivered measurable results - instead of a regressive move to #OrganHarvesting? gov.uk/government/con…
Describing a *significantly narrowing* shortfall (cf. graph, also p6) in available organs is not a justification for a change to #OrganHarvesting; nor are emotive appeals. This reads like #PolicyBasedEvidenceMaking.
"We want... to change the culture around organ donation in this country in the longer term." (p7)
Stopping it being a gift, freely given, and instead the State 'deeming' you to have given permission will certainly change that! Presumption ain't 'donation' and will erode trust.
Now I've listened to this Podcast. My favourite bit is where @christopherhope suggests NHS staff have been "holding back" more British nurses and doctors to protect their wages and their interests. I kid you not. Here is the transcript: /2
Random #Brexit thread by middle-aged, white, Northern, working-class guy...
1. Before #EURef I knew little about EU. Decades of negative UK media had made me a bit sceptical. But I was not really “political”.
2. Got a Polish partner. Been together 18 years. Long before #EURef she’d started getting snarky comments from folks about being “over here” & “going home” etc. This got steadily worse & was kinda shocking.
[THREAD] Over the weekend, I ran a poll on initiatives aimed at improving access to #NHS#primarycare. While respondents probably aren’t representative of the wider population, I think the results are striking: what people want most is convenience. (1/5)
When discussing the #NHS in terms of privatisation I always think it's useful to equate what neoliberals and the private sector are doing to it as akin to a parasite infecting its host. The goal of a parasite isn't to kill its host but to extract energy to allow it to grow. 1/11
Ultimately the parasite seeks to reproduce and spread, much the same as private providers offering and supplying public services has spread and increased over the years. So what is the "energy" these parasites are extracting, and how do they know they won't kill their host? 2/11
The energy source in the case of the NHS is the Treasury, the "energy" itself is the national currency. These parasites know that the currency issuer (government) has an unlimited ability to create the currency, and provided the public doesn't learn this fact, they can 3/11
Dr Murphy downloaded the @babylonhealth App & tried the #Chatbot with a few simple clinical presentations. It quickly became apparent that the #Chatbot had flaws, raising the question if the App had been validated as a triage tool?
The UK has access to technetium-99m because it's a member of an international treaty facilitating its trade & movement. Without it, treatment & detection of certain cancers is much harder, waiting lists will grow and people will die.
Dad = 3 heart attacks, mystery neurological condition & recent brush with non malignant skin cancer. Over last 30 years, he’s had quadruple bypass, 4 x stents, life-saving therapies, drugs & consistent, 1st class care. Cost to him? A small % in taxes. I ❤️ the #NHS. @NHSVoices
Mum = Atrial fibrillation for 20+ years, many 999 calls for the times it got out of hand, followed by catheter ablation and regular follow ups by a super-skilled cardiac team. Again, no worrying bills sent, just a small % deducted from her wages during every year she worked.
Me and sibling = yearly checks to ensure we’ve not inherited any of the above. A few blips here and there, but so far, so good. ❤️
1/ Vitally need foreign investment has come to the UK because it has been the "gateway to Europe". What happens when the UK becomes a "gateway to nowhere"? The answer is we'll have to slash taxes on business & the rich, and scrap many regulations & workplace rights. #Brexit
2/ This is why the Tory Brextremists crave the hardest Brexit possible, because the harder the #Brexit the more Britain will be pushed towards becoming a #BrexitTaxHaven, the low tax, low regulation, low workplace rights, low welfare state Brextremists have been dreaming of.
3/ Here's Daniel Hannan revealing his dream of the UK as a "buccaneering, offshore, low-tax nation", and Brexiters Dominic Raab, Liz Truss and Priti Patel calling for Asian style low-taxes (for the rich) and an Asian Style work ethic to kick lazy British workers into line.
Despite(/because) her ME diagnosis they interpreted her low weight as anorexia. The gut/digestive issues as a result of ME go ignored. She isn’t the only #pwme to have experienced this. It is particularly tricky as an advocacy issue if people are sectioned for ‘anorexia’ not ME
It is a high priority for Dr education and I wonder if for new #NICEguidelines we need gut issues included as core to ME, rather than the current wording of IBS as a comorbidity issue?
Locking people in psych wards for this has to stop! @exceedhergrasp1@jenbrea@keithgeraghty
Also good to see that the public is aware of the number of teenage girls with Rapid Onset Gender Dysphoria #ROGD and the cultural pressure on young lesbians and gays to ID as trans. And the call for #NHS to publicise organisations with a more critical perspective.
Well done to everyone who pointed out that current #NHS professional training is provided by lobby groups such as GIRES who have no qualifications, and that training should obviously be provided by clinical professionals.
22/ @neil_parish Neil Parish, MP for Tiverton & Honiton
You voted to remove the EU Charter of Fundamental Rights & it's
enshrined constitutional protection for:
1/ Today's devolved #NHS is a complex federation of tens of 000s of orgs employing some 1.7m workers. It's combined annual budget is just shy of £150bn. It handles, overwhelmingly successfully, almost a million patients daily.
With each box maybe 000s of orgs, & England only:
2/ Unresolved public health issues & a fast-expanding multi-morbid elderly population, coupled with chronic underfunding & the blowback from the butchery of social care since 2010 means the #NHS is pressured as never before.
When you voted to trigger A50
you knew that regulatory alignment would be required for
Northern Ireland, as highlighted by the phase 1 report from 2017,
requiring both the SM & CU.
Does it not make sense to stay in the CU & SM?
Tell you what, Nick. When you and various colleagues can interview a politician whose views they might not share without interrupting every few seconds to force their own views in, let’s talk again about impartiality.
When you can at least mention tens of thousands of people demonstrating monthly against brexit, and to save the #NHS, maybe we’ll be able to agree there’s more balance.
When you can actually challenge the ridiculous assertions of some Tory politicians live on air, in full possession of the facts, maybe you’ll be doing the job of reporting as impartially as you can.
The violence in London appalls and terrifies me. A thread by an #NHS Doctor (and #Tottenham resident and father) /Thread
1. I’m a hospital doctor. My wife is a surgeon. We see first hand the raw catastrophic damage this violence is wreaking on these children.
2. Major trauma, whether that’s gun/knife/car, is dealt with at amazing units like the Royal London. The surgery can be brutal: chests are split like clams, abdomens incised within minutes, even whole arteries clamped shut. Anything to stop the bleeding, to save a young life.