Discover and read the best of Twitter Threads about #nhs111

Most recents (4)

I know the point at which the caller broke down and cried.

I was there, and I heard it all.

It was during my second call, to conclude on a grim possibility of Methotrexate overdose in a very sick child.

Multiple co-morbidities.

Its 7.45pm - I'm due to leave at 8pm. I hope.
It’s never happened of course.

I feel a little mentally drained, I sip my cold coffee and wince.

Must get that thermal mug I keep promising myself.

Case open, I read scant notes, I will realise later why.
The case came through with some haste.

I start my call.

The caller: a father.

I start to hear that "whoosh" sound in my ears.

Fight and flight response. I grab my paper pad and pen, start scribbling down notes.
Read 22 tweets
I truly adore my #elderly patients. I will go to the ends of the earth to help them.

Probably because they all remind me of my grandparents.

I lost mine by the time I was born and then in my late teens.

Today a 96-year old had suffered 4 days...
before he owned up to swallowing difficulty with his abx for his cellulitis.

He has private carers who gave him all the “well let’s try this” advice.

Today he felt he needed someone who knew a little more than the carers.
We spoke about his legs, they were getting better.
I changed his abx to liquid so he didn’t choke every time he tried to swallow.
We talked about his care, dressings, infection rate.

"It’s good I pay them well".

We talked about his food. "Yes, I have plenty my 2 daughters have taken care of that, and ..

Read 9 tweets
[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)
@harrylongman’s much larger survey of patients of 12 GP practices using @askmygp shows that only 15% of patients prefer face-to-face appointments as the default. (2/5)
Meanwhile, @GPatHand – while hugely popular with its patients – breaks the NHS’s traditional #placebased funding model.… (3/5)
Read 5 tweets
If you have an interest in #AI, #HealthTech or #PatientSafety - then please read this evidence based thread which tells the story of @DrMurphy11 & an #eHealth #AI #Chatbot.

Read on, or see single tweet summary here👇0/44
is not a 'nerd'; he's a pretty typical NHS consultant with an interest in #PatientSafety.

On 6th Jan 2017 a tweet about an #eHealth #AI #Chatbot in #NHS trials caught his attention, so he thought he'd take a look. 1/44

Evidence here 👇
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?

As evidenced by👇 2/44
Read 45 tweets

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