, 12 tweets, 9 min read Read on Twitter
One of the questions I was asked yesterday as part of IWD was what did I bring back from my time working in the US. Many people probably expected me to talk about the new techniques & skills I learned. While those are indeed very important & are part of the package of an (1)
(2) international fellowship in great institutions like HMS I think the most important thing was that trolleys & lists were denormalized for me during my time in Boston. I never saw a patient waiting for a hospital bed on a trolley! Nobody waited longer than 6 weeks.
(3) there is huge pride & self esteem that comes with working in a system that works for patients. I know that we can, IF we all work together, transform our healthcare system from where it is now, to one where everyone has timely access to high quality care.
(4) over 3 million healthcare visits last year. 84% were really happy with care. Patient impact is THE most important metric. We are building on a legacy of decades of underfunding in the healthcare system. As well as reform we need 15-20% more investment in staff & capital
(5) if we are to have any shot of meeting the need increase predicted by 2030. We go from 1 in 8 over 65 to 1 in 6. Incrementalism is futile! We need moonshots. We need politicians listening to & working with public health & frontline staff & PATIENTS so that money is spent where
(6) it best has IMPACT for patients. There is a sense of fatalism often in the way news about our health service is discussed & reported. But the women & men delivering care are a highly committed, kind, compassionate group. We are people looking after people
(7) We have the lowest number of specialist consultants & the lowest number of acute beds in Europe. Access is a huge issue: longest waiting lists in Europe. Overall we do very well when you are acutely unwell (at the moment) but elective care waits are totally unacceptable
(8) GP is in crisis. We cannot recruit or retain our young GPs & we face a wave of retirements & practice closures unless this is urgently addressed.
(9) not only can we not compete with other English speaking countries to recruit or retain our Consultants, we cannot compete with the private sector in Ireland. NCHDs & Consultants are voting with their feet. At a time when other professions are coming home I am waving
(10) goodbye to colleagues: consultants and wonderful NCHDs alike: mass emigrating to Australia, New Zealand, Canada, North America. Surely something proactive can be done. Patients need us all to work together. Our most vulnerable patients suffer most by the gap from empty posts
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