Profile picture
, 4 tweets, 3 min read
My Authors
Read all threads
Re this EU-UK spat over wanting to put a 'technical office' in Belfast to oversea implementation of Irish Protocol...this has been a UK 'no-no' going right back to Feb 2018 when original draft of NI-only backstop was proposed. UK rejection was emphatic 1/

telegraph.co.uk/politics/2018/…
Headline on that Feb 2018 article:

'Unworkable' Brussels' deal would put EU customs staff on British soil

The EU - per exchange between @RaoulRuparel @StefaanDeRynck - says its just 'technical' but they cannot be blind to the politics of this /2
@RaoulRuparel @StefaanDeRynck The UK side, to be clear, has NOT helped itself by all these political threats not to implement the protocol - rather than trying to bring Cion/Member states on side to implement it 'sensitively' BUT.../3
@RaoulRuparel @StefaanDeRynck Hear genuine concern on UK side that if EU is too maximalist in pushing for 'joint controls' or 'joint patrols' (emotive word) then there is serious risk that this thing, as one source puts it, "could break". 4/ENDS
Missing some Tweet in this thread? You can try to force a refresh.

Enjoying this thread?

Keep Current with Peter Foster

Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

More from @pmdfoster see all

Profile picture
Peter Foster
@pmdfoster
NEW: Where top ITU doc @AlisonPittard tells me that the MINIMUM standard ventilator specced in govt's 'ventilator challenge' would be no use in treating COVID patient in ICU - so question? Why did UK govt aim so low? 1/Thread

ft.com/content/365529…
@AlisonPittard The spec on govt website says "bare minimum" for machines "would be for short-term stabilisation for a few hours, but this may be extended up to 1-day use for a patient in extremis" /2

gov.uk/government/pub…
@AlisonPittard More importantly, the same formula is stated in the "intended purpose" of the machines in the spec checklist circulated to potential makers by the MHRA (Medicines & Healthcare products Regulator Agency) - and in medical devices world that is key/loaded term. /3
Read 13 tweets
Profile picture
Peter Foster
@pmdfoster
NEW: none of the homegrown ventilators - including one by Dyson - have got green light for use in NHS as design spec shifts as docs find more about #COVID19 My latest with @Michael_Pooler @donatopmancini @SebastianEPayne

ft.com/content/e447ca…
@Michael_Pooler @donatopmancini @SebastianEPayne The govt actually alerted on advice of shifting specification today here...but says to manufacturers "you should continue to follow the guidance in this document but be aware of changes to follow." - which kind of speaks to this moving target perhaps?/2

gov.uk/government/pub…
@Michael_Pooler @donatopmancini @SebastianEPayne It seems that initial assessments that much simpler ventilators could be used in early stages of #coronavirus were optimistic, and now have less utility.

Understand there's a big meeting tomorrow with clinical regulator inputs from MHRA to identify possibles /3
Read 6 tweets
Profile picture
Peter Foster
@pmdfoster
NEW: We all know doctors are having to make "difficult" decision during the #COVID__19 #Coronavirus crisis - but HOW do they make those decisions? A mixture of art and science - and a scoring chart I've obtained. My latest 1/Thread

ft.com/content/d738b2…
First the chart itself - it makes for 'scary reading' BUT two important things to note

1) it creates a structure/ensures this is not random or on a whim

2) NOTE the 'caveat' - clinical judgment is still key here

3) Docs do this all the time, #COVID19 just foregrounds it /2
Of course this all throws up very difficult/painful questions.

Is a patient that scores >8 and doesn't get sent to ICU/ventilation being triaged that way because of a) lack of resource b) they aren't likely to make it c) better for them medically? /3
Read 18 tweets

Embed code for your website

×
Follow Us on Twitter!

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!