Sakkaf Ahmed Aftab Profile picture
Sep 24, 2020 14 tweets 18 min read Read on X
1-#ARM2020 voted overwhelmingly👇BMA should disengage itself from DDRB.This thread is about the reasons why I proposed this motion at #ARM2020

@KailashChandOBE @CNagpaul @helenamckeown @drhfidler @trentconsultant @DrOKaneAgain @ShafiAhmed5

medscape.com/viewarticle/93… via @medscape
2-DDRB has overseen real-terms pay erosion of all doctors over the last decade
-Consultants over 30%
-Other hospital based drs 22%
-Contractor GPs 26.8%
-Salaried GPs 24.5%

@aakochhar @H3MADRI @ParagSinghal09 @mathew_satheesh @inzyrashid @darshnasoni @bmj_latest @TheDA_UK
3- Recent pay award for NHS doctors is just not acceptable
-Giving consultants pay rise equating to just £20 per week in take-home pay for some is indeed unacceptable
-GPs and junior doctors not getting any pay rise is just scandalous!

@DrSarahHal @MunchkinDr @TheBAMEGP
4-Some colleagues still think that DDRB is an independent arbitrator & hence it is helpful to keep engaging

24% of NHS doctors in a recent survey I did👇still believe DDRB is an independent body

Let me explain why this is not the case.......

@blmdh1 @doctorshaib @PeaPeaspot
5-Royal Commission on Doctors&Dentists Remuneration laid down principles for formation of DDRB in1960

Lets refresh our memory what were those principles:

-two professions, need some assurance that their living standards will not be depressed by arbitrary Government action
...
6- Principles contd--

- Doctors and dentists pay should not be used as a regulator of the national economy, it must not be held back for fear that others might follow

- Members should be independent persons not committed to the Government’s point of view

@ShareenIdu
.....
7- Principles contd--

-Members of the review body should be appointed by the Government after consultation with representatives of the medical and dental profession and should have the confidence of the profession

@DrShahidLatif @drtariq_ie @DrAkhtar @BeingMo @SonaliKinra
8-Do we think the current DDRB set up and process reflects the principles under which it was set up?

Of course not!

the reasons being...

@ashwin_endo @DrUmeshPrabhu @shekhawatgp @TheRajivSethi @DrIainKennedy @petermbenglish @BrennanSurgeon @surashsurash @YorksHumberBMA
9- the reason being....

-Doctors salaries have not kept pace with the general economy or comparator professionals

-The Current DDRRB appointments have not been consulted with BMA

@rajeev20111 @KalindiKrishna @m_alikaramat @BMA_Consultants @BAPIOUK @BIDAUK @DrZeshanQureshi
10. the reason being..

-Up front ‘remit’ letters were never part of original recommendations of Royal Commission.These should be submitted by Govt as evidence rather than instructions
@appne_official @MelaninMedics @BIDAUK @AmerGilani @DrwaqarianAhmed @AyazAsghar7 @ghanchif
11. the reason being..

-Review body members now are largely ex NHS HR managers,CEOs-having backgrounds which would be helpful as experts in submissions from Govt perspective rather than being independent assessors & they do not have the confidence of the Profession

@raj_psyc
12.
Finally @TheBMA is a representative org& it should do what majority wants. Results of recent survey👇

I hope the above thread makes it clear why BMA should disengage with DDRB

@Dr_Kasaraneni @DrNighatArif @drphilhammond @jsbamrah @RCOphthPres @ERunswickBMA @DrAseemMalhotra
Thankyou🙏@trentconsultant for giving me DDRB background info which helped me in preparing my #ARM2020 arguments for BMA to disengage with DDRB

@smileywalshey @The_Crox @ainajkhan @anilkjain61 @monikaplaha @anilkjain61
Thx🙏@blmdh1 for encouraging me to start tweeting 8wks back from a dormant account & thankyou @trentconsultant @DrOKaneAgain @DrAnneCarson @anilkjain61 for being among first to follow me when I had sum total of 13followers🙂

Have met some amazing individuals through twiiter !

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More from @ahmedaftab68

Dec 12, 2021
My colleague, my friend Nicola-a scrub nurse took her own life last week

She scrubbed for me in OT earlier this month

She was such a bubbly personality- no one had any idea what was going on in her mind

Its a fact we (doctors,nurses & other HCWs) are hesitant to seek help

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Pandemic has affected ALL including us ie health care workers

as drs,nurses its our passion,infact duty to help others but please remember we can only help others if we are ourselves OK

take time out for yourselves

seek help if you r struggling

@TheBMA 24/7 line👇

contd..2/4
Please don't hesitate to reach out if you are struggling

there are a lot out there to help eg

DocHealth 02073836533
-confidential
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-supported by @TheBMA @TheRMBF
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@trishgreenhalgh @Sandyboots2020 @DrNeenaJha @doctorshaib
Read 4 tweets
May 1, 2021
May I request authors of #SewellReport who have claimed #NHS as a success story in race issues to read this thread

Recent survey of Primary in Humberside region shows very disturbing findings discrimination in NHS of 2021 /1

@rcgp @KailashChandOBE @CNagpaul @riddell_marcus
Is it acceptable that in #NHS of 2021 ability to train in ones chosen career is affected by ones ethnicity, culture and #racism #discrimination ? /2

@rcpsglasgow @RCPLondon @rcpsych @RCOphthPres @terry_moran1 @AntonEmmanuel2 @Prerana_Issar @MichaelMarmot @NHS_RobW @NHS_RHO
How can we allow🤔 in 2021 a trainee to be told by a senior trainer

'we do not accept people who are not from around here' /3

@NHS_HealthEdEng @anilkjain61 @PeaPeaspot @adamson0901 @shekhawatgp @NLaGNHS_Doctors @northlincsccg @surashsurash @Halima_Begum @Manuel_Cavazza
Read 7 tweets
Nov 18, 2020
1-Virus spreads through air especially indoor in areas of low ventialtion
Have a look at this thread if you want to know how you can check if ventialtion in an area is adequate.
Its really easy!

@CNagpaul @helenamckeown @KailashChandOBE @sarahedderwick @anilkjain61 @doctorshaib
2-Every time you exhale CO2 is exhaled in air. You can use CO2 levels to see if room is filling with potentially infectious exhalations
CO2 level lets you estimate if enough fresh outside air is getting in

@raj_psyc @docjon55 @petermbenglish @NikkiKF @drpshukla @TheBAMEGP
3-Last year in Taiwan tuberculosis outbreak at Taipei University was found out to be due to underventilated rooms. Rooms had CO2 levels⬇️3000 ppm.When air circulation was improved with CO2 levels⬇️600 ppm outbreak completely stopped

onlinelibrary.wiley.com/doi/full/10.11…
Read 10 tweets
Nov 16, 2020
1-@parthaskar thankyou for raising this. May I first share some evidence & than I will try to address what @TheBMA is doing in this regard

@CNagpaul @dr_emmacoombe @DrOKaneAgain @anilkjain61 @helenamckeown @drhfidler @smileywalshey @DrAnneCarson @blmdh1 @YorksHumberBMA
2- I did a survey of 1071 BAME doctors in June 👇.

itv.com/news/calendar/…

Results of the survey showed very worrying findings

It does appear that IMG & BAME doctors who studied medicine in UK Universities face similar challenges in NHS
@drpshukla @terry_moran1 @Prerana_Issar
3- BAME NHS doctors when asked if they ever felt pressurised to work without adequate PPE

UK Uni BAME drs 60% said YES
IMG BAME drs 64% said YES

@NikkiKF @PeaPeaspot @BeingMo @AlisonGeorge10 @documi @MudholkarDr @drtariq_ie @DrSakel @pav_akhtar @nagina_j @DrKhan_do ImageImage
Read 10 tweets
Nov 15, 2020
1-Heard about another colleague ending up in ICU today

626 HCWs deaths & we still haven't learnt our lesson

HCWs must now have appropriate PPE against airborne transmission

Please find time to see the videos in this thread&please spread the message

@CNagpaul @KailashChandOBE
2- Saw a webinar by Prof Donald Milton (a world authority on aerosols) of Institute for Applied Environmental Health Maryland

👇video of question to him

@petermbenglish @doctorshaib @BrennanSurgeon @NikkiKF @AliRacaniere @helenamckeown @drhfidler @anilkjain61 @sarahedderwick
Read 7 tweets
Oct 18, 2020
1- Please read this thread if you want to know what must be done to protect health care workers who are taking care of all of us during this Pandemic

@CNagpaul @helenamckeown @DavidGWrigley @terry_moran1 @NHS_RobW @TheBMA @TheDA_UK @Muslimdoctors @drneilpease @JeremyFarrar
2- Remember 625 HCWs lost their lives during the first wave - highest rate among developed countries

@petermbenglish @doctorshaib @DPH_MAshton @BWDDPH @AbdulRazaq_PH @felly500 @Smithkjj @FurberA @andrewleedr @ADMBriggs @DrZeshanQureshi @MontioMorgan

amnesty.org.uk/press-releases…
3- Remember disproportionate effect of COVID-19 on BAME HCWs&slowness of NHSorganisations in taking practical risk mitigating steps to protect them

@chrischirp @DrOKaneAgain @trentconsultant @mikejkemp @anilkjain61 @thomasdolphin @smileywalshey @AudioQ

bma.org.uk/news-and-opini…
Read 15 tweets

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