Not the first time in the past year that a non-expert has offered a simple narrative on a complex healthcare problem...
Let's gloss over the use of percentages without explanation of what they mean, and the failure to quote a data source, and look at some facts....
Firstly, many NHS staff are not clinically trained eg porters, cleaners, managers, admin staff, etc. They don't have any more reason to understand vaccination than any other members of the public.
Many of these non-clinical NHS staff have low paid jobs, live in relatively deprived communities, and come from minority ethnic groups. All factors associated with vaccine hesitancy.
It is well understood that the most effective way to promote widespread vaccination is through education and role models, not legislation and rules. The govt have made this clear in recent weeks.
Not all NHS staff work in high-risk environments where staff vaccination is important for patients. GP, mental health & out-patient staff are unlikely to be at more risk of COVID contact than a public transport worker. Compulsory vaccination of these staff makes even less sense.
Not everyone can have a vaccine. Pregnant women and certain health conditions can affect vaccine eligibility.
As a doctor, I believe strongly in vaccination as our best hope to protect ourselves, our patients, and society. I accept my responsibility as a role model but for some staff this decision is not a simple one. #DocsForVax
Comments such as that made by @Digbylj seem to represent a minority in society that see NHS staff as robots, not human beings. The argument is disingenuous and masks a frustration with the current very high levels of public regard for NHS staff. It is not worthy of our respect.

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More from @rupert_pearse

6 Mar
Sitrep: Yesterday marked a year since the first COVID-19 patient was admitted to @teamaccu @RoyalLondonHosp. A year like no other. East London was badly hit by both the first and second waves. Many stories to tell. Here’s mine (long thread but easy read!). 1/22 Photo: @jometsonscott
The four hospitals in @NHSBartsHealth has treated more than 8000 patients with COVID-19. This was beyond our wildest imagination a year ago. Even the worst winter ‘flu epidemic was tiny by comparison. The entire organisation forced to configure around a single disease. 2/22 Image
Our expanded @teamaccu has admitted 648 COVID patients in 12 months to an ICU which expanded three and a half times our original size to 150 beds. For ICU staff this is just mind boggling. An incredible logistical effort from staff of all grades from across @NHSBartsHealth. 3/22 Image
Read 22 tweets
27 Feb
More positive news as new coronavirus infections subside in the UK. The NHS is looking to recovery from the impacts of COVID and planning the re-boot of usual healthcare which has suffered badly in the past 12 months. We have a huge backlog to clear. 1/10
bbc.co.uk/news/uk-562007…
Before we think about the recovery, the usual points need to be made – we still have more than 15,000 hospital in-patients with COVID…. 2/10
….and we still have more than 2000 COVID patients in ventilated intensive care beds (almost half the usual footprint of ICU in the whole of the UK). So still many months to go before the second wave is over for NHS staff. 3/10
Read 10 tweets
20 Feb
Clinical trials are in the public eye once again, and Vitamin D for COVID is especially topical right now. Like everything in healthcare, the trials are complex, so here’s an explainer on them. These points are most important for doctors but relevant to us all. 1/15
One particular trial provoked debate this week. Enthusiasts insist it proves the role of Vitamin D in treating COVID but experts highlight numerous problems with how the research was done. These limitations mean the research should not, on its own, change patient care… 2/15
…because we need to understand the strengths and weaknesses of a trial to safely use the results to shape patient care. When non-experts get involved we have problems. Some doctors make these mistakes too I’m afraid. 3/15
Read 16 tweets
13 Feb
New coronavirus infections are decreasing and 14 million people in the UK have received one vaccine dose. But the sitrep is that hospitals are still caring for 24,352 COVID patients – more than at the peak of the first wave. NHS staff cannot rest yet. 1/8 bbc.co.uk/news/health-56…
Despite the absurd claims of COVID sceptics, we have seen a huge number of excess deaths in the past 12 months, and well above the five-year average mortality rate. COVID remains the leading cause of death right now – many amongst working age people. 2/8
The pressure on the NHS remains extremely high and will be for months to come. This by @Zudin_P and @stevemathieu75 for @ICS_updates describing the vast effort needed to create extra Intensive Care beds across the UK. We still have more ICU patients than the first wave. 3/8
Read 8 tweets
30 Jan
Sitrep: situation report. This is what we call our daily briefings right now. Here’s mine. We are now fairly confident we have reached the high water-mark for the second wave of COVID-19 NHS hospital admissions across the UK. Good news but.... 1/10
....we still have nearly 40,000 patients in hospitals with COVID-19. Despite huge increases in staffing, we are very short-handed. In many hospitals, admissions have stabilised but not all. Some differences across the UK. Things still getting worse in the Midlands and North. 2/10
4000 of these patients (10%) need intensive care. This is huge: in January 2020 the UK had only 4100 adult ‘critical care’ beds including both ‘intensive care’ ventilated beds for the sickest patients and 'high dependency' beds for less sick patients. 3/10
kingsfund.org.uk/publications/c…
Read 10 tweets
23 Jan
Oxygen supply in hospitals is getting a lot of media coverage. Some hospitals are using five times more oxygen than usual triggering low pressure alarms. Media reporting oxygen supplies ‘running out’ and ‘not enough to go round’. The problem is not quite what it sounds… 1/12
We don't usually think about oxygen supply. It isn't something we notice until the oxygen pressure alarms go off. That used to be rare. The unfamiliar and emotive problem can seem frightening for NHS staff and public alike. This from @ChrisCEOHopson 2/12

Oxygen supplies don’t run out like an electricity power cut. Instead the pressure drops like it can with the hot water system in your home. Your shower doesn’t run dry but the water pressure is not what you need. You may need to turn some other taps off to solve this. 3/12
Read 12 tweets

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