Dr Rachel Clarke Profile picture
Aug 13, 2021 13 tweets 6 min read Read on X
The quiet heroism of the @RNLI - whose lifeboat crews & lifeguards have saved nearly 150k lives since its foundation in 1824 – deserves our total respect, not the hate of late.

Take this week in St Agnes, North Cornwall, one over-excited dog, & this 300 foot cliff... 😱 (1/n) Image
On Wed evening, the waves were high & the atmosphere wild.

Kids and adults alike were shrieking with delight in the surf.

Rupert the dog, a golden retriever, was pretty intoxicated himself as he chased a ball along the coastal footpath... (2/n) Image
Owners Katie & James watched in horror as Rupert chased his ball straight over the cliff edge.

“We shouted for him to stop but before we knew it, he went for it and tumbled head over tail down the cliff face," said Katie. (3/n)

😱😱😱 Image
Local @RNLI area manager Steve Instance, here on the beach, told me there have been many casualties over this clifftop - none have survived the drop.

Rupert had almost certainly perished. (4/n) Image
The St Agnes @RNLI lifeboat was scrambled at 8.33pm and launched just 8 minutes later.

Volunteer lifeboat helm, Tom Forehead, said, “With a fall of that nature, it’s fair to say we were expecting the worst."

But... (5/n) Image
The hapless hound, who had just plummeted 300 feet into the sea, was alive!

"We were delighted to find Rupert frightened but OK. He was tucked in the back of the small cave on the beach, so two of our crew waded over to him and brought him back to the lifeboat." (6/n) Image
This story is shared with permission & @RNLI are keen to stress that dog owners should keep dogs on leads on cliff paths (& that, if your dog falls, don't attempt to reach it but call 999 & ask for the Coastguard). (7/n) Image
But the point for me is this.

Every day, on our coastlines and inland, *thousands* of volunteers are doing their bit to keep our waters safe for people in peril and even, occasionally, the odd kamikaze dog.

People like Jill here, in St Agnes (8/n) Image
Or like Steve, whose Cornish parents were both volunteer lifeguards, and who became one himself when aged only 16.

You don't do this for fame or riches or glory. You do it because you want to help people in need & in danger. (9/n) Image
The @RNLI, in short - this remarkable network of volunteers, fundraisers, unpaid lifeguards & lifeboat crews who risk their lives to save others - are the absolute best of us. The kindest, most decent, most admirable best of us.

So thank you, @RNLI 🙏🐶🌊

And... (10/n) Image
If anyone felt like supporting true bravery not keyboard warriors, proper kindness not Twitter cynicism, decency not racism, love not hate.... you can donate to the @RNLI here.

92% of their donations comes from ordinary members of the public 💙 (ends)

rnli.org/support-us/giv…
Last comment - the official @RNLI verdict on Rupert is that he is clearly not a normal dog, he's a cat dog.
Last, last comment.

During WW2, my dear granddad was a doctor on a Royal Naval destroyer defending the North Atlantic convoys. His ship once rescued the crew of a torpedoed German U-boat.

I still remember him telling me, as a child: "They were souls in the sea. So we helped."

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More from @doctor_oxford

Jan 16
Thread/

Today, a devastating report from the @theRCN, based on the testimony of over 5000 NHS nurses, has rightly catapulted the national shame that is NHS 'corridor care' into the headlines once more. (1/n) Image
This winter, nurses describe being forced to give care in corridors, cupboards, toilets, car parks & hospital gyms on a daily basis – locations without lifesaving equipment such as oxygen & bedside monitors, meaning that patients are “routinely coming to harm” or dying. (2/n)
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Read 19 tweets
Nov 23, 2024
Misleadingingly contextualised piece, @NickTriggle, which relies, predictably enough, on those infamous anonymous NHS senior sources.

The crux of the issue is not, as you claim, 'the speed at which [PAs] are being recruited". 1/n

bbc.co.uk/news/articles/…
Rather, it is the replacement of doctors with PAs in multiple different safety-critical settings, despite their radically shorter & more superficial training (a 2 year course, not a 5 year medical degree; no post-grad medical training). 2/n
So many of us are staggered by @NHSEngland & @gmcuk's complacency about the risks of PAs in settings such as cancer clinics, senior registrar on-call rotas for specialties as complex as haematology & even paediatric surgery clinics, decide whether a child gets an operation. 3/n
Read 7 tweets
Nov 12, 2024
What troubles me most about ⁦@kimleadbeater⁩’s bill is that it places a legal obligation on the Secretary of State to ensure that assisted dying is available to patients for whom he’s under no such duty to provide adequate palliative care. 🧵 bills.parliament.uk/bills/3774/pub…
Her bill, she says, has world-beating safeguards to prevent coercion of vulnerable patients to end their lives prematurely.

But “existing palliative care provision” is not “excellent” as she claims. Far from it. We are desperately underfunded & struggle to meet patients’ needs. Image
If Kim is truly unaware of how appalling badly UK palliative care is funded - & how many patients we see suffer avoidably, preferably, because decent care simply wasn’t there for them - then I can see why she might think the safeguards in this bill are adequate.

But they’re not.
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Oct 17, 2024
🧵 This week - under a Labour government - NHS community services for the entire population of Wilshire (half a million people), were handed to a private equity backed company, @HCRGCareGroup, formerly known as VirginCare. 1/n Image
A consortium of NHS, local authority & charities also made a bid to run the community services - as they were already doing. But no, the contract was awarded to an outfit whose owners celebrate realising 'significant tangible wealth' via, for example, 'corporate carve-outs'. 2/n Image
They sound like exactly the kind of people you want running your NHS services for profit, don't they? Treating illness - your illness - as a commodity to be exploited & profited from at will. 3/n
Read 5 tweets
Sep 18, 2024
🧵/

This is, I believe, unprecedented in the history of UK medicine.

28 eminent UK doctors have written publicly to @LaylaMoran, the new chair of @CommonsHealth, to report something nothing less than scandalous.

Read their letter here (1/n) 👇

bmj.com/content/386/bm…
The signatories, all Fellows of @RCPhysicians, believe that their College, the @gmcuk & @DHSCgovuk essentially colluded to mislead parliament in claiming that the College approved legislation going through Parliament this year to regulate physician associates (PAs).

(2/n)
@LaylaMoran @CommonsHealth @RCPhysicians @gmcuk @DHSCgovuk In fact, RCP Fellows were in the process of highlighting their grave concerns for patient safety of the new legislation.

Rather than listen to those concerns at an Extraordinary General Meeting, @RCPhysicians delayed the EGM inappropriately.

(3/n)
Read 18 tweets
Jun 15, 2024
I’m simply horrified to see @NHSEngland now literally breaking the law in how it misrepresents physician associates & other allied health professional - who are NOT doctors - to the public.

These posters are from the Bradford District & Craven Health & Care Partnership. 1/n
Image
Image
I downloaded the posters from their website, here:

“Physician” is a title that’s protected in law - to protect you, the public, from the dangers of fake doctors masquerading as the real thing. 2/nbdcpartnership.co.uk/download/96/gp…
Legally, only a qualified doctor with a medical degree can call themselves a physician.

And, though it’s not a legally protected term, I don’t believe anyone who’s not a senior doctor with specialist training in oncology should call themselves a “cancer specialist” either. 3/n
Read 11 tweets

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