Oh my word!

This was a thread from April 2020! @DrSimonHodes #TeamGP

This lack of triaging of patients was noticed and raised from the start…

Why have GPs been cut out the loop with covid testing and triage?

Rant follows 1/n
How can you have a pandemic response with NO Triage…seriously!!! @WHO

And if you get into the thread above you will see the comments are an echo of today “bizarre” “ideology led”

And a complete lack of frontline clinical representation on the government’s expert panel.
And it is the same with the parliamentarians reporting on the pandemic response…no clinical experts at all, or literacy, as far as I can tell…
So, we - us on the frontline, risking ourselves and our families, facing a deadly new pathogen - had to try and manage a new disease with:

No Triage
No follow-up service
And an actual reduction in bed capacity.

Lunacy. The UK will go down in history as a cautionary tale.
And be very, very clear: the reason you - the public - could not see your GP was due to government policy backed with emergency powers.

Why?

The cynic in me fears it was to control the testing contracts, but it was probably another reason…
The governments solution to the Triage problem was an untested online Symptom Checker.

The 111 Covid Symptom Checker. Ask a computer if you need medical help. Not a phone call, not even when positive, not even if vulnerable.

It failed dismally:

informatics.bmj.com/content/28/1/e…
We ask the question why has the UKs mortality been so high?

No doubt letting it rip and herd immunity were highly culpable.

But failing to triage patients and failing to create more space to treat thousands of new patients during a pandemic is a level of negligence/incompetence

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More from @danielgoyal

15 Oct
The British public feel abandoned by their GP (and the NHS generally).

They feel GPs were hiding from the pandemic and afraid of getting #COVID19

The truth is so much more concerning…

@RCGP
@trishgreenhalgh @MartinRCGP @martinmckee @DrSimonHodes @drphilhammond
1. This government, under PM #Johnson And against the will of #TeamGP, bypassed GPs during this pandemic.
As shown in the above thread, There was a very clear objection by many GPs and GP leadership to being side-lined by the government’s pandemic strategy ….back in April 2020!!!

THIS IS OUTRAGEOUS!!!

And the public are completely unaware of this.
Read 8 tweets
14 Oct
Lessons I have Learned so far

#COVID19

Experience:

+ Clinical Lead for level 1 and 2 (HDU) COVID Unit

+ Clinician for CAC (Covid Assessment centre)

+ Regional Lead for Remote COVID monitoring and follow-up service.

+ researcher orcid.org/0000-0003-0418…
1. Respect experience.

The two best preparations I undertook were to read, properly, the WHO guidelines (deep dive where necessary)
+
Spoke with the clinical lead in Singapore.

We are juniors in pandemic management and treating SARS. They are not.
IMO: when there is a new pathogen, the experts are those on the frontline treating the disease. At least until enough data is collected to analyse empirically…
Read 12 tweets
11 Oct
Thoughts on the joint statement issued by Royal College, BMA, etc..

Defending healthcare from new government demands

Please RT, change will only occur if the public support it..

bit.ly/3aneDrU
A number of national bodies have written a joint statement highlighting the pressures on the health service and staff.

The public are upset they have reduced access to care.

The government wants more face to face consults and for waiting lists to fall…
But these demands are made when:

1. Our bed capacity remains lower than it has ever been. Despite WHO advice to increase basic care capacity to manage the additional patients, this Leadership reduced it by 8%. Less beds = less frontline staff.
Read 14 tweets
9 Oct
Thread on FLU versus COVID

Apologies for lots of previous single tweets on this. Thread…

It seems many people believe Flu and COVID are in some way similar.

Many use this as an argument for easing Covid mitigation strategies.

Simply and utterly, completely wrong ..

1/n
To clear the first point up:

In the UK,

Flu deaths are 1200 per year.

At our current rate, COVID-19 kills over 40,000 per year. [this is even with vaccine coverage of >60%] Image
COVID-19 is currently killing more than 30 times more people than FLU.

FACT! Anyone says otherwise, ask for the evidence.
Read 8 tweets
9 Oct
What would a modern, properly funded NHS look like?

The NHS has been severely restricted by government funding. This has led to rationing of care at levels never seen in the NHS.

But what would the NHS look like were it allowed to grow with demands…
1/n
#NHS

Add ur own…
ACCESSIBILITY

A modern health service is accessible in a timely fashion to all patients.

A variety of mediums are available…email your pharmacist, physio, specialist nurse with a query; consult via phone, video, or face to face; interactive messaging;
TIMELY

Time to doctor contact is defined by illness not staff availability.

Expert advice available without delay.

Delay in diagnosis (eg cancer) relates only to the biological delays in processing investigations.

Treatment commences at the point of diagnosis.
Read 7 tweets
6 Oct
#COVID19 UK thread:

Why has the UK mortality been so high?

Overall mortality of the pandemic can be measured as total deaths.

Deaths per 100k inhabitants:

UK - 205
Sweden - 144
Germany - 113
Ireland - 103
Norway - 16
Japan - 14
Singapore - 2 (yes, two)

1/n
So why has the UK had more deaths?

Sweden pursued a herd immunity strategy. Germany had a similar public health response to the UK. Both have done much better than the UK.

if you get Covid-19 in the UK, you have a higher chance of dying. Why?
The first FATAL flaw of the UK response was the “stay home” approach.

Instead of triaging (assessing) covid cases, the UK opted to make NO routine clinical contact with ANY covid cases. UK national policy relies on the patient to come forward if severely unwell.

NO TRIAGE
Read 17 tweets

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