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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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!!!
The two best preparations I undertook were to read, properly, the WHO guidelines (deep dive where necessary)
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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…
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.
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.
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.