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.
Instead this UK government:
Used private testing companies
&
Developed a separate Test and Trace service,
&
Directed patients to an online symptom checker for triage
It's time to admit this is a national emergency and act accordingly.
The #NHS has never sustained these demands. And they are only increasing.
The UK government has no insight into the problem and it seems they have neither the skills nor the fortitude for such crises.
1/n
We have:
1. NHS pre-winter bed capacity beyond 95% - #NHS 2. The highest demand for primary care services ever recorded 3. An NHS staffing crisis 4. An unmitigated pandemic - #COVID19 5. An absent government
It is dangerous to run a hospital above 85% capacity. When space is tight in a hospital, risk increases.
Risk occurs as we must try and avoid admissions and expedite discharges. @NHSProviders
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…
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.