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.
Instead this UK government:

Used private testing companies
&
Developed a separate Test and Trace service,
&
Directed patients to an online symptom checker for triage

…replacing what is typically roles of the GP.

doi.org/10.1136/bmj.m3…
The consequences for the public included:

NO TRIAGE

In a pandemic there was NO Triage.

Just consider it for a moment.

The public were suffering and terrified, and instead of allowing primary care to do what they always do, this UK government opted to support business.
The diagnostic PCR testing had no doctor overseeing it or responsible for acting on the results

Contact and trace had no clinical remit. They could not assess the disease. £36bn and they could not even triage.

The online 111 symptom checker was ineffective and unsafe.
The UK public are right to feel abandoned, they were…by this government. They put profit above life and suffering.

And the public need to know the truth, not the spin..

GPs wanted to provide the Triage and Follow-Up, but this government, under emergency powers stopped them

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More from @danielgoyal

17 Oct
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
Read 21 tweets
14 Oct
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…
Read 7 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

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