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Dr Dan Goyal Profile picture
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4 Nov, 11 tweets, 4 min read
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I believe we should mitigate against Covid-19 - masks, vaccines, ventilation/filtration, etc.. - and increase BASIC healthcare capacity. This will help prevent death, disability, social restrictions, economy, and the secondary impact on non-Covid diseases.
Mortality is high in the UK.
1 in 400 of all UK citizens have died from Covid.
Most didn't need to.
Enough mitigation strategies to permit access to enough healthcare will allow life to function closer to normal with the least amount of suffering.

The government's strategy is based on faulty logic and/or questionable motives...

Firstly, the fact: good control of the rate of infection leads to much better economic security.

Secondly, the Herd Immunity Strategy is hugely damaging...

Thirdly, the suggestion that the current rate of death from Covid is anything like that of flu. Death from Covid is currently over 30 times higher than flu...

Fourth, the government bypassed the usual NHS services, such as GPs and NHS labs, in favour of untested, often unregulated, and often commercial partners. This led to:

1. No triage

2. No follow-up

Fifth, in my view, one of thee most catastrophic failures and areas of negligence was in reducing basic healthcare capacity in the UK at the start of the pandemic. Bed capacity remains lower than before the pandemic.

Finally, the government seems to be severely averse to investing any resources into the NHS that may strengthen it.

There are consequences for those who use the NHS...

And there will, in my opinion, a consequence for how history will remember Boris Johnson and Co.

And to such ideals...

Finally, my lessons from the frontline:

• • •

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More from @danielgoyal

Dr Dan Goyal Profile picture
4 Nov
#
When government policy is not evidence based and is not in the interest of the patient...we must speak out.

🧵
#YourNHSNeedsYou #FBNHS
@dgurdasani1 @trishgreenhalgh @doctor_oxford @theAliceRoberts @mikegalsworthy @YourNHS2021 @NHSMillion @docrussjackson @PeoplesNHS @NurseSayNO
As panic gripped a rudderless nation, worst-case scenarios were being projected and simulations cast doom over the healthcare service’s ability to cope, the relative unknown fatality of this new infection foraging the globe loomed over our heads.
It was March 2020, and within this culture of fear, speculation became an acceptable basis for decision-making. Fear of needing to ration became rationing itself; protecting the NHS became failing to protect the people, and government policy suddenly became 'clinical guidelines’
Read 13 tweets
Dr Dan Goyal Profile picture
3 Nov
Restricted access to the NHS during the pandemic...

...the evidence and policies that led to excessively rationed healthcare provision in the UK.

Summary thread
1/18
RT pls
#YourNHSNeedsYou
#MedTwitter
thelancet.com/journals/lanep…
This paper was developed from a collaboration between primary, secondary, and public health care specialists. Its aim was to examine and highlight the policies that have led to restricted access to healthcare in the UK.
2/18
It shows:
1. No triage for suspected or confirmed COVID-19 cases

Despite WHO recommendation to triage all patients with this novel coronavirus, patients are told to NOT contact their GP and instead use an AUTOMATED, online patient-led triage system,... BUT only if concerned... NHS England Suspected Coronavirus, patient information leafl
Read 17 tweets
Dr Dan Goyal Profile picture
31 Oct
The NHS response to the Pandemic.

The public have a right to feel ABANDONED...
...in many ways they were.

But give me a moment to convince you: it was NOT the NHS that abandoned the public...it was our Leadership who abandoned us all.

[RT pls - people need to know].
1/10
2/10
All but the most suggestible would agree: the UK have sh*t the bed with COVID-19. A series of colossal and deadly failures led to the highest mortality rate in Europe,...
3/10
..one of the worst economic declines in the world, and a devastating effect on non-COVID diseases.
Read 18 tweets
Dr Dan Goyal Profile picture
29 Oct
The NHS needs MORE CAPACITY!

NOW!

At the start of the pandemic The UK Government reduced NHS bed capacity. The further into Winter we get the more catastrophic this failure/decision becomes.

There is still time...

1/5
Make Some Noise!
RT pls

#YourNHSNeedsYou
#COVID19
2/5
 The math is quite easy:

Going into the Winter we normally have 15% bed capacity available. We currently have 5%.

6% of beds taken up by COVID-19 patients
+
4% of beds cut at the start of the pandemic (was 8%)

That is the 10% loss. Or a 70% reduction in bed availability.
3/5
 Almost every other country in the world increased basic care capacity..

It was one of the first things the World Health Organisation advised.

More people to treat = more capacity to treat them.
Read 6 tweets
Dr Dan Goyal Profile picture
28 Oct
What question do you want asked at the COVID enquiry?

Me first

RT pls

#YourNHSNeedsYou
#CovidInquiryNow
@IanMaher7 @trishgreenhalgh @dgurdasani1 @DrSimonHodes @DrAmirKhanGP @DrSelvarajah @chrischirp @Kit_Yates_Maths @martinmckee @alisonleary1 @Katynurse27 @TigressEllie...
Why didn't you follow the WHO guidelines and increase basic healthcare capacity?...Why leave us with less beds to deal with more patients?

And why, after 20 months, do we still have less beds than before the pandemic?

[Counts as one question!..my tweet, my rules 😉]
@IanMaher7 @trishgreenhalgh @dgurdasani1 @DrSimonHodes @DrAmirKhanGP @DrSelvarajah @chrischirp @Kit_Yates_Maths @martinmckee @alisonleary1 @Katynurse27 @TigressEllie So far, in this entirely uncontrolled biased sample, and assuming we permit democracy to rule..
Why didn't we follow sage advice sept; increase hospital capacity; listen to other nations/WHO, and why CMO is not independent..
Keep them coming...repetition allowed, as is venting...
Read 4 tweets
Dr Dan Goyal Profile picture
27 Oct
To those that use the NHS,

You will have no doubt heard about the pressures on the NHS just now. It is true, we are worried. We have begun this Winter under considerable strain - more than usual. And, I won't lie, we expect things to get worse.
1/15
#NHS
We have little capacity - both emotional or beds. We are short staffed, and on top of all this we have a pandemic to deal with.
I understand you too may be running out of capacity... to face even more calamity after a calamitous 20 months. You too must be worried.
2/15
Firstly, can I say, we are still here. We get up in the morning (or night) and come to work. We donn our PPE, roll up our sleeves and face the avalanche of patients, requests, relatives, battle-hardened colleagues, and a pathogen that we have lost many colleagues to.
3/15
Read 19 tweets

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