NHS Confederation steps up!

Some good news this morning. NHS chiefs have called for more resources to the frontline and called out Johnson’s rhetoric of “riding it out”.

Concerns grow that millions of patients will suffer unless action is taken…

[Reported in the Guardian]
While still not publicly requesting proper PPE for front-facing staff nor directly asking for an immediate pay rise, @NHSConfed have openly challenged the PM’s reassurance that the NHS is not overwhelmed.
States:

“The government now needs to do all it can to mobilise more staff and other resources for the NHS to get through this extremely challenging period.”

Calling for reducing staff isolation to 5 days is IMO desperate and possibly counterproductive measure to staff frontline
They suggest redeploying medical students as well - they were helpful in the first wave.

While the solutions do not prevent the exodus of NHS staff nor improve recruitment, it is a sign that NHS Chiefs are getting fed-up with the “take it on the chin” approach of ministers.
They also highlight that chronic staff shortages and shrinking capacity means the NHS cannot tolerate waves of infections.

A point echoed by @ChrisCEOHopson yesterday

And a point made by a Lancet Commission on the NHS at the start of the year.
The Guardian reporting of it IMO is better than previous reports focusing on staff shortages. The 17k hospitalised patients (almost tripled since Mid-December) makes it hard to avoid the reality: unmitigated Covid is compromising care for everyone.

theguardian.com/world/2022/jan…

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr Dan Goyal

Dr Dan Goyal Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @danielgoyal

6 Jan
"Living with Covid" means different things in different countries.

Lets look at Singapore...

@chrischirp @ChrisCEOHopson @Kit_Yates_Maths @jburnmurdoch @DrGregorSmith @devisridhar @theAliceRoberts @doctor_oxford @DrEricDing @Dr2NisreenAlwan
Singapore has performed well.
About the size of Scotland (pop 5m.), they have suffered 800 deaths.
They began with a 3 month Lockdown, which they used to significantly increase care capacity.
They have 5000 additional Covid Care Beds and opened 900 Public Health Clinics (GP-led).
Apart from brief periods, routine care has continued relatively unaffected by Covid. GP's and private hospitals have been financially supported to provide routine care, while GP's and government hospitals tackled Covid.
This is reflected in their low excess mortality rate:
Read 12 tweets
5 Jan
How wrong is Johnson’s (and other leadership’s) inaction?

Almost beyond comprehension.

They have abandoned the public and frontline staff. AND make absolutely no mistake about it, they have accepted avoidable deaths and disability of thousands.

1/n
Johnson’s view that we can ride out the next few weeks is based on a complete disconnect from reality.

Firstly, we have not even reached the peak in the UK. The pressures will only worsen.
The two years of profound healthcare rationing that we have endured will only worsen

thelancet.com/journals/lanep…
Read 11 tweets
1 Jan
Can 2022 be the year we learn from our mistakes?

We are entitled to make mistakes, given how new Covid is.

But stubbornness and ego have no place in pandemic management.

On that note: Covid admissions rising in many places.

Here’s New York: Image
And here is London:

@chrischirp Image
Denmark, France and the wider US… Image
Read 9 tweets
23 Dec 21
New: UK Omicron studies suggest certain populations (e.g. fully vaccinated) may have a reduced disease severity vs Delta.

Hope though, that Omicron is “mild” enough to avoid increased Covid admissions and further rationing of non-Covid care for UK is, unfortunately, diminishing.
According to several early studies on Omicron severity: in previously exposed (vaccines +\- infection) populations, hospital attendance may be reduced by around 25% and admission by around 40%.

[The Imperial investigators advise these numbers may change as the wave progresses.]
On an individual risk level, so long as you are up to date with your vaccines it is great news. Your risk of serious disease appears significantly lower. Even for those unable to take vaccines, there may be a reduced severity.
Read 8 tweets
22 Dec 21
❗️Massive…Omicron Disease Severity Study just released in pre-print.

Huge thanks to our South African Colleagues who must have worked through the night to complete this so soon.

Some thoughts on it…
[summary last two tweets]
A good study.
✅ Only reported on cases that had an outcome
✅ Controlled for age, co-morbidity, etc…
✅ Used quite solid proxy for Omicron

✅ admitted limitations -
❌low numbers,
❌no raw data on morbidity or mortality
The most important limitation the investigators highlighted, was the likely difference in vaccine/immune status. Around 50% of the target adult population had at least one vaccine by the time Omicron hit. It was less than half of this at the start of October.
Read 12 tweets
20 Dec 21
The signal from today’s South Africa Covid-19 data is that #Omicron is still causing serious disease.

ICU admissions have more than doubled and MV (ventilation) have tripled since 5th Dec.
Gauteng…
Dec 5th:
1.5k admitted
115 in ICU
29 Ventilated

Dec 19th:
3.4K admitted
285 in ICU
110 ventilated
Vaccination reduces the chance of severe disease. Get boosted.

But some will still require hospital admission, some ICU, and some will need ventilated.

And with the NHS struggling, I remind: mortality rate depends on access to healthcare. Wishful thinking is not good enough.
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(