When A&Es are overwhelmed, patient safety becomes compromised. Here, a post-covid pulmonary embolism was missed initially with patient sent home without assessment. When he was finally diagnosed, he was managed at home despite low O2 levels & repeated trips to A&E. This is unsafe
Here's data on the no. of patients needing to wait >12 hrs for decision to admit in A&E- a measure of pressure in A&Es. The increases up to Jan '22 are completely off the scale. This is what we're dealing with. Services so overwhelmed simply cannot function at the same level. Image
We need urgent support for the NHS- the problems are complex- chronic underfunding, Brexit, the cumulative impact of the devastation of the NHS by 2 yrs of failed pandemic policy, long covid in staff, staff burnout - have all contributed.
But we aren't seeing any solutions discussed. Given that any solutions will take time to implement, we're already acting too late in this. Rather than take steps to alleviate this, our govt is digging in further asking the NHS to fund covid testing of HCWs going forward as well.
Taking £5 bn *out* of the NHS at this critical time is frankly criminal. We need to be talking about how we support the NHS and ensure patient care isn't compromised. This affects all of us.
It is troubling that we cannot guarantee that standards of care will be maintained even for life threatening diseases - this should be an urgent issue. Why isn't it being treated as one?

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More from @dgurdasani1

Feb 28
ONS data on long COVID out today very concerning
-persistent symptoms *affecting daily life* affect a significant proportion of primary & 2ndary school age children
-clear impact on children's wellbeing 🧵
ons.gov.uk/peoplepopulati…
Let's look at the ONS results.

First, it shows that 1 in 100 primary school age children had at least one of 28 persistent symptoms post-COVID-19 *affecting every day life*. This is *not* 1 in 100 children infected. It's *1 in 100* children in the community. And pre-omicron. Image
Let's think about this again. 1% of all primary school age children in England estimated to have had long COVID symptoms *affecting daily life* for 12 weeks or more.
Read 25 tweets
Feb 24
To those who feel I shouldn't be tweeting about anything except COVID-19 - I'm a person with opinions and this is my private account, and I will use it to express my opinions on whatever I feel like. If you don't like it, feel free to unfollow. You don't get to tone police me.
.@mroliverbarnes - you may want to take note too.
Also want to point out that women experts get this a lot because people think of us as someone who's doing a job for them by putting out public information. This isn't my job- I tweet about COVID-19 because I feel like. And when I feel like, I will tweet about other things.
Read 5 tweets
Feb 24
Russia interfered in our democracy- we did nothing
Russia poisoned people on UK soil- we did nothing
We signed a treaty with Ukraine saying that we'd protect them if they gave up their nuclear weapons - they gave them up in good faith
Russia just invaded Ukraine- we do nothing
And Ukraine is just the start, not the end. If he's allowed to attack Ukraine with impunity, others will follow.
To the trolls- no I'm not suggesting we go to nuclear war with Russia! But there's so much more that can be done with coordinated sanctions, against Russia and Russian oligarchs - so much more than empty rhetoric which is all we have now.
Read 4 tweets
Feb 21
PM just asked about disproportionate impacts on poorer people who may not be able to pay £60-120 for a test, and then lose pay by self-isolating without enough financial support. PM just says that we are 'underestimating the willingness of people to do the right thing' Shameful
How out of touch does one have to be suggest that this is about willingness, when for so many people it'll be about ability. How many people can afford to shell out so much money for a test & lose pay when isolating? Especially with such poor government support.
People on low incomes are already at greatest risk from COVID-19- death rates have consistently been 2-3x higher in the most deprived. How are the poorest supposed to protect themselves & their families when you make it even harder?
Read 5 tweets
Feb 21
About 'restrictions' - the idea of taking measures that infringe slightly on our freedoms to protect everyone's health isn't novel:
e.g. not smoking in public spaces, not using mobile phones on planes, or at gas stations, HSE & environmental standards for work places. 🧵
Framing of simple measures like wearing masks in indoor spaces to protect ourselves & others as 'restrictive' rather than protective is problematic. The idea that isolation of a person infected with a highly contagious virus that could be fatal/disabling as 'unnecessary'
We're being gaslit by government in the name of 'freedoms'. These aren't freedoms - these are removal of essential protections that benefit all of us. No one is completely protected from this virus, and vulnerable, elderly people, & frontline workers even less so.
Read 5 tweets
Feb 19
Because it's extremely misleading, and incorrect, if you've actually read the report. The attack rate modelled is one that we actually achieved in just 3 wks during the omicron wave. Rapid waning of natural immunity in children also not considered. Plus prevention of long COVID.
The last JCVI model was also heavily flawed, and very likely underestimated impacts from vaccination. It's worth reading these models for yourself and comparing them to the actual reality of infection in children that's been unfolding around us.
Also, they don't address long COVID at all, despite this being one of the more common detrimental outcomes in children, with protections afforded by vaccination. But, sure, who cares about facts?
Read 4 tweets

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