Dipesh Gopal Profile picture
Jul 4, 2022 8 tweets 6 min read Read on X
Pre COVID

A woman with a learning disability will likely die 18 years before a woman without a learning disability.

A man with a learning disability will likely die 13 years before a man without a learning disability.

What can we do about it?

@Amy_M_Russell @sapcacuk #sapcasm Image
Coding in primary care for learning disability isn't always consistent. Are they carried over from childhood appropriately?

Missing coding means no annual health check and no priority for vaccination

#sapcasm Image
Not everyone with a learning disability is digitally literate.

Not everyone has financial means to get to appointments.

#sapcasm Image
Information design service image Bank for people with learning disabilities:

learningdisabilityservice-leeds.nhs.uk/easy-on-the-i/…

#sapcasm
How can we check if someone should be on the learning disability register?

learningdisabilityservice-leeds.nhs.uk/wp-content/upl…

#sapcasm ImageImage
Interesting @wellcometrust project from @Amy_M_Russell about consent in trials which often exclude people with learning disabilities: wellcome.org/grant-funding/…

How do we make our consent process research more inclusive to people with learning disabilities?

#sapcasm
@Amy_M_Russell asking questions about asking the consent process for people with learning disabilities.

Special 'consent' or 'capacity' training is not needed but perhaps some help with communication.

#sapcasm Image
@Amy_M_Russell

It's not enough to assume that we should not pay people for research just in case it interferes with the receipt of benefits.

We need to be more knowledgeable.

#sapcasm Image

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More from @DipeshGopal

Jun 14, 2023
🧵 THREAD about long COVID and experience of people from ethnic minority backgrounds

We present our stakeholder event findings:
blog.westminster.ac.uk/hicovestudy/hi…

@Dr2NisreenAlwan @damienridge @TomKingstone @EthnicHealthRes @profhelenward @LongCovidOrg @LongCovidAdvoc Ashish from the patient adv...
We interviewed 30 participants about their experiences of living with Long Covid: blog.westminster.ac.uk/hicovestudy/

15 men and 15 women from different, ethnic minority backgrounds, from occupational and social backgrounds, and different parts of England.
@GwynneMP Labour MP, and Shadow Minister for Health and Social Care stressed the importance of supportive and sensitive employers supporting people with Long Covid back to and in work: blog.westminster.ac.uk/hicovestudy/hi…

See workplace support here: fom.ac.uk/wp-content/upl… Andrew Gwynne MP "Havi...
Read 12 tweets
May 14, 2023
🧵 THREAD on psychology, cancer and ethnic minority health and our theory of 'affective relationality': journals.plos.org/plosone/articl…

* it was psychological as well as physical activity / work support too if needed. See @SURECANstudy: surecanstudy.qmul.ac.uk

@damienridge How would you adapt a psych...
It took 10 researchers, across 5 institutions, 5 years.

So how long would it have taken 1 reseacher ... probably 250 years? 😂

@QMUL_WIPH @KingsIoPPN @UniWestminster @OxPsychiatry @portsmouthuni
Read 19 tweets
May 8, 2023
🧵 THREAD - on trauma / trauma-informed care (TW)

@Dr_Manuela_ @danielnbutler @dodghq @nigelhart @drgkearney @dnblane and I wrote in @BJGPjournal about trauma and trauma-informed care: bjgp.org/content/73/730… ‘After trauma the world is ...
❓What is trauma?

💡Trauma is defined as an event (or series of events) that has long-lasting negative impacts on a person’s physical, mental, or emotional/social wellbeing after the event has ended.

From @samhsagov: store.samhsa.gov/product/SAMHSA…
❓Is trauma just an extreme version of stress?

💡 Trauma occurs after the experience whereas stress
is confined to the experience alone.
Read 24 tweets
Jul 23, 2022
Debunking this Telegraph article from it's source, and it's theory (some of the data is sound tbf, but the analysis is wrong) 🧵

The article authors all seem to think that healthcare is fully responsible for/creates health which is wrong.

Article ⬇️ UK’s ‘runaway’ health spending costs £10k per househoIt shows where patients are most likely to face a long wait This was the largest increase of all 19 comparable countriesPoliticians should ‘face up to the reality’ Tim Knox, th
1/

The article cites 'research' but really it's a bizarre ranking exercise with lots of missing data: civitas.org.uk/publications/i…
2/

Is this a limitation or manipulation of the data?

So much of the data is missing and the UK conveniently ranks bottom for so many things. Summary of rankings of different health outcomes - life expe
Read 14 tweets
Jul 7, 2022
I've been thinking about legacy for a while now.

Not being able to thank the founders of @sapcacuk which started 50 years ago for creating the amazing platform for primary care research is heartbreaking.

This is my journey: people who helped me in my career 🧵
At @BSMSMedSchool I had a fantastic mentor @deffley_paul back in 2009 who showed me what General Practice is and really inspired me...that I could do the job and make a difference. I still think you can.

@zoeschaedel confirmed that GP was for me in my final year of med school.
Initially in researching a career in primary care research I looked online in 2011

@tony_kendrick wrote in @bmjcareers: bmj.com/content/337/bm…

@clarejtaylor @gregjirving wrote in @RCGP_InnovAiT: journals.sagepub.com/doi/abs/10.109…

I emailed them with replies in hrs inc @HelenStokesLam
Read 13 tweets
Jul 6, 2022
Prof Hugh Alberti tells us about @SophieParkUCL and colleagues' seminal work about the role of the GP as a clinical teacher on undergraduate placement: tandfonline.com/doi/full/10.31…

#sapcasm
@SophieParkUCL GPs teach A LOT! Prof Alberti asks perhaps what could GPs not cover?!

@EPC_Journal: tandfonline.com/doi/full/10.10…

#sapcasm #ASME2022 Table 1. Number of medical schools teaching RCGP provisionalTable 2.  Number of medical schools teaching additional topi
Discussion about general practice not being an attractive career option reminded me of @ValWassRCGP @SimonDGregory Dr Katie Petty-Saphon seminal work @ukmedschools: medschools.ac.uk/media/2881/by-…

#sapcasm #asme2022 By choice - not by chance, supporting medical students towar
Read 4 tweets

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