Dipesh Gopal Profile picture
Jul 4 8 tweets 6 min read
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

Jul 7
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
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 Image
@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 ...Table 2.  Number of medical...
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, ...
Read 4 tweets
May 29
🧵 THREAD for healthcare professionals to get people more active:

@DrDionisioIzq @krmarino1 David Whittaker, Ray Leung wrote something for primary care, published here in @BJGPjournal: bjgp.org/content/72/719…

Full text: researchgate.net/publication/36…

Guidance👇🏼 thanks @krmarino1 🙏🏼 Figure 1. UK guidelines on ...
Before we start let's dispel a myth... there is no evidence that the Olympics improve population physical activity levels.

E.g. @London2012: ncbi.nlm.nih.gov/books/NBK53275…

Sorry @TeamGB, it's more about infrastructure than inspiration 😂 Plain English summary What ...
Read 26 tweets
Nov 4, 2021
THREAD on our new paper:

Systematic review on vaccination uptake amongst older adults from minority ethnic backgrounds with @cinibhanu @Dr_UmarChaudhry @KRW_UCL

Paper: journals.plos.org/plosmedicine/a…

Blog: dipeshgopal.medium.com/how-do-we-impr…

@crageshri @fhussain73 @Azeem_Majeed @BinitaKane
Young men and women arrived from Eastern Europe, the Caribbean and the Indian subcontinent to the UK in search of better life from the late 1940’s onwards. Many arrived with little money and thick coats to protect themselves against the bitter cold.

Image: @8thsensemedia
Fast forward half a century and those young men and women have grown older, had children and now stand alongside us facing the greatest threat for a generation: the COVID-19 pandemic.
Read 12 tweets
Oct 31, 2021
THREAD of my journey from burnout, meeting @AmandipSidhu2 @DoctorsDistress, mentoring @medic_cd who presented internationally and wrote a paper which was published this week!

Paper: content.iospress.com/articles/work/…

Blog:
dipeshgopal.medium.com/juggling-fire-…

Full Text:
researchgate.net/publication/35…
I remember working as a junior doctor and on one particular rotation I ‘fell out of love’ with medicine.

For the senior doctors I didn’t think I mattered or existed to them.

Everyday, I was unsupported and went home feeling tearful, hopeless and the ready to quit medicine.
Luckily I had the support of colleagues, friends and family.
Read 23 tweets
Sep 10, 2021
@RaoMala @GraceOkoli and I write in @JHHypertension: nature.com/articles/s4137…

🧵 THREAD on why we need to seriously re-consider race in the @NICEComms hypertension guidance: Image
1️⃣ There is a small difference in ACE inhibitor blood pressure response between Afro-Caribbean and White people.

bmcnephrol.biomedcentral.com/articles/10.11…

bmj.com/content/371/bm… Image
2️⃣ Stereotyping all Afro-Caribbean people as being low renin responders is not based in science:

nature.com/articles/10011… Image
Read 10 tweets

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