Jamie Hynes Profile picture
UK GP, FRCGP, Trainer, Illustrator. Daddy to my boys! Creator: ‘The National Health’ #GP150w #GPKipling #IAMUK Winner. Vice 🪑 Midland Faculty RCGP #CIAN He/Him
9 Aug
Vague and Non-Specific Cancer Symptoms: A short Tweetorial.
A bit of context courtesy of #GP150w for the #blackandwhitechallenge faced in Primary Care:
1/7
Vague and Non-Specific Cancer Symptoms
Continuing the shades of grey, we differentiate the specific cancer signatures from those non-specific symptoms, noting the lowering of the threshold for Positive Predictive Value to the current 3% level.
2/7
Vague and Non-specific Cancer Symptoms
So, what does the evidence for new pathways say?
Quite alot of support for 'gut instinct' or Clinical Suspicion- one of the two commonest reasons for referral to Multi-Diagnostic Centres, and statistically significance to support it.
3/7
Read 8 tweets
29 Jul
@MartinRCGP @rcgp 2/9 See our press release and action plan here: rcgp.org.uk/about-us/news/… - GPs and their teams have played a pivotal role throughout the COVID-19 pandemic, but even before the pandemic, GPs were under immense workload and workforce pressures.
@MartinRCGP @rcgp 3/9 We simply do not have enough GPs to meet the needs of a growing and ageing population, with increasingly complex conditions, on top of managing the fallout and backlog from the pandemic. If general practice collapses, the rest of the NHS will follow.
@MartinRCGP @rcgp 4/9 GP consultation rates were 11% higher in June 2021 than in June 2019 while the number of fully qualified GPs in England has fallen as the population grows - the number of full-time equivalent GPs fell by 1,307 (4.5%) between September 2015 and March 2021.
Read 9 tweets
22 Apr
Delighted to be living the lifelong career ambition: Roger Neighbour is presenting on the Consultation for our VTS.
Wonderful stuff. #MedEd
Patient centredness: not doing all that the patient wants, but putting all of your skills, expertise and attitude at the disposal of the patient.
This does require a skilled application of structure within the Consultation
The greatest opening line heard by Roger Neighbour:
(From the mouth of an Orthopaedic Consultant)

Tell me what you need me to hear, in your very own words.

Subtle, nuanced, appreciative enquiry!
Read 9 tweets
30 Mar
Today during my on call I was asked to review the following case. The parents have given their consent to discuss via social media for educational purposes:

The case of the blue willied boy.

A thread 🧵
...The child in question was very upset and complained to his teachers that to his great surprise and distress that his willy was blue.
No other symptoms, no pain, going for wees without difficulty.
No fever, no cough and no change in smell or taste.
Sorry, force of habit. 🧵
So the understandably concerned teachers required a visual confirmation of the blue willied boy’s claims: cue call to parents, resulting in my involvement.
🧵
What was the cause?
Trauma?
Venous congestion or engorgement??
Torsion???
Read 9 tweets
25 Feb
From @TARGETabx toolkit on @rcgp website- prescribing of ABx has been creeping up since the turn of the century- it's a popular misconception that ABx were only overprescribed in the bad old days...! But there's been better news recently...
The response to this? #ESPAUR
#AntibioticGuardian #KeepAntibioticsWorking
The picture before a focussed commitment to tacking antimicrobial prescribing for a 5 year period. Bit of local flavour for context for our @MidRCGP AiTs
How it was going...
Read 13 tweets
7 Feb
#SuperBowl
#NFL Teams as English #PremierLeague teams: A thread
Disclaimer: this may wind you up with some tenuous links... post your ideas as comments!
1/8
Dallas Cowboys:Arsenal
Wins in the 70s & 90s but some way off those glories in recent years. Still up there with the best
#SuperBowl
#NFL Teams as English #PremierLeague teams: A thread
Disclaimer: this may wind you up with some tenuous links... post your ideas as comments!
2/8
New England Patriots:Chelsea
A 21st Century explosion of titles putting any previous history into paler comparison.
#SuperBowl 
#NFL Teams as English #PremierLeague teams: A thread
Disclaimer: this may wind you up with some tenuous links... post your ideas as comments!
3/8
49ers:Man Utd
Red, black & gold brand transcending the sport, once truly dominant, not so in recent years. Still up there
Read 9 tweets
16 Jan
#ExploringGPwithUoB
@gmcuk National Training Survey data on Satisfaction in Speciality Training.
Every year the question was asked:
GP Trainees highest satisfaction rates.
Credit to the investment made by GP Trainers & Programme Directors
#ExploringGPwithUoB
Patients are rather satisfied with us too.
A Proud history of high satisfaction in comparison to the NHS over the years; up to us in Primary Care to maintain this:
Read 6 tweets
20 Dec 20
#CIAN
#ConsultingInANutshell
A definitive thread, with a message from the author ✍🏼
1/8
#CIAN
#ConsultingInANutshell
The First Chapter: As We Begin
Setting out the way ahead, navigating through the main parts of the Consultation
2/8
#CIAN
#ConsultingInANutshell
Next Chapter: The Big Picture
Start with the ‘Why?’
Is it about the CSA or something wider?
Linking those 3 parts from the last chapter, broadening the approach
3/8
Read 9 tweets
29 Nov 20
When we’re Centred, we find comfort, confidence and serenity, choosing wisely our next intention.
In times of adversity we focus on those aspects at our core that make the most difference.
When the winter comes it’s the most important time to keep the fire burning 🔥
#CENTREDPrimaryCare
Pattern recognition, guiding patients towards evidence-informed choices takes time, skill, experience and clinical intuition.
This is why Continuity can offer an advantage as evidenced by outcomes & admissions.
Due credit to those doing this in one encounter!
Read 7 tweets
24 Oct 20
It’s the anniversary of last year’s #RCGPAC when the originals came together to record #GPKipling
We’re socially but not intellectually distanced.
Much has changed yet much remains the same.
Sending best wishes wherever you’re watching this, until we connect again #GPKipling2020
To remind ourselves on how good last year’s conference was, let’s start a thread of what your best bits were: photos, memories, learning, people!! 👇
Some of the publishable social shots from #RCGPAC last year!!
Not a social distance in sight 🤗
Read 9 tweets
10 Oct 20
Going to miss these weekly @PHE_uk Surveillance reports. Very helpful data to contextualise the current status of cases, ethnicity, age and location.
Helpful international data too

assets.publishing.service.gov.uk/government/upl…
👇
This helped me understand why with the surge of cases we’re not yet seeing the surges in Admissions & Mortality at the rate observed in Spring.
It also helped to show its fine for my 5 year old to go to school!
Weekly test positivity was a helpful context to illustrate cases are genuinely rising, rather than the argument:
We’re seeing more cases because our testing capacity has gone up.
The % of tests positive are consistently rising across Pillar 1 (NHS & PHE testing) & 2(community)
Read 11 tweets
6 May 20
Getting a #COVID19 #SelfTest
#COVIDSelfTest
#CoronavirusSelfTest
In case you’re not prepared to do your own test, and being told how to do the test over the phone, here’s a thread with instructions to make it as stressless as testing can be.
Please share: it may help others 👇
Getting a #COVID19 #SelfTest
#COVIDSelfTest
#CoronavirusSelfTest
This is the kit you get.
Lots right?
More confusing when the guy phoning you tells you about a test tube, which is a sample pot, called a plastic vial on the instructions.... 🤯
Getting a #COVID19 #SelfTest
#COVIDSelfTest
#CoronavirusSelfTest
If you’re alone, this is how you do it:
Look in your mouth with a mirror and aim for that McDonalds sign!
Read 8 tweets
3 Mar 20
#TenCCs The Thread
1/11
#DearColleague
#BeKind
Lead by Example.
We learned together and qualified as medical professionals together.
I’ve broken this one a few times in the name of banter.
We’ve more in common than we take for granted, and we get through this career together.
#TenCCs
2/11
#DearColleague
#BeKind
Holding Colleagues in highest esteem. Value them by our actions in prioritising their needs.
Paying it forward means we’ll get the same in kind.
#TenCCs
3/11
#DearColleague
#BeKind
Give colleagues the specific and relevant bits they’ll need when transferring care.
How you’d want it if it were coming your way.
Read 13 tweets