My colleague, my friend Nicola-a scrub nurse took her own life last week

She scrubbed for me in OT earlier this month

She was such a bubbly personality- no one had any idea what was going on in her mind

Its a fact we (doctors,nurses & other HCWs) are hesitant to seek help

1/4 Pandemic has affected ALL including us ie health care workers

as drs,nurses its our passion,infact duty to help others but please remember we can only help others if we are ourselves OK

take time out for yourselves

seek help if you r struggling

@TheBMA 24/7 line👇

contd..2/4

May I request authors of #SewellReport who have claimed #NHS as a success story in race issues to read this thread

Recent survey of Primary in Humberside region shows very disturbing findings discrimination in NHS of 2021 /1

@rcgp @KailashChandOBE @CNagpaul @riddell_marcus Is it acceptable that in #NHS of 2021 ability to train in ones chosen career is affected by ones ethnicity, culture and #racism #discrimination ? /2

@rcpsglasgow @RCPLondon @rcpsych @RCOphthPres @terry_moran1 @AntonEmmanuel2 @Prerana_Issar @MichaelMarmot @NHS_RobW @NHS_RHO

1-Virus spreads through air especially indoor in areas of low ventialtion
Have a look at this thread if you want to know how you can check if ventialtion in an area is adequate.
Its really easy!

@CNagpaul @helenamckeown @KailashChandOBE @sarahedderwick @anilkjain61 @doctorshaib 2-Every time you exhale CO2 is exhaled in air. You can use CO2 levels to see if room is filling with potentially infectious exhalations
CO2 level lets you estimate if enough fresh outside air is getting in

@raj_psyc @docjon55 @petermbenglish @NikkiKF @drpshukla @TheBAMEGP

1-@parthaskar thankyou for raising this. May I first share some evidence & than I will try to address what @TheBMA is doing in this regard

@CNagpaul @dr_emmacoombe @DrOKaneAgain @anilkjain61 @helenamckeown @drhfidler @smileywalshey @DrAnneCarson @blmdh1 @YorksHumberBMA

https://twitter.com/parthaskar/status/1328256892297236480

2- I did a survey of 1071 BAME doctors in June 👇.

itv.com/news/calendar/…

Results of the survey showed very worrying findings

It does appear that IMG & BAME doctors who studied medicine in UK Universities face similar challenges in NHS
@drpshukla @terry_moran1 @Prerana_Issar

1-Heard about another colleague ending up in ICU today

626 HCWs deaths & we still haven't learnt our lesson

HCWs must now have appropriate PPE against airborne transmission

Please find time to see the videos in this thread&please spread the message

@CNagpaul @KailashChandOBE 2- Saw a webinar by Prof Donald Milton (a world authority on aerosols) of Institute for Applied Environmental Health Maryland

👇video of question to him

@petermbenglish @doctorshaib @BrennanSurgeon @NikkiKF @AliRacaniere @helenamckeown @drhfidler @anilkjain61 @sarahedderwick

1- Please read this thread if you want to know what must be done to protect health care workers who are taking care of all of us during this Pandemic

@CNagpaul @helenamckeown @DavidGWrigley @terry_moran1 @NHS_RobW @TheBMA @TheDA_UK @Muslimdoctors @drneilpease @JeremyFarrar 2- Remember 625 HCWs lost their lives during the first wave - highest rate among developed countries

@petermbenglish @doctorshaib @DPH_MAshton @BWDDPH @AbdulRazaq_PH @felly500 @Smithkjj @FurberA @andrewleedr @ADMBriggs @DrZeshanQureshi @MontioMorgan

amnesty.org.uk/press-releases…

1- Dear public health colleagues @petermbenglish @doctorshaib @DPH_MAshton @BWDDPH @AbdulRazaq_PH @felly500 @Smithkjj @FurberA @andrewleedr @ADMBriggs @Dr2NisreenAlwan
@ProfKevinFenton @ADPHUK @drtimallison @devisridhar do you agree with me that ......

https://twitter.com/FurberA/status/1312281276116799488

2- do you agree that Public messaging should also include
-importance of ventialtion
in addition to
-social distancing
-hand hygiene
-face covering

because...
@trishgreenhalgh @KailashChandOBE @docjon55
@surashsurash @BrennanSurgeon @NikkiKF @drpshukla @BMJLeader @raj_psyc

1-To keep schools open,economy going we need fit for purpose #TrackAndTrace

Spent 5 minutes this morning analysing track&trace data from 3-9 Sept

Was amazed at the extent of failure of current track&trace

Read through this thread to see what I mean

@KailashChandOBE 2-#SercoTestAndTrace proudly declares 73.8% of known contacts reached between 3-9 Sept

Does this means that maybe 26.2% of potential contacts not reached & hence not isolating?

Not really....... read on

@anilkjain61 @DrUmeshPrabhu @DrOKaneAgain @trentconsultant @helenbevan

1-#ARM2020 voted overwhelmingly👇BMA should disengage itself from DDRB.This thread is about the reasons why I proposed this motion at #ARM2020

@KailashChandOBE @CNagpaul @helenamckeown @drhfidler @trentconsultant @DrOKaneAgain @ShafiAhmed5

medscape.com/viewarticle/93… via @medscape 2-DDRB has overseen real-terms pay erosion of all doctors over the last decade
-Consultants over 30%
-Other hospital based drs 22%
-Contractor GPs 26.8%
-Salaried GPs 24.5%

@aakochhar @H3MADRI @ParagSinghal09 @mathew_satheesh @inzyrashid @darshnasoni @bmj_latest @TheDA_UK

1-Atlast penny has dropped!
CDC has accepted virus can spread by airborne route
'It is possible that COVID-19 may spread through the droplets and airborne particles that are formed when a person who has COVID-19 coughs, sneezes, sings, talks, or breathes'
cdc.gov/coronavirus/20… 2-Now hopefully authorities will give due attention to ventilation which can be crucial in reducing indoor spread & reducing the risk of 2nd wave

@doctorshaib @KailashChandOBE @raj_psyc @Dr2NisreenAlwan @petermbenglish @anilkjain61 @DrUmeshPrabhu @svig2 @Prerana_Issar @DrHNaqvi

1-Thx🙏#ARM2020 for overwhelmingly passing 👇motion

All HCWs deserve a fair settlement!

Consultants getting£20 weekly payrise after30% real-terms pay erosion over last decade is unacceptable

GPs,Juinior drs& nurses not getting any is just 'Scandalous'
pulsetoday.co.uk/news/politics/… 2-Absolutely right #ARM2020 decided to walk away from DDRB which has overseen 24-31% real-terms pay erosion of drs over last decade
@CNagpaul @helenamckeown @DrLatifaPatel @KailashChandOBE @DrOKaneAgain @Vish_Sharm @trentconsultant @DrUmeshPrabhu @anilkjain61 @PeaPeaspot

1-Please consider all risk mitigating factors including risk of airborne transmission of virus at UK educational institutions as opening them is fraught with danger of virus outbreaks👇

@KailashChandOBE @doctorshaib @CNagpaul @DrNighatArif

nbcnews.com/health/health-… via @NBCNews 2-Evidence regarding airborne transmission keeps increasing every day👇

I hope UK authorities will follow the science&start talking about importance of 'ventilation' more soon

@anilkjain61 @raj_psyc @docjon55 @BMJLeader @darshnasoni @AbdulRazaq_PH

jamanetwork.com/journals/jamai…

@helenamckeown🙏How can we have a proper debate to end #NHSracism unless we know how widespread it is Please consider doing this survey
surveymonkey.co.uk/r/8CBHZVF

@kamleshkhunti @svig2 @meenalsworld @sabina_hafesji @BMA_GP @DrSarahHal @Jug_Johal @AskJeevesWij @DPH_MAshton @RaoMala

https://twitter.com/helenamckeown/status/1294500619567456262

Surprisingly so much talk about #NHSracism but can't find a single survey on this issue which asks difficult but necessary questions.Plz do the Survey
@ShafiAhmed5 @ProfKevinFenton @fernandof1974 @AbdulRazaq_PH @BWDDPH @DrBalsamAhmad @DrZeshanQureshi @salmanWaqar @Shahed__Ahmad

1-As per @ONS data 625 UK HCWs deaths- probably highest in the developed world but

have we learnt the lesson🤔

See👇interim results of ongoing survey. Subgroup analysis show 18.48%of BAME HCWs still haven't had RA done
@MrTimLane @CNagpaul @KailashChandOBE @anilkjain61

https://twitter.com/ShaunLintern/status/1293447430122418176

2-Even the colleagues who had RA interim results show 27.07% of BAME colleagues were not satisfied by it.
Have we still not learnt our lesson?
@DrHNaqvi @RaoMala @WRES_team @yvonnecoghill1 @meralhece @jsbamrah @Prerana_Issar @NikkiKF @kamleshkhunti @petermbenglish @salmanWaqar

1-Last month I did survey of appropriateness of PHE recommendations following its rapid review 'Disparities in the risk & outcomes of COVID-19' & what action needs to be taken now.
Results show there is still a lot of work needs to be done
@ProfKevinFenton @CNagpaul @meralhece 2-Almost all respondents of the survey are the very individuals(medical&non medical)who are in positions where they either themselves directly responsible or can influence the implementation of the PHE recommendations
@Prerana_Issar @yvonnecoghill1 @Azeem_Majeed
@AbdulRazaq_PH

UK among highest COVID-19 health worker deaths in the world amnesty.org.uk/press-releases… 2. It is extremely disturbing that UK has second highest HCWs(545) deaths in 79 countries? Should not we (NHS workers) ask for a Public Enquiry to understand why it happened? Should we not demand that this can never happen again? Lessons have to be learnt now and quickly.

2. It is shameful that in year 2020 nearly 45% of BAME doctors do not feel confident to raise concerns. If this is the working environment of a highly educated successful ethnic minority group, I leave it for you guys to imagine the working environment of less lucky BAME workers! 3. 64% of ethnic minority doctors working in NHS who responded to the survey have faced a situation where they have felt pressurised to work without adequate PPE