David Oliver Profile picture
NHS Dr 35 y. Covid wards++ Gov, policy, academic, officer roles. Byline: @BMJ_latest. Columns: health press, papers. @mjauk. Manc-in-South. MCFC. Craic. Schlock
karen casey Profile picture PSBlaw (mstdn.ca/psblaw) Profile picture 🏍 Lynne GeeπŸ“±+πŸš—=πŸ’₯❌ Profile picture SonofGroucho πŸ’™ #FBPE πŸ‡ΊπŸ‡¦ Profile picture Joanne Profile picture 7 subscribed
Feb 26 β€’ 53 tweets β€’ 8 min read
trying to separate/isolate/separate stream infected/infectious patients from non-infected ones in hospitals, GP waiting rooms and care homes is *not* "un-evidenced social distancing"

It is infection control policy to try and protect already vulnerable people and changing your hospital bed base to accommodate this, in the middle of pandemic respiratory virus surges and thence reducing overall available numbers and occupancy of general and acute beds by c 10% is not "hospitals are half empty" -
Feb 17 β€’ 6 tweets β€’ 1 min read
I realise that "data" is not the plural of "anecdote" but i have seen more cases in past few months than at any time in a 35 year NHS career of patients admitted with no acute medical issues but whose home has become totally uninhabitable and who are self-neglecting with no help Of course, in an idea world a community and housing/social care based response would be more appropriate but they default into acute hospital because nothing else can happen fast enough and left with no option and once they are in hospital they are stranded for weeks
Dec 14, 2023 β€’ 10 tweets β€’ 2 min read
amongst all the annoyance about Michelle Mone paying Mark Williams Thomas for a "get me off the hook" documentary re PPE shortages

I am far more angry at the national leaders and local NHS managers (many of them registered nurses and doctors by background)

They were culpable Who decided to downgrade the PPE specifications and deviate from WHO guidance (driven by shortages)?

Who failed to recognise the risk of airborne transmission and so only allowed high spec PPE for people working with aerosols (professional hubris/intransigence/complacency)?
Dec 1, 2023 β€’ 8 tweets β€’ 2 min read
experienced teacher in Times letters "the benign neglect of my childhood" vs "an intensity and selfishness that does kids no favours cos they will struggle in the real world"

Made me think. For me and many of my friends 70s/early 80s childhood *was* "benign neglect"

I loved it cos even from 11 or 12 i would be out playing unsupervised for hours, fishing, riding buses around manchester, going off to watch football at Maine Road/Cricket at Old Trafford, with no adults present. Going out to Peak district on train to go running. Going off on camping trips
Jul 6, 2023 β€’ 10 tweets β€’ 2 min read
#bbcqt very short odds indeed on @bbcquestiontime that one of the questions from the audience will be about the future of the NHS
and just like on #bbcaq last week, Kate Andrews will Shill for the private healthcare industry by saying we need an insurance/market model she deliberately forget to mention that perfectly good universal systems in Spain, Portugal, Italy, Malta, Sweden, Finland are tax based and others (e.g. Canada) have provincial insurance massively funded from central tax. And only mention Germany/Switzerland/Holland/France/Aus
Jul 2, 2023 β€’ 18 tweets β€’ 3 min read
The embargoed press release for the @NHSEngland Long Term Workforce Plan on Thursday was released 12 hours before the actual 151 page plan (which people had neither seen nor read at that point)

The gushing, cheerleading, uncritical praise in numerous quotes was a serious mistake It is unusual in the health policy/comms world to embargo the press release but then not even release the document it is referring to till hours later let alone to line up loads of people to comment who haven't yet seen the final document