People accessing private health services reduces pressure on the NHS. NHS orgs selling private health services increases revenue into the NHS. Yet there seems friction between proponents of the two systems when collaborating more closely would serve all patients best.

Wishing everyone a very happy new year! ✨ Removing some things to focus on others and as ever on the well-being of peers, patients and myself ❤️ Thank you all Tiko 🙂x #42

See the economic impact of a Monopsony (e.g. NHS) https://t.co/vh0ogyK6mt

Normally money follows the talent but a lack of market forces in UK healthcare has chronically undermined clinical staff pay and working conditions. HCPs silently walking away from NHS jobs should be a bigger concern than industrial action as the effect is far more prolonged.

Messi or Mbappe as Fantasy Football Captain for tomorrow’s World Cup Final?

This is what makes me feel disengaged with modern politics. Where would you even begin to try to unpick this 😕

Urgent referral to social prescriber. Do not pass go, do not collect 200.

What’s happening in the NHS is inevitable - just read my past tweets and those of the doctors and HCPs I follow. Logical outcomes shouldn’t be presented as unforeseen crises as that’s just lying.

Really excited to be announcing my forthcoming book which is due out in Jan 2023. 🎉 Thanks to all those who have supported me along the way. Pre-order now: https://t.co/TQWSlLSAr3

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Social media in the world of #medicine: an intriguing cocktail of joyousness & apathy, good & dark intentions, facts & counter facts. Some reflections and tips Via @bmj_latest #MedTwitter https://t.co/AaP1pQqO5C

@DrKartikModha @rcgp @NHSEngland Because they know that the NHS will not exist in its current form for much longer. Because most trainees will look to work abroad or in the private sector. And that’s okay. That’s more than okay.

@DrKartikModha @rcgp @NHSEngland It’s worse than that. Access access access has reduced GPs capability and capacity to do the work that trumps that, which is complexity, multi morbidity and end of life care. Now hospitals overflow….but the voting public were conned by the false access promises. No one wins.

Totally agree! You can only provide a first world service with first world resources and staffing Currently the lowest levels of GPs - 2200 per patient #GPCrisis Blame MPs not GPs

Why does @rcgp train GPs to a fine dining level of service when @NHSEngland wants to place them in a fast food healthcare environment? Access is prioritised over bolstering continuity of care which has lead to endemic low morale, low satisfaction & attrition of GPs from the NHS

The best day of the #WorldCup2022 so far and my #FantasyFootball 😃 Consummate performance by England 🏴󠁧󠁢󠁥󠁮󠁧󠁿💫 and will need focus and belief to overcome a stellar French team with Mbappe in white hot form!

Scarlet fever is caused by a group A strep infection. Symptoms include a sore throat, fever and rash. The rash is often described as bright red, but on people of color this may not be accurate; it may be flesh colored along with the classic sandpapery appearance. #medtwt #Medical

My thoughts are that if an antibiotic resistant strep A spread in the UK it probably wont have been hatched here because of our loose domestic antibiotic policy but because of a lack of screening at the border if there was a outbreak in another country with a much looser policy

My personal preference would be to err more on the side of caution on how we treat children as sepsis episodes which do not result in death (so are not reported) are very traumatic events for all concerned, hugely cost intensive & can be clinically significant long term

For debate: Government has previously paid NHS GP practices to reduce antibiotic prescriptions and studies show it’s important for avoiding antibiotic resistance at a personal & population level, hence the incentive.

At this point @Oohgpwales the POCT testing would be more targeted and it also saves the lab time and cost of a traditional swab as required by PHE. ⬇️GP/OOH contacts The educational setting HCP role is one that is underdeveloped at present and has huge potential