Dr Rosemary Leonard
@DrRosemaryL
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I'm an NHS GP and medical journalist - BBC Breakfast, Express, Woman and Home. Views here are my own.
Joined September 2010
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Covid vaccination- from the front line. My group of practices was initially told we would get our first delivery on 28th december. Then 4th jan. Then 11th jan. Now we are ‘6th wave’ and it will be 13th, 14th or 15th jan. We are raring to go, but have no vaccines. WHY?
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I did an extra surgery today doing catch-up smear tests. SEVEN no-shows. Would have been nine but after a phone call two came in. It’s not just bad manners, it’s wasting scarce (weekend!) NHS capacity. There's something systemically wrong where there are no consequences for this
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We gave over 400 doses of
#covidvacccine
yesterday - 6 from each vial- and not a single dose wasted. Called up people on the reserve list ( next priority group) living nearby to use last doses from vials. This stuff is way too precious to throw away.
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Day off from surgery, but instead of spending it as planned with my 93 year old mother, am giving covid boosters. Tomorrow( sat) am giving flu jabs. Someone will no doubt complain that i am not ‘seeing patients’.
#GPcrisis
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I fail to see how a 30 year old policeman who has to go and break up a large illegal gathering is a lower priority for a vaccine than a 40 year old working from home.
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Just wondering - who is going to train all these new medics? Anyone in government thought of that?
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am getting increasingly angry that referrals from our surgery to hospital specialists are being declined - after triage by a non- clinical person. Seems hospitals are doing anything to reduce their workload, even if its not safe for patients.
#NHSCrisis
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Please, please, could young people be allowed to get their vaccines earlier than 8 weeks. Numerous colleagues telling me of 100's of doses being thrown away, yet 'early requesters' at clinics being turned down.
#madness
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Am fed up with lack of balance in the modelling predictions of
#covid
. All very negative - with suggestions vaccine not very effective. How about some realistic, positive predictions based on current excellent outcomes from our vaccine programme.
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just wondering whether the Daily Mail realises their hatred of GP’s will trigger many more to leave the profession, and make an under resourced, understaffed service even worse?
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Thankyou for all your kind messages- really lovely to know that a lot of people appreciate what GP’s are trying to do. 93 year old mother helping out by clearing my veg patch while I give💉💉💉.
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This is an industry in dire need of proper regulation. Peoples lives are being put at risk. BBC News - Woman's Botox party warning after lip filler swelling
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And from replies loads of practices across the country are in same position, is real postcode lottery for patients. There must be central supply issues- would be good to be given a truthful explanation.
Covid vaccination- from the front line. My group of practices was initially told we would get our first delivery on 28th december. Then 4th jan. Then 11th jan. Now we are ‘6th wave’ and it will be 13th, 14th or 15th jan. We are raring to go, but have no vaccines. WHY?
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I have devoted 40+ years to the NHS- long hours, abuse ( incl court case ) but above all caring for my patients. But now I’m thinking the same.
The NHS is a potent symbol of mutual respect and support. It is British unity encapsulated in 3 letters. How dare these Tories run it into the ground? How dare they?
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There are simply not enough GP's to see everyone who wants to be seen, especially now, with long hospital waiting lists. So a system of a phone call first from a Dr is more safe and fair than a race to be first on the phone to the receptionist at 9am.
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Services at our surgery - and all across the country - being cut back so we can do
#CovidVaccine
. please be kind to us - and our receptionists. We are trying to do our best.
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we would love to have an other GP at our surgery to improve the service to our patients, but simply have no money to so- our funding has been cut again this year. instead patients end up in A and E- which is far more costly for the NHS.
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@jessphillips
please don't blame the surgery. They must be snowed under. Blame the staff shortages - GP's nurses - and lack of funding that has led to this awful state of affairs.
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@JolyonMaugham
See my feed . There are problems with vaccine supply- our practice - and loads of others - can’t get any.
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Why is being seen face to face by our GP so important in the 21st century? Yes, for some problems it is necessary, but for lots, eg a urinary tract infection, it's not. Please let an overloaded service do the best it can,
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Non-covid health harms are huge- and must be recognised and addressed by those running the country.
Why no mention of the non-COVID health crisis from ministers?
It's a genuine question. I honestly don't understand why we're not talking about it.
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I have signed this letter. I cannot remember in the 33 years I have been a GP ever working such long, hard days. There just aren’t enough doctors in primary care.
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I was never a dog person. Then my son introduced Cooper to the family, and, well, things changed…
#Smitten
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Just home from long day in the surgery - 10 hours non stop - and I just wish patients would stop sending abusive e mails and harassing our receptionists. We are trying to do our best, but lack of funding and space means we can’t employ any more clinical staff.
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Pressure being put on our group of practices to keep vaccinating. We can only do this if target work is stopped. Hope other GP’s saying the same thing.
#priorities
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After spending a whole day giving flu jabs, i then had to spend several hours in the evening doing on line training so someone, somewhere, agrees I am ‘qualified to give covid vaccines. I’m all for patient safety, but this is just ridiculous.
Dear NHS
The Red Tape faced by retired docs who want to help the vaccination roll out. 20 pieces of evidence most of us simply don't have. REALLY???
If this is a war, use your Dads Army and cut us some slack.
I can remember how to do an IM injection. Rant over 🥺
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for those wondering- 'QOF' isn't bonus money for GP's - its part of our core income that we have to earn to pay for staff/ heating bills etc. And the amount of tick-boxing required is time wasting and detracts from patient care.
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happy Good Friday - working today giving 2nd doses of vaccine - including those who are housebound.
#winningthewar
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is there anyone who isn’t appalled by the behaviour of our PM? everyone here at the surgery, where we’ve worked our socks off for 2 years - and NO parties, is SO angry.
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Speaking from the front line, the biggest threat to the functioning of the NHS right now is not sick patients, but huge numbers of staff having to self isolate for 10 days at home. This needs an urgent re-think.
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The
#CovidVaccine
has to go in right at the the top of the arm - not usually possible with a rolled up long sleeve. So to speed things up, please wear a T or short sleeved shirt, with a sweater on top that can easily be removed.
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Yet another unpleasant incident in the surgery today, with patient shouting at me and refusing to leave the room - because I had told him that antibiotics would not help his flu-like illness
#NHSfrontline
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Macdonalds has run out of milkshakes, Nandos has no chicken wings, and the NHS is about to run out of blood sample bottles. So unless it's urgent or life threatening, we're not doing ANY blood tests till 17th sept.
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@DMinghella
many dying ‘with’ covid, not from it - are dying because of other diseases. covid incidental.
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Hydroxychloroquine does not prevent
#COVID19
and is NOT harmless. Can cause serious heart problems, eye and liver damage, and awful skin rashes. And less seriously, make your hair fall out. Trump is really dangerous.
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We could easily take a supply of oxford vaccines into schools and police stations- to say it would be a logistical challenge vaccinating by profession is nonsense.
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.
@thetimes
have you checked how many of those GP appointments that are a month after booking are follow-up appointments, booked by the doctor? If not, you should - as that is what a lot of them will be.
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Did another 10 hours non stop in the surgery today - supported by my fantastic hard working team. We're hoping to have our first 'party' in more than 2 years in June - others all cancelled. No rule breaking or 'staff room drinking' for us.
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In 2004 HM the Queen pinned an MBE on my lapel for 'Services to Healthcare'. I've worked non stop for the NHS since 1980, apart from 2 x 12 weeks mat leave when my sons were born. But now having an honour, such as a knighthood or place in the House of Lords seems a bit tainted.
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No wonder the UK has a childhood obesity problem.....
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Which makes any data on case numbers useless.
Absolutely wild to think that even after throwing £38 billion at privately outsourced Test & Trace, there are currently no PCR tests available anywhere in the country for the public - either walk in or postal.
How many others, like my family member, cannot get tested right now?
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And that’s a wrap!
After 24 years, 290 columns and 1,000 questions answered, this my final column for
@womanandhome
magazine.
It’s been a privilege to write for such a great magazine for so long, but alas right now I need to make space for looking after my patients.
Thank you!
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I know the idea is controversial, but
#VaccinePassports
seemed to be the reason lots of BAME people came for a
#COVID19Vaccine
yesterday. Could be a very good way of increasing vaccine uptake.
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12 hrs non stop in surgery 2day.Several patients should have been in hospital but no beds/ didn't want to spend night on a trolley
#NHS
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why is testing prince charles more important than testing an intensive care doctor?
#COVID19
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Huge thankyou to team croxted PCN for amazing efficiency giving
#CovidVaccines
all day. And to
@DulwichBakery
and
@AlleynsHead
for donating delicious food for everyone. Fantastic local community effort.
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if there is a problem with covid vaccine supplies in April, I feel very strongly we need to try and protect the older vulnerable as much as possible, and give them a second dose, rather than a first dose to a fit 40 year old.
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@timspector
i think this is of v dubious accuracy now. I know loads of people with respiratory symptoms(am a working GP) who are not bothering to test-especially as it costs money.
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i’ve tried to reason and explain with lots of vaccine refusers. for a lot seems to be about ‘my personal rights’. They seem to have no sense of responsibility within a civilised society. eg taking up an ITU bed that could have gone to victim of a road accident.
“If you're not vaccinated at the moment and you're eligible and you've got no health reason for not being vaccinated, you're not just irresponsible, you're an idiot."
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Simple questions for PM at next presser:
1. How many 'jab-ready' vaccine doses does gov't have in its possession today?
2. Where are they right now?
3. Who is responsible for distributing to vaccination sites?
Only heard fuzzy answers so far. Makes me think something's wrong.
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so GP’s in london hear via the media that we are to offer all kids aged 1-9 a polio booster in the next month. just basic good manners would be to tell us first, let alone allowing us time to do some planning.
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@janej05
Agree. Free at point of care means it is taken for granted. I think there should be consequences if you don't turn up - it is easy now to text/email/phone to cancel or change an appointment.
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I have been working remotely cos I have covid. Every single patient I have spoken to on the phone has noticed my weird nasal voice, and wished me well. So kind. The doctor-patient relationship as it should be.
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Donald the President packed his trunk
And said goodbye to the White House,
Off he went with a Trumpety Trump
Trump, Trump, Trump
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wintry scene at our vaccine centre this morning. huge thankyou to the volunteer marshalls.
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typical of Boris to make national announcement re boosters before telling the NHS staff first and getting the infrastructure in place to actually give the jabs.
#booster
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Need to test myself before going to work, all NHS staff now told to order their own kits online. They’ve run out.
#omnishambles
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Ladies- if you get a text saying you need a cervical smear and asking to call a mobile and give your number and personal details - DON’T. It’s not from the NHS recall service.
#ScamAlert
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Is anyone organising accommodation for families from Ukraine with kids needing hospital treatment? I live near GSTT and Kings and have a spare room. Tried the Gov UK website but its clunky and I don't need the £350.Just want to help desperate people.
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Am just wondering whether my son might re-think his question last summer about why I had ‘turned half the back garden ( actually a few raised beds ) into a vegetable farm when you can buy it all at the supermarket’.
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I just wish that DH had the decency and forethought to let GP practices know this before they tell the media. Real lack of respect to those dealing with the calls and organising the vaccine invitations.
1.7 million people to be added to the shielding list in England (currently 2.2 million) - based on new model predicting risk factors for COVID
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There is more to this pandemic than just
#covidinfection
. The effect on the mental health and general wellbeing on so many people of all ages cooped up for so long has been devastating.
Lots of people outside enjoying the sun as they should be.
Seeing lots of critical tweets-
firstly, outside transmission is minimal.
And secondly many people don’t have gardens or outside space.
Before taking pics of people in a playground, take a look at yourself.
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@NeilGodwin3
@acgrayling
Yes, everything has to be logged so patient will be called for 2nd dose ( pfizer ) in early april. Admin staff are working extremely hard, so no one gets forgotten.
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@drmarkporter
my surgery has just done spreadsheet which shows i’ve worked 46 extra sessions in the past year covering absent docs. that doesn’t include vaccines- another 1-2 a week. no wonder i’m a bit tired. Not sustainable.
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discussion with my family this evening.. ‘did guy fawkes have the right idea’? probably better i don’t quote here my contribution.
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There is no such thing as a 'superfood'. It's all about eating a healthy balance of food, incl mix of fresh fruit+ veg
#boringbuttrue
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Note to self - 'you are seething angry, you have worn yourself out during the pandemic, but you alone cannot solve the problem at the top. That's the job of the electorate'
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re yesterdays surgery - weather was dull and grey, no wind. Most lived within walking distance, but roads were clear, and buses running. No power cuts in Dulwich. Appointments had been made over the phone. On chasing, several said they 'just forgot'.
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.
@jeremy_hunt
in surgery all day today (Sat) . Some of us do weekends already. Don't blame GP's for crisis in
#NHS
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Am joining
@BBCBreakfast
tomorrow at 6.30am to talk rollout of
#CovidVaccine
- and changes it means to GP services.
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Lots of false rumours about
#CovidVaccine
. Food, antibiotic and insect sting allergy are not a problem - you CAN have it.
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.
@ThisisDavina
I am, and always have been, a huge advocate of HRT. but it ain’t always the answer for health( physical and mental) for women age 45-55.
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Totally agree. For those of us who have been working on the front line, the sense that ‘ we can lie and bluff our way out of this’ has made me really angry.
If the PM thinks that talking about a Plan B for the
#Covid
situation is going to take attention away from that party, he can think again.
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so...in the middle of lockdown, I have an old fashioned cold. Sneezing , and rather yukky runny nose. Despite wearing PPE. Just shows ... viruses are clever
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@timspector
and as they are not testing they are nit reporting either. There are still huge levels of respiratory illness.
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Huge thankyou to staff at Jurassic Coast PCN for giving my 92 year old mother a
#CovidVaccine
this morning in Bridport.
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Please don't argue with your GP if told you don't need antibiotics.Coughs, colds etc do get better without them
#KeepAntibioticsWorking
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And I wish patients would realise that the ( excessively long) waiting times at the local hospitals are outside our control. Sadly patients need to ‘get real’ ( as one of our lovely receptionists said so accurately today) about the appalling state of the NHS.
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My 92 year old mother, who lived in Ealing during the blitz, just aghast at scenes in supermarkets. ‘ Back then there was community spirit, we looked after one another. We formed an orderly queue’.
There should br no need, but maybe we should bring back ration books.
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Me.
Who’s voting for
#JonathanVanTam
to run the country? And do all the communications too.
🙋♀️
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If lateral flow tests are going to be used in schools, the results should be verified with a more accurate pcr test before any other pupils are sent home. Otherwise parents would be right to withhold consent for testing to be done.
#CovidTesting
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Would love to see his evidence for this - number of participants etc. plus definition of 'real people'. I think I see and work with them in my surgery, and they don't agree with his findings.
Real people don't care about No 10 lockdown parties, says Commons leader Mark Spencer
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Am taking pile of pegs into the surgery this morning.
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junior doctors are v bright. They can, and will, do the maths on any new pay 'offers', regardless of what the health minster says.
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having a much needed day off but gardening progress being slowed down by this adolescent
#grannydogsitting
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Don’t be tempted by private companies selling covid antibody tests, even if they say they have been bought by the NHS - chances are they weren’t good enough and were in the pile that were binned. A good test needs to have more than 99.5% sensitivity and specificity.
#COVID19
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The money wasting lunacy of
@NHSEngland
continues - told today a 'committee meeting' is required to consider our request to e mail ( cf snail mail ) patients re our surgery move. Thoughts of numbers needed to change a light bulb spring to mind.....
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Doctors and nurses really really don’t care if you are ‘groomed’ or not. Most of us don’t even notice.
Whaaaa?!
57% of women are putting off their cervical screening because the beauty salons are closed so they’re not professionally groomed. 😱
Who cares!? Get your smear done, it could save your life!
Share your best ‘lockdown look’ cat picture
#MyCat
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To clarify - our surgery has an open on line access system - patients send in e mail then one of us replies within 48 working hours and book phone call, face to face or home visit appointment. If can't e mail, receptionist will do proxy message for you.Emergencies seen same day.
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