Reddical Medge
@ReddicalMedge
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'Jihadist T*rrorist parading as a Doctor' award winner 2023. Posts do not constitute medical or holy war advice, or views of my terrible national employer.
NHS Island
Joined July 2023
Following @Shr_Nottingham's shocking revelations yesterday, I think the time is right for @DoctorsVoteUK to step out of the shadows and initiate the UK-wide coup d'état that @UMAPsUK tried so hard to warn everyone about.
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Actually, there would be capacity for an extra 428 core anaesthetic training posts if you ended the PAA experiment The priority for the @RCoANews should always be to medically-qualified anaesthetic doctors We should not even be having this conversation
➡️Hospitals across the UK report capacity for an additional 178 core anaesthetic training posts each year, if government funding were made available. ➡️Read the Key Interim Findings from our 2025 Census 👉 https://t.co/ttwOkM36YE
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I love it when policy people tell doctors how to do their jobs. I don’t tell you how to create a crisis, convene a taskforce, then congratulate yourself for “addressing” it.
Everybody wants to talk about Our NHS. But nobody wants to talk about R NHS, where R stands for “Rate of flow through hospitals”! Our new paper @restate_thinks explores how to fix hospital gridlock. Great to see it written up in the Times, well done @BeaconRosie @AliceKSemark
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This is the most eloquent reply I've seen. We all know that the training that we are forced to take is actually making our ability to offer high quality care significantly worst. But we are too scared to say it given the tragedy that occurred & out of respect to the family.
@DrHuw @PaulaMc007 @AliveLeder @NHSE_WTE I cannot think of one example where campaigning by individuals on single issues has genuinely resulted in better outcomes. Not infrequently, the wrong issue at system level is addressed (see Martha's + Jess' Rules). Or the intervention isn't cost effective. Or there /
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NICE is a healthcare rationing body that was set up in 1999, fundamentally to outsource responsibility for rationing decisions so that government ministers could avoid accountability and criticism for decisions primarily aimed at controlling NHS expenditure. Its technology and
@cannula_service @medicalmodelbri @Foreman1David @ErinGourley1 @waterman_harry @DrNandiniC @ProfRobHoward National Institute Curbing Expenditure
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When things go wrong in the NHS (as they do each year and get progressively worse): Department of Health - ‘it’s the greedy doctors. GPs not doing enough. Resident doctors trying to hold the public to ransom with strikes’ NHS E - ‘we need more money, our hands are tied and we
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@ClareGerada’s policy to let PAs work as defacto GPs was catastrophic. People died. It was such a poor decision that @lengreview and @rcgp reversed the policy almost entirely. That Labour rewarded her with a peerage tells you everything about @wesstreeting’s plans for the NHS.
I’m guessing a 28.9% pay rise and a government that is willing to work with resident doctors…
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It turns out that people who have not gone to medical school, not been properly trained to practise medicine, and are not doctors... Are not actually competent to practise medicine. Staggering and barely believable, I realise. How could anyone have seen this coming?
I know there are strong opinions about Physician Assistants here. I've copied a message I have shared with some local GPs about an issue I experienced today. Some hospitals won't allow referrals from PAs or even other AHPs. Should General Practice be considering the same?
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There has been a lot of discussion re ACPs recently, with some defending that ACPs are qualified to act at ST3 level, I thought it’d be helpful to sample ACP courses. I chose two highly regarded unis (King’s, Edinburg) & then De Montfort to get a good breadth of representation 1/
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It’s astonishing that merely asserting a fundamental truth - that non-doctors are not equivalent to doctors - can provoke such existential distress among consultant-level doctors, as though dissenting were an act of rebellion in North Korea.
@docib @LittlePersonDoc @KreedKafer @RCEMpresident @gmcuk Hell, I barely feel safe commenting, and am a consultant of far too many years standing, and a TPD with a vested interest in supporting resident doctors/EM consultants of the future. I await my GMC referral 😉😬
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Random medical thought for the day: Medical school 'communication skills' training is producing robotic, sound-bite regurgitating new graduates - with worse patient communication skills than before, and who sound like detached call-centre operators to patients (and colleagues).
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@maxtempers Max - here’s one that’ll shock you, did you know that when an IMG wants to apply for training (on an equal footing with a UK graduate), all they need is a “CREST” form that can be signed by a consultant in their home country that has never even worked in the UK?
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Anyone who’s wondering why doctors are anonymous, sneak a peek here.
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@rachelgemma90 @BASICS_HQ @LDNairamb The UK is a strange place. In some EDs patients are dying in the waiting room, some are waiting for a day to be seen, they’re dumped in corridors, have to sit in chairs as no beds are available, yet on the other hand you have mobile ECMO units flying around London 😂
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'MDT' too often functions as a means to unnecessarily disperse responsibility for a decision or patient to become collective responsibility, for the comfort or convenience of an individual consultant (or other team member or professional group). In many scenarios what
The rhetoric that care is ALWAYS better when delivered in the MDT is ubiquitous. Nice to have a hefty dose of reality. Not always better. Can fragment care (well obvs) and worsen outcomes. https://t.co/PZZ1AFCFmF
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The whole system is completely unfit for purpose, and I am angrier than ever even though I personally am securely in a HST programme with CCT approaching in the next few years. 🟡From the catastrophe of rotational training and portfolio-tickbox-assessment as a core concept of
This is grim & unsustainable @RCoANews The time has long gone for platitudes & pledges Application for CT1 anaesthesia should be limited to UK-trained graduates only for the foreseeable future
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In a rare Reddical Medge moment of not blaming noctors, I'm going to have to disagree with what I think is the implied meaning here. These problems are far more fundamental: 🔷The medical culture of responsibility to patient and to colleagues (and their meaningful appraisal and
Why could that be? What could be diverting training opportunities away from resident surgical & medical doctors?
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