Rob Setters
@RobSetters
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Advanced Practitioner Physiotherapist. Passionate about MSK, exercise and for my sins Man United. Advocate for health professionals.
Croydon, London
Joined January 2015
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@LeilaniDowding
@LiterallyWhoTho
You'll hate to know the environmental damage and amount of concrete used in a conventional power station.
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@LongTimeLefty2
@ToryFibs
Don't think that's completely fair. He gave 2 options this winter.
1. Stop being poor
2. Freeze
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@DrNeenaJha
@KyleRoys
@DrCarolineMWF
@rcgp
Experienced msk physios are as good as any at knowing if something is msk or not. We are drilled in red flags. I've been sent msk referrals from GPs for patients who actually had cancers, neuro conditions, infection, vascular, autoimmune conditions and more. 1/2.
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@BeckettUnite
The monarchy surrenders profits from the crown estate to the UK government in exchange for the sovereign grant. Last year that was £312mil. Minus the £86 we gave them. We gained £200mil+
If they lost the crown estate it would be in private hands soon enough and we'd get nothing
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@hjluks
Patient running, in there 40s with mild knee pain that started a week ago.
Don't image. You've just opened a can of worms.
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No safety concerns with first contact physiotherapists, improved outcomes at 3 months and fewer opiates prescribed for suspected msk conditions compared to traditional primary care management.
Well done all FCP colleagues you do great work.
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@BraundAlex
@souramoo
@BurnsideNew
Student doctors, nurses, paramedics, physiotherapists and alike don't get paid to be students. Actually as the student loan part of the pay slip indicates they pay to be students.
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@AdamBull17
@BeckettUnite
I'm no expert, but all the energy companies seem to charge up to the price cap and then also take the government subsidy. No competition. Its a false market.
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@Dr_Done_
If you've called a specialist service and the advice was incorrect the responsibility should lie with them. Even if it was a PA giving the advice. Perhaps if the person holding the bleep isn't appropriate, responsibility could migrate to whoever gave them the bleep.
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@MartinSLewis
It is funny how the Bank of England intention is to squeeze disposable incomes then put that disposable income into the pockets of big banks that lend to people.
You would have almost thought that Andrew Bailey has a few mates that work in big banks.
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@KateFantom
How are they charged on coal?
If you charge them right now in the UK. 0% of power nationally is produced by coal. The majority is renewable.
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@BeingAutistic
@jonlis1
What happened.
Government sold water to private equity debt free.
Private equity failed to find money to maintain the water infrastructure, but did find money to pay themselves huge dividends and corporate salaries.
Now they want to punish bill payers for their mismanagement
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@Microbedoc2
I'm pleased for the junior doctors. They took their industrial action seriously.
It's not quite as simple for those on AFC. We are split on by profession making getting a strike mandate more difficult. Typically also have lower wages and can't afford to strike as long.
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I already had a twin but now I have two! Happy 30th birthday
@Connect_Health_
and thanks for the birthday cake!
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Thanks
@HannahH52889322
for risking your life twice for the
@Connect_Health_
#30in30
inniative. Merton is paid up for the challenges and I can confirm we have hit the roof. Which formation is best?
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#30in30
time. 105cm box jump! I was pretty pleased. You can probably tell I did this first attempt 😉
@Connect_Health_
@MRWPhysio
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People of Merton and local clinicians come visit us on the 4th of October to see what
@Connect_Health
@MertonUplift
@SPrescribing
@OneYouMerton
are doing to improve the health of the local community.
@Connect_Health_
Merton in collaboration with
@MertonUplift
@OneYouMerton
@SPrescribing
present Merton Health Day. All brilliantly lead by
@RobSetters
.
#healthmatters
Event open to HCPs and patients.
@saragtuk
@HDReady_MSK
@MRWPhysio
@NHSMertonCCG
@barry_causer
@MertonConnected
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@alisonleary1
@UHSFT
@LCN_UK
@theRCN
This is absolutely barmy. Band 5 is entry level nursing. If you are asking for an experienced nurse, you are asking for a least band 6, but looking at the job role, probably higher. I don't understand why this happens in nursing.
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@ryanseanbadger
@MarinaPurkiss
With a few exceptions the ultra rich take more out of the economy than they put in. Good riddance.
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@SnowyTheWarrior
@MartinSLewis
Here's the deal snowy, tell us what the actual monthly cost of your mortgage was compared to your take home pay.
My mortgage is now ~75% my take home pay, and ~50% or household pay.
Add childcare, energy, food, council tax, utilities.
We couldn't get just eat if we wanted to.
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@c_chief24
@mmamas1973
Completely agree. I could link the first 100 Google results of missed bowel cancer, but what's the point.
This is not a defence of PAs but if you're going to bash them and tag investigative journalist, get some research and not an anecdotal news article.
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@Azeem_Majeed
What is being advocated here?
Junior docs are under paid, I support the strikes
Non-medic clinicians start on lower pay than newly qualified docs and have a pay ceiling well below experienced docs
Are you saying a newly qualified doc should out earn an experienced nurse/AHP?
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@IncogAssociate
@trishgreenhalgh
@gmcuk
Agree that's totally unnecessary and gratuitous.
Also ironically, given who it is likely gets their healthcare by the most senior people. It may well have been a doctor.
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Mark Menzies MP, MND is a diagnosis of progressive functional decline. Once unable to work you can never improve, whether or not you live longer than 6 months is irrelevant.
It is a waste of public money to reassess those unfit to work that can never improve.
This is ignorant.
WRONG answer, Mark Menzies MP,
@Conservatives
@fyldeca
!
Please have a word with him,
@CGreenUK
.
"The
@mndassoc
/
@mariecurieuk
campaign aims to
#Scrap6Months
rule so that everyone who receives a terminal diagnosis can access
@DWP
benefits quickly and sensitively..."
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I support the paramedics striking today, as I did the nurses yesterday.
I've met paramedics personally, professionally and as a patient and they are exceptional people, who are highly skilled and deal with the most horrific situations.
They are worth more.
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Great day with the
#TheAcademy
today. Wish I could have watched all the talks. Really enjoyed
@Neil_Marshall1
SDM
@MRWPhysio
therapeutic alliance talk s. Highly recommended!
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🎅 Merry Christmas one and all from the Setters House hold ⛄
Thoughts to all of those away from their families and friends today!
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@OlooneyJohn
Babies don't get and weren't offered the COVID vaccine. Vaccines work and are super safe.
Don't get your quotes around missing baby... Unless you know where they are?
But on these "parents"... I don't think I should say what I think should happen to them.
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@dickandtinasson
@hkg294
@manLikeTeaa
One does not need a medical degree to diagnose/treat
Example: I get many referrals for frozen shoulder from people with medical degrees.
The amount that aren't astounds me and the treatment is often very different
Even had a dislocated shoulder see 2 GPs referred for ?RC tear
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Well that was fun! Hopefully everyone in Merton knows they should be getting 150 mins of aerobic activity a week to benefit their health.
Thanks to
@OneYouMerton
@MertonUplift
@MertonConnected
for helping make the Borough healthier.
Special thanks to anyone who got on our bike!
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@DrEilidhMaria
PAs/ACPs often get lumped together in the non-doc category. But there is a difference. ACPs will have been registered health professionals for years and usually have multi-systems knowledge as worked in rotations positions. PAs tend not to have this experience when they start.
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@dr_shibley
@EstherClift
Thank you Dr Shibley, your support for your AHP colleagues at your own personal expense is truly extraordinary. You don't deserve the backlash. Thanks for continuing to stand up for your colleagues. Wishing you well.
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Day 8: Turned 30 today! Was meant to be skiing but had a lovely day with friends and family. Leg still sore so got cocodamol and was sick as a dog. I'll manage on the paracetamol. Quads look a bit small but I'm continuing the exercise regime! This is the most recent pic
#bruised
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Great training today. Everyone can be a public health champion! Anyone can signpost to help promote healthy living!
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@doggmaann
@RachelRileyRR
There was no video/audio with Ched Evans. There is with mason and it's clear he doesn't meet the standard of a Man United professional footballer.
Unless that's fake which no one is saying it is
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@RobYeldham
I appreciate the hard fought deal. But with 6% of the pay award for 22-23 being a one off bonus, means the 5% increase for 23-24 results in NHS staff will be paid less next year than this year. Unless I have something wrong.
More would need to be consolidated for my support .
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This was found in our physio department.
Can anyone tell me what it is?
And is there a physio museum that could give it a suitable home.
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@DrMarwanAl_D
I'm with you, but patients often don't have the patience/drive to do what's required to address lateral hip pain. Also battling friends/family recommending CSIs as it helped them
Doesn't mean we should advise CSIs, but clinicians are under considerable pressure to do something
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@Dr_Done_
@BritSocGastro
Don't forget to post his face a bit more...
I'm sure Asem is a nice chap and competent in the work he does. Across this platform I see him called a cowboy, a disgrace and a joke and likely worse. You yourself insinuate he's not qualified. I don't think he deserves this.
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@RobYeldham
@DailyMailUK
Personally I think good admin staff are worth their weight in gold. Such a shame many are very low pay bands.
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@RSPCA_official
The animal friendly position would support banning of breeds that kill thousands of pets, not to mention humans.
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Proud of my wife 😍
Fantastic news received whilst on honeymoon from
@AgentPen
! Receiving a champion award from
@RBH
is just incredible. Improving patient experience and
#humanisingcare
is something I am passionate about.Thanks to the ❤️ team for the nomination
@EveCorner
@83Purkiss
@Trudijscott
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@AdamMeakins
Not sure it's the physio profession. ICBs across the country use limited resources and don't value msk care. Leaving physios to manage large populations with long waits, short appointments, limited follow up and pressure to self manage. Hence patients get home exercise programmes
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@zoeblofeld
I'm thinking about Scotland, cost of living is less and pay is more. Just a shame it's cold and wet
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@drtimothyli
It's tetanus, but I've definitely heard that same story and seen that same expression and the complaint was back pain.
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What is the hold up with bringing this to market? The research is in please make this available to patients with MND.
People with MND demand and deserve treatment.
#Proleukin
reduced death rate by 40%, it is cheap, safe, it works and I want it. Time for real action
@mndassoc
@MNDoddie5
@MNDScotland
. I don't want to die.
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MPs can and do expense parking costs.
So MPs parking at a hospital for work purposes don't have to pay.
A hospital worker parking at a hospital for work purposes does have to pay.
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Wish all chiropractors were like this gentleman
@tempophysio
Sadly, people are still being told that.
Along with:
🔹chiropractic subluxation
🔹bone out of place
🔹bone on nerve
🔹leg length inequality
🔹spinal maintenance adjustments
🔹rotated pelvis
🔹anterior pelvic tilt
🔹manip fixes asthma, etc.
And more 🙄
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@faoi_thuairim
@arindam___paul
@ashwinravi99
@jbairstow21
This is poor form, worse than mankading. At least with mankading the runner is trying to gain an unfair advantage to get the run easier. Here Bairstow is just going for a chat with his mate at the end of the over.
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@iDrSunny
I must have missed something, where is there an ACP physio with less than <1 year experience?
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@LeanneHPatrick
Selection bias from a group that are out to get gotchas on PAs at all costs
If you only go looking for PA faults that's all you'll find
We're all human everyone makes mistakes. At least that PA cared enough to spend the time talking to the patient about their second complaint
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@Dr_Done_
I'm highly doubtful omeprazole was prescribed for a chest infection, by anyone ever. There must be a misunderstanding somewhere.
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@MattDelBrocco
If they've already seen her GP no point in the FCP. I see FCPs treated like in house physio services, when really, as you say, they are pathway managers + initial advice and reassurance.
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Pete Moore on the Connect with a coffee this morning.
"the medical model made the tax payer pay for me to stay unwell"
Resonated so much.
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@CSullivanCSP
They have gone against the PRBs in the past, to lower than their recommendation. Nobody is buying that the PRBs set the wages. Also nobody is buying that the PRB is independent.
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Part 2: Wonderful care from
@sashnhs
by the way. Will be seeing an orthopaedic physio and my surgeon later today. They said return to function could take 4 months, 8-10 weeks quickest. I want it sooner
#illshowthem
#therehabbegins
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Lightening the self isolation mood with the
#loorollchallenge
@PhysioMarkR
@rickyp43
I want to see what you have tomorrow!
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@jim_crawfurd
@Dr_Done_
Sounds like they don't need a PR exam if the neurosurgeons are saying no surgery is required.
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@DianaHarding7
@AndyBurnhamGM
And if a private sector employer wanted more output for a pay rise less than half the rate of inflation (on the back of a 19% real terms pay cut over 12 years) for staff that already go above and beyond. I hope they would be told to get stuffed as well.
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@knitknitqueen
@RoyalFreeNHS
I know each trust needs a director of nursing on the board that legally must be a nurse. Not sure if that is this position. But I agree it could also be an AHP and the law is flawed.
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Day 2: although day 1 if you are counting from the surgery. I have been discharged non weight bearing for 2 weeks. Pretty sore around the knee, but at least no more hospital food and no more pee bottles! Done enough rehab for today.
#backonittomorrow
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@DrCharlieGrieco
This leaky clinic room where I work has been reported to estates. The place also stinks of sewage both of which we've raised for over a year and not resolved. No one cares about this place, least of all the government.
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Part 2: Recovery going well. Bit sore around that bruise! Can't wait to have my staples out Thursday, then get going with some swimming to get my leg stronger.
#onthemend
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Part 1: So suffered a mid shaft tib/fib fracture Saturday. Thought I would document my recovery. Had an IM nail put down my tibia yesterday, doing well post op. Started some static quads and tried bending my knee a little. Bit sore but what do you expect.
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@mmamas1973
@c_chief24
Selective articles you read, many more available of misdiagnosis by non PAs
I get issues around PA regulation/transparency
But posting an article of one misdiagnosis by a PA when there are many more articles with docs getting it wrong isn't helpful.
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@dr_shibley
I genuinely think there are some issues with the implementation of PAs particularly regarding regulation (which is being sorted), comparative starting salary, public messaging about the role.
But a lot of Drs seem protectionist and elitist in their rhetoric around PAs.
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@theRCN
This is a reflection on the whole country. We are not more frail than we were 50 years ago. In fact we should be healthier and more resilient than ever.
But working people, including nurses, worry about just living day to day. It's going to impact physical and mental health.
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@DrSelvarajah
Very much agree. I don't mind the anonymous accounts for truly whistleblowing. But a lot of what they do is outrageous attacks on fellow professionals. Unbelievably ironic when anonymous accounts dox those they're criticising.
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@implausibleblog
Schrödinger's pay review body.
The government can both listen to and ignore pay review bodies at the same time.
Only when it suits them of course.
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@SaraTon08500527
I do love the irony of the people discrediting PAs for not being regulated, then also actively campaigning against their regulation.
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@JulieJeanz
@MartinSLewis
Do you have enough assets to be paying inheritance tax? It only effects the 5% of the most wealthy. It's the only wealth tax we have.
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@joshyjoshthorn1
First off congratulations!
This is reflected across professions. As I physio myself we deal with a lot of mental health and social issues which aren't taught adequately pre registration.
But everyone seems to think I'm some sort of masseur.
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@manLikeTool
@Dr_Done_
What I don't get about anonymous dr accounts is that they say they use it for whistle blowing. But in reality they're mostly used to disparage other health professionals and they know if they did put their name to their unprofessional behaviour there would likely be consequences.
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@Doctors__squad
B and D.
The sciatic nerve divides into the tibial and common peroneal nerve. A lesion high in the sciatic nerve could cause foot drop alongside injury to the common peroneal nerve.
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@MartinSLewis
What's your thoughts of repaying plan 1 student loans? Just watched an old video of yours but I think the current situation means circumstances have changed.
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@AdamMeakins
@TaylorAlanJ
@RogerKerry1
@MattLowPT
@chadcookpt
Is criminal that chiropractors are allowed to order, perform and interpret x-rays is shockingly poor practice.
Also criminal that they can spout that BS! 😠
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For the love of God
@RishiSunak
bring back Dr Abdulrahman Babiker and his NHS colleagues from Sudan. They worked during COVID and are needed here.
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@max_zammon
@jessphillips
When every nhs team, school, police force, fire department and other public sector workers get their Xmas do paid for, I'll support MPs having theirs paid for as well.
Most public sector places of work have a communal tea fund because of how careful they use public money.
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@MartinSLewis
For some reason
@ShellEnergyHome
want me to be in £670 of credit when my September bill was only £73. I want to save my money as now we have high interest savings accounts but they won't let me drop my DD below £134.
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@ashjamesphysio
Great job, anyone who's worked a NHS physio clinic knows the people we see aren't a reflective sample of the general population.
Compared to the gen pop we see a lot more of smokers, mental health, obesity, drug/alcohol, sedentary lifestyle issues, and of course the odd trauma!
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@Microbedoc2
We have less management staff covering broader and broader areas. Same with admin staff. Consultants secretaries are not being replaced so each secretary covers more consultants. Patients are then frustrated by lack of communication, but it can't happen without the support staff.
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@Dr_Done_
@BritSocGastro
"This PA reaps all the rewards of your hard work" seems particularly individual targeted and not system targeted.
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@AmateurFC
There is so much good through local football. Exercise keeps us healthy, it's good for social and psychological well being. As long as the people playing have no symptoms the risk is minimal. I'm good to keep going.
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@ClaireCoutinho
can you give my dad a great father's day on
#GlobalMNDAwarenessDay
and push for further government funding for research into finding treatments for motor neurone disease.
On
#GlobalMNDAwarenessDay
I'm extending a
#HandOf
HOPE to
@DHSCgovuk
@beisgovuk
that we might convince you to significantly boost
#MND
research funding & accelerate progress towards a world free from MND & stop the devastation caused to
@MNDpatients
& families
@ClaireCoutinho
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@PatriotUK4Life
@implausibleblog
The max maintenance loan you get living outside of London is <£10k and parents income is less than £25k to qualify for that much. Let's be honest that barely covers rent....
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@dgfull
@Jo_McGinn
@AlisonGeorge10
@veggieequallife
@Dr_Done_
@BMA_James_Steen
I have to agree. Also the entry standards of medicine favours those privately educated and having the resources to ensure good grades. Not always the skills needed to become a good doctor or healthcare professional or complete procedures.
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