Jamie Wallis
@jamie_wallis
Followers
5,307
Following
2,649
Media
2,074
Statuses
47,558
#NHS GP at Waterloo Health. Medical examiner for @GSTTnhs . GP appraiser for @NHSEngland . Interested in mental health, safeguarding, multi-morbidity. 🏳️🌈 🇪🇺
London, England
Joined May 2010
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Kroos
• 515310 Tweets
Reich
• 158682 Tweets
England
• 145381 Tweets
Apple Music
• 81430 Tweets
Boeing
• 78102 Tweets
Rashford
• 56388 Tweets
Singapore Airlines
• 52098 Tweets
招待コード
• 51372 Tweets
#KKRvsSRH
• 49294 Tweets
Modric
• 45645 Tweets
Southgate
• 38861 Tweets
ROCKSTAR PRINCE SUHO DAY
• 33949 Tweets
Klaus Schwab
• 33649 Tweets
كروس
• 31989 Tweets
Grealish
• 31301 Tweets
Poch
• 25839 Tweets
Iniesta
• 25212 Tweets
Vivian
• 22301 Tweets
Shaw
• 21193 Tweets
花帆ちゃん
• 21035 Tweets
Hellblade 2
• 20825 Tweets
Prat
• 15389 Tweets
Luna Park
• 15051 Tweets
25Mayısta KonferansaDavet
• 13066 Tweets
Shreyas Iyer
• 12520 Tweets
Denji
• 11506 Tweets
チェンソーマン
• 11297 Tweets
Pinned Tweet
So I am pleased to confirm, I am going to be a salaried GP in Bolton, Greater Manchester, at a really friendly and CQC rated outstanding practice.
These are difficult times and I know 27 other GPs missed out.
I feel so strongly about the role of GP in healthcare in the UK. Our
82
53
916
I’m a GP. How are we are supposed to provide safe care when we aren’t even allowed to order routine bloods. I did 60+ scripts today & monitoring b/t needed for many. It’s a national disgrace; I don’t hear of other countries reporting similar problems. The NHS is collapsing 😢
774
5K
16K
My morning surgery was really soul destroying. Please don’t blame me or take your anger out on me because I can’t control waiting times for surgery or clinic appts and can’t tell you an exact date when you will be seen. Write to your MP
86
714
3K
Dear
@Telegraph
- just stop this hate. I am not on anywhere near £142k. But given all my training and the intensity of my workload I could command it as a GP in the private sectors or overseas. I choose to work in the NHS, SEEING pts through the whole pandemic. Perhaps I’m a mug.
107
628
2K
When I left work there were 3 other GPs working: that was at 9pm. We all started at 8-9am. Personally I’ve done countless calls, seen many face to face, done safeguarding meeting, scripts, letters, bloods.
Not sure who needs to hear this but GPs are definitely working hard
32
229
1K
@jk_rowling
@UKCV
Coming out is a big enough thing for most of us, before you even consider qualifying for Olympics. He's amazing
#TomDaley
8
145
1K
My afternoon was spent telling pts with symptoms that could be COVID to get tested with a PCR test. Responses included:-
‘I know it’s not COVID’
‘I’m not sick enough’
‘I can’t get COVID as I’m double vaccinated’,
‘I did a lateral flow test and it was neg’
‘I already had COVID’.
88
209
1K
We pay this organisation over £400 for them to regulate us, i.e. strike us off or sanction us when we make an error. They make so much money all their staff get private health insurance. Isn’t it time to reassess the fitness of the GMC
28
148
901
I believe there is a deliberate plan to make being an NHS doctor in the UK as unattractive and unsustainable as possible. The travesty with
#UKFPO
randomly allocating new doctors anywhere in the country this year is another example of this. What other profession would force you
20
226
812
This is the first look I’ve had of Lincoln Cathedral (my home city) fully free from scaffolding, it has been covered nearly 40 years. Isn’t she beautiful!
@thelincolnite
@LincsCathedral
17
61
657
This is how medicine is being decimated in the UK. I have friends in London who also cannot find locum GP work. We have introduced physician associates who are filling GP gaps such that qualified GPs cannot find work. This should not be happening, PAs were brought in to
23
303
629
I just had an informal look around a practice in Bolton. It’s absolutely amazing and I can seen myself working here. 28 other GPs have applied. Explain to me how patients can’t get an appt to see a GP when there are so many of us looking for work.
#GPCrisis
@VictoriaAtkins
22
140
580
@NursingNotesUK
Dear
@MattHancock
- please don’t clap on Thursday, health workers don’t want your false appreciation
5
55
554
I really feel angry this is being signed off. Maybe more so as I worked as a GP in Hammersmith & Fulham for a number of years and I know GPs there who will be affected by these changes. As GPs, we signed up to be generalists and that means seeing everything including simple and
14
186
563
I’m so fed up of reading all this hate and anger being thrown about between A&E doctors and GPs on Twitter. We should be working together. We have a lot in common, not least being understaffed dumping grounds for the rest of the NHS. Who else agrees?
39
35
535
10 minutes is not enough time any more a GP consultation. That is the tweet.
33
22
530
@suddenlyjoseph
Take a look at the alternative tube map for walking times between stations. Usually it’s a nicer walk between tourist spots than it is on the hot, dirty tube. And.. there is definitely not need to catch tube between Leicester Square and Covent Garden!
17
33
472
My life feels like a long slog at work Monday to Friday, then literally too knackered to do anything at the weekend. And it all starts again Monday. Does anyone else identify with this? What a life… my sleep deficit must be 10 years!
28
11
399
Annoyed. Thread appeared in my time line, retweeted by someone calling themselves a dr, suggesting GPs not working hard enough/ shirking work/ making themselves deliberately inaccessible. I am worker harder than I’ve ever worked, so are my colleagues. I’ve unfollowed above dr 😡
19
12
381
Being a GP is the most amazing privilege. Have seen everything today from acute mental health to acute rheum to a baby check with FTT to acute renal to MUS to safeguarding to palliative to gynae to derm. Seriously what job anywhere gives such diversity?
32
27
376
I just had someone who works in primary care telling me PAs are better than GPs, they do everything a GP does and do it better. I don’t know what to say. First, I have deep respect for our PAs, I enjoy working with them, but their work is very different..
60
21
364
Make the madness stop.
A physiotherapist at the hospital has asked the GP to refer to physiotherapy. For the same problem.
What?
32
28
347
It’s really worrying. I’m in a phase of moving to a new area and needing to find work and so the current situation is markedly apparent to me. There is little work to no work advertised in Manchester even for salaried GPs, from my own research and also from hearing tales of
Owner of GP at Hand, eMed, has announced a redundancy consultation, said to be affecting ‘mainly GPs’.
@pulsetoday
- as many as 150 clinicians could be affected.
#TeamGP
needs to be locally led and delivered with adequate funding to be sustainable.
21
85
180
20
184
339
The work load in GP is crazy right now. Patients incredibly complicated physical, mental and social presentations. Safeguarding issues through the roof (not stopped today as safeguarding meeting ran through lunch). It’s hard work on the front line 🤨
13
24
332
Let’s see. Gone private. Emigrated. Left health care completely. Burnt out. Taken their own lives. Just some of the personal examples I know.
And all on a background of relentless and cruel abuse from
@DailyMailUK
5
54
333
I’m of the Kumar and Clark and Cheese & Onion era, wasn’t that a rite of passage for all medical students? It seems medical students now don’t even read text books and get all their learning online! I feel old 😂
42
7
322
I despair. Letter from private ‘health check’. ECG - ‘abnormal’ - no copy of ECG, no indication why done, just ‘see your NHS GP’. Lazy, appalling care
18
15
319
You cannot replace PAs with GPs. You can’t. It’s not safe. And I certainly would not feel happy supervising a locum PA, I value my licence too much. I feel I have stepped through the looking glass in Alice in Wonderland. The ways doctors are being treated in the UK is disgraceful
11
73
315
Is it ever acceptable for a hospital referral to be rejected over a year after it was put in because there isn’t enough information on the form?! (For what it’s worth my colleague’s referral was very detailed)
I think that is pretty shoddy even if ‘the service has experienced a
31
41
316
Perfect storm: as infection rates sky rocket across the UK, no one can order a PCR (home or testing site) or LFT (postal or pharmacy) kit. Boris Johnson is absent. NHS staff absence now up to 4 in 10 in parts of London, must be same in other public services eg police. Frightening
13
78
314
You know the nhs is struggling when a 2 week wait referral is bounced back despite a positive test, advising GP to repeat and refer back if still positive (it is) 😔
@sajidjavid
16
49
306
@timricketts_
4000 GP trainees coming out this summer, barely a couple of hundred jobs advertised across the UK. Yet patients complain they can’t see get to see a GP. My job interview was against 27 other GPs, colleagues have reported interviewing against 40+ other GPs..
But there are plenty
8
114
298
Private health care costs big bucks.
It’s interesting.. I was looking at jobs and saw some very lucrative private GP jobs in Manchester. Offering 15 - 30 min consultations, £150k per year, private health, gym membership, company car, modern premises with same day access for
I’ve been seeing adverts for a local private GP service.
Thought I’d check out the prices.
This is not affordable for many people but the work will be increasingly popular for burnt out GPs fed up with abuse.
I dread the consequences of a future two-tier system.
68
111
276
27
102
285
Is there a risk GPs are making ourselves too accessible? eConsultation for mechanical back pain for 1 week, uncomplicated D&V for a day, occasional acid reflux for 2 weeks. All young computer literate patients. We need better education about management of self limiting conditions
57
16
278
Long COVID. Seeing it quite often now. So much we don’t know. So many complicated unexplained symptoms. So disabling. Difficult to know how best to care for these patients who are really suffering. Any helpful guidelines.. want to offer best care. Hard though (10m not enough!)
57
48
265
One of the many things to come out following the tragic death of the young lady in whom PE was missed by the PA was the confusion both she and her family had around what a PA was. She assumed she was seeing a dr, her family even thought PAs are more senior drs than GPs.
13
51
268
@DrAlexGeorge
@SpursOfficial
Don’t forget they are continuing to pay their players full wages. Why not cut their wages to pay the other staff. We are all in this together. The rich and famous seem to have an easy ride..
6
5
259
I have a 7 point ‘GP to refer to’ letter, mostly new referrals. It comes as an ‘unseen’ job, part of the paperwork in addition to seeing pts with no extra allocated time.. there is lots of clinical work that goes on apart from ‘seeing patients’. We are drowning.
#NHSCrisis
44
30
258
Why the hell is the nhs so inefficient. GP refers to a triage service, a clinician triages the request to an appropriate place, the place rejects the referral and the GP is asked to refer again. It makes NO sense and is a waste of all our time
27
14
254
This is how the government will make a show that they are getting on top of the pandemic. People will not register positive results online and consequently the numbers seeming to test positive will fall. Yet hospitals and primary care will remain under the same pressure! 🤷♂️
12
65
252
Gaining MRCP Part 1 at beginning of FY2, working towards MRCP Part 2.. being asked in CMT interview what I had done to show commitment to medicine, stating these achievements and being laughed at and told “that’s not special, so has everyone else today”.
What experience in the workplace radicalized you?
2K
1K
10K
10
8
248
Good news from earlier today. Liver nodule was just a cyst. I feel very lucky, 5 years clear of cancer 🙏🏻
18
1
230
@SadiqKhan
@trishgreenhalgh
Thank you Sadiq. I wonder how long before this hate over spills into our clinical rooms and wards. It needs to be robustly stamped out
@metpoliceuk
2
21
226
Why is Lewisham hospital asking patients to take prescriptions for their GP to issue when hospitals have pharmacies and this is generating work for already overworked GPs?
@LG_NHS
53
26
216
Once coronavirus is still a distant memory I want to carry on wearing scrubs. So much easier that ironing shirt and trousers!
19
5
212
There is a thread going on a difficult conversations in medicine group I am part of on Facebook. The topic is the Rapid Access Chest Pain Clinic. It’s where GPs send patients who they suspect have angina, i.e. cardiac (heart) pain for confirmation and definitive management.
19
73
215
Everything about this is inflammatory. We were (rightly) told we had to offer triage first by NHSE, we never stopped seeing those who needed F2F. Why are GPs now being portrayed as the villains who must be told to offer F2F to patients? It’s morale sapping
@MattHancock
25
47
211
@theveindoc
As well as the ethics (food is a basic right), I also see good nutritional food as an extension of medical care. I work in an area where I see the effects of food poverty. Poor nutrition leads to poor health. Poor nutrition means people don’t get better & stay in hospital longer
2
9
203
@Dr_Ellie
@MattHancock
@drphilhammond
@SophyRidgeSky
@Mike__Powell
@DrSarahJarvis
@DrRosemaryL
@DrAmirKhanGP
@pulsetoday
@murrayellender
@DrAnthonyJames
Thank you for inviting me to sign this letter
@Dr_Ellie
. As a jobbing GP in inner London I am very worried about the non-Covid harms my patients are increasingly encountering
12
30
184
@doctor_oxford
@VictoriaAtkins
@AmandaPritchard
@NHSEngland
@NHSPracHealth
Signed ✅
I am still reeling from reading the shocking news yesterday, Rachel and
@silv24
😞
Several years ago, I had intensive support from PH when I was burnt out, suicidal and ready to give up medicine. My GP, Dr Gallagher, and my therapist Simon, helped me understand
4
44
203
As a GP involved in safeguarding the biggest barrier to preventing tragic cases like Arthur Labinjo-Hughes is lack of communication. So many times I’ve referred, and unless I’ve actively chased it up, never had any written outcome.. we need to find ways to communicate better..
12
16
200
@KayBurley
News flash. The Royal Family are human as well. I’m sure they would like some privacy to deal with whatever it is they are going through. It is ghoulish to invade their space at this time
2
4
189
Send positive vibes. I’m triaging this morning. No doubt there will be too many people who need to speak to a GP for for too few slots. I will endeavour to manage the session as safely as I can just as many of my colleagues up and down the country will be doing too.
#TeamGP
10
11
191
Referral rejected today by local hospital. Says their service is facing ‘severe pressures’ and can’t accept new referral. The NHS is in severe crisis.
16
54
192
I would never advise my patients to have something I wouldn’t have myself. I had the first part of my
#COVID19Vaccine
today. When you are called please seriously consider having it. There is lots of scare mongering but it has been extensively tested & offers hope for 2021
#NHS
16
19
190
Thank you to all the consultants & hospitals trainees who have come out in support of primary care during this period when primary care has been unfairly criticised in the media even more than usual. We are one NHS. We are stronger when we support each other. Thank you 🙏🏻
1
17
189
Unsurprising that after my positive post about general practice I still got abusive comments both in the comments section and in my inbox that GPs are lazy and just doing phone consults 🤷♂️
45
7
189
@allisonpearson
@BBCr4today
I am a doctor and I am calling this out as rubbish. Hospitals are open and certainly not empty, GPs are still seeing and referring. Stop spreading lies.
2
14
188
Do other GPs feel overwhelme at the number of routes by which work comes into them.. as well as phone/ f2f consults, there is eC, email, SMS, practice message, door knocks. We were told you had to be good multitasker in training & that was before all these new routes of contact!
27
13
185
If a songrapher has recommended an ultrasound scan be repeated in 1 month, wouldn’t you expect them to just book that? Nope, they have told her GP needs to refer for it!
40
5
185
It’s horrible being on the receiving end of a pts anger when they this has been brewing for months and months due to perceived problems with access. This happened to me three times today. Please try and be nice, I want to help but it’s horrible and distressing to be shouted at
13
12
182
Spiteful GP bashing goes on.
The irony. The GP probably needs his car to get to work and for home visits. So patients suffer by this man’s petty vendetta against his hard working GP
The fact it was liked by 14K people makes me feel sick at the amount of hate there is for us
22
10
178
An impassionate plea to hospital colleagues. If you are worried about cancer, please don’t send a letter to the patient’s GP which might not be processed for several months.. please call/email GP. Alternatively, if you can, it would help if you referred for these tests yourself x
17
15
172
It had been a funny day today, a bit sad but mainly exciting. I’ve taken steps towards handing in my notice in my different roles in London. I’ve been here for the most part since 2004, when I started out at King’s College Medical School. I’ve had lots of kind words from
26
1
175
Private nutritional ‘therapist’ writing letter telling GP to order blood tests including serum rhubarb. I’m please a colleague has already robustly responded to this!
14
4
168
@kateferguson4
GP here. I’m highly trained in diagnosing cancer and other life threatening illness, supporting mental health and managing chronic illness. I (and I’m sure most of my patients) would rather I do that than write ‘prescriptions’ for money off energy bills
@trussliz
@RishiSunak
9
17
166
This is great news and I’m pleased I was one of the 99.2% to vote against the terrible new GP contract. I’m proud to have rejoined the
@BMA_GP
I’ve had another long tiring week. And an exhausting day. Nearly every patient had complex problems deserving more than the 10 min I am
GP Referendum: 99.2% vote NO to contract imposition
In past decade:
💥2000 fewer GPs
💥1300 fewer surgeries
💥6,000,000 more patients
⏰ Time to call out the constructive dismissal of England general practice
What patients want to receive & what we want to offer ARE THE SAME:
8
93
238
1
47
165
Ok, shot out and managed to rescue it this time (as not a public toilet). Voila. This little bugger was the cause of all my pain.. sharp and hard!
60
4
165
I feel I was being trolled but at the same time I feel that our work as GPs is being so devalued. It really is very depressing. I have trained for 10 years, given up the best years of my life to follow this role.. it feels everyone thinks they can replace us.
4
6
163
Today I have spoken to the health visitor, social worker, coroner, social prescriber, psychiatrist, district nurse, pharmacist, support worker, physiotherapist.. I’ve processed lots of hospital letters. I’ve done calls, F2F & home visits. NHS & social care haven’t stopped working
7
20
164
We need to talk more about how face masks are damaging to dr-pt relationship, especially those who are vulnerable/ paranoid/ psychotic. Saw an amazing change in a pt’s demeanour once mask removed. Interested to hear psychiatrist experiences of masks, as well as GPs/other drs!
24
20
156
@MattHancock
We need more nurses and doctors who are confident using them Matt. Where are these coming from?!
18
11
149
I’m really sad that a GP surgery has had to write about the extreme stress it is under. Even more sad is the inevitable tirade of abusive comments that GPs are lazy, overpaid & privileged. Most of us aren’t. Will the whole system have to collapse before government does something?
10
14
155
It’s frustrating as a GP not being able to refer easily for a joint ADHD and ASD assessment. Our local pathways are very much to refer for an assessment of one or the other. But so often I see traits of both in my patients and just going half of the way does them a disservice in
The sudden rise of AuDHD: what is behind the rocketing rates of this life-changing diagnosis?
20
40
125
17
18
153
@WelshGasDoc
@kevinranamile
It makes me want to cry that a GMC registered doctor is discrediting the most important ammunition we have against this awful infection
9
6
149
I seem to have gained loads of new followers just for posting I’m starting a GP job. I survived afternoon on call which was unexpected but not too bad. Looking forward to getting stuck in these coming weeks/ months. Lots of nice messages here to make me smile, thank you!
5
0
153
@SteveBarclay
You don’t get to claim any credit. You are driving GPs out of the job.. and some have even taken their lives. You have no respect for drs, demonstrated by your despicable behaviour regarding the junior doctors pay issue, and as a result there will now be a further strike
1
11
153
@pulsetoday
I still think the best present a GP ever got (not me but a colleague I worked with) was a half drunk bottle of wine. The context here was important. The patient was a recovering alcoholic and the recipient felt pleased that every other year they had drunk the whole bottle before
5
3
152
@piersmorgan
As a GP, I am seeing this devastation every day. Note, lots of long Covid (including fatigue, chest pain, breathlessness, arthritis).. this is happening in young previously healthy patients who are unable to function as normal. I urge people to get vaccinated as soon as they can
23
5
147
@DrBenLovell
I always use the word cancer. I typically say something like “there are lots of causes of your symptoms; unfortunately cancer is one of them and while the majority of people I refer won’t have cancer it’s important we get you seen quickly so we can maximise you options if you do
5
1
147
My latest gripe on auditing letters. If you seen someone with a low vitamin D (or something equally easily amenable to treatment), is not not easier to just give them a script rather than tell them to see their GP? More efficient for patient & NHS!
34
4
145
@CF_Farrow
Don’t worry about it. It’s not for your benefit, but for those patients who might be too afraid otherwise to disclose they have a same sex partner for fear of judgement 🏳️🌈
It shows we make no judgement because being gay is perfectly normal and not something to be ashamed of 🌈
1
1
141
Main Covid symptoms for me & Neil. Sneezing +++, sore throat +++, coryzal ++, fatigue ++, cough ++ for me (not prominent in Neil), headache +. Felt feverish but no objective fever. No changes in taste or smell.
My LFTs have remained negative.
Time to update PCR test criteria?
26
18
142
When did we get to a point where a safeguarding r/f is declined because it’s on the wrong form? I work in a large city, I don’t have access to every borough’s specific safeguarding form. I used our form & included all the information relevant to the referral. It’s soul destroying
12
7
138
Covid19 test negative. Care at
@LG_NHS
has been brilliant. Going to take a little break from Twitter and help Neil back to health. Thanks for all well wishes xxxxx
7
2
143
@SarahLudford
I’m sorry you are having problems accessing your GP Baroness Ludford. Most practices want to offer good access but are prevented from doing so due to central government funding issues. In short they can’t afford to pay staff. The proposed 1.9% uplift in the new GP contract will
3
39
143
This is terrible news.
@ClareGerada
?!
PH offers lifesaving support to doctors, my PH GP helped me through the most difficult time in my life a few years ago. I am where I am because of that support.
It’s vital doctors have access to mental health support separate from
5
38
142
As GPs, other specialists offer say to us how hard our job must be. Today, I want to turn things on their head.. utmost respect for my psychiatry colleagues, they must be absolutely inundated at the moment and there is so much complex psychiatry triggered through Covid situation!
9
6
133
@DeborahMeaden
Thank you Deborah.
@Jacob_Rees_Mogg
- I referred a pt for a consultant review today & it is 545 days until the first appt. Please tell me how that is acceptable? The NHS is in constant crisis which has worsened year on year you have been in government, jr drs are not the problem!
10
23
134
@dave_dlt
No penicillin V, no amoxicillin locally.. huge numbers presenting worried about GAS, staff sick,
Hi
@SteveBarclay
- I’m waving at you from across the river in your ivory tower from the front line in Lambeth, care to comment 👋🏻
2
35
133
This is a shocking read. The hospitals doing this should be investigated by
@CareQualityComm
.. they are putting patients at risk. It isn’t acceptable to think that having a physician associate with two years experience carrying an emergency/ crash bleep is a substitute for a dr.
🔴NEW: NHS England orders hospitals to stop using physician associates to cover doctors’ shifts after
@Telegraph
investigation reveals that the practice is widespread.
117
2K
4K
1
65
134