Steve Shaw
@srgshaw_shaw
Followers
1K
Following
78K
Media
519
Statuses
10K
Retired.Previous CEO & Consultant Intensivist and dentist. Stanhoe Parish Councillor. Watch keeper NCI wells
Joined October 2016
After 38 years I have retired from the NHS. Huge thanks to all you wonderful colleagues I have worked with over the years. Your support, loyalty and friendship leaves me with many happy memories š
102
23
558
Indeed I suspect Joe Public is indeed capable of deducing that a league table which has 7 specialised cancer hospitals and an eye hospital none of which have an ED in the top ten acute trusts isnāt much use to them in determining if their local hospital is any good
"What a bunch of well-informed researchers are saying is... They're qualified to make judgements about these data points, but Joe Public aren't." Health Secretary Wes Streeting says some criticism of the publication of NHS Trust performance is 'elitist nonsense'. #R4Today
1
1
4
@sib313 @pash22 @DrLKVaughan @HSJnews @NHSEngland True but a lot of the time in big cities now there are multiple hospitals all part of the same trust who are reporting single performance data so the likely local comparison also doesnāt really exist
2
2
1
@ShaunLintern Well, since the top half dozen are 4ry specialist units with no responsibility to provide care for all comers at all times of the day and night, you might as well include a few oranges on the list to compare with all the struggling apples. Utterly facile.
0
4
17
It's also not enough to have CCTed out. But a (presumably) one or two day course is enough to get someone to the top tiers if you're not a doctor. 7/
9
30
150
The lie they tell us: āThese additional non-doctor roles work alongside but do NOT replace doctorsā What they do: āACP in a role TRADITIONALLY UNDERTAKEN BY DOCTORS AT REGISTRAR LEVELā?! There it is - you no longer need a medical degree to work as a doctor in the NHS! š©š©š©
DIRECT DR REPLACEMENT āThe post holder will provide expert clinical management and care to pts in the ED in a role traditionally undertaken by doctors working at registrar level. The post holder will function on the upper tier of the Junior Medical/ Registrar on- call rota.ā
11
240
475
To āfree up hospital bedsā you need improved social care - not AI
NHS to use AI technology to help free up hospital beds Read more š https://t.co/uKTAE8ZJ9w
21
186
873
Or we could simply provide the right resources to our resident doctors and colleagues to fill the discharge paperwork in correctly? Working computers, chairs not bins to sit on, time and space to think, and not always working at 150% due to everything being on fire. Slapping an
NHS to use AI technology to help free up hospital beds Read more š https://t.co/uKTAE8ZJ9w
13
41
132
The fact that we have to state this shows how far medicine has fallen in the UK
Physician Assistants do NOT study Medicine, are not trained or educated in Medicine, and are NOT qualified in Medicine.
5
184
419
"A nationally significant water shortfall is gripping England". You'd never believe water companies have had 35 years to plan for this but then again there's always been a plan, the one that was cheapest for WCs, drain ever river in the country dry, and now they're running out
304
2K
8K
The GMC report also found that general practitioners were āthe most pressurised group in the medical workforce across the UKā and warned that without action to tackle this, efforts to move patient care into the community āmay well be thwartedā. @BMANI_GP @TheBMA
Doctors working in Northern Ireland are at higher risk of burnout of all four UK nations, states latest @gmcuk workplace experience report. Read our full response from @AlanStout19
https://t.co/jPxIdVweqg
1
37
117
RT @ankitkant: How come you have deliberately blocked one thousand GP practices who serve our most vulnerable rural patients from offeringā¦
0
3
0
Legend says theyāre still looking for the ball.. š
2K
16K
133K
also claiming if PA Scope restricted then patients will miss out on appointments& wait times/access worsen because of medical workforce gaps But there are now (as @thomasdolphin rightly said) 1000s of drs unable to get training rotation or GP posts So employ them instead
3
48
297
@thomasdolphin But hold on! The NHS 10 year plan says there will only be 1000 additional rotational training posts - so bottlenecks will continue It says nothing of note re increasing the value of GP contract & ability to recruit more GPs And provides no detail on the roadmap to GP expansion
2
27
165
@mancunianmedic Too many patients (especially the elderly &/or those who arenāt on social media etc) donāt actually have a clue who is seeing them/treating them. Job titles on name badges/ID badges are generally confusing or meaningless to them & they donāt explain clearly what their role is.
3
11
90
Absolutely correct šÆ
@mancunianmedic Too many patients (especially the elderly &/or those who arenāt on social media etc) donāt actually have a clue who is seeing them/treating them. Job titles on name badges/ID badges are generally confusing or meaningless to them & they donāt explain clearly what their role is.
0
1
2
It is now 18 months since the European boss of Fujitsu, which supplied the crap Horizon system and whose officials lied to sub-postmasters and to courts about it, accepted moral responsibility and said the company would cough up. Yet it still hasnāt handed over a bean. Ā What it
36
2K
3K
This is the clearest example of why allowing employers to set scope is inherently dangerous. This is why NATIONAL standards are needed for training, education AND practice. Only DOCTORS are sufficiently trained to manage sick patients.
@UKGastroDr @timricketts_ 1. There was guidance that states ERCP is not for nurses (2008) 2. There is so much more to this story 3. I was part of the Royal college team that investigated and this was Swiss cheese squared 4. There is now a new clinical endoscopist document from BSG stating exactly this.
10
92
253