Mike Henley 🤨
@trentconsultant
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Following
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Hardline centrist. BMA Council/Consultants Committee, Pay, T&C’s lead & committee deputy chair. *Tweets here are personal*
Ashbourne, England
Joined December 2011
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Pinned Tweet
If the vote goes through we are at the beginning of pay restoration. The excuses will have been removed but *we all* will still be responsible for holding the system to account. This is the happy music in the horror film. Stay organised, stay prepared to take action.
@DrRgoldi
@trentconsultant
The medical workforce really needs to sign up to one of the union and its aims both literally and figuratively .
The unity of the members is its only strength. Cardies and hand wringing its greatest weakness.
Predators sense weakness and take merciless advantage.
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Today I tested out the best bit of medical advice I’ve seen on twitter; Very deaf man on ward round, no hearing aid, communication impossible. I found a stethoscope.
Stuck it in his ears and spoke clearly into diaphragm. Worked perfectly! No yelling, privacy/dignity preserved.
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Paying staff in the NHS fairly doesn't remove funding for patient care. *Unless politicians decide it will be that way*. It's a national health service, it must be funded by the nation, not subsidised with the stolen wages of the staff.
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If the Daily Mail really thinks my house is worth £1m could they please put in an offer? I checked on Zoopla &= £598k. I learnt plastering & carpentry to work on it, replastering about 1/3! Also could they help with the enormous mortgage fees their buddies in gov have caused me?
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If you wonder if it’s worth paying BMA rate card rates for a consultant to be in, at 3am, outside their contract, on their time off, keeping you alive on ITU, during surgery, labour & then you find Matt Hancock wants £1500/hr or £10,000/day
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On exec today, just heard a story of a consultant who needed a desk diary for £7.50. Went through 7 managers and ended up at exec level. Request sent back saying please use IT system if not resubmit. And we wonder why the NHS is broken?
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Cigarette packet calculation; full pay restoration for NHS consultants effective cost to
@hmtreasury
less than £0.69b, a lower figure for junior doctors. Amount spent by Chancellor on tax cuts etc in last weeks budget was £411b. Don’t tell me we can’t afford Drs pay.
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Sent to me, the answer to uncompetitive pay is not to recruit ‘non medical consultants’, it’s to pay fairly and competitively. If we allow this these people will eat our lunch (and breakfast and dinner). Join the BMA take action to defend pay.
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Can I just point out to medical directors and CEOs. The delivery of a service in your hospital is your responsibility, not that of the employees come what may. If there are rota gaps requiring extra contractual work to fill them, you need to *encourage/appeal/pay* to cover 1/2
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Seeing a few of these 'I won't be striking tweet'. Look, we know! The results said 1 in 10 of us won't be striking, you're happy to see your pay drop >1/3, to feed the brain drain, increase waiting times for patients. It's your choice, carry on but remember, you're 1 in 10.
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Just seen that the
@TheBMA
flag is at half mast as a mark of respect for Drs and colleagues in the NHS who have lost their lives helping others to live. May they all rest in peace.
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Steve Barclay and
@dhsc
could be sat negotiating right now. An offer to talk was extended from the Junior Doctors committee at the end of March. It's his choice to be enjoying a long weekend off and refusing to negotiate with the consequent impact on patients and staff.
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I heard Jeremy Hunt saying on
@BBCr4today
that digitising theatres will enable 200k additional procedures per year (if you believe that you’ll believe anything). Meanwhile I can’t even get the dictation software to work! 1/2
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Hearing marked shortage of work for GP's trying to do sessions as GP funding cut so much against inflation; no money to employ them. Meanwhile patients desperate to see GP's. However cash *is* available to employ PA's to see undifferentiated patients. Mad. Public/Drs be angry!
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Hearing reports of GMB trying to get non BMA representatives on. If they call you ask yourself why every time the RMT dispute is in the media the person being interviewed is Mick Lynch, not Geoff from the ticket office. I'd suggest decline & check with mediaoffice
@bma
.org.uk
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If you work for the NHS, and need to have GMC registration as a requirement to work why do you need to pay out of your own pocket?
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This is problematic for you
@DHSCmedia
@SteveBarclay
I think you need to get out of the shelter and start talking. Knock off all of the nonsense about the BMA having pre-conditions and come and discuss. Your current approach is having zero cut through & causing patient suffering.
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I came across this. It is entirely untrue. Junior doctors who are IMGs are not at risk. JDC will not run strike action that puts IMGs at risk of visa issues. Actual advice here Please retweet to correct this outrageous nonsense.
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No one should be working in a hospital where doctors are not allowed to sleep if clinically quiet.
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From the Guardian, this isn't true. The BMA has a national network of professional negotiators that do this with Drs every day of every week & we work as a team. What the Government source means is 'We haven't faced this level of determination from other health unions'. 1/2
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Message for jnr Drs; take action, demonstrate your huge worth by withholding your labour. This is about fairness & has an enormous mandate. Consultants & SAS will cover. Whether you're a ST7 or F1 you have much to gain. Stand together & don't be sweet talked into strike breaking
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When we're trying to concentrate on just how much NHS staff pay has fallen, a single Dr has shifted the narrative to the false flag of 7 day services. If you're asked as a Dr onto any media interview please, please get a briefing from
@BMAMediaOffice
@theBMA
first. Please RT
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Just realised Philip is on the GMC council. This is nothing to do with individuals, everything to do with the role, title, lack of ceiling of scope of practice & generalised Wild West situation of ppl with less than half the training of a medical student replacing doctors.
I just think that the personal abuse PAs have encountered is unacceptable. Unfortunately the NHS has tolerated this sort of behaviour for far too long.
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Cut out and keep guide to clinical directors excuses as to why you "can't" be paid fairly. Oh yes you can.
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There needs to be a place in hell reserved for people who turn off num lock.
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It is not the job of the workforce to subsidise the service by working for cheap, especially when it comes to filling staffing gaps due to poor pay, terms, conditions; charge your worth or say no, do not be guilt tripped, *this is a matter of purely political choice* please RT
🚨 EXCLUSIVE: NHS chiefs across England have been told to cut spending on nurses and doctors and find services they could close as NHS faces a £4.5bn funding blackhole:
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Someone sent me this. So we don’t need to sort out Drs pay?
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Personally, rather than a retraction I’d rather he confirmed this offer🤣🤣🤣
This morning on
@bbcr4today
the Health Secretary
@SteveBarclay
said Consultants get a "tax-free pension of £73,000 a year" when they retire.
This is categorically not true, and we expect him to issue an urgent correction. Here's why 🧵 (1/5)
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Former Dean retired on old style final salary pension likely with a pensionable national award. Neither available anymore = part of the erosion of pay that needs fixing. Monopoly employer pay keeping up with inflation & comparators is not some sort of dirty & shameful demand.
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Really hard to think that the GMC haven't been politically leant on. Changed guidance published this afternoon. This is outrageous. What is the GMC up to? They need fixing.
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This programme has been rejected by consultants committee and BMA council. It still rumbles on. If you want medicine more accessible then sort out finance properly for students, not make people be HCAs with a hope they'll be 'GPs in poor areas' due to gratitude. Stop the scheme.
Funding for up to 200 Medical Doctor Degree Apprentices, has been confirmed as part of a pilot scheme, making careers in medicine more accessible and helping to boost the number of NHS doctors.
For more information visit:
@DHSCgovuk
@educationgovuk
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@markjenkinsonmp
Nope, we managed to comply in hospitals. 24 hours a day. At that time our lives and our patients lives depended on it. You cannot imagine how insulting all of this is to those who followed the rules and saw people die. For goodness sake get a grip & some insight.
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I’m really sorry but this has got a root cause analysis of inter professional rivalry & protect the organisation rather than the patients at all costs written all over it. How many large and small NHS disasters fit this model?
The doctor who helped catch Lucy Letby told ITV News that 'babies could've been saved' if the hospital had acted sooner.
Dr Ravi Jayaram, who is a consultant paediatrician at the Countess of Chester Hospital, told
@PaulBrandITV
he repeatedly raised concerns about his former…
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My wife saved up from all the overnight resident anaesthetic shifts during covid. She’s about to spend all of it on our fuel bill. I did some locums too, mine is ear marked for the autumn/winter fuel bill. I realise this counts as v lucky in the U.K. but it’s not what we hoped.
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Our brilliant colleagues fighting for fair pay for doctors outside Derby hospital. It’s not fair our pay has been eroded by government interference with our pay review body since 2008! Real terms down 26-35% to *last* April!
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It’s worth remembering that £3,000 to £4000 is missing from every consultants pay packet every month due to pay erosion. Add in pension taxation & it’s no wonder we can’t retain staff. Retention & fair pay just as important as recruitment
@UKLabour
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Rubbish Nick Triggle piece with out of date data. Eg Ireland starting salary is currently £185k vs £93k. NZ data suspect, Australia, Canada, Middle East not mentioned. When was the last time there was a mass exodus of UK Drs to Spain, Italy or Portugal?
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Hearing of guilt trip ‘you better have a good excuse or else if you take the bank holiday’ letters being sent to doctors from non clinical managers who, yes, you guessed it, will be having the day off. Welcome to the NHS.
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If you're a junior Dr considering not taking action tomorrow (or consultant feeling a bit 'fatigued') then look at this graph from the FT and ask yourself why the difference between train drivers and medical pay? Are we made of less strong stuff than train drivers? Stand together
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Nichola is *of course* not a doctor. Medicine already is and always has been an apprenticeship but first you need to learn the scientific background. You don’t do that by being an HCA for 6 or 7 years. Widen participation✅ but not like this.
'The idea that an apprenticeship scheme cannot work within the medical profession is both ill-judged and damaging. Especially considering similar schemes have played a vital pathway to train many of the NHS’s nurses,' says Nichola Hay MBE
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Here’s an unfounded theory; what if the reason we’re seeing fewer strokes, MIs, asthma etc was not because they’re too frightened to attend but a less hectic & polluted life with more social time was better for humans?
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@DrHenryMarsh
@heyneurosurgeon
It’s worse than that Henry, I suspect that there is a strong feeling of ‘uppity consultants who think they are something special need taking down a peg or two’ followed by weaponising
@gmcuk
it’s ghastly in so many places.
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It's ready for introduction in all Trusts. Contact me for materials.
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Just seen an email from
@ChelwestFT
saying that covering juniors work during the day cannot be paid at enhanced rates as would be double payment. Allow me to assist to correct this error. Please retweet widely.
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Been on GMB and LBC over last 12 hours. Thought for the day; if pay review bodies are independent why have they eroded pay consistently across the public sector since 2008. For consultants to the tune of 34.9% to last April. This is not random. 1/2
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@HelenStokesLam
@AmandaPritchard
@NHSEngland
Retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention, retention.
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Picture caption; paying staff fairly will take money from frontline services. Only because that’s what *you’ve* decided. *You’re* in power, talk to the chancellor. Write the cheque. You cannot expect Drs, nurses & staff to subsidise the *National* Health Service with their pay
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Just heard Bill Kirkup on
@BBCNews
saying we don’t need a public enquiry as professional regulation means that a standard enquiry is enough. Except it’s not the clinical professionals at fault here, it’s the ex drs & nurses in senior management roles & non clinical managers.
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NHS consultants, rate card is going great, rates being snuck in around the country under the radar of ICS/ICBs, employers and Department of Health really feeling the squeeze. One message, 'hold the line, you're winning', don't do extras for less than BMA rates please retweet 1/x
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@PaulRobertsNHS
@HPIAndyCowper
@SyncopeJohn
Anaesthetic colleague of mine Angus Crossley was retiring after an entire career in our hospital, asked to see Sue James the CEO at the time (Leadership Academy etc) for an exit interview and quick chat. No came the answer from the PA, Mrs James is too busy. 1/2
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Mandatory training, mostly absolute rubbish no? Hello - malaria/bilharzia/etc. It's so demoralising.
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Red herring; The consultant contract stipulates if you don’t work 44 hours for the NHS* before you do private practice it can hold back up to £33,000 of your pay. Only 1/3 do any private practice, most of those tiny amounts & vast majority are doing the 44+ hours with PP on top.
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@PaulRobertsNHS
@HPIAndyCowper
@SyncopeJohn
Admittedly Angus no doubt wanted to provide some ‘honest’ feedback, but I have to say, as a CEO with an interest in leadership I’d have thought that would have been essential listening, even if uncomfortable. Seems not. 2/2
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I've helped you as you had a problem with the font size on you disclaimer. These are the all rolled up earnings for doing miserable hours and more than one person's work.
The BMA has demanded a 35% pay rise for junior doctors.
Here's their current average pay rates at different levels.
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I’ve just heard the 0730 news on
@BBCr4today
after President Biden’s visit to Belfast & before stories about Elon Musk & Donald Trump that Junior Doctor Co-Chair is on leave at a friends wedding. 🤦♂️ The Telegraph I can understand but ‘independent’ national media?
@BBCNews
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This is completely out of order for
@gmcuk
if it fits the ‘rules’ the rules are wrong and must change. Government has hugely restricted the right to protest & there is no chance of this reducing public confidence, it’s a matter of conscience.
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We need to flip the phrase ‘recruitment & retention’ to ‘retention & recruitment’ within the NHS or we are stuffed.
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@thetimes
You can try to undermine all you like but 77.5% turnout and 98% vote to strike is the highest in history of any trade union and this article says more about your fear than BMA politics. The strike it seems is far more representative than
@RishiSunak
’s government at 67% and 43.6%
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If you're a rank and file, common or garden consultant, or a knight/dame of a royal college you need to heed the purpose of physician 'associates' right now and take steps to make amends. Help yes, replacement no.
The entire UK public needs to watch this.
Your health is a pawn to use against doctors and trade unions.
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I just can't over the fact that a man who voted for Brexit is telling NI what an amazing unique position it is in, access to EU & UK the very position the whole nation was in until muppets in Westminster convinced everyone to chuck the baby out with the bathwater. Irony free zone
Rishi Sunak in genius mode… explaining why having full access to UK home market and EU Single Market is so prized by investors.
Could even explain why UK’s massive internal investment dropped when Brexit pulled England, Scotland and Wales out of exactly that enviable position.
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It took a while but I've worked out consultant gross starting salary in Mars bars. 2008 = 108 Mars bars per hour, 2022 = 65 Mars bars per hour. I think you'll find that is the same for everything you buy. (gross income, Mars bar standardised for 51g)
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After all that’s just happened, new guidelines from GMC; call into question for example a non clinical manager’s decision, attitude, ability & you’re in breach of good medical practice. Does this apply to anyone else in a hospital, lawyer, accountant, business, IT, finance, etc?
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Just to make it easier for the Daily Mail I thought I'd post a few pictures of my cottage.
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@Charlotteoleary
@kemz_1
It’s very difficult. On many occasions as a jnr dr I was asked to convince people not to take their own Discharge. My approach was I’ll explain once but you’re a fully grown adult. Here however the patient has low oxygen & may not make a rational decision. Clearly a family trait.
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We make our lives unnecessarily difficult. It's
@SteveBarclay
's job to ensure there's a health service, not ours & part of that is paying enough to recruit/retain staff. If there aren't enough staff to cover safely, close the unit, tell the CEO, they call Barclay. Fix pay & DDRB.
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What you cannot do is *bully/undermine/cast aspersions on professionalism*. Stick your hands in your pockets and pay the going rate or roll your sleeves up, get out of your office and come and do the job yourself. 2/2
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No hospital doctors. You can’t see your pay keep up with inflation - don’t be ridiculous.
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Can I give a big clap for the incredible hard work of the
@TheBMA
comms team, member relations (including our indefatigable IRO’s), secretariat, number crunchers, policy and pay team for their superhuman efforts.
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Step 1: Starting today, do not do WLI or similar non-contractual work unless paid at or above the BMA minimum rates. This is non-contractual work and does not represent industrial action. You are the BMA, you need to act. Please retweet.
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I don't expect the public to have sympathy with our pay, the outcome though is the UK is an uncompetitive place to work, after 18 years training consultant starting salary is £88k, it's €203k in Ireland for example. This = staffing gaps = fewer operations/clinic appointments.
You can see the direct impact that pay erosion suffered by the medical profession has had on patient waiting lists.
Junior Doctor & Consultant pay has been driven down - creating a recruitment & retention crisis - patient waiting lists have increased.
#JuniorDoctorsStrike
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Let me help you with this one too. Honestly you are are pulling the wool over people's eyes about what a doctor is worth in the English speaking world.
The BMA has demanded a 35% pay rise for junior doctors.
Junior doctors can undertake career advancement to long term careers, with the starting salary for consultants being £88,364.
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Last week I heard rumours (from multiple sources) of Trust CEOs in London being told they'd be expected to resign if they paid the rates being paid across much of the rest of the country. The LDN 'system' needs to take a long hard look at its priorities.
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What is really unrealistic is not to have a plan on restoring the erosion of hospital doctors pay when we have a recruitment and retention crisis caused by the government corruption of our *not so independent* pay review body.
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Allegedly, in what is either a mistake/dirty tricks campaign
@LeedsHospitals
has blocked the Trust’s doctors’ reps from emailing doctors in the Trust. They’d do well to read the ACAS docs about providing means of communication. Wild West practices showing up NHS employers. 1/2
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Talks are ongoing, talks are constructive, but talks are just talks until there is an acceptable offer, Do Not Take Your Foot Off The Accelerator!; Vote Yes & Vote Yes immediately. Please retweet.🙏
Re-ballot of consultants in England is now open.
Eligible members will receive their ballot papers this week.
Vote YES ❌ again to fix consultant pay now and for the future before midday on 18 December.
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The red line is the people who diagnose, investigate & treat you in hospital. These things are linked.
Public satisfaction with NHS at lowest ever level, survey shows it doesn’t matter how it’s funded, one way or another we end up funding our health care.
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Listen to Emma Runswick answer some of the classic questions about why doctors are striking. It's only 2 minutes of your life, if we don't maintain retention by paying fairly, your life might genuinely depend on it.
Excellent by
@TheBMA
@ERunswickBMA
Deputy Chair
‘It only sounds like we’re asking for a lot because that’s how much pay we’ve lost’
❌ No to a one off payment
@SteveBarclay
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Pay people for the job they do now, not what they may or may not do in the future. Additionally consultant pay is down 35% versus inflation too and ballot for consultant strikes will go ahead unless progress is made. Dragging in consultant pay will not help these talks
@DHSCmedia
The BMA has demanded a 35% pay rise for junior doctors.
Junior doctors can undertake career advancement to long term careers, with the starting salary for consultants being £88,364.
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Parliament isn’t sitting (many are on holiday). There’s a crisis in the NHS due to government refusal to sit down/negotiate without preconditions yet just one of the negotiating team on the BMA side being away at a wedding (talks could start anyway) is national news? Perspective
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Just been on BBC with Hugh Pym. I discussed all groups including Jnr Drs and made point that whole award was below inflation, not even parity & totally unfair considering sacrifice. Not sure which version will be used. Some were descriptive some short. Down to editor now.
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The CMOs have said the NHS may be overun in 3 weeks. If we don't vaccinate all front line staff over the next 7 days will they be there for the sick or will they be the sick themselves. Please retweet?
@MattHancock
@Number10press
@DHSCmedia
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@SamuelBS85
2. Yelled and yelled at by a lady after THR about the appalling quality of the food. I agreed with her. She said then do something about it you pathetic man. I said I couldn’t as I was a dr, she said ‘sorry, I thought you were the head of catering who I’d demanded to see earlier’
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Thur & Fri next week is consultant action [come on
@SteveBarclay
you know we were close to agreement, give us a call we can stop this], don't sit at home glum, attend a picket. If you think it's beneath you/unprofessional consider the barristers & their successful 15% pay claim
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The problem with endlessly increasing the pension age is that we may be living longer, but the average age of developing a disability is virtually unchanged at roughly 62. We may be good at keeping people alive but we haven't cheated biology.
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As a urologist I’m a bit worried about those who attended both the Abbey and St George’s chapel. I hope there was a chance for a pee.
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One by one the London trusts are announcing they will pay the BMA rates next week. You have witnessed the power of collective action. *You* are hugely powerful. Now exercise that power
#VoteNowVoteYes
and win. Please retweet.
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I had been feeling annoyed about the women with a hacking cough in the pub that clearly gave me covid. Imprisoned me & wiped out all those outpatient appointments & operating list that have been cancelled. Then I remembered, unless you’re an NHS worker how are you going to know?
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This shouldn’t be needed. The government should sit down with us to discuss fixing our broken pay review body, looking back to 2008 & a credible offer for this years pay until it reports.
#ComeToTheTable
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Dropped off my daughter yesterday at UCL halls at 1800. ‘I’ve arrived too late, everyone has made friends’😥, me; it’s impossible *not* to make friends [met with disbelief & special 19 yr old look]. 2200 reply to granny ‘I’ve eaten and going out with some friends’. 1/2
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@mikegalsworthy
@pinapolk
I’m not religious but I feel the need to say thank God for Channel 4 news and all who rail on her.
@jonsnowC4
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Aussie take. A story where a friend stayed late to help in an RTA; Next day the boss said put in your claim, no said the young Dr 'I was just being professional'. Mate, said the boss, 'being professional is staying until the patient is safe, doing it for free is being a mug'
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