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John Cosgrove FRCGP Profile
John Cosgrove FRCGP

@DrJohnCosgrove

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Clinical director @Formby_GP . Lay Clerk @StFaithsMusic . Proud husband of @drhfryan .

Formby, England
Joined May 2011
Don't wanna be here? Send us removal request.
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
Does my 24 year NHS career really just fizzle out with a text message from a stranger 15 minutes before the end of a shift?
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
Thank you for all this interest in this post and sympathy. I appreciate it greatly. Please forgive me if I don't respond to every message directly.
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@suechadwick999 There seems to be a reluctance to form or acknowledge personal relationships between NHS managers and staff. Sorry to hear that was the case here.
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@mistyevenstar Thank you for your concern. It will work out for me. I have other irons in the fire
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John Cosgrove FRCGP
16 days
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@PersianaJune Thank you, Esther (even though we have not yet met)
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@cloudcuckoospit My line manager has not yet reassured me ...
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@suzypuss Thank you for the sympathy
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
This by GP @DrEmmaNash is going viral on Facebook. It's time for collaboration #GPnewdeal http://t.co/zlpNN6c7Nz
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@sellanbysw Thank you. Possibly full time private practice at @Formby_GP now
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@AnnRile19223035 Thank you. If I had any qualms about private practice at @Formby_GP , they are now rapidly receding!
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@JaySeddon123 It is. I have just had a call from a director of PC24 who did not refute it.
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@nellygoatree Blimey! How did you know it was over?
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@DrJohnCosgrove
John Cosgrove FRCGP
6 years
@SkyNews Jack's death is a tragedy as a result of an unsafe hospital department not assuaged by the second tragedy of victimising the scapegoat Dr Bawa-Garba. We need to find more effective and constructive ways of managing the anguish of bereavement.
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
Chuffed to bits to be a father for the last time! Cara is beautiful and I look forward to getting to know her. Heather has done amazingly well carrying her through this pregnancy and giving birth to her despite various challenges. So proud of them both!
@DrHFRyan
Heather Ryan
4 years
Cara Elizabeth Fiona Cosgrove arrived via #Caesarean at 11.42, weighing 7lb. I am immensely grateful to the team at @GEHMaternity who brought her into the world - particularly Dr Prasad, consultant anaesthetist, who managed to do a spinal block in very challenging circumstances.
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@pkblather @cloudcuckoospit This was a zero hours employment contract, actually. I have much experience of locumming and have always been treated with more respect than this.
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@scottishphil83 It's a bit of a shock, but things will work out one way or another I'm sure.
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@metaburbia @radiollama1 I agree, but this was borne of necessity because of the political prioritisation of rapid access over continuity. That and the 2004 GMS contract which was with practices rather than individual doctors
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@AncientOldHag Awful. I probably don't want to know what data you then put on it!
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
What happened to this medical student's enthusiastic smile? #juniordoctors http://t.co/uKeA06dUMd
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@DrJohnCosgrove
John Cosgrove FRCGP
2 months
I've just had my first encounter with a patient surprised their URTI had not resolved with antibiotics from Pharmacy First. How do policy makers not know that making antibiotics more readily accessible for ear, sinus and throat infections would increase demand not address it? 🤦🏻‍♂️
@pash22
Ash Paul
2 months
@NHSEngland 's #PharmacyFirst , which bypasses @rcgp GPs, may lead to even greater antibiotic use: Asking busy pharmacists to conduct thorough patient consultations is yet another “solution” that won’t solve anything at all. via @pwhitakerwriter @PharmRJ
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
It's simple, really. The UK just doesn't have enough doctors http://t.co/yy3M7cl9LR
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@DrJohnCosgrove
John Cosgrove FRCGP
2 years
Shocking! It seems SAGE are asked only to model worst case scenarios. No wonder we are being threatened with another punishing lockdown :(
@FraserNelson
Fraser Nelson
2 years
Earlier today I had a fascinating exchange with Prof Graham Medley, who chairs SAGE modelling committee. Here's my summary, and thoughts on an illuminating conversation
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@Elainebks @AnnRile19223035 @Formby_GP I own @Formby_GP jointly with @drhfryan . I would certainly hope that we would involve our colleagues in decisions which affect them.
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@ClareFKing @JaySeddon123 I have since received an apology for the manner of communication by phone from one of the directors of the company
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@DrJohnCosgrove
John Cosgrove FRCGP
6 years
She said yes! ❤️ @CoventryCanon we may need to have a chat ....
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@DrJohnCosgrove
John Cosgrove FRCGP
3 months
Massively helpful study. Would be good to see paper. Prioritising speed of access over continuity and equity has in my opinion been a profound mis-step, crippling NHS General Practice and, so it seems, directly regarding patient care.
@ChristmasRowena
Rowena Christmas
3 months
Seeing the same GP reduces your risk of an emergency admission to hospital or of needing to use the out of hours service by 30% and astonishingly reduces the risk of dying in the following 12 months by 25% And knowing your patients makes being a GP a wonderful job. @rcgp
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@enamhaque31 Thanks for the sympathy, Enam
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
#RCGPCouncil votes overwhelmingly to support statement re: #blacklivesmatter and emphasizes the importance of developing @RCGP strategy and specific actions to combat structural racism
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
@drphiliplee1 @DrHFRyan @Pamaro25 I've just seen an email explicitly confirming that we can issue Medical Certificates of Cause of Death with Covid-19 as a cause (and without necessarily referring to HM Coroner)
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@DrJohnCosgrove
John Cosgrove FRCGP
6 years
Sorry to see the great @mgtmccartney has written her last @bmj_latest column. In case you missed it, here's what you need to know. (hope I'm allowed to share screenshot. Apologies if not)
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@DrJohnCosgrove
John Cosgrove FRCGP
7 years
There is nothing new about referral management schemes. They are unsafe, unethical and do not work.
@KailashChandOBE
Prof Kailash Chand OBE FRCGP
7 years
Plans to introduce hospital referral reviews shows how the service has been reduced to nothing more than a skeleton
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
"Thatcher was smart enough to stockpile coal before the miners' strike. Where's the doctor stockpile, Jeremy?" http://t.co/YyLHJQVGwu
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@DrJohnCosgrove
John Cosgrove FRCGP
8 years
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@ww1111am I hope you have no need of healthcare, but if you do, there is an excellent private GP practice - @Formby_GP - (though I say it myself) not too far away from Southport! ;)
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@DrJohnCosgrove
John Cosgrove FRCGP
9 months
I didn't realise @IndependentSage were still going. Some videos to put on my watchlist :)
@trishgreenhalgh
Trisha Greenhalgh
9 months
At @IndependentSage we've made a series of short MYTHBUSTER videos to address misconceptions about covid-19. I'll thread them here. Some are still to come - will add as they come out. Please disseminate, especially to people who might be confused about these issues. 0/
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@DrJohnCosgrove
John Cosgrove FRCGP
1 year
@paulanthjones Scary that ca. 2,500 people retweeted your pothole tweet within ?2 hours, presumably because they agreed with you.
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@DrJohnCosgrove
John Cosgrove FRCGP
6 months
@DocEd @DrHFRyan Thank you for articulating this. Not all your colleagues seem capable of the same degree of empathy, or of identifying the limits of their expertise
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
As #Brexit hangs in the balance: - 1m Remainers vs 200 Brexiteers march - 4.6m Remainers vs 0.4m Brexiteers sign petitions The people are speaking loud and clear, @Theresa_May . When will you hear?
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@TomPMarshall Especially NHS G̶P̶ primary care. Nothing if not d̶y̶i̶n̶g̶ adaptable.
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
Brilliant blog by @parthaskar on patient safety and learning from the airline industry "The aviation industry’s response to increased demand has not been to ask flight attendants to fly planes" Reminds me of @Maureenprsb 's excellent paper on safety in GP
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@DrJohnCosgrove
John Cosgrove FRCGP
8 years
Is #smearthedocs backfiring on the government?
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@DrJohnCosgrove
John Cosgrove FRCGP
7 years
I'm very sorry but I am not psychic: without access to your records (on the computer), I cannot discuss your results #NHSCyberAttack
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
Gut feeling of GPs for suspicion of cancer has higher sensitivity than the 3% risk required for 2ww and improves with experience. Yet again, the importance of doctor gestalt. Screening is not a viable alternative. Devalue our judgement at your peril. #RCGPac
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
@drmarkporter @BBCRadio4 Prescribing is a ratchet. A new prescription is rarely questioned but stopping a prescription often is multiple times. I aspire to include indication and, where appropriate, stop/review date in the directions. 1/2
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@VickPea_ For the avoidance of doubt, I am not alleging a breach of contract. It's just not the way I'd have chosen to make such a decision and communicated it.
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
Father and son
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
Finally, an impartial and damning critique of the practice of requiring GPs to file, locate and complete specific and lengthy forms for each referral
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
Fascinating discovery this evening: Did you know that if you have pneumonia, it is unlikely that your doctor can pick it up by listening to your chest? On the other hand, if your chest sounds clear, it probably is. 1/2
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@DrJohnCosgrove
John Cosgrove FRCGP
8 years
Gosh, I wonder why #juniordoctors ' morale is low. Can anyone help Jeremy? You could not make this up!
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@DrJohnCosgrove
John Cosgrove FRCGP
6 years
@MontaguHarrier @SkyNews Far happier, because the airline industry investigates incidents to improve safety systems without apportioning blame. Medicine and aviation are very different, but we should learn much from that approach
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@DrJohnCosgrove
John Cosgrove FRCGP
7 years
New @rcgp chair @HelenStokesLam will allow Council members to tweet live from #RCGPCouncil with immediate effect. Thanks, Helen.
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
Dear Mr Hunt, 7.15am. If these are social hours, someone should let London know. @DrSazHal http://t.co/LFZhEPJyGL
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@DrJohnCosgrove
John Cosgrove FRCGP
6 years
With #BawaGarba , @gmcuk have managed to lose the confidence of the medical profession and government. How can it survive in its current form?
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
Why Jeremy Hunt is again using ropey data to destroy confidence in the NHS http://t.co/K0FkqwoUOM via @butNHS #IminworkJeremy
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
Thanks you, Mr Watson. As a lifelong Tory Remainer, I can no longer support The @Conservatives . I would support and vote for @UKLabour in a heartbeat if you promised to press for a #PeoplesVote . #IamEuropean #FBPE
@tom_watson
Tom Watson
5 years
Labour won’t defeat Nigel Farage by being mealy-mouthed and sounding as if we half agree with him. We won’t win if we sit on the fence about the most crucial issue that has faced our country for many generations.
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@DrJohnCosgrove
John Cosgrove FRCGP
7 years
Was the pledge of 5,000 new GPs a joke? Come on, @NHSEngland , make the job attractive #GPFV #GPforwardview via @rcgp
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@DrJohnCosgrove
John Cosgrove FRCGP
3 months
I plan to email Chair @RCGP .org.uk with my concerns on this matter. I suggest other RCGP members do likewise. Sometimes the personal approach speaks louder than numbers.
@DrHFRyan
Heather Ryan
3 months
457 people filled out my survey about #physicianassociates , which I am planning to feed back to the @rcgp leadership team prior to the March #RCGPCouncil meeting. 95.2% of respondents said that RCGP should undertake a formal consultation of its members' views on PAs. Will they?
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
. @rcgp is right behind #JuniorDoctors . Thanks for this really clear statement @Maureenrcgp :)
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@DrJohnCosgrove
John Cosgrove FRCGP
8 years
When will armchair GPs realise that responsible diagnosis, especially of rare and/or incurable conditions, is a process not an event? #fb
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@KitPeacock It's complicated. I was 3 shifts in to what I thought had been agreed to be a continuation of regularly weekly shift I had been doing for 18 months. Unfortunately, it was a zero hours employment contract.
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@DrJohnCosgrove
John Cosgrove FRCGP
8 years
#RCGPAC @Maureenrcgp quotes Simon Stevens: "there is no more important job in modern England than that of the family doctor"
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
Can we please drop the #nothinggeneral hashtag? It is insulting to GPs who take a pride in being EXPERT MEDICAL GENERALISTS
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@DrJohnCosgrove
John Cosgrove FRCGP
7 years
New RCGP Chair @HelenStokesLam condemns 7 day working as unachievable. Are the gloves now off?
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@DrJohnCosgrove
John Cosgrove FRCGP
3 years
Great moment dining out for the first time since August to celebrate our 3rd wedding anniversary. ❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️ Here's to the next 33 years, Mrs C!
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@DrJohnCosgrove
John Cosgrove FRCGP
6 years
So proud to be accompanying The @DrHFRyan , shortlisted trainee and @pulsetoday blogger, to @gp_awards at @royallancaster #gpawards @TeamGP #fb
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@DrJohnCosgrove
John Cosgrove FRCGP
17 days
@carlfhoward Employed under a zero hours contract. I'm not disputing the contractual position.
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@DrJohnCosgrove
John Cosgrove FRCGP
10 years
GPs cannot see 40 or 50 patients a day and not slip up. We need a regulator that can recognise this http://t.co/91azhJCt2F by @mgtmccartney
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
#RCGPcouncil well underway and hearing @HelenRCGP 's report. Helen has clarified that photography is permitted, for good or ill!
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@DrJohnCosgrove
John Cosgrove FRCGP
6 years
"When an out of hours service is considered less safe, doctors do not book shifts" - thus compounding the risk, a phenomenon exacerbated by #BawaGarba #RCGPcouncil
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@DrJohnCosgrove
John Cosgrove FRCGP
16 days
@M1Emery At @Formby_GP , we pride ourselves on an ethical approach not shared by all private healthcare providers. We have to look at ourselves in the mirror every morning.
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
Why should anyone in public life ever resign for an error of judgement if they can just brazen it out for a couple of weeks until the news cycle moves on?
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@DrJohnCosgrove
John Cosgrove FRCGP
2 months
A great result for RCGP members who engaged with their Faculty and Council reps to effect change. Great leadership from @drhfryan , @VictoriaTzB , @DrSelvarajah and, I am sure, many other Council and Faculty reps for facilitating that engagement and made members' voices heard.
@DrHFRyan
Heather Ryan
2 months
A huge, sincere thank you to everyone who responded to my informal survey of @rcgp members - the results were taken seriously! And a huge thank you to the incredible @VictoriaTzB for her leadership and courage in bringing this paper to Council ❤️
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
Dear Mr Hunt, if your cupboard really is bare, you will need to start being honest about what patients can expect from NHS #GPnodeal
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
@PennCaroline @DrHFRyan Fwiw most eye infections do not need antibiotic drops, whereas some symptoms (such as blurred vision or photophobia) might alone prompt signposting to eye casualty.
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
The end of an era for me and my involvement with RCGP Faculty boards. It has been richly rewarding - @rcgpTV then @MidRCGP with a "sabbatical" in @RCGPMersey . Thank you, @rcgp @TeamGP .
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
Heartfelt message to @Jeremy_Hunt about vocation from @cluttbags going viral on Facebook http://t.co/EZ9TTf27O0
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
Contrary to the #breastisbest @UNICEF propaganda, formula feeding is nearly as good as breastfeeding in the developed world, and life-saving for many infants. Commissioners should consider the whole evidence base before funding more breastfeeding "support" @Emj_Davidson
@daisyx3
Daisy lots of Daisies
4 years
@Emj_Davidson @EmmaAnnSwain @eilisclaire @makesmilk The trouble is is that the figures are tiny. For several BF babies one of them will have one less cold in the first year. Now, if BFing going well, enjoyable for mum etc then that’s probably worth it. It’s probably not if you have low supply, don’t like BFing etc
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
30 candidates standing for 6 seats on #RCGPcouncil believe this is an important time for @RCGP . Will members agree?
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
I'm not sure that it was just one misunderstood tweet that led to @RCGP 's decision to withdraw their invitation to @JuliaHB1 to speak at our conference.
@JuliaHB1
Julia Hartley-Brewer
5 years
My response to the RCGP’s ridiculous decision to ‘no-platform’ me
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
How are Labour not on course for a majority after years of austerity then 3 years of ineffective government? How long can Corbyn cling to the reins having snatched defeat from the jaws of victory? When will Labour return to the centre ground? Bring back David Milliband! #ge2019
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
Masterful logical deconstruction of the Freemantle & @DrBruceKeogh "weekend effect" paper . "Like" if you agree #fb
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@DrJohnCosgrove
John Cosgrove FRCGP
6 years
"It needs to be accepted that doctors can make human mistakes" #RCGPcouncil
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@DrJohnCosgrove
John Cosgrove FRCGP
5 years
Smarming Chair of #RCGPcouncil already. The boy will go far!
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@DrJohnCosgrove
John Cosgrove FRCGP
4 years
@PennCaroline @DrHFRyan If the nurse in your ED disagreed with your GP's advice, I would argue it would be more appropriate for them to discuss this with your GP directly
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@DrJohnCosgrove
John Cosgrove FRCGP
2 years
Did anyone else follow Amber Heard's testimony and feel alarmed that a UK court has previously found her to be the victim of abuse? #DeppvHeard
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
Building the new deal for General Practice: @RCGP 's blueprint for #GPnewdeal http://t.co/U7KrzvZKk1 #fb http://t.co/ogD49NCDZt
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
#RCGPac 3-4 consultations before referral for suspected cancer IS NOT POOR PRACTICE but part of the diagnostic process
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@DrJohnCosgrove
John Cosgrove FRCGP
3 years
Wow. Jeremy Hunt seems to really understand the challenges faced by general practice. Thank you for articulating this. I wonder if it's possible for a secretary of state for health to reach this realisation while in office. That would be helpful.
@Jeremy_Hunt
Jeremy Hunt
3 years
A few thoughts on the government’s GP rescue plan announced today….firstly they are right to address crisis in this sector. Some good ideas including a new NHS covenant modeled on the military and more transparency about performance.
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@DrJohnCosgrove
John Cosgrove FRCGP
9 years
I became a GP after seeing people made better within 10min by reassurance. That needs to be valued #whygp #ttogp @SabenaJ @DocDomP
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@DrJohnCosgrove
John Cosgrove FRCGP
8 years
Please remember this when you ask GPs for more. Many are beyond breaking point already. #lmcconf
@DavidGWrigley
Dr David Wrigley
8 years
In this #LMCconf people in tears hearing how a GP is considering suicide as way out of his desperate life in current NHS #GPstateofemergency
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@DrJohnCosgrove
John Cosgrove FRCGP
7 years
A great honour to be re-elected to @RCGP Council. Thank you. I look forward to representing members as best I can
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@DrJohnCosgrove
John Cosgrove FRCGP
8 years
#RCGPAC Sam Everington calls for specialists to be paid by capitation. Amen. The internal market has wreaked so much damage in the NHS
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@DrJohnCosgrove
John Cosgrove FRCGP
7 years
Did CQC's Prof Baker intentionally leave it for @doctor_oxford so cogently to blame FUNDING for NHS crisis?
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