No, Mr Fabricant
We did not party
We did not meet
We stopped having coffee together as we feared we could all go down together leaving noone to look after our patients
We stuck to the letter & the spirit of the law because people were sick & dying from an infectious disease
Can I ask
@MattHancock
to come & do a shift on our phones, ringing our 80+ pts to explain that their 2nd dose of vaccine has been cancelled?
Our PCN needs to cancel 1160 appts & rebook another 1160. At 5 mins per phone call, that's 193 hours work. Not to mention the grief & anger
What we need is vaccine supply
We don't need vaccination hubs
We don't need army logistics
We just need more vials delivered to GPs - we have great databases of all our patients, we can contact them
Just give us the vaccine - we can do the rest
Vaccinations - it's what we do
Nobody could have predicted that putting someone with no knowledge of infectious diseases or public health in charge of testing and contact tracing in a pandemic would lead to world's highest death rate.
I was asked to talk on the radio yesterday about what might contribute to living to 96.
Statistically speaking, wealth is almost certainly the most important factor.
I declined the invitation as I don't think that was what they wanted to hear
'Ten grand a day, every day, since the end of the Bronze Age. That's how much this government handed over to Dido Harding to deliver a Test & Trace system that doesn't work'
Thanks to
@Steve__Paxton
for this nugget.
Cronyism & incompetence is expensive - in money and lives
Thérèse Coffey says she is 'positioning herself on the side of patients'
What does she think NHS staff are doing? Going to war with them?
Our enemies are disease, suffering, and untimely death.
She needs to convince us she is on this side too.
The Pfizer/BioNTech and the Oxford AztraZeneca vaccines have both been tested on >20,000 people.
The normal number of people tested for medicines licencing is anything between 300 and 3,000
These are not untested vaccines.
We vaccinated nearly 900 of our patients and colleagues today - the last group in were care home workers. Such a good feeling - no bad reactions, everyone happy. Just a bit tired now.
I hate to be gloomy but cases are up by 25% and deaths within 28 days are up by 38% this week compared to last week.
We are not over this pandemic yet - but it won't go away just because we are all so bored of masks and restrictions
Covid isn't over
Double vaccinated staff are off with symptoms awaiting PCR results
There's a teenager being ventilated in the local ICU
We have a new health secretary who knows and cares about money but not health
Anyone have any good news for me?
We took a few measures to reduce the spread of Covid
They are showing signs of working so now we're going to stop, although rates of infection are still really high, and rising in children
Not making sense to me.
@chrischirp
People are talking about Covid 'becoming endemic' as if this is a good thing.
TB and smallpox were once endemic in the UK - it doesn't mean mild, it just means widespread.
Other countries aren't throwing in the towel - why has our govt given up trying to protect us?
Today we confirmed that staff at our practice will continue to wear masks & we ask patients to so too.
Our local hospital has decided patients & visitors don't need them- but with an infection rate of 1 in 70 & lots of frail/immune compromised people around, that seems foolhardy
I keep hearing the problem is that the UK is testing too much:
312,891 UK cases in the last week vs 37,054 in France
Trouble is, we are also dying too much
942 deaths in UK vs 202 in France
We really do have much higher rates of Covid infection, hospitalisation & death
If any Conservative MPs still have a moral compass, I think they'll find it is directing them to cross the floor, or possibly to Graham Brady's office to hand in their letters of no confidence.
End this farce now - we can't afford to prolong the agony
As duty doctor today I've phoned 48 pts and seen 4 F2F.
11 hours after starting I'll embark on the prescriptions, results, referrals, emails & letters.
You know that feeling when you keep trying to fit more things into a suitcase but you know the zip is going to break soon?
Nice man at the ticket office explained that reason our rail fares are so high compared to mainland Europe is that we subsidise their trains as they own ours.
Don't you just love privatisation?
What should I say to staff at my practice about Covid testing from next week?
What about staff on the oncology ward?
Who's paying for the tests?
Is there a plan
@sajidjavid
?
Just crossing our fingers and hoping won't be enough.
A fully vaccinated GP colleague is in hospital with Covid
The plan to relax isolation rules for NHS staff seems foolhardy - as an immunosuppressed patient would you like to be treated by someone with asymptomatic Covid?
How many of your staff do you want to infect?
Why have vaccines been moved to mass hubs, leaving GP practices which are ready, willing, local and trusted, without supplies? Inappropriate to make our oldest patients travel.
Please can GPs have an explanation from NHSE
@NikkiKF
Dear
@GMC
,
I have been instructed to break my promise to my elderly patients & use a vaccine outside its evidenced and approved schedule, probably placing them at risk
Please advise.
Disappointed to hear Jonathan Van Tam on
@BBCr4today
equating Covid with flu and saying he doesn't wear a mask. Hospitalisations with Covid as the primary diagnosis are increasing and there were 334 deaths with Covid on the certificate last week.
It is depressing, disheartening, and totally infuriating, that in a time of crisis for the NHS, and its patients, the health secretary is obsessing about the use of commas.
Idiot. Covid is nothing like flu.
The 950 covid patients who died last week were not safe
The cancer patients having their treatment postpone because so many staff have Covid don't feel safe.
The rest of us covering for absent colleagues are feeling a bit near the edge too.
Our strategy - to suppress the virus until the vaccine made us safe - has made us the first major country to exit the pandemic, and we can now live with Covid like we do many other diseases like flu.
My piece today on moving past the pandemic 👇
3/3
Our local hospital is following the science:
'You will also have seen recent announcements in the news about the lifting of COVID-19 safety measures in the near future – we will not be lifting these measures as we still very much need to keep our patients and staff safe.'
Happy Hanukkah!
My daughter's friend was bemoaning the lack of an equivalent to the Christmas jumper, so she made her this. The flames stick on with velcro, so you can light the candles one by one. (I may have shared this before - apologies - I'm still a very proud mum)
The pandemic happened to us - our govt handled it badly & many lives were lost as a result, but they didn't cause it
Brexit - haulier shortages, empty shelves, panic buying, prices rising - is entirely of their own making.
This chaos was not inevitable, they created it.
Be angry
Busiest day ever as duty doc in GP yesterday. So many bad chests, so much flu, possibly Covid, fear that a sore throat might be deadly Strep A...No time to listen properly and I hate it when I hear myself say 'really sorry but that will have to wait'
Home by 9.30pm. Done in.
PPE update: it arrived today, about 4 weeks after the request
100 single use masks
200 aprons
1 box of gloves
Our surgery serves 11,500 patients.
Luckily we have sourced our own meanwhile with the help of generous friends
A bank holiday at short notice is a nightmare for those of us trying to run health services.
Loads of patients booked in do what to do? Implore staff to work and pay extra? Reschedule and delay all the appointments?
Keir, please, talk to a doctor before you embarrass yourself and your party further by making up health policy on the hoof and talking rubbish. If you do have internal bleeding go straight to A&E, go directly to A&E, do not stop by your GP....
"One of things we've put forward.. self referrals so individuals dont have to go to a dr in order to get referred to specialist help.. if youve got internal bleeding & you just need a test there ought to be a way that doesn't involve going to see a GP"
Keir Starmer on
#BBCLauraK
This new variant of Omicron is reaching parts of the population the others never did.
So many people I know infected for the first time, including many of the team at work. Lots of patients won't get to see their doctor today.
People who love the NHS will be very disappointed in the Lib Dems tonight who failed to back the Labour amendment to protect it in future trade deals. They just lost many, many votes. Why?
Ooh
@BBCr4today
blaming the fuel crisis on Brexit and a govt spokesman saying he didn't vote for it. Cracks beginning to show? (after the rest of us can see the building is falling down)
Last week I asked Where's Whitty?
We need his good sense more than ever. If he has no influence at all over government it should be said publicly.
Vallance?
Even Harries?
Well over half the (many) results in my inbox yesterday were positive Covid tests. Each person now sick, off work, off school, facing uncertainty about how ill they will be, when they will recover, and their risk of long term health problems.
We need better masks in hospitals and GP surgeries.
I'm told the evidence is lacking.
We know Covid is airborne and the omicron variant is much more transmissible.
There isn't the ethical space or time to do a trial - we need FFP2 minimum for all clinical work.
Now.
The reassurances I have been offered about the security of personal medical information once it has been downloaded by NHS Digital are about as convincing as the protective ring around care homes.
#NHSDataGrab
More than a bit irked by the lack of joined up thinking on the approach to omicron
GPs to drop everything to give booster vaccs - which take 2 weeks to kick in.
Meanwhile no measures to limit the spread in schools, pubs, clubs & parties
Heard Priti Patel on the radio last night trying to say Napier Barracks was 'Covid-safe'.
They slept 28 people per dormitory and 178 have caught Covid.
Putting beds 2m apart does not protect you from an airborne virus.
Can she really not know this?
but was told they must engage in physio first.
The diagnosis of a rapidly progressing neurological condition was delayed by many weeks. An avoidable harm.
Another illustration of why we need our most expert clinicians on the front line 2/2
Yippee!
The health secretary now expects patients to be offered a GP appointment within two weeks.
That really helps, thanks Therese Coffey.
'Expectations' - the UK equivalent of 'thoughts and prayers'
I heard a very sad story yesterday of a patient with leg weakness, diagnosed with sciatica by a non doctor & signposted to physio. A private therapist wrote to the practice pointing out pt had widespread fasiculations & needed urgent referral
Pt tried to see GP again 1/2
Our practice has had one delivery of 150 masks a month ago from NHS supplies. We ordered more 3 weeks ago - nothing yet.
We have managed to source some ourselves
Meanwhile district nurses would have no eye protection at all without donations from 3D printers
PPE is not sorted.
Suddenly it's newsworthy that GPs are being replaced with 'other roles' ie people with less training and fewer skills. Possibly because it's now happening in the leafy shires - in less privileged areas it's been going on for years.
If you had £1.6 billion to spare would you choose to
a) restore junior doctors' pay (estimated net cost £1.03bn)
Or
b) bung it without competition to an Aussie company for 3 barges to accommodate refugees
"We’re being encouraged to accept that 130 deaths a day from a preventable infectious disease is unremarkable and the “new normal.” I beg to differ, and I see trouble ahead."
Long discussion just now on
@BBCRadio4
about problems with school attendance - no mention at all of Covid, vulnerable families, why some parents don't feel safe sending their kids to school or Covid mitigations. 🤦♀️
I missed the chance to reply to this. I used to be an avid
@BBCRadio4
listener - the soundtrack of my life until recently. But now it is blatantly biased in favour of govt, failing to report stories that are unfavourable to them, that I no longer trust it as a source of news.
We recently found out that
@BBCRadio4
's audience has been shrinking - especially in the case of its flagship programmes.
But why do you think this is happening?
Drop your thoughts in the thread below 👇
#BBCR4Feedback
According to this article we have 'emerge[d] from an Omicron wave relatively unscathed.'
Relative to what?
I think the families of 300 dead a day may beg to differ
We (general practice) were told don't give any flu or Covid vacc this autumn 1st Oct
Sudden volte face - now we are being asked to give Covid vaccs to all >65 and vulnerable starting 11th Sept and finishing within 7 weeks
Complete confusion - & the need was entirely predictable
I have been asked to comment (on LBC tomorrrow) on a suggestion that obese people over 50 will be asked to shield and GPs will be called on to advise about who should be included.
I can foresee a few problems. Anyone else?
Schrödinger's cough - one which is simultaneously bad enough to need antibiotics and not bad enough to be Covid.
There's a lot of it about
Get a PCR test.
Handwashing? Have you learned nothing?
Repeat after me 'Covid is airborne'
Open the window, wear a mask, get a HEPA filter
By all means wash your hands too but it won't stop you getting or spreading Covid.
I don't understand the conclusion reached by JCVI re 12-15s.
Vaccines can cause myocarditis (heart inflammation)but Covid causes it 6x more often.
If < 1 in 6 teenagers get Covid, the numbers might stack up - but with no masks/bubbles/isolation, they're all going to catch it.
Over 75 or extremely vulnerable? You can have a covid booster.
Everyone else? It'll cost you £45 even though the govt has already bought the vaccines & will be thowing them away.
Difficult to get our heads around the logic of this when covid is still affecting health & economy.
I was prompted to write this in response to latest announcement for vaccine plans. The cost benefit analysis underpinning decisions is not available to scrutinise but I fear we are heading for fewer free covid vaccines
Just how effective is that mask if it stays in her handbag?
Is this useful messaging?
I am not convinced that the health security of the UK is in safe hands.
@hardin
@cori_crider
Twitter binfire aside, here's a quick reminder that insulin is free to patients in the UK.
The fact that it isn't in the US, and people lose their sight, limbs and lives because they run out of money is unbelievable to people over here.
We're delighted one of our trainees is joining our team as a fully fledged GP next week
5yrs med school
2yrs foundation posts
3yrs specialist training
Supervised all the way
Physician Associates practise after 2yrs clinical training & are often poorly supervised - it isn't safe
@cv_cev
This is irresponsible
I do not recommend parents send children with a fever to school, whatever the cause. Sick kids are in no position to learn and just pass whatever infection they have to others.
When my very old patients die it is usually clear why, although I sometimes put 'old age' on the cert after a gradual decline. Recently I have lost old & frail patients suddenly & unexpectedly - no virus symptoms, up and about normally the day before. Is this silent Covid19?
My timeline is filling up again with the faces of healthcare colleagues who have died from Covid19. I am so sad, so grateful for their work, and also angry that we find ourselves here for a second time.
Can we deconstruct what commentators mean when they say 'the NHS is unaffordable'?
Firstly, healthcare costs a lot - but is there anything more important to spend money on? 1/n
@wesstreeting
No relief in scientific and medical circles, just hoarse voices from shouting at the radio, and white knuckles as we hold on for another very bumpy ride.
We are in deep trouble with a populist govt - if we have a populist opposition too we are really sunk.
@Kit_Yates_Maths
I'm extremely grateful not to have had Covid - and I am still being careful
I am not afraid of dying, but I do fear long Covid and a loss of exercise tolerance & quality of life
I wear an N95/FFP2 in public indoor spaces and consult with window open.
I still have friends
950 Covid deaths in the last 7 days
UK averages 1500 flu deaths a year - Omicron is not 'just like flu'
Sadly the pandemic is not over and being 'alert' is no substitute for masks, testing, ventilation, HEPA filters and supported isolation
Keep getting boosted when you're offered
The
#COVID19
Dashboard has been updated:
599,244 cases and 950 deaths within 28 days of a positive test have been reported in the last 7 days, as of 25 March.
The data includes the number of people receiving a first, second and booster
#vaccine
dose.
Could someone in our govt swallow their pride & unfounded British exceptionalism for 5 minutes and go and ask Angela Merkel's govt for some tips. It isn't rocket science and we don't need a moon shot.
I have nothing against the idea of physician assistants - we could be helped by staff who can do highly protocolised, low risk tasks which are of no training value to junior doctors - our PA does spirometry which is really useful 1/6
If the Lib Dems had not been in coalition there would not have been a Tory govt and we would have been spared the misery of austerity.
Saying 'we made it less bad' is no excuse when you allowed it to happen in the first place.
Credit to this journalist. Finally someone calls out Jo Swinson for backing the Bedroom Tax, scrapping EMA, tripling tuition fees & attacks on the disabled.
First delivery of Pfizer BioNtech vaccine now all given. A few last minute hitches - we received enough (very particular) syringes for 5 doses per vial but then were able to give 6 doses, so county wide search for extra syringes. No vaccine wasted. No allergic reactions reported.
@JimBethell
None of these people, eminent though they may be, have explained why doctors need 10 years of training to have the skills to see undifferentiated patients in general practice but it's safe for PAs to do this after just 2 years. 1/2
"Two-thirds of hospice funding comes from charity. Is that the mark of a civilised society?"
@amolrajan
asks Health Secretary Victoria Atkins, who tells
#R4Today
about a £600m investment into social care, and says the government would like money 'spent as well as possible'.
Did you know that the 7.7 million waiting list for NHS care does not include the >1.5 million people waiting for mental health diagnosis & treatment?
I was also reliably infomed that the NHS is only commissioning 30% of the MH care it knows is needed.
Parity of esteem anyone?
The sad death of a man possibly due to medical mishap- he underwent a cystoscopy when he had clear markers of infection & died of sepsis
The procedure was done by a physician associate (not a doctor).
It appears the internal investigation into the incident was done by the same PA
Also, we do have lots of tests but we also have a really high positivity rate at 10%
This is not a sign of overtesting, this is a sign of rampant infection.
This is madness
Spread dangerous anti vax info? GMC not interested
Attempt peaceful protest to save the planet?
Get suspended for 5 months.
In what way could this possibly harm patients or the profession?
GMC in self -parody mode now
Rumour has it that all >80 year olds within striking distance of new vaccine centres have been sent invitations - whether or not they've already had it from their GP.
Sounds like a recipe for confusion.
Just give us the vaccines & we can deliver - as we do with 'flu vac every yr
@tnewtondunn
This is completely bonkers
If you want everyone to spread their infection as quickly and widely as possible, singing is the way to do it
Singing, shouting, howling with laughter, panting with exertion - don't do any of these in an enclosed space.
I had a lot of positive Covid results in my inbox today. A mix of unvaccinated teenagers and double jabbed elderly who had their second >6 months ago.
Please get a booster as soon as you are offered.
Not sure people really understand what 'hospitals being overwhelmed' means
If this happens people arriving at A&E with Covid (or anything else) won't get the care they need - not enough nurses, doctors, oxygen - so risk being sicker or even dying when they could have been saved
Ultimately, the growth rate means, despite moderate reductions in severity, hospitals could still be overwhelmed, and we still need to take urgent action to pre-empt this, while we understand more about this threat.