Millenials don't keep an address book. They just search WhatsApp chats for "address" to find one of the 50 times you've asked each other "what's your address again?"
If I was Ed Miliband today I'd bring a picnic chair and sit down outside Downing Street and wolf down an absolutely massive bacon sandwich in front of the cameras, and then just walk back to work.
The vehicle on the left weighs 2,359-2,676 kg (depending on configuration)
The vehicle on the right weighs 2,149-2,745 kg (depending on configuration)
We really need to ask why people are driving something as heavy as what you'd need to liberate Kharkiv or Kuwait in city centres
Ed Miliband has pulled off the most successful use of an opposition day motion in modern UK political history. A vote on fracking should have been Truss' smallest hurdle this week. Instead the Tory party and government are imploding into anarchy.
Truly Chaos with Ed Miliband™
There are children in this country who have been fed during the depths of lockdowns because of the activism led by one man. I might be watching from Scotland, but if I see anyone taking a potshot at Rashford on the timeline, their getting yeeted into the blocklist.
Anaesthetist Stephen Bolsin blew the whistle on the Bristol Heart Scandal. NHS senior management closed ranks and made him an unemployable pariah.
His career survived only by emigrating to Victoria, Australia
It happened over 30 years ago, and yet it feels relevant again today
....and had my 2nd vaccine appointment cancelled. So basically just been thrown into an unregistered trial with no evidence base without consent after falsely being promised 2 doses in line with the manufacturers schedule. No other country in the world doing this.
Words fail me.
Hot take: if doctors raised as digital natives who've used tech their entire lives with basically zero formal training need hours of training to use clunky, slow health IT systems, and rely on word of mouth to dodge bugs/issues:
It's not the docs who are the problem
I am Philip Lee. And so is every HCW who has worked through the worst public health crisis in living memory. Promoting mask wearing is not a crime. HCWs do not deserve targetted abuse from conspiracy theorists and threats of reports to their regulator for promoting public health.
Given the sheer arrogance of Sunak telling the public sector
"Know when to say yes"
"The offer is final"
"No negotiations"
If I were in teaching, railways, the NHS & beyond...
I'd be looking at a co-ordinated full walk out October 1-4th
Guess what the Tory party has that week
Dr Emma Runswick is a credit to both our union and our profession, and we could not ask for better, more articulate representation in the media than this. Solidarity ✊
@ERunswickBMA
@TheBMA
Dr Emma Runswick(British Medical Association) - "It would cost around £1b to increase junior doctors pay... the govt have written off 15x that on unusable, fraudulent PPE... Steve Barclay needs to stop the silly preconditions if he wants talks to take place"
#BBCBreakfast
@FrustratedImmi2
@AdamBienkov
Shaun Bailey isn't real. He's a theoretical physics experiment in putting forward a candidate so dense that light bends around him.
Could there be anything more Waitrose than the shelves being empty of expensive brand name Panadol/Neurofen but there being a plentiful supply of cheaper generic paracetamol/ibuprofen 🤣
#COVID19
#panicbuyinguk
Cutting fuel duty by 10p a litre costs the same as making literally all public transport free.
No joke, you could open every fare gate on national rail, the tube, Glasgow subway, Tyne & wear metro etc, and abolish bus tickets and it would cost the same.
Can we try that first?
We’ve got to do more to support families dealing with the spike in inflation. That means:
⛽️ Cutting Fuel Duty by 10p per litre
⚡️ Cutting Energy Bills
💰 Controlling public sector pay (2/7)
Peak NHS is having a national system for mandatory induction e-Learning but not making the modules transferable so you have to learn what a fire is *again* on the off chance the physics of fire is somehow different in Inverness Vs Perth
From The Guardian this morning. Chilling.
And yet the regulator has no institutional mechanism to prevent it being weaponized into a kangaroo court to silence and bully doctors. The council does not even recognise that this is a possibility despite *this*
Anthony Bourdain and
@Nigella_Lawson
sat in a quiet pub extolling the virtues of chips and curry sauce just makes it all seem a little bit better, doesn't it?
If you are wondering why JDs are so vehement about the fight for fair pay, this is a good example why
When your employer reaches the level of disdain of locking the microwaves to prevent pesky JDs daring to heat up food, pay rapidly becomes the ONLY measure of the job
So it turns out Rishi Sunak registered his "" Tory party leadership campaign website at 4:31PM on the 23rd December 2021.
The man was getting ready to topple his boss at the height of partygate lol.
"Social insurance would be better than the NHS"
"Why"
"Germany has more beds/doctors/nurses/capacity and they have social insurance"
"Why"
"Well their insurance system spends more"
"Have you considered it's literally just *more money* that's the solution then?"
I can't even with the "both sides"-ing of the Russia-Ukraine issue.
One of these countries voluntarily gave up the world's 3rd largest nuclear arsenal. Later it's larger neighbour invaded & annexed territory and is now mustering an invasion force
There's no moral equivalency here
Honestly I don't know what's more telling, that a former FY1 replied to last night's medtwitter main character with the literal rota the FY1s worked *in his department*...
...or the fact that they've since escaped to NZ
Courtesy of recent threads, I've been reminded of a ward that ruled cannulas must be changed every 72 hours. One of my FY1 mates was brave/stupid enough to politely challenge the ward management on this with Cochrane review evidence. They lost.
They work in New Zealand now 🤪
Australian, New Zealand and Canadian government officials every time Wes Streeting talks about doubling UK medical student numbers whilst doing *nothing* to retain the docs the UK already has
IMO there is no reasonable justification for the GMC taking the provisional registration fee *prior* to new FY1 docs having received their first pay-cheque at the end of August. The council is robbing students of their last £££ as they try to drag their finances past graduation
I'm sorry, WHAT.
New Zealand is now handing out residency class visas with a path to citizenship to all international doctors who arrive?!
The UK is so hosed when the NHS is competing against *this* whilst stuck under the thumb of the Home Office
13/ Parking monetary incentives aside, both have very similar work cultures. Almost all colleges are binational.
Both are trying desperately to attract junior docs, esp from comparable health systems.
In NZ, docs now get permanent residency on arrival.
After the last few days it's even weirder that Starmer has Rosena Alinn-Khan in the shadow cabinet (a doctor who still does A&E shifts to maintain her license to practice & GMC registration) and he still went:
"Shadow health secretary....yeah gonna give that job to Wes Streeting"
I can't stop thinking about how rough FY1 is this year. Graduation on zoom, called into service months early in the summer, more death in the hospital than anyone can remember. No chance of the pub after work with colleagues
I hope they get to see a better side of medicine soon
Maybe I'm being precious about this given my specialty, but looking at the tweets about how raw & triggering
#ThisIsGoingToHurt
seems to be for NHS staff watching it, you'd think the BBC could have put in a
'if you are affected by any of this, consider contacting x' sign off.
George Rae was appointed Edinburgh's "plague doctor" in 1645 after the first doctor died. He was promised a huge sum of money as it was expected that he, too, would die before he could collect. Rae tended to the sick & survived. He spent 10 years trying to collect the fee.
A story in 4 parts
1) court declares regulator is unlawfully & institutionally racist
2) regulator throws tantrum/spends doc's fees appealing (1)
3) white supremacist tags regulator in rant against doc who promoted mask wearing
4) regulator replies with advice on how to report
Cannot stop laughing that some dude managed to email all of NHS Scotland on Saturday and literally every reply is people using reply-to-all to be like "please remove me from this mailing list". Peak NHS email behaviour.
@ERunswickBMA
Jesus Christ that poor F1 (I'm assuming FY1 given "very new doctor" and the assumed subreddit as the source).
This is what happens when you treat an entire group of professionals as "just visiting" instead of part of the team.
*Imagine* if Chris Whitty is doing strike cover for ID/Gen Med this week
Going from literal chief medical officer during global pandemic to "ward SHO asked to arrange a cannula" would be a hell of a shift 😂
Look I'm not an intensivist (or an anaesthetist, despite rumours 😅) but if a med student is unwell enough to need ITU admission, they're probably not fit enough to sit med school end of year exams ON THE UNIT.
And I certainly wouldn't be filming it and posting to social media
Every year when the cost of the GMCs fees comes up, there's always someone who defends the GMC giving all its employees private health insurance as "a perk to attract talent"
There will never be a day when doctors overwhelmingly in NHS practice do not resent having to fund this
@drphiliplee1
Give. Parents. Money.
I would FAR rather "taxpayer's money" went on handing out £30 a fortnight to actual families & accept small risk some will be foolish, than hand vast sums to a firm that creams off its profit margin by starving kids.
Pay the parents, feed the kids damn you
One of my friends is currently super excited they've finally got a locker at work in the changing rooms.
They've been a doctor for six years and are a literal obstetrics & gynaecology registrar. First time with a locker.
The bar is on the floor and the NHS still trips over it.
Look at some point the NHS is going to have to reckon with the fact that millenials would rather jump on a live and armed grenade than answer phone calls from an unknown number.
The Lancet warned of human-to-human transmission of the new virus on January 24th. Today, December 8th, the first licensed vaccines (rated with 95% efficacy) are being administered in the UK.
This is frankly, a greater international scientific achievement than the moon landings
The absolute brass neck of a minister clutching pearls that a large GP practice in her constituency is closing
Prior to the Tories coming to power it was unheard of (apart from single GP practices) for practices to hand back contracts and close. 12 years of underfunding later...
Cynical take.
The reason for *that* tiktok of facilities admin staff get is: the NHS doesn't hold admin staff over a barrel, they can move to other office jobs.
Meanwhile the health service believes clinical staff will put up with anything in perpetuity.
Apparent confirmation from
@MattHancock
today that 5500 final year med students & 1800 final year nursing students will be brought into the health service early. When they arrive all of us in the NHS have a duty to be kind and look after them, and be grateful for their help.
Scotland: 5 new daily cases. A real testament to the Scottish public who have followed the guidance & looked out for each other. Will work with
@Adriel_KH_Chen
on some basic graphs on cases & testing to share soon.
Nurses REJECT the DHSCs pay offer in England and immediately call a new 48 hour strike.
The RCN membership has just blown up the biggest crutch of Sunak & Barclays strategy. Unison isn't big enough alone to play divide and rule.
Solidarity folks ✊
For anyone wondering why on earth Unison voted to accept Barclays terrible deal: Tories played divide and rule. Unison membership has a larger % of the lower AfC bands. Lowest bands were offered up to 10%. Higher bands got a real terms pay cut
Precision guided political weaponry
There nearly wasn't an Elizabeth lines tation here. Treasury brain stupidity meant central gov wouldn't fund it. A property developer wrote a cheque and teamed up with TfL
Stop measuring the need for a bridge by how many people swim across the river: build more public transit
I'm supposed to be on a break from the timeline but this is too much.
There are no words for the shame and cruelty of this. It shames us all.
Leaving NHS docs on the tarmac from evac flights even when they get to the plane, for having "the wrong papers"
FYI, the culture of "the profession comes before your family" in medicine derives from a post-war era where the profession was made up mostly of wealthy married men who had a stay at home wife doing everything from childcare to household book-keeping. It is an outdated relic.
Hot take:
The reason Australasian medical colleges allow stints overseas to count towards training is they think trainees will want to return.
The reason UK medical colleges don't is nothing to do with quality of training and everything to do with trying to stop people leaving.
Junior docs in England: in the days ahead you will be contacted by the media asking for comment, interview requests etc
DO. NOT. PROCEED.
You are not better at this than
@ERunswickBMA
If ever there was a time to close ranks and redirect to the BMA press office: it is now
*whispers*
The SJT is a thinly disguised random number generator used to distribute newly qualified medics around the country and minimise concentrating high-flyers in certain areas.
Why else would a test with such a poor evidence base count as much as the actual medical degree
The NHS *forcing* "junior" doctors to rotate every 4-6 months, often minimal or zero say on where they go, and then using that a stick to beat JDs with and lauding MAPs as better for not rotating is the most Kafkaesque outcome possible
"Why are you hitting yourself" vibes
There are 2 instincts that permeate the junior doctor workforce
1) "Stay & fight" for better
2) "Lost cause": Emigrate/get out
Industrial action is the roar, perhaps a last chance for "stay & fight"
If England crushes the JDs, the exodus becomes a flood
It strikes me that industrial action is a roar of ‘I want to stay’. If nothing changes that shout becomes silence as people walk away & leave. The fissures & fractures in fragile rotas become chasms. The gap between the workforce we have and the one we need becomes unbridgeable.
Wow, they really aren't messing around. This isn't a locum agency or a private sector recruiter
The literal state government of South Australia is placing recruitment ads next to British junior doctors picket lines
Unlike the UK, some govs seem to value skilled professionals
Australia’s health boards are actively advertising on
#DoctorsStrike
picket lines.
Pay us, or lose us.
Will
@RishiSunak
’s legacy be securing Australia’s healthcare future while decimating the NHS workforce by refusing to give Doctors Full Pay Restoration???
@ShaunLintern
Chris Whitty is surely the 1 person in the entire health service who literally no one can reject a referral from this week right?
Reg: "and have you spoken to your consultant about this pt?"
SHO: "yes, do you want to me to get Dr Whitty?"
Reg: "err..no,err...all good, accepted"
Tory politics are Tory politics, and they are not my politics by a long way. That said, it does feel like there's something remarkable about Britain installing a British-Asian man and a practicing Hindu as Prime Minister, on Diwali no less.
You can either pay for the NHS workforce by paying them a wage that keeps them in post, or you can pay the cost of having used inflation as a stealth tax for a decade by accepting record rates of staff loss/emigration/locum spends.
You pay either way, there is no middle ground.
This was allegedly sent to a doc negotiating for enhanced rates for a *Christmas Day* locum shift.
FYI I think the best response would be to copy in the BMA rep, noting that extra-contractual work is by definition open to negotiation, and that threats are wildly inappropriate.
Got thanked by the ED consultant on overnight after they saw me and the ED SHO working together to manage a challenging case...and honestly, it's unreal how much of a boost that is when you're feeling down that you can't do more. A little encouragement goes a long way.
"You applied for specialty training?"
"Nah mate, a year out like everyone else"
"Fair, how come?"
"Honestly I've got a lot of friend's weddings next year and it's just easier not to be tied to the training program if I want to go to them"
#Reason101foundationdocsjumpship
So that NHS hospital trust busy making a name for itself in 2023 for misleading the BMA and NHS England to try and falsely obtain a strike derogation...
...this is what they were in the news for in 2021
Remember how the "junior doctors denied leave for their own weddings/attending loved ones funerals" problem got so bad that the BMA negotiated a preventative clause into the 2016 (English) contract?
We need a £500 a day fine for trusts paying junior doctors late- paid to the JD
ANYONE, and I mean ANYONE who claims "both sides need to talk" is at this point actively colluding with government disinformation
What more can a trade union do than agree to talks, agree to ACAS, set no pre-conditions, and turn up at the secretary of state's constituency office
We visited
@SteveBarclay
’s constituency office on Friday. His door was not open, even though he claims it always is. We left him the following letter.
We urge him to get around the table with
@TheBMA
so that we can finally solve this dispute.
For non-medics:
PLAB is the exam the UK makes nearly all international docs who move to the UK do to enter clinical practice. So almost all docs from India, Sri Lanka, Nigeria etc sit this, to work here
NZ is now recognising it specifically to recruit those docs out of the UK
The Medical Council of New Zealand has made it easier for PLAB-passed IMGs to get registration.
This has opened another route for the IMGs to leave the UK if they feel they are not getting fair treatment.
I don't like being angry on twitter, but I've now been messaged by 3+ friends who are new FiY1s and are experiencing really uncivil behaviour from colleagues. Ranges from [redacted] specialty being mean down the phone to current FY1s being mean in person. Be kind and grow up.
NHS Turing Test to weed out journalists sneaking into docs social media groups
"A rogue pigeon has got onto the ward, who do you call?"
"Estates & facilities"
The reply is a daily mail fifth columnist who doesn't know the truth. Terminate conversation and ban immediately (/s)
*Mini-THREAD*
I see medtwitter has descended into "back in my day" finger wagging from the old guard....so I rang my old man to ask, he's also the old guard.
"It's true we did longer hours than your generation, however....",
Ok but quite apart from what's *inside* the offices, Bart's Health really ought to explain why the trust leased floors of the *State Street investment bank* building in Canary wharf
All of zone 1 London to pick and you picked the most expensive office space this side of New York
We continue to be, as a profession, incredibly fortunate that we have
@ERunswickBMA
handling media interviews calmly and so articulately.
If the press asks you for interviews in the days & weeks ahead, redirect them to the BMA press office & hold the line