Michael

Sitting by the pool on holiday and there are some little kids playing “What’s the time, Mr Wolf?” and it’s just unlocked 25 year old memories in my head 😭😂

Fantastic job opportunity for a Band 7 Dermatology Pharmacist in NHS Lanarkshire - v sad to be moving on from this post, I’ve absolutely loved it! please RT/share 👍🏻

How on earth did the Speaker think this would be okay? Refusing to let a Black woman speak, *forty-six times*, in a debate that was partly *about* her, is just... extraordinary as a choice.

@julesdgraham Yes I’m staying don’t worry 😁

@PharmMH Nooooooo….tell me you’re staying at nhsl??

Brilliant to see another @NHSGGCPharmacy pharmacist publish their MSc project in @IntJClinPharm Congratulations Ian Campbell @AHarrison437 @Amanjkurdi6 @PEHCR_SIPBS 🍾 Important results for primary care pharmacists @pcpa_org link.springer.com/article/10.100…

There’s nothing wrong with wellness interventions for your team (yoga,pizza,massages) but they must be the ‘cherry on top’ of your hard work getting the basics right: Timely rotas Timely annual/study leave managemnt Inductions Teaching Culture of respect Etc The yoga comes last

Pharmacists should be able to help any medical colleagues wondering how this will play out. We’ve seen similar in pharmacy over the past 20 years, driven by money/cost-cutting. The meaning of words will be strained beyond what is credible, such that the point being made no longer holds true. The GMC will start to regulate PAs, calling PAs and doctors collectively, “medical professionals”. The use of the terminology will become commonplace, including among those with academic titles. They’ll teach it in universities. People will start to regard it as in their self-interest to adopt the term, lest they be chastised or “cancelled” for failing to do so. Students will not be taught to question it. Training will no longer be designed specifically for doctors, but “medical professionals”, thereby reducing the complexity, depth or specialised nature of that training and its suitability for doctors. Standards will be set for “medical professionals” which are but a shadow of those which exist now - dropping more complex provisions in favour of concepts such as politeness and servility. Those at your professional body will eventually adopt the term “medical professionals”, and will regard it as in their interests to seek to represent doctors and PAs collectively, despite the evident conflict of interests. They will perceive that there is money to be made from doing so, for example through the sale of indemnity insurance or increased revenue from membership fees. They’ll use terms such as “inclusivity” and “collaboration” to try to persuade you to act against your own interests, and stifle any challenge from you. You’ll find yourselves without any effective representation of your professional interests. Their membership numbers will drop, and they’ll pretend that they don’t understand why. The above will be cheered on by high-profile individuals within the profession. They’ll act as if they are on the side of the profession, whilst simultaneously causing it harm. You may wonder if they’re ignorant of politics, but that’s not it. They’re simply hoping to raise their own profile, and they’ll be applauded by a number of PAs who revel in the false-flattery of being grouped with doctors as “the medical profession”. @Doc_IonaCollins

As of today, Nitrous Oxide is classified as a Controlled Drug & joins the likes of low dose Codeine on Schedule 5 to the Misuse of Drugs Regulations 2001. I've worked on three #FitnessToPractise cases arising from misuse of Nitrous Oxide & they were all hilarious (ba dum tish!)

Was checking a CXR report and the clinical indication was "To rule out Occult infections" which I found ridiculous and slightly spooky until I googled it and discovered it's actually proper medical terminology hahaha every day is a school day

Another great thread! I think it’s time the @CQCProf starts taking over pharmacy premises regulations. It doesn’t look like the @TheGPhC has any interest in regulating pharmacy. Is the public really safe with this regulator?

Shared to me…curious to hear if this is happening in other practices? What is the point of regulation if practices are simply providing loopholes? Is the saving in term of salary so much that it justifies blindly giving out your number to be used as deemed fit by the PA?

Really great lung primer from essentials of medicine

How do PAs bring "Improved patient experience" and "quality of care" when compared to specialty doctors and consultants- This is utter garbage. The only thing that they bring is a danger to patients when working beyond their expertise / scope of practice. How can the quality of care delivered by a non medically qualified individual with a 2 years masters be better than a consultant with a medical degree and 10-15 yrs + of specialist training just to enter the constant grade. This is getting silly now.

Patient with hypertension recently started on new medications (ACE Inhibitor) and developed this... diagnosis? next step in management? Source: DermNet

Doctor revolt looms over NHS ‘physician associates’. By @katlay thetimes.co.uk/article/7e0d64…

Today is Saturday 9/9/23 So @wellpharmacy are planning to close branches and share a pharmacist between branches next Saturday 16/9/23. They aren't even hiding the fact they aren't looking for cover. @nhsfifepharmacy you are being robbed. As are taxpayers! @the_pda @NHSSCFS

Impressed to discover that the article is pretty accurate. Well done John Naish - the pharmaceutical contractual framework and it’s repercussions are not easy to understand. dailymail.co.uk/health/article…

Palliative care tip for Tuesday Skin irritation and itching can occur with fentanyl patches. This often gets progressively worse with subsequent patch changes. As the areas under the patch become progressively more red, itchy and inflamed the absorption of fentanyl can increase over time. Changing the patch type to a matrix patch may help. If the reaction persists its probably time to find an alternative opioid as it’s most likely the fentanyl rather than the adhesives causing the reaction. Alternatively a puff of a dry steroid inhaler to the skin prior to patch application can be tried.