Ed Turnham

At a Tel Aviv train station, reserve soldiers refusing service are posting signs and handing out flyers, urging others to sign their refusal letter in a bold act of resistance. ✊👍👏

Wow, the numbers moving to the other place are stunning. I’ve pretty much rebuilt my whole network there. Tipping point has been reached for UK twitter. See you on the other side! (I just came back to post this)

I’m making the move to Bluesky. Continuing to post and engage here would make me complicit in funding Musk’s attempt to dismantle democracy. See you over there! bsky.app/profile/edturn…

The heavy machinery unit of Givati Brigade did a compilation of homes they've destroyed in Jabalia, and added a joyous music in the background, that's supposed to make it funny or something. Genocide is a game to them.

@ankitkant @GP_Templates @TPP_SystmOne @DustynSaint I’ve been using it since Feb! Will show you. It needs to be able to consume lab reference ranges to improve safety, tho. & unlikely to get widespread use until a 3rd-party supplier builds rules

@GP_Templates @TPP_SystmOne A fantastic video which has me interested in exploring this further. I had been waiting for a video like this. It would be great if regional teams could start to work on this so that we didn't all have to start from scratch I feel. @EdTurnham @DustynSaint

I got a LITTLE bit excited over Auto-review rules. @TPP_SystmOne I think this is brilliant! have cobbled together a short video as I start to explore this new tool. I can see the real use in getting cleared the 'normal' results. youtu.be/vtm4FpVNr8c

@Azeem_Majeed @mgtmccartney Prof, can you clarify your original post please? If an asymptomatic man has a PSA test after a counselling consultation with a doctor, do you consider this screening?

@mgtmccartney The last PSA test I requested was on a patient with LUTS and a hard, irregular enlarged prostate.

Reading the comments on Twitter about diagnosing prostate cancer, it’s clear that many people don’t understand what a screening programme is. Testing an individual patient after a clinical consultation and appropriate counselling about a PSA test is not screening.

@Azeem_Majeed Hold on… it’s still screening if the patient has no prostate cancer symptoms

Source: brookings.edu/articles/the-p…

i just think fascism is incredibly appealing to a lot of people

"Children are being denied medical care that is a basic human right. And those who barely survive the ruthless bombardments are then condemned to die from their injuries. It is a problem that is being completely disregarded." - @1james_elder of @UNICEF on #Gaza

Last night, the Israeli Security Forces (ISF) shot in the chest and killed an 11-year-old Palestinian boy throwing stones at armoured vehicles in #Nablus despite posing no realistic threat. On 20 Oct, in #Hebron, ISF shot in the head a 17-year-old boy, now in critical condition. Another 11-year-old boy was critically injured after ISF shot him in the head on 17 Oct in Al-Arroub camp. In the past year alone, ISF killed 165 Palestinian children in the West Bank, incl. EJ, 36 in airstrikes and 129 shot with live ammunition, most in the head or upper body.

@JamesKanag Also it seems like something that could have been masterminded by the likes of Steve Bannon to radicalise white Western voters: making white people the centre of the frame of reference and implying they’re the new target for discrimination.

@JamesKanag The supposed benefit is from giving people a confidence boost by telling them they’re in the majority. Surely “majority=good, minority=bad” is an idea we need to get away from?

No. What an insane question. “Global majority” is a poorly understood and offensive term for Brits to use. It means classifying non white Brits - not with their fellow citizens - but with the birthplace of their parents, grandparents. Far left and far right seek same division.

@Davewwest Can we please stop saying ‘efficiencies’ as a euphemism for cuts? It is well established that these cuts often reduce efficiency. Improving efficiency often requires up-front investment. Currently, it’s almost impossible to fund anything that doesn’t release in-year savings.

Despite the PR - there will be little real long-term reform yet, nor fixing the core problems of social care and prevention. The better hope for those is at the Spring spending review and 10 year health plan - although prospects for social care are poor even then.

So much speculation about this being an NHS budget. But the senior govt health figures I've heard have - in contrast - been playing down the significance of 30 Oct Budget for health and care Instead, they say, next Spring's 2/3yr settlement (26-29) is much more important

Is there anyone out there who really thinks that a patient in A&E with suicidal thoughts is better off seeing an F2 who wants to be a surgeon, rather than a senior MH nurse/OT? I would have been hopeless at that stage of my career.

What started with valid concerns about abuse of PA role has become a moral panic about any non-doctor HCP managing patients autonomously. Thousands of MH patients are safely managed in the community by non-doctors every day. ANPs safely manage lots of minor injuries in A&E.

Good morning, all. Just a reminder. You have until Friday next week to cast your vote in the National Trust’s AGM. We can’t take our national institutions for granted. They need public participation to keep them strong, healthy and INDEPENDENT. Vote here shorturl.at/feoJv

@dilettantedoc @BanjoBlood16 @RedPavlova @JuditVlad @DrNeenaJha @Mary_Tom11 @WiseOwl1730570 If anyone’s paying per item for A&G, it’s the ICB. It doesn’t come out of the practice’s budget.

Talk from gynaecology consultant to GPs RE: long waits for clinic appointments “We are getting a lot of referrals from non-doctors in primary care which is becoming a big problem. We’re getting referrals that we’d never get from a GP” The example he gave: “This is the patient’s smear test result - what should I do?” He said: - Its adding significantly to their wait times - They have a low threshold to see these patients as the competence/training of the clinician seeing these patients is unclear

The NYT just published a piece on how Israeli army routinely and systematically uses Palestinians as human shields in Gaza. Palestinians were officially referred to as insects — “wasps” or “mosquitos.” This is a war crime that has not been documented since Vietnam.

@nickhassey @Samfr A few things going on that may counteract the tendency to more prescribing: More pharmacists in GP - good at deprescribing Physios and mental health practitioners - less likely to start meds than GPs NHS England / ICB incentivising reduction in opioids etc

New post just out: Why it's so hard to get a GP appointment. (It's not for the reasons you might think). And why the answer is key to fixing the NHS. (£/free trial) open.substack.com/pub/samf/p/why…