Nick Mann

"If you had the hypothesis that the government was seeking to destroy the National Health Service...all the data that we're seeing are consistent with that hypothesis," said Professor Sir Michael Marmot (UCL Institute of Epidemiology & Health) #NHS ucl.ac.uk/news/headlines…

The answer is not to dilute standards. Look at the aviation industry. They don’t pivot away from pilots with a shortage. They value their skills, invest, and train more. Why should patients have to accept less?

This is awful. The NHS cut the number of radiology trainees between 2022 and last year. 4011 qualified doctors applied for just 356 jobs in radiology last year. That means we turned away 3655 doctors whilst scans are piling up. Cuts to training numbers don’t help anyone.

Private equity KKR pulled out of the deal to buy Thames Water. New bidders want licence to abuse; no fines for dumping sewage, unplugged leaks, causing harms What did their due diligence find? Cost borne by customers. The reports need to be made public. archive.ph/G9tsd

3 years after infection, women who had COVID have higher risk of pre-cancerous & invasive HPV-related cancers. Invasive cancer risk increased by 67% for cervical, 131% for vaginal, 98% for vulvar, 92% for anal, & 78% for oropharyngeal cancer. link.springer.com/article/10.100… #LongCovid

Most people assume that if the NHS needs more specialist doctors, the Government would train more of them. But that’s not actually what’s happening. The Government can decide how many specialist training jobs exist each year. They can increase them, reduce them, or remove them entirely. These numbers are a political decision. So when the Government removes 1,000 future NHS specialist training jobs, that is an active choice to have 1,000 fewer future NHS specialists. That means fewer potential radiologists reading scans. Fewer potential surgeons doing operations. Fewer potential anaesthetists running theatres. Fewer potential psychiatrists and GPs seeing patients. At a time when waiting lists are in the millions and patients are waiting months or years to see specialists, the Government has actively chosen to reduce the number of future specialists. That doesn’t just punish doctors. It punishes patients and the NHS as a whole, because it means fewer potential specialists and longer waits in the future. And the most concerning part is why this happened. These training jobs were discussed in the context of negotiations with doctors. That means specialist training jobs, and therefore future NHS specialists, were being treated as something that could be added or removed depending on whether doctors accepted Government terms. That is not workforce planning. That is using future NHS specialists as leverage. The Government can create more NHS specialists if it wants to. It can reduce waiting lists faster if it wants to. It can train more doctors if it wants to. Yet they’ve chosen not to. This was a political choice that this Labour Government have made. tribunemag.co.uk/2026/04/the-go…

Why We Stand With Resident Doctors labourhub.org.uk/2026/04/03/why… via @LabourHub

So were these places actually on offer? They were supposed to go out in April. Sounds like you were offering empty promises. Patients need doctors. You’re denying them. How about you spend less time tweeting and more time workforce planning and negotiating?

@irrespolong @parthaskar @bmj_latest @KamranAbbasi More than useful idiots, with deep financial interests to ensure they, and their (mostly US) private Health sector clients, prosper. X-Party Mckinsey was prime mover at WEF 2012/3 - now see how many of those steering and attending are now in very senior #NHS and government posts.

@parthaskar @bmj_latest @KamranAbbasi Management consultants aren’t the architects. They’re the useful idiots. The state needs a layer who believe they’re modernising while enforcing a command economy. Senior clinician silence is compliance bought with CEAs and titles. Buy the top, crush the bottom. Communism 101

This editorial from @bmj_latest Ediotr @KamranAbbasi pulls absolutely zero punches. "Rhetoric around reducing reliance on resident doctors only serves to create greater discord.. And is nonsense derived from people in senior NHS positions being brainwashed by the ideas of management consultants and techno-fantasists" Hopefully clinicians within @NHSEngland read this- and ask themselves how useful their silence on these issues are. And how they plan to 'turn the #NHS around without support of the medical fraternity' bmj.com/content/393/bm…

🚨 The PA project is far more sinister than we realise. It isn’t an "efficiency drive"—it’s a structural coup designed to enforce technocratic wage compression and total state control. Thread. 🧵 #NHS #BMA #MedTwitter

Update from the inquest. It gets worse. Apparently this poor woman was treated (or rather not treated) by two PAs. The inquest is ongoing stokesentinel.co.uk/news/stoke-on-…

@HSJnews Already happening Patient sought medical help 3 times Each time, fobbed off to a Non-doctor Dead 24hours later This is what the NHS wants for patients Fight this while you can x.com/i/status/20394…

Physician Assistants in the UK have repeatedly dismissed women with fatal conditions as anxious, leaving them to die. The UK government was even forced to hold an inquiry into the use of PAs, but ignored the outcome (The Leng Review).

@MedRegoncall1 They are still the first person in my niece’s doctors seeing patients 🤬🤬🤬🤬

🔴 Physician Assistant students strike again from GP land. This time they killed a high-risk patient who recently had a caesarean section and fobbed her off with an “anxiety” diagnosis 💀☠️ ⭕️ The lady had two fatal cardiac arrests and passed away. ⭕️ This PA student was only supervised by her PA mate. ⭕️ No mention of any GP oversight. Basically, the blind leading the blind.

@4TheGreenBelt @overstretcc93 Yep - already seeing patients who have spent their life savings doing precisely this - it's heartbreaking.

@doctor_oxford Tapping the sign x.com/ExMomentum_NHS…

This week the NHS will undergo one of the most radical – and scandalous - changes in its history. From 1st April (the public are the fools in this), GPs will be contractually obliged to seek remote, electronic “advice and guidance” from hospital ‘clinicians’ (note, not necessarily doctors), making it even harder for patients to see a hospital specialist. Does this sound part of a plan to genuinely ‘fix’ the NHS, as Wes Streeting vowed he would do so effusively when taking up office - or more like a tactic to ration hospital care by overriding GPs in order to massage the waiting list figures? It is, of course, the latter, an extra layer of bureaucracy that at best will delay patients’ access to the specialist treatment they need, at worse sacrifice those patients on the altar of fake news about “falling” waiting lists. You don’t need me to point out the patient safety risks it potentially entails. We all know that time, in medicine, can be everything. The Royal College of GPs has been crystal clear: “The use of advice and guidance should not be mandated in any area… We have heard reports of risks of delays, with tests being required before any referral, lost messages and staff without appropriate senior clinical oversight handling requests.” The aim, says the Times, is to reduce the number of hospital outpatient appointments by 30 million annually. And the government, in a really quite breathtaking example of political spin, is presenting this as “good” for patients - as though all those people who’ve been waiting years months or even years for the first Rheumatology, Neurology or Orthopaedics appointment they so desperately need are just, you know, malingering. (I recently spoke to a patient with a new diagnosis of multiple sclerosis who’d been waiting over six months to see a neurologist for the first time – simply scandalous.) I believe this is a national health scandal from a government that apparently cares more about good spin than it does about good patient care. If you feel the same, please – please – write to your MP or the Secretary of State and tell them why. Please shout about this online, in the press, anywhere you can. Don’t let this slide. Thank you.

For a glimpse of government policy #NHS 'transformation', I urge you to read this: pulsetoday.co.uk/views/copperfi…