Aaron Green

@EM_Dr_Jacklin I would interpret as Consultant / SAS being the sustainable model. Whilst resident/ training contracts are maximised to provide “training opportunities” (generous interpretation) / “rota fill” (cynical view)

Ambulance drop-and-go policies won’t fix anything in the long run and hide the lack of meaningful action. Hundreds of patients each week are dying in association with overcrowding in EDs. How about fixing the actual problem? @RCollEM 1/3

@DrLKVaughan @TJCoats Continues to play to the tired trope of “inappropriate attendances”. It’s past time for Gov /NHS leaders to bite the bullet and accept that we need more beds/ staff (GP and hospital) and an honest conversation about what the NHS can and can’t provide. Current situation untenable.

@TJCoats Yes, quite! Smacks a bit of casting about for the magical solution.

Hmmm. Sounds like Julian has been visiting Denmark. Or the Netherlands. Both of which 'filter' presentations to the ED. Holland has the least busy EDs and the highest conversion rates for admission in the developed world. 1/

@imagineinquiry My eldest son’s school have a set list of equipment, available to borrow from if missing/lost. No punishment/ sanction to borrow if identified at morning tutor group. Good balance between personal student responsibility and letting classes start promptly later in the day IMO.

I don't work in Secondary and I understand things are different there, but why can't a teacher have a pot of pens that students can borrow from at the start of the lesson and return at the end?

@chebbes Just wait til they start waxing your nose hairs…

Apparently, I’m ’shall we trim your eyebrows’ and the barber trimming my ear hair… years old. It feels great but I wasn’t expecting it!

@jmesillett @ShaunLintern Very much agree Jamie! I’m most shocked that it is “only” 120 applicants. A recent vacancy locally had >1000 applicants for a fixed term position. There is no shortage of good candidates, just lack of funding to create positions despite desperate need.

@ShaunLintern It’s so short sighted… bank/ agency shifts often exist because funding doesn’t cover the rota. Agency comes from a different pot so it gets authorised rather increasing substantives. We had 120 applicants for 5 doctor jobs but will have rota gaps even when ‘fully recruited’!

🚨 EXCLUSIVE: NHS chiefs across England have been told to cut spending on nurses and doctors and find services they could close as NHS faces a £4.5bn funding blackhole: thetimes.co.uk/article/421a04…

Everything about this makes me sad. Did anyone ask the public: Would you prefer £50 million spent reducing your time in A&E by 30 minutes if you're discharged or If admitted, reducing the 12 hours you'll spend waiting for a bed? england.nhs.uk/long-read/urge… HT @CharlesTTHF

@Damian_Roland @CharlesTTHF Everything about this exemplifies Goodhart’s law. It is infuriating!

For a preview of EM life here in Cornwall check out our recruitment video. Feel free to get in touch if you want more information. youtu.be/Hbpl96jCBY4?si…

@RCHTWeCare are recruiting for Specialty Doctors to join our ED team. OOH at enhanced PA rates, dedicated supervision, and CESR support are a few of the many benefits. All whilst having access to the best beaches in the UK! nhsjobs.com/job/UK/Cornwal…

For a video preview of life working in ED here in Cornwall, have a look at this video. youtu.be/Hbpl96jCBY4?si…

We are recruiting for clinical fellows @RCHTWeCare. These are perfect for post Fy2 doctors looking for a career break or for a CV boost. Offering a great work- life balance, 20% time towards your area of interest, and the seaside at your fingertips. nhsjobs.com/job/UK/Cornwal…

Pointless nudging a standard set at a level that isn’t improving long waits for our sickest patients, whilst “encouraging” hospitals to focus on the least sick. Patients can wait more than a day for a bed. How about being ambitious, and focusing on the root causes of crowding?

@liambarker Policies like this, presumably aiming to control demand, just increase work for another specialty/ department/ GPs. It just adds more inefficiency for everyone as we all get bogged down jumping through needless hoops. This is where real efficiency savings can be made IMO.

I haven't done a poll in ages but here's a second one: In your NHS ED, are you testing for airborne respiratory viruses in patients with a suspicion of COVID/Flu/RSV etc

@davehartin Only need isolation after leaving the ED of course…

@sintydavid That’s a retirement plan..

Home for Christmas, found in a drawer, still works, this is probably 35 years old #nostalgia

@PhysioTodd Absolutely not. The organisation is paid to have students, that funds trainers salaries. Students pay for the privilege of being there. A thank you is a nice touch but should not be an expectation

Am I too old-school? Was surprised to hear students have come and gone from placement with colleagues recently without even a thank you card at the end 🤯 Simple act of thanks goes a long way

@cruncherwax @Dr_BellaR Time off and complete respite from offending situations if reached the point where burnout has detrimental effect on you. Talking therapies can be useful in this stage. As a prophylaxis ensuring regular breaks from high intensity work during your work is pattern essential.

Sock indiscretion #smanottingham