Jane Fish

A different era indeed. Many tributes to Professor Ellis. He was a legend. In my opinion what is worse today than earlier years in NHS, is the demise of the clinical firm with Drs now doing shifts, nurses doing 12 hour days, continuity of care has been lost and more fragmented.

▶️No answer about where those now kept from being referred to hospital are recorded - they won't appear on waiting lists in secondary care, so where will they be? Simply waiting elsewhere in the system, not showing in stats! There are many more questions to be answered! 3/3

This morning. One GP practice. One hour. 240 clinical tasks before most people had started work. Four every minute. No political thanks. No headlines. Just a small teamy doing what they do every single day. When these practices close, nothing replaces them. Nothing.

I have had enough of this. It's doing my head in!!! NO PATIENT IS SAFE UNTIL THE LENG REVIEW IS IMPLEMENTED. Pls sign/share this petition far and wide! #StopReplacingOurDoctors #TakeBackOurHealthcare #AskForADoctor #ScrapHeapPatient #PutPatientsFirst you.38degrees.org.uk/petitions/dhsc…

"What's the problem. We did our job. We crushed the whistleblower. We stopped the case being heard and got rid of all the bad news ...and it was a bargain - half a million pounds" Is this really how we want NHS whistleblowing cases to be dealt with particularly when they involve serious patient safety issues linked to avoidable death? I am assuming the answer is no but I am beginning to wonder. Would be great to get the thoughts of some lawyers or Judges on all of this either on here or in private Have read lnkd.in/dvBDnU7f

A doctor has now spent almost 12 years in a legal fight after raising patient safety concerns inside the NHS. Think about that. A junior doctor speaks up about risks to patients, loses his job, then spends more than a decade trying to prove he should have been protected for doing the right thing. Now Dr Chris Day @drcmday is back in court, arguing that the legal effort to deny whistleblowing protection to junior doctors relied on contracts that were kept out of sight at the time and only uncovered later by journalist Tommy Greene. This case goes far beyond one doctor. If whistleblower protection can be argued away with hidden documents and technical contracts, what does that say to every NHS worker who sees danger and wants to speak up? You cannot tell staff to raise concerns, then leave them exposed when they do. Patient safety depends on people being able to speak freely, early, and without fear. Protection must apply at every level. Otherwise the system protects itself first. Dr Chris Day kept going. Most people could not fight for 12 years. They should never have to. If this is how the system treats a doctor who raised safety concerns, how many others stayed silent?

@alisonleary1 @mancunianmedic Alison you really do not deserve these comments. Surely not made by anyone who knows you. You are held in very high regard nationally in the nursing profession and multi professionally. Your work and research has really made and continues to make a difference. #safestaffing

@parthaskar Partha - I closely follow your tweets -& your work: diabetes/Royal Colleges/physician associate threads. Your passion for your patients and their safety through medicine I find so impactful. Thinking of you - this is tough. Your Mum clearly inspired you. Take care of you. 💕

2 years to the day… A part of me broke 💔 Never a day goes by without something in my mind The person who gave me the fire and the passion Miss you Forever & always Ma x

@mancunianmedic David I totally empathise with you. I saw only a few weeks ago that Nottingham hospital declared a critical, safety incident at the early stages/introduction of EPR across the Trust. Nightmare.

This is the crux of it for me. The @RCPhysicians, @rcpsych and @GeriSoc have all said they can’t support this Bill. They have also said it does not adequately protect vulnerable people. What do these Peers (and the 314 MPs who voted aye) know that these institutions don’t?

in 2016 the NHS tried to cut headcount; managers, admin, back office. redundancy cheques were huge the work didn’t go away. It came back as consultants on day-rates, interims and agency cover. Consultancy spend trebbled to £22.65m in just two years.

GP Crisis has been manufactured by successive Govts @NHSEngland @DHSCgovuk GPs are desperate to increase access for patients but have seen 20% £/patient funding The alternative approaches to access have been more costly, created fewer appts & worse have seen fewer GPs available

stuck with redundancy costs for a chaotic reorganisation he can't not finish, an unaffordable 8.5yr plan he can't start... ... a row with the doctors he doesn't know how to end and nowhere near the beginning of sorting out social care. myemail.constantcontact.com/Breath.html?so…

Who better to get us to think differently about nursing workforce challenges than the inimitable Prof Alison Leary? #NursingLive @alisonleary1 @annemarieraffer @ShaunLintern

“We need to rethink the ‘scandal’ narrative in the NHS” bmj.com/content/391/bm…

There are 69 NHS trusts still paying off old PFI debts. And new PPP schemes could lock us in again. The NHS can’t afford another generation of debt. It’s time to say: no more private profit from public care. We can’t let history repeat itself. 👉 everydoctor.org.uk/talking-points…

I speak to retired GPs and the pattern is obvious. They miss the patients, not the job. Not the grind, the tick boxes, or holding a service together on a shoestring. Most stayed as long as they could, then hit eject for their own sanity. There is a warning here for all of us.

Every shift I feel like I'm being set up to fail. Government neglect leading to crowding, hallway medicine and reliance on a CT scanner 25 kms away. Some solace in knowing that my misery is shared by every other emergency physician.

@NickHolmesMusic @TheBachChoir @davidhconductor Thank you for this review. It was incredible. Truly 5 Stars. @TheBachChoir @davidhconductor

Read my five-star review of Mahler's Eighth Symphony at St Paul's Cathedral in London, with @TheBachChoir and conductor David Hill @davidhconductor, celebrating the Choir's 150th anniversary. nick-holmes-music.com/2025/10/13/mah…

Today I’ve taken a quiet moment to reflect on how this life, this journey - truly began. It started the day we lost our beautiful little boy, George. His sudden death shattered our world, and in those darkest hours, nobody came. That silence changed everything. From that heartbreak, a new path unfolded. One built from grief, love, and a fierce determination to make sure no other family walks that road alone. The last few days, the last few years, they all trace back to that moment. To George. To the love that still surrounds him. If you believe in compassion, in showing up when it matters most, please support bereaved families. Whether through kindness, conversation, or contribution, your presence can be the light in someone’s darkest hour. Ensure they are reminded they are not alone. Thank you to everyone who walks beside us now. You are part of the hope that grew from the deepest pain. ❤️