🌟 Rahul Keith

Good discussion tonight with consultants from @UHMBT and local GPs. Excellent work underway to support GP trainees with short placements in surgery, which led to a very encouraging offer to deepen GP training through other training days - building bridges for the future. A thoughtful discussion about expedite letters and potential improvements. Learning about the different SDEC services. And a short update on Single Point of Access - or perhaps, Fewer Points of Access. 😁 Delighted to see improvements being led by individuals just trying to do what they can to make things better for their colleagues. 🙏

We need more investment in general practice, with a focus on relational continuity of care (cos it saves lives!) heraldscotland.com/news/health/24…

12% hospital beds have patients fit for discharge But… Population ⬆️7% 2012-24 ❌GPs ⬇️7% ❌District nurses⬇️42% ❌Health Visitors⬇️30% ❌Learning Disability Nurses⬇️23% ❌School Nurses⬇️25% ❌Nursing home beds⬇️12% ❌Residential home beds⬇️16% ❌Social care cuts @wesstreeting

NHS hospitals are missing opportunities to record people’s wishes for care at the end of life, according to the National Confidential Enquiry into Patient Outcome and Death, which highlights the importance of “normalising conversations” about dying bmj.com/content/387/bm…

General practice has protected NHS from the effects of 7m waiting for hospital treatment, 1.6m for investigations, 0.5m more long term sick 5million more appts a month than 2019 ~ 31million A&E 2million, OPD 9million attendees a month largely unchanged from 2019 No extra funding

"Medicine is difficult. We need to continue to attract the brightest to train as doctors. We need to ensure that their training is long enough to make them equipped to do the difficult daily work of the doctor." @AndrewElder @RCPEdin bmj.com/content/387/bm…

Emergency service healthcare staff are constantly dealing with moments of crisis. It's essential that they can receive specialised mental health support. If you are unable to receive confidential therapy or addiction treatment, register with us today. #NHSPractitionerHealth

A 10% drop in GP capacity would roughly equate to a c60% hike in traffic to others The 33% increase in 999 calls yesterday reported by @Ldn_Ambulance suggests GP activity dropped by c5% Which is impressive, given we reverted to pens paper & prescription pads… Food for thought

@DrSteveTaylor @DrSelvarajah @doctor_katie No extra funding? Tough. You have to do it. Someone off sick? Tough. Get on with it. We are *the* most cost effective part running at £0 deficit. Imagine if we had just a little help.

Congratulations @wesstreeting on your appointment. I hope @BMA_GP @doctor_katie and her team can have a very early dialogue with you about what we need to make general practice fit for the future. We have the answers to make our NHS GP service the jewel in the crown once more

My top priority for @UKLabour is to end child poverty. They made some headway last time. In 1999, Tony Blair said; ‘our historic aim will be for ours to be the first generation to end child poverty. It will take a generation. It is a 20-year mission. But I believe that it can be done.’ Labour set targets and responsibilities for reducing child poverty, enshrined into law by Gordon Brown under the Child Poverty Act 2010, which passed with cross party support. There was a National Childcare Strategy, Sure Start children’s centres for under-fives and their carers, the national minimum wage, the Family Nurse Partnership, a New Deal for Lone Parents and a child tax credit system. As a result, there were sharp reductions in child poverty, especially for lone parents and children in larger families. So it can be done. And it must be done. 4.2 million British children whose parents have too little income to support them properly – 29 per cent of our future generation. We are fouling our nests and destroying our future.

"We need more doctors, and as soon as possible, but it would be short sighted to sacrifice quality for speed." @HelenRSalisbury on the plan to have four year medical degrees bmj.com/content/385/bm…

My comment on the report: "We used to think of the combination of undernutrition and obesity as a feature of low and middle income countries. We are now seeing it in Britain in 2024".

🚨 REBOOTED TEAMS LINK FOR THURSDAY EVENING’S GP ACTION WEBINAR: 👇 @bf448ebe-e65f-40e6-9e31-33fdaa412880" target="_blank" rel="nofollow noopener">events.teams.microsoft.com/event/3330253a… Pls RT & share - with 5 GPs/GPRs/PMs/GPNs you know! @theRCN @unisontheunion @Parody_RCGP @BMA_GP @DAUK_GP @NextGGP @m_ratwatte @msteggy @HelenRSalisbury @doctor_oxford

Thanks for opportunity @GeriSoc to share this at yet another inspirational #BGSconf. To be able to discuss this and next steps uppsalareports.org/articles/looki… @UMCGlobalSafety with @Krockdoc in person was beyond imagination 🙏🥰☺️

Useful resource to support medicines optimisation in patients with orthostatic hypotension ⁦@GeriSoc⁩ ⁦@JenMStevenson⁩

Progressive partnership collaboration at the recent Vulnerable Communities Workshop at @lancasterUni👏 #LocalPartnership #CommunityCollaboration

SNEAK PEAK: Started work this week on a new mini (i.e. simple takes <2mins) modeller for McCloud. Its *VERY CLEAR* that working beyond your normal pension age in 1995 is 'burning' pension you have already paid for. To access this you need to either retire (=/- return/partial)

@karenkyle16 @Richardruss98