Dave 💙

This is the power of research. My son, two photos - 9 years apart. Sparks funded treatment for hypoxic brain injury @WelshRugbyUnion #howcanthankyoubeenough @SparksCharity

Merry Christmas to you @CamilleMata10 and your new family! It really is our pleasure 😍

I mean...if only he had been health secretary when Tom Kark KC published his report into regulation of NHS managers...oh wait

You only have to look at the current state of our health service, to realise that modern medicine, so good at treating acute illness but without as much attention on prevention and long-term illness, is failing our patients. There is an inextricable rise in demand for medical care which is unsustainable. Unless things change, this situation will only get worse. And more and more patients will suffer. As an A&E Dr, in many ways, I provide a sticky plaster to societal problems. We need to move our mindset from treatment to prevention of illness. Only lifestyle changes can truly reduce demand and in the medium to long term preserve a healthy service for all and not just those lucky enough to afford private care. Doing regular exercise is the single most important thing that anyone can do for their health and thus reduce demand on health care systems. Two new studies have shown that even small amounts of exercise both for adults and kids can make a massive difference to both physical and mental wellbeing. In this week’s mail health article, these scientific papers are reviewed and the importance of exercise examined. In summary, get out there, walk or jog; even small amounts are so good for you - you don’t have to do a 10K or a marathon. But if you want that as a goal, as the medical director of the @BrightonMarathn I can thoroughly recommend our races!

Legal/Safety experts? What is the correct thing to do here when repeated, appropriate mulitroute escalations fail and clinicians are threatened with professional sanctions?

Which is the ultimate sandwich filling?? Non negotiable • White crusty bread • Must have salad (except C&O) • Paired with tea; in a cup • Side of kettle crisps

Years of missing targets because of goverment underfunding and neglect of NHS. Solution - scrap the targets!!!!?? Surely the Great British public won't fall for this being sold as improvement to patient care? @NHSMillion @doctor_oxford

Palliative care doctor here. I'm sickened that @SteveBarclay wants to ditch two thirds of NHS cancer targets, including the two-week-wait. I witness the horrific human cost of delayed diagnoses & avoidable deaths & I can tell you it is scandalous. (1/2) bbc.co.uk/news/health-66…

@SamGoodhand @morefluids You've omitted the intensivist. Who is going to look after them for the two weeks after their ED admission? Intubation is not an isolated procedure. You need someone who can manage multi organ failure and critical hypoxia.

You have severe pneumonia. Average BMI & known Gr1 intubation. Do you want to be intubated by: A: Experienced A&E doc. Intubates twice/month. V.protocolised practice - fent/ketamine/roc,123. B: General anaesthetist. Uses cautious propofol with “chasers” for BP. #MedTwitter

@bugdoc76 @GlosPath @gloshospitals @amyreadmicro @PhillipaBurns @ZazzabellaCakes @IzakHeys is he not the one walking through walls? Just like all good microbiologists?

Lovely lunch stop at the father of modern #microbiology birthplace #Dole - can you spot him? @GlosPath @gloshospitals @amyreadmicro @PhillipaBurns @ZazzabellaCakes @IzakHeys @drfrocester

Funny farm.

We can't take any more, says NHS as doctors strike bbc.co.uk/news/health-66…

@Jopo_dr @britishbee @BurtsBees @NaturalEngland @NatGeo can you get delphinium bird seed?

@drfrocester @britishbee @BurtsBees @NaturalEngland @NatGeo Please make one of those confetti fields of delphiniums

Definitely most successful project this year. £6.99 for 4kg wild bird sunflower seed... direct sow (Brilliant idea stolen from a friend) 🐝 🌻🌻👩‍🌾💁‍♀️🌻🌻🐝🐝 @britishbee @BurtsBees @NaturalEngland @NatGeo

The first part was brilliant, insightful and balanced, looking forward to part 2 @Kevin_Fong @BBCRadio4

Plain and simple analysis right here: independent.co.uk/voices/nhs-eng…

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@JB_Glos cheaper than fake tan

@Allan_Kaylee @SoVeryBritish 200%

@SoVeryBritish @drfrocester

While we’re on the subject