John Dean

A huge congratulations to the winners of our Excellence in Patient Care Awards 🏆 The winning projects are: 🔵#MoreThanAHospital – The Midland Metropolitan University Hospital 🔵National implementation of optical diagnosis in the English Bowel Cancer Screening Programme 🔵Pen switch: An initiative promoting sustainable insulin prescribing by switching to reusable pens in Devon 🔵Opt-out HIV testing in Croydon Emergency Department – saving lives, reducing healthcare inequalities and tackling stigma 🔵DigiBete: Implementing a self-management education solution for children and young people’s diabetes at scale 🔵A multi-year project enhancing resident doctor experience and productivity within a DGH medical department 🔵Pioneering cardiac digital care through virtual wards 🔵Patient-driven co-development of the Wales lung health check operational pilot to optimise equitable participation 🔵Embedding research into a clinical service to improve outcomes in children with inherited cardiac conditions 🔵Equality at work establishing a novel international medical graduate training academy for Gloucester hospitals Thank you to all those who attended and submitted work showcasing incredible initiatives improving patient care. You can still explore the shortlisted projects from this year: ow.ly/PCNr50WjEKu #EPCA2025

@RCP_RDC And while event one is trained to the same level, maybe not in the same things! Though some is core wherever you practice.

We need a radical rethink of how and where postgraduate medical training is delivered. Our next gen survey showed 28% of respondents said rotational training should be scrapped altogether; 50% said it should continue only with reform. The NHS must take this seriously 👇

@DrRJWebb @ABarotchi1 @DrDLittle @RCRadiologists There is little doubt that outsourcing to pay per item drives increased activity. Not just in radiology

@ABarotchi1 @DrDLittle @RCRadiologists I think it’s difficult, because it’s easy for someone to decide after something has been done that it wasn’t necessary. But it’s a very different situation for the EM Doctor seeing the patient before the imaging.

One of the most striking statistics in the 2024 @RCRadiologists workforce census is that “In England in 2023/24, the number of referrals from emergency departments for CT and MRI scans rose by 13%”. 13% in a single year! How can we keep up with the such rapidly growing demand?

⁦@wesstreeting⁩ looking for solutions for the NHS, look no further just scale and spread. Time to innovate, connect and improve is the solution. medicalcare.rcp.ac.uk/excellence-in-…

Medical Care is building a resource hub to support the hospital to community shift. They’re looking for guidelines, examples of effective models across specialties and more. If you have relevant resources or know experts who can contribute, please email MedicalCare@rcp.ac.uk.

@DrDavidWarriner Rest days will be a key recommendation of RCP Job planning guidance, it shouldn’t be annual leave.

After 5 years as a consultant, I’ve made the conscious decision to take annual leave the Monday after my weekends on-call. Decided it wasn’t fair on me, my patients or (most importantly) my family, to spend 2 weeks at work with no break in between.

We’re inviting #RCPfellows to apply for two important clinical director roles in our Care Quality Improvement Directorate: - clinical director for patient safety and clinical standards - clinical director for improvement programmes Find out more: ow.ly/4Y9P50V0kgh

@katewarriner @PRFitzsimmons @Nsutebu @nhsUHLG Shocked and saddened at the loss of a global force for good in medicine

@PRFitzsimmons @Nsutebu @nhsUHLG Such sad news Paul, Emmanuel made such a difference with his passion for sepsis care, loved all the work we did through GDE together and learnt a lot from him. What a sad day and a terrible loss. Thoughts are with his family 💔

Deeply saddened to hear of the death of Dr Emmanuel Nsutebu @Nsutebu. A very decent man who did so much for #sepsis care @nhsUHLG, in the UK and Internationally. Am proud to have played a small part in some of his QI work. He will be much missed. Deepest condolences to his family

Discover the Uncertain recovery communication guide, created by @DrLM_Robinson and @DrAntoniaFS in collaboration with Medical Care. Offering advice for fostering honest, compassionate discussions with patients and families around uncertain recovery: ow.ly/FVkJ50TXTaB

@VickyKomrower One of the behaviours I am seeing from execs and others in some places is to “blame” acute medicine for delays in assessment, when it’s a system flow issue. Acute medicine has a vital part to play in early assessment, but can only do this when the whole system pulls together.

Reflecting on the recent SAM conference whilst I listen to other talks. Interesting how many people at mentioned the effect of feeling undervalued as an acute medic. We can and must restore pride in acute medicine whilst banging the drum about how much of a difference we make.

@julianhartley1 @NHSProviders @CareQualityComm Many congratulations Julian. @RCPhysicians ready and waiting to support in the best way we can.

@AmandaPritchard @wesstreeting Will this include the ineffective reporting to NHSE, and unproductive checking! Information teams spend so much time doing that, no time to work with clinicians on their data to drive improvement.

Speaking at #RCGPAC today, @wesstreeting announced that together, we are launching a Red Tape Challenge across the NHS. 🧵⬇️

Tim Farron, "The unpleasantness about this debate is only matched by the lack of proper information" #BBCQT "85% of refugees settle in the country next to where they come from" "The French take 3x more refugees than we do" "The Germans take 4x more refugees than we do" "If you put us back in the European Union, we are 19th in the league table when it comes to the number of refugees we take per capita" "Do we need deterrents? Yes. The best deterrents is competence. If we assess people when they arrive - and they are not illegal immigrants - they are people seeking asylum.. From Sudan.. Afghanistan.. Iran.. Syria.. 90%+ turn out to be genuine refugees" "If we have a competent government, and we haven't had one, let's see about this one.. And you assess them quickly.. And return the ones that are not refugees" "That is your deterrent" "Rwanda was a waste of money.. If they spent that money on case workers we could have processed these people, returned the ones that weren't refugees in a humane way, and let th eones who are genuine refugees, become British, pay their taxes, be part of our country, and we should be proud to admit them" Very well said @timfarron 👏

Great to be with colleagues across England at NHS IMPACT’s National Improvement Event in the spirit of “all learn, all share” A highlight to hear about Engineering Better Care work on frailty across Lancs & South Cumbria. #NHSImpact #Engineeringbettercare

@MDzi @DanLasserson @acutemedicine @GeriSoc @AcutemedSarbc @SharjeelKiani1 @geris_lucy @emmavardy2 @GrahamEllis247 @DrSteveTaylor @rcgp @doctor_katie We all agree about the mess. We have multiple optics and are strongest together sharing these, and challenging collectively those with power.

@j59dd @DanLasserson @acutemedicine @GeriSoc @AcutemedSarbc @SharjeelKiani1 @geris_lucy @emmavardy2 @GrahamEllis247 @DrSteveTaylor @rcgp @doctor_katie We do disagree. I think we also disagree on “specialist physician”. I think too many look through the optic of their “own” rather than understand the politics and the mess we are all in.

All of my excellent colleagues in @acutemedicine and @GeriSoc who deliver acute medical and multidisciplinary care in the home and care home - work in a 'Hospital at Home' - not a virtual ward @AcutemedSarbc @SharjeelKiani1 @geris_lucy @emmavardy2 @GrahamEllis247

@MDzi @DanLasserson @acutemedicine @GeriSoc @AcutemedSarbc @SharjeelKiani1 @geris_lucy @emmavardy2 @GrahamEllis247 @DrSteveTaylor @rcgp @doctor_katie Disagree @MDzi specialist physicians are not defined by the building they see patients in but the expertise they bring to the patient wherever that patient is.

@DanLasserson @j59dd @acutemedicine @GeriSoc @AcutemedSarbc @SharjeelKiani1 @geris_lucy @emmavardy2 @GrahamEllis247 They should have been GPs then. Instead of playing at community. @DrSteveTaylor @rcgp @doctor_katie you see what has happened. It’s like me bouncing through Ambulatory Care saying i work here!

@GeriSoc @adamgordon1978 @DailyMailUK Yes this is a core skill for all physicians @RCPhysicians we are all generalists and specialists and this is a core generalist skill

"It’s important that all healthcare professionals are trained in how to assess and support older people with #frailty to ensure that as many people as possible can access the care they need." BGS President @adamgordon1978 quoted in @DailyMailUK today. dailymail.co.uk/health/article…

Joint statement from the UK Hospital at Home Society (H@H), the British Geriatrics Society (BGS) and the Royal College of Physicians (RCP): ‘Hospital at Home’ not ‘virtual wards’ | RCP London rcp.ac.uk/news-and-media…

#RCPfellows, are you passionate about great membership engagement, building networks and relationships? Do you have experience in implementing strategies and professional governance? The RCP are looking for a fellow with these qualities and skills to become our next registrar. Full details here: ow.ly/FCRl50T1UYq