Alex Thomson

Our @TheLancetPsych article, "No safety without emotional safety", with @drdavidveale, Eleanor Robins and @ProfPaulGilbert is now available online It's free to download without signing up until 14.01.2023 from this link - please retweet and share: authors.elsevier.com/c/1g8uX_oNJN6X…

@Calumn @anon_opin I still shudder when I remember witnessing the terror Of R: Tape Loading Error

@AlexBThomson @anon_opin That song came out a quarter of a century ago

It's annoying how the retro computing community is 95% about arcade gaming. I was using my Spectrum to create adventure games using The Quill, making music on my Atari ST and using it as a word processor. It wasn't just about Manic Fucking Miner. That really misrepresents the era.

Save the date! We will be hosting our annual #ChoosePsychiatry X/Twitter Takeover next week, from 7 to 8pm on Thursday 14 November. Please get involved and share your experiences and questions!

@cerealburrito @RyanMarino Why is it dressed like it's Halloween? It looks so absurd, it looks so obscene

@DGlaucomflecken I once responded to a call for doctors and it was for a sore eye

Just had an endocrinologist come up to me before boarding a flight to say don’t worry they will handle any in flight emergencies I can keep sleeping

New lamp.

@cruncherwax This is the root of the NHS productivity problem. The service is so under capacity that a huge amount of time is spent servicing that lack of capacity: docs & nurses reviewing pts waiting transfer instead of seeing the next patient, managers spending hours on escalation calls

@Mike88881221 @petermbenglish Out of interest, did anyone ask about giving evidence as a professional witness rather than as an expert witness?

🚨 Alder Hey Children's Hospital inappropriately used a physician associate to conduct child protection medicals and forensic examinations of abused children over a 4-year period New FOI responses and a case study written by the PA reveal shocking details 👇👇

@mgtmccartney @LucyGoBag If an employer conducts an investigation and passes their findings to the GMC, it will consider whether any concerns meet the threshold for undertakings, a warning or a FTPhearing. However, if an employer refuses to investigate a legitimate concern, there is little the GMC can do

@mgtmccartney @LucyGoBag This is unsurprising. The GMC's investigations are paper-based only. So it is wholly dependent on investigations conducted by other parties. It doesn't interview victims, witnesses, complainants, or doctors and has no power to compel disclosure.

Here’s UK medicine Harrods: GMC refused to investigate doctors after concerns raised - BBC News bbc.co.uk/news/articles/…

@Shrink_at_Large @DrAnneMurphy Trauma-informed care needs to prevent primary traumatisation as well as retraumatisation

Trauma-informed care is an important lens in stopping retraumaticsation. But thrrr has to be trauma therapy available too. Stopping retraumatisation and processing trauma are not the same thing.

@ShaunLintern What's being expressed is that even when executives or directors act vexatiously against patients, carers, or staff, there is no safeguard or remedy. The proposed solution may exacerbate this type of behaviour by raising the stakes. Does anyone have any better ideas?

What are your thoughts on this from a Sunday Times reader? It has a tempting appeal, but if the awful culture exists now without the serious consequences proposed, how bad could it get if we did this?

@quantick @Herne_TheHunter You'd better beam me up or we will both be Scotty

@GreenDocScott @jim_crawfurd Some of this is about sexual violence and, in some cases, this includes sexual abuse perpetrated by health care staff. Is there any guidance about responding in a sensitive, trauma-informed manner that doesn't necessarily require disclosure of painful detail?

A situation I am in regularly in O&G is where a patient declines a male doctor ( +/- entire theatre team). Obviously we should be respecting patient autonomy. How far do we go to provide a female? At what point do we have to communicate risk when this isn’t possible?

@emilyltownsend ...and completely unsurprising to those of us with experience of addressing organisational corruption within the NHS

I have no words. This is horrendous

@stand_for_all @LucyGoBag West London isn't exactly "in extremis" in terms of availability of halal wholesalers or caterers though

@alisonleary1 @RITB_ "One bad apple spoils the barrel" The point about bad apples is that unless removed early they release substances which cause fresh apples around them to start rotting. It's a metaphor for institutional corruption. Does it apply to concerns about the introduction of the PA role?

@nuwandiss This is existing NHS mental health trust regional crisis lines brought under a single national number so that you don't have to look up a different 0845 number for each area. There's likely to be variation in service models

What does “trained mental health professionals” actually mean though? I would want someone qualified if I needed advice

@alisonleary1 This is about accessing regional crisis mental health phone lines via a single national number, instead of having to look up a different number for each area

@LiangRhea @benbravery @WestSydHealth Grey scrubs = psychiatrist

If you didn't read our bios, who would you guess was the surgeon and the psychiatrist in this photo? I reckon between me and @benbravery we've got #DiversityAndInclusion in medicine covered 🤣. @WestSydHealth #FLASH2024 #Leadership