Lt Col Andrew Curphey RAMS

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Lt Col Andrew Curphey RAMS

Lt Col Andrew Curphey RAMS

@ColCurph

British Army Reserve Command and Staff Officer and NHS GP. Keen on diversity. Woke (deal with it). Has a child with ASD. Teets validated by typos. Views own.

Manchester Katılım Ekim 2019
1.1K Takip Edilen880 Takipçiler
suts
suts@suts18·
@ColCurph @Parody_RCGP I’d suggest simply telling the Consultants & patients that you cannot provide proper care without the consultant’s full assessment (including all necessary investigations) & opinion. At least that provides clarity & is true.
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Lt Col Andrew Curphey RAMS
How Advice and Guidance works (real example): Us: What do we do? Them: Do tests X and Y? Us: We don’t have access to these tests. Please do these tests for us. Them: We don’t take referrals for these tests. Me: This is getting ridiculous. @Parody_RCGP
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Rebecca Tidy
Rebecca Tidy@DrRebeccaTidy·
@JennyAThatcher This was Plymouth University Students' Union. I ran the democracy & representation department. It was such a bullshit, unnecessary job. The CEO hated anyone who had academic qualifications, as she had none. She was evil.
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Manchester United
Michael Carrick is nominated for the #PL's Manager of the Season award! 👏🇾🇪
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Ian Pegg
Ian Pegg@HistoryPegg·
@RepJackKimble We don’t have a firat amendment in the uk you cock womble.
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Rep. Jack Kimble
Rep. Jack Kimble@RepJackKimble·
I for one am getting pretty tired of Britain trampling all over the first amendment.
Rep. Jack Kimble tweet media
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Tim Farron
Tim Farron@timfarron·
This is like watching a painful and inevitable England batting collapse.
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Iona Collins.DOCTOR.
Iona Collins.DOCTOR.@Doc_IonaCollins·
If the NHS focussed on clinical outcomes instead of operational performance, the improvement in clinical outcomes would naturally reflect good operational performance.
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Bygone Britain
Bygone Britain@BygoneBritain·
Above Us The Waves (1955). A British war film detailing the true story of Royal Navy commando frogmen attempting to sink the German battleship Tirpitz in a Norwegian fjord during WWII
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Happy Captain
Happy Captain@EODHappyCaptain·
Soldiers don’t care where their officers went to college. They care if their officers are going to take care of them.
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Dr Helen Fry | WWII Historian
We salute and pay tribute to all women, whatever their roles during the Second World War, whether on the Home Front in factories and offices, working the land, serving behind enemy lines, or on clandestine operations. They absolutely made a difference to the end game and contributed to victory in Europe. Could we have won the war without them? The answer is a resounding 'No'!
Dr Helen Fry | WWII Historian tweet media
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Doc Em🕷🇪🇺
Doc Em🕷🇪🇺@DocEmUK·
Example: ‘Dear GP I saw this patient in orthopaedic clinic today. They showed me a lesion on their chest and neither I nor the consultant are sure what it is. I have asked them to make contact with you.’ Not: ‘Dear GP I saw this patient in orthopaedic clinic today. They mentioned a lesion on their chest. Please could you arrange an appointment in the next week to arrange a dermatology referral.’
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Doc Em🕷🇪🇺
Doc Em🕷🇪🇺@DocEmUK·
The sheer volume of work we get means that I have to log on most evenings & weekends. Not that uncommon in the professional world I guess, except that most people don’t have the public chastising them for being lazy part-timers. I’m physically in practice two days a week. I work at least five. Just logged off today and I’m utterly exasperated by the dumps on me by other organisations who seem to think everything is my job because it’s easier or they don’t know what to do. Requests for specialist referrals for a patient that has been with them for a couple of weeks with minimal information on why. The team they want referral to is in the same hospital. Asks for us to do capacity assessments on patients & let the specialist know that the patient declining the treatment they recommend is making an ‘unwise decision’ rather than a capacity issue. Arrange a MASH for a patient I know nothing about. Urgently prescribe medication for a patient a NP has literally just consulted with in clinic. Does secondary care think that we’re sitting around waiting for work? Holding spare capacity to do their job? Believe that all things administrative are the role of the GP? This is what will drive me out of general practice. Not the govt (close second). Not the media. Not the patients. It’s the incessant dumping on us. The total lack of respect for our time. The complete ignorance as to what we do. The treating of us as if we are community juniors. The unreasonable expectations they set for patients from us. Once upon a time we were on the same team. Now, they seem hell-bent on breaking us. The consultants are least responsible for this. It’s the lower-skilled, narrow-trained, don’t-know-what-else-to-do doctor subs that are the worst. I am sending all the tasks back, because that’s the only way to educate & change practice, but it’s exhausting. It’s not good for patients either, but they should never have done it & it needs to change for the benefit of population health.
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Lt Col Andrew Curphey RAMS
@andyhersh I am hanging onto Sky Q as long as possible. I don’t like the time lag with streaming or being dependent on the internet working. Also we like listening to radio via Satellite (very good signal).
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Dr Andy Hershon
Dr Andy Hershon@andyhersh·
Sky man had to change my SkyQ box, so all recordings gone. No Barca 2019, nigh highlights and actual game. No Spurs at Anfield when we won the league. No best ever LFC goals, or Salah 100. No ‘how thf champions league was won’ What on earth am I going to do now when the Mrs goes to bed early?? #lfc #YNWA
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