Lt Col Andrew Curphey RAMS

@DrHuw Plus cites extraordinary circumstances and professionalism when you finish late (no time back).

He looks like the type of NHS line manager who makes you take 5 minutes of annual leave for finishing a list early

@suts18 @Parody_RCGP Oh I do and I even sent a referral back for tte third time yesterday when I quoted Jess’ rule previously.

@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.

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

@IntercityFC True to the book, “the enemy” is only seen once.

The Cruel Sea

@IntercityFC Absolutely.

@DrRebeccaTidy @JennyAThatcher Sadly a familiar sort of story.

@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.

Jones, who became the fifth generation of men in his family to go into the glass-making industry, said he had felt a sense of "betrayal" from the company he had served since 1983 when he joined them as an apprentice after leaving school.

Michael Carrick is nominated for the #PL's Manager of the Season award! 👏🇾🇪

…ndrew Pearce

@HistoryPegg @RepJackKimble

@RepJackKimble We don’t have a firat amendment in the uk you cock womble.

I for one am getting pretty tired of Britain trampling all over the first amendment.

@WG_RumblePants @timfarron @Chester8Rob Not currently listed in the squad…

@timfarron @Chester8Rob England at least have Joe Root. British politics has nobody. Nobody at all.

This is like watching a painful and inevitable England batting collapse.

@John_ForemanCBE Great film that.

Al Carns going into No 10 tomorrow

@Doc_IonaCollins I think that really this is particularly true in primary healthcare where access has predominated in importance over clinical outcomes.

If the NHS focussed on clinical outcomes instead of operational performance, the improvement in clinical outcomes would naturally reflect good operational performance.

@BygoneBritain @VinnieSull1van @Lost___London Pretty odd film seeing as the SETT was only commissioned in 1954 i.e. after WW2.

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

Soldiers don’t care where their officers went to college. They care if their officers are going to take care of them.

@kev_hatch @HannahIamthest1 Accurate! 😂

@ColCurph @HannahIamthest1 Picky 🤣🤣🤣

Incoming. 🤣🤣🤣🤣

@kev_hatch @HannahIamthest1 Cookhouse

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'!

@DocEmUK @Mary_Tom11 Absolutely.

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.’

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.

@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).

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