David Patch

🎉 Lucky number 7! 🎉 Two exciting updates: Derriford Hospital @UHP_NHS our 7th site to open! Huge thanks to Dr. Cramp and the team for all their hard work! Welcome😀 Royal Free Hospital has just recruited their 7th patient, bringing our total participants in the trial to 12!👍

@danielgoyal Realistically this will only happen if healthcare decisions taken out of politics ie like Bank of England interest rates, decisions are made independently of government

@danielgoyal I agree with what you are saying. One point. The money pot is fixed in size. Healthcare will always over spend. Only answer is rationing and triage and big brave decisions which will mean some people do not survive. And a politician needs to be brave to take that Daily Mail hit

I need to tell you where the trap is in relation to the NHS Both Streeting & Starmer have committed to keeping the NHS “free at the point of use”… But that can look like many different things 🧵 1/x

@pbendoscopist Somehow knew I could rely on you!

@DavidPatch1 Classic! youtube.com/shorts/9SGCgvs…

FBI comment on the BBC regarding the capture of a potential DT assassin : "We had this place surrounded with helicopters and dogged within minutes," he said. I wonder if they have seen the Peter Kay video…

@ebtapper @jaumebosch9 It’s fascinating how things that were literally “dialled in” at the start of the century-are now being re-looked at. I’d add HAS for SBP and HAS for ascites drainage, and glypressin for Variceal bleeding to that list-and there is an imminent shortage of HAS in the UK

Statement should have a question mark for punctuation Even though this is my assessment of where things are going, there is no definitive data to stop secondary prophylaxis @jaumebosch9

End of the antibiotic prophylaxis era for #cirrhosis

Are the Paralympics a reflection of a country’s health service?

That conversation needs to start happening. The health budget is fixed. Pharma will always outspend it. It’s called rationing- we’ve done it for decades. We just need to be honest about it especially now because drug development has exploded and choices need to be made

If I had been the health minister I would have gone on air and said”this is an expensive drug, with overall questionable cost benefit. If I approve it, you tell me what I should then STOP funding? Hernia repairs? Cataract procedures? How about bowel cancer screening “

Just extraordinary lack of nuanced discussion about NICE not approving a drug. Why is no one coming out and explaining that we are not funding some of the most basic elements of public health and that the back door of hospitals is effectively closed

@Laconic_doc Main thing is that when you are 17, a year “out” seems like a lifetime. I’m now 60 and I look back after 35 years in the NHS and a year is just nothing. Those grades are amazing- all doors are open

@DavidPatch1 Excellent advice... ...rhanks for responding!

Advice please! A friend has asked what their kid should do, with: A* Biol A Phys A Maths A Chem Passionately want to do medicine, (tho no offers after 4 interviews). (& gutted that a fellow student slipped a grade on their 3 As offer for med by Imperial, but was accepted!)

@NicolaAdamsOBE Loved it. Paris rocked- use of iconic building was brilliant. That photo of Remco at the end of the road race- amazing. Perhaps I’m really superficial(there are a lot of very negative comments) but nations competing in peace? What’s not to like

How was your Paris Olympics 2024 in one tweet ? I’m here for the tweets 🤣

@drobeirne Job done!

@ebtapper @rajVuppaLanchi I think you’ve been on the ketamine again, Elliott!

@rajVuppaLanchi Hopefully it's not your MRCP. I am worried about a hilar lesion, Raj.

Looks like MRCP+

@AndrewJ31680521 @campbellclaret @FaiselSadiq @RoryStewartUK @RestIsPolitics I had a similar response to the duration of sentence- and then read the reasoning. I still feel the sentencing was overly harsh, and I just wish there was a “better” punishment than prison when violent crimes receive much smaller durations on incarceration

@campbellclaret @FaiselSadiq @RoryStewartUK @RestIsPolitics Alastair. Thanks for getting back to us with your comment - many would not have bothered. I think once we step back and look at this in detail the sentences are arguably necessary although I get the initial reaction.

@RhonddaBryant @VernonRabbetts I think you have identified the problem. The speaker is no different from OFWAT- had the power- doesn’t use it.

@VernonRabbetts The Speaker has all the powers he needs in the chamber

Blimey

@metpoliceuk Completely disproportionate sentencing and a really poor message from the Met Police who I think need to take a long look at themselves. There was no violence, no one died. How about locking up Baroness Mone, or the post office management, or water bosses?

Everyone has the right to protest, but no one has the right to break the law. We welcome this sentencing and hope it acts as a deterrent to those who intend to cause disproportionate disruption to Londoners.

Five years in prison. Five years for blocking the M25 for Just Stop Oil protester- but a motorist can mow down a cyclist and get penalty points, or a fine, or an imprisonment- but never 5 years. No wonder prison’s are full. I do not think that is proportionate justice

@OTavabie @pbendoscopist Trump back. Johnson, Farage and Truss all sniffing around. Too hideous to contemplate

@DavidPatch1 @pbendoscopist Reckon this trip has been paid for by her pm pension pot? Not sure which answer is a bigger indictment for society

Just when you thought things couldn’t get any worse. And Farage hasn’t even landed yet