Jamie McConnell

If you have had an MRI scan done privately, or at another hospital, your NHS specialist doesn’t automatically have access to it. Your GP doesn’t have it either. You need to let the consultant’s secretary know so we can get the images transferred to us.

@joybells49 Wow. You couldn't even be bothered to proofread your AI-generated "prayer". Such devotion.

📌 Sunday, December 14, 2025 — Daily Devotional “Strength for the Steps You Haven’t Taken Yet” Some mornings you wake up feeling strong, ready, and confident. Other mornings you rise feeling like you’re starting at zero—emotionally tired, spiritually drained, or simply overwhelmed by what lies ahead. Yet here is the comfort we often forget: God does not give you strength for yesterday’s battles. He gives you strength for today’s steps. Isaiah 33:2 says, “Be our strength every morning, our salvation in time of trouble.” Notice the phrase every morning. God refreshes, renews, and refills you daily—not weekly, not monthly, not when things get desperate. His mercies are new this morning, His presence is with you this morning, and His strength is available this morning. Maybe today you need clarity. Maybe you need hope. Maybe you need courage to rise again. Or maybe you simply need to be reminded that God is not asking you to walk this day alone. Whatever today holds, God is already in it. Whatever you fear, He has already conquered it. Whatever you cannot see, He has already prepared the path. So take a breath. Lift your heart. And walk into this day knowing God goes before you, walks beside you, and strengthens you for every step ahead. 🙏 Morning Prayer Father, thank You for this new day and the strength that meets me with the sunrise. Calm my heart, steady my thoughts, and guide my steps. Fill me with Your peace, guard me with Your presence, and remind me that I am never walking alone. Today, be my strength, my wisdom, and my joy. In Jesus’ name, Amen. Learn more about our ministry outreach at: pomitaly.homestead.com @TeamJesus @DailyDevotional @Christians @Bible @JSM @InGodWeTrust #DailyDevotional #SundayMorning #SundayBlessings #FaithWalk #StrengthForToday #PrayerTime #MorningPrayer #ChristianLife #Encouragement #HopeInChrist #POMPhilippines #JesusIsLord #TrustGod #December14 #Inspiration #SpiritualGrowth #StartYourDayRight

@fourhourtarget True, but aggregation of marginal gains isn't a bad thing.

26M attendances. If winter is a quarter of the year then this is just 3% I suggest this is not why EDs are falling over #flow #beds #socialcare

@fourhourtarget Eek

@jsm They were all crammed into the same connection! All browns linked and all blues linked. Don’t think it’s sophisticated.

Changing some lights. Discontinued range means I’ve got to take these back to the wires and there are a few surprises along the way. One had two grey cables and the other had just one but I wasn’t expecting three.

@fourhourtarget @GMIgorSmirnov Rook is pinning the knight, though.

@GMIgorSmirnov Am I being thick? Could Ng6 have not given a two move solution also?

Brilliant Move, But Why? 🤔🤔

@fourhourtarget Is it because you’re an excellent driver?

Picked out exactly 180g of spaghetti FTW. Beginning to understand why my wife sometimes calls me Rainman.

@Saul_Sadka What have you got against Hadley Wood?

This is the London Banana. As long as you stay within the Banana, you'll have a great time in London. Almost everything outside the Banana is horrible these days, best avoid. Not clear why, or when this happened. But it is what it is.

@RobLaurensonD4P Yes. NHS Service Finder, it’s excellent. Also gives non-public contact info so you don’t have to wait on the phone. digital.nhs.uk/services/nhs-s…

There should be an NHS index list for every single service provider, their location, and their referral contact details accessible to all clinicians. It does not have to be on e-RS. It should be a simple website. If a tertiary level service wants to refer to a local community service, nothing should stop them going direct.

@fourhourtarget @NotFarLeftAtAll Yeah, but being reasonable doesn't get you a clickbait TikTok video, does it?

@NotFarLeftAtAll I would pull out of there without a fuss and not make such an issue out of it as this guy did. Annoying that someone parked over the drive but this is a negotiable manoeuvre by anyone with an ounce of driving ability.

What would you do ..

@Liesl_RW I once worked with a guy nicknamed Cheggers. I had to wait a few months, but eventually he turned up with a raging hangover, at which point I was finally able to deliver the line I had been saving: Cheggers can’t be boozers.

If you’re cringing at your old work, it means you’re getting better

@fourhourtarget I mean low-tech as a compliment, by the way. NHS stuff needs to be simple and battle-hardened!

@fourhourtarget We only recently moved on from fax machines, and have yet to achieve the white whale of a reliable PACS system, but sure!

This is AI interrogating EPR to create a discharge summary. If it saves a few hours per patient then that is a big win and I’m all for it. Panacea it is not. Embedding of marginal gains is where we will see improvements however.

@DrLKVaughan Pressing a piano key doesn’t make you a pianist

Interesting. So a Pharmacy degree now has prescribing rights built in. Look at the language. Remember, the 10YP puts Pharmacy and not GP at the heart of the new neighborhood services.

The fastest way to attract what’s meant for you is to express yourself so honestly that everything misaligned falls away on its own.

@ArunBaksi Nonsense. We do it because it’s ikigai: what someone likes and is good at, what the world needs, and what can be rewarded. All components are required and it’s disingenuous to pretend otherwise.

The motive for most of us in studying medicine was to serve, not to make money nor to be guaranteed a job

@fourhourtarget Ok, I’ll hold you to that. If you post here again after 9pm, you must donate £100 to the charity of my choice.

Gonna be stretched tomorrow with the residents’ doctors strike and we’re running on one third of our normal doctor numbers. Might have an early night.

@eigenrobot Does your company allow the use of things like GitHub copilot. If not, why not? And if yes, then you should be interviewing in an "open book exam" style. Ask questions that assume AI use and check for understanding, which is what you're actually hiring.

sitting in an interview with a candidate. watching his eyes flit back and forth between the camera and a second monitor to his left as he silently writes suddenly competent code after fumbling all the verbal discussion questions what are we even doing here

@Langton_Steve @ClinOncDoc @lengreview I started out thinking I was clever. Medical training disabused me of that. Now I see others, with far less knowledge, speak with far more certainty. There’s a lesson in that, and it’s not flattering.

@ClinOncDoc @lengreview Well, a lot of my training showed, fairly regularly, that (1) I wasn't such a clever boy after all (2) there's usually more to a problem than you think (3) there's SO much more to learn (4) problems happen when you're at your most confident so be CAREFUL. Do PAs train like this?

The most pertinent finding of @lengreview was the discrepancy between what PAs and Drs felt PAs were competent to do: Drs are trained to be cautious, careful, and reign in over-confidence. PAs do not demonstrate the same levels of caution, and one needs to ask why that is.