Mark Lavery

@pubity The rest of the world is not even in the AI race.

The largest data center in the world is planned to be built in Ohio, and it'll cost up to $40,000,000,000 to construct. The 3,700 acre center will require 10 Gigawatts, 1/3 of Ohio's entire power grid capacity, to run.

@EstradaRee45304 @AI_EmeraldApple I mean this with the absolute greatest respect. But would it be advisable to put such information publicly on such an open social media platform like X?

@AI_EmeraldApple I Have 5000 hours in the B-52 including many combat sorties. So yes have actual hands on experience and information.

The reason the B52 is being used is because SEAD against Iranian regime mk military reached a metric where these slow defenseless bombers can unleash hell safely. Whatever that remains of the Iranian regime is going to face even more firepower than they ever faced, popping out guided bombs and missiles like a pez dispenser.

@Urodoc46 @HeldinEU A more appropriate question would be why aren't the nurses in a nursing home changing then.

@HeldinEU Why the hell aren't the district nurses doing that?

Managed to speak to dad GP: she doesn't have time to see him before his nephrology (kidney) appointment on Monday. This is fine, just that blood tests before would have improved logistics. One of the things she has to do tomorrow is to change the catheters of all the catheterised people in a nursing home. I think in the UK delegation to other professionals has gone too far, but this is the other extreme

@irish_news @grok can you identify what the bills are? Do any of them make significant difference to NI?

The Northern Ireland Assembly has passed the fewest legislative bills of all the devolved institutions - with Scotland passing three times as many since power sharing returned in February 2024. Data seen by The Irish News shows that Stormont ministers have passed just 10 pieces of legislation in the entire two years since the Assembly restarted. Read more: tinyurl.com/mpkk5sva

@PeterSharpe1 @AlanStout19 This is a question that genuinely needs answering. On paper NI may get more funding, but on the ground it often feels like we get less. Like alot less, I think we need a Public Spending Review like WM carrys out. Where is the money going? It's not on staff pay anyways!

@AlanStout19 Do you ever wonderful why NI has so little money despite getting more than any other UK nation from Westminster?

We actually have a weight loss border in the Irish Sea (and nothing to do with Windsor Framework). While England push on and incentivise to maximise health benefits, in NI we still have no commissioned service and we’ll continue to see the very expensive complications

@newsoncool Hello @niexecutive, will health care staff get the 3.3% in April as recommended by Pay review body? @niassembly

⁉️💰NEW: Proposals to increase MLA pay to £67,000 but with penalties if Stormont collapses again ⏬️Proposals: Current MLA salary: £53,000 Proposed new salary: £67,200 Increase: £14,200 per year Percentage increase: 26.8% Start date: 1 April 2026 🎤Chief Reporter @jamesgould23 will have more on this from Stormont today. In recognition of public frustration with ‘stop-start government’, the Board says significant financial sanctions would apply if an Executive is not formed following the next or subsequent elections or if, at any time, the offices of First Minister and deputy First Minister become vacant. “A reduction of 10% would be applied to MLA salaries after six weeks, and again at weeks 12 and 18, if a government has not been formed in line with the Northern Ireland Act 1998, which allows six months for its formation.” This comes from the Independent Remuneration Board, which is responsible for setting the salaries and pensions of Members of the Legislative Assembly (MLAs). The Board noted that salaries in the Scottish and Welsh Parliaments, as well as Westminster and Dublin, have increased more significantly. Between 2016 and 2025, MPs’ salaries rose by 25%, while Members of the Welsh Senedd, Scottish Parliament and Irish Dáil saw increases of 19%, 23% and 34% respectively. In the same period, MLA pay increased by just 8%. Once the consultation closes on 5 March 2026, the Chairperson and members of the Board will reflect on the responses received and present a final determination to the Assembly Commission for publication and implementation.

@DrNickDalmon I don't think ACCPs work in ED, usually ICU. I would also imagine most ACCPs would be nursing background, likely from outreach team.

@ConsUltaNT_ACP @2manypeople4me @Megsenmumdr @F18826973 @rheumipainmask @Janeajnet @DrNickDalmon @lengreview 1) The comment wasn't directed at you, 2) I can see why you prefer an anon account 3) england.nhs.uk/publication/fo…

@Mark_lav @2manypeople4me @Megsenmumdr @F18826973 @rheumipainmask @Janeajnet @DrNickDalmon @lengreview No, send me the link princess.

As someone that has trained first as a nurse and then a doctor i have serious concerns about the way non-doctors are undertaking part time training courses and then undertake roles that are traditionally doctor lead. This is in the context of the UK being an under doctored nation compared to similar European countries. We urgently need to address the use of non-doctors in doctor roles. We also need to discuss the cost of training these staff. Who have their course fees paid and are paid while working. Why can't this funding be allocated to what the public actually want. Doctors.

@2manypeople4me @ConsUltaNT_ACP @Megsenmumdr @F18826973 @rheumipainmask @Janeajnet @DrNickDalmon @lengreview I assume you have read the whole FoI then?

@ConsUltaNT_ACP @Megsenmumdr @F18826973 @rheumipainmask @Janeajnet @DrNickDalmon @lengreview It says it in the question asked that the Trust are responding to.

@Cray_tweets1 @DrJoFranklin @DevanSinha I just wanted to point out, because I can see where this is going, I wasn’t commenting on ACPs, substitution, or motives for entering other professions. I was referring to advanced nursing practice within the scope of the original ANP discussion.

@Mark_lav @DrJoFranklin @DevanSinha What makes little sense to me is why so many people seem to go into other healthcare professions wanting to work in effect as a doctor but not actually qualifying as one… and for people who do change their mind, graduate medicine exists precisely for that reason…

Staggering. 11X higher relative rate of safety incident for care involving ANP vs doctors from NHS Improvement data. No investigation, reflection or improvement plan in sight. Instead full throttle role out of substandard NHS substitute 'medical' care.

@DrJoFranklin @DevanSinha I think a lot of those traditional CNS roles have had to take up the title of ANP (not ACP) for pay banding, which means they probably have to do an Advanced Practice MSc as well as their original Specialist Practice course. I think that’s how things are moving in NI at least.

@Mark_lav @DevanSinha OK, so an ANP can be in ACP role, but non-nurse ACP cannot be ANP (obviously) Agree ANP & CNS roles extremely valuable & should be paid at least equivalent to ACP. Many CNS having to do ACP course/portfolio just in order to keep their jobs, but won't be paid as such. It's a mess

@DevanSinha @DrJoFranklin Sorry, I meant working in these areas while coming from different base professions. That was my fault for how I wrote it.

@Mark_lav @DrJoFranklin No ACP has a base profession of GP or ED (Emergency Medicine). Those are medical specialties ie doctors.

@DrJoFranklin @DevanSinha I’m not really sure if subset. The ACPs I’ve come across have been in areas of practice and often in roles that can include people from other base professions like GP or ED. In contrast, ANPs tend to be in areas that were historically nursing roles, such as CNS posts.

@Mark_lav @DevanSinha OK, fair point. ANPs are subset of ACPs now are they not?

@DrJoFranklin @DevanSinha The post and the original FOI data are about ANPs. I haven’t referred to ACPs, and neither does the OP, if he doesn’t mind me saying.

@Mark_lav @DevanSinha 2/ >10 years training in medicine, with multiple rigorous UG & PG exams certainly ought to be subject to non-inferiority studies at minimum. AFAIK there are none. Instead DHSC are going ahead with rollout of 39k ACP roles to avoid training more Drs. Replacement agenda has much

@DevanSinha @DrJoFranklin And all the research only shows non-inferiority? If so, that would be interesting. In any case, I’ll leave it there.

@Mark_lav @DrJoFranklin "non-inferiority" is not the same statistically or epistemologically as equal safety or quality. If superiority demonstrated however we shld shut down medschools, postgrad specialty training & royal college exams. No need to waste expense, time-youth & stress creating docs.

@DrJoFranklin @DevanSinha I’m sure there are people working on research regarding safety, or at least publishing in that topic area. But my feeling is that even if all of that work showed advanced practice to be safe and effective, it still wouldn’t be satisfactory for many who are anti–advanced practice

@Mark_lav @DevanSinha Should at least have lead to more in-depth work & development of robust safety work. Instead we have further rapid roll-out of Advanced Practice roles with no regulation & no real limit on local scope.

@JoelKeysNI @images_i_hate2 AI hallucinates things

@images_i_hate2 If AI is generated based on real data - what would cause an AI to add external testicles to an animal that has never been photographed with them?

Why’d that hippo release all that knights of Gweniveure

@TeamUnion_UK Is it possible that this is an incomplete snippet from a larger, more comprehensive list? Perhaps more cities/countries appear in a more comprehensive list? Which city are you from btw?

A bunch of talented people, us Brits 🇬🇧 Our capital has the most highly skilled workers on the planet. Sorry if your city didn't make the list 😁

@cannula_service @Anisocyte @LeanneHPatrick @sandradyer_05 @jacqui_lewis18 @999Daedalus007 @EmmaGoldman1917 @DrJ_Haddock @mancunianmedic @LittlePersonDoc @alisonleary1 @cathjw @DrLKVaughan @DrJoFranklin @Chonkubine @medicalmodelbri @Mary_Tom11 @KirstyChallen @parthaskar @Burnt2020 @2manypeople4me @cmwilliams99 @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I only wanted to point out that it's incorrect to say that nurses are untrained in pathophysiology. The pathophysiology depth and extent is taught to meet the standards of practice of which the NMC set out.

@Mark_lav @Anisocyte @LeanneHPatrick @sandradyer_05 @jacqui_lewis18 @999Daedalus007 @EmmaGoldman1917 @DrJ_Haddock @mancunianmedic @LittlePersonDoc @alisonleary1 @cathjw @DrLKVaughan @DrJoFranklin @Chonkubine @medicalmodelbri @Mary_Tom11 @KirstyChallen @parthaskar @Burnt2020 @2manypeople4me @cmwilliams99 @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK The extent is exactly what matters tho & that's what makes the difference. That's the fundamental building block. If it's not there, you can't advance your practice to get to an equivalent level, the knowledge isn't there. The building falls down.

Doctors have to stop running down other professions and trades in order to make their point. It’s killing good will. They deserve more money, better training routes, so much better condition. End of. The comparisons have to stop @TheBMA @BMAResidents @fletchjack

@cathjw @Anisocyte @LeanneHPatrick @sandradyer_05 @jacqui_lewis18 @999Daedalus007 @EmmaGoldman1917 @DrJ_Haddock @mancunianmedic @LittlePersonDoc @alisonleary1 @DrLKVaughan @DrJoFranklin @Chonkubine @medicalmodelbri @Mary_Tom11 @KirstyChallen @parthaskar @Burnt2020 @2manypeople4me @cannula_service @cmwilliams99 @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK Unfortunately, it has been a long time since I've had University logins to access past exam papers. So I can't unfortunately provide any examples.

@Mark_lav @Anisocyte @LeanneHPatrick @sandradyer_05 @jacqui_lewis18 @999Daedalus007 @EmmaGoldman1917 @DrJ_Haddock @mancunianmedic @LittlePersonDoc @alisonleary1 @DrLKVaughan @DrJoFranklin @Chonkubine @medicalmodelbri @Mary_Tom11 @KirstyChallen @parthaskar @Burnt2020 @2manypeople4me @cannula_service @cmwilliams99 @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK Mark, would you be able to share some samples of those nursing pathophys papers so that there’s clarity on what we are talking about?