Maximillian Fandango

@David_Cameron The opinions of prominent people do not form part of the evidence base which the NSC considers. There are good reasons for this.

@David_Cameron David, science and mathematics exist for a reason. This isn’t a decision to be based on rhetoric or emotion. Yours, a urological surgeon.

@lionking2014 @sib313 @David_Cameron Bet he understands 52:48 though. (This is a n ironic post about the brexit vote)

@sib313 @David_Cameron he probably does not understand statistics.

I am disappointed by today’s recommendation on prostate cancer screening from the National Committee. Targeted screening is a natural first step - but the recommendation today is far too targeted, not including black men or men with a family history, both high-risk groups. Prostate cancer is the most common cancer among British men. We are letting down too many men if we don’t push for a wider screening programme that includes all high-risk groups - and not just the men involved, but their families too, who risk losing a loved one unnecessarily. As I know all too well, prostate cancer can be symptomless early on. That’s why screening is so essential - catching the cancers early when they can be more effectively and successfully treated, like in my own case. I urge @wesstreeting and the government to be brave and bold on this crucial issue. Make the first step more significant than what’s being recommended. Put in place a proper, targeted screening programme that involves all those at higher-risk. Without it, more men will die, more families will lose a loved one. This is avoidable and can be done.

Dear @David_Cameron I know you mean well, but unfortunately screening for early disease may sound logical and sensible but can also be ineffective and harmful. Recommending a bad test leads to false reassurance, and harms through unnecessary or ineffective treatment that only /

BREAKING: The former leader of Reform UK in Wales, Nathan Gill, has pleaded guilty at the Old Bailey to eight bribery charges while an elected member of the European Parliament. The charges relate to making favourable statements about Russia in exchange for money during his time as a member of the European Parliament. Read the latest updates here: itv.com/news/wales/202…

Things to remember and to watch for in Washington today. 1. It is assessed by many Military leaders in Nato , UK & US that for Putin to take by force the 4 Oblasts will take a further 2 million Russian Casualties & 4.4 years. Without Trump , Putin doesn’t hold all the cards 1/9

People churn out more and more of this stuff without it seems any restriction. Meanwhile no one wants to pay for the time spent doing it. The 2.5 SPA in the contract came in *before* appraisal and when mandatory training was a fire lecture and CPR once every three years! Not much causes me more misery than the second image.

@PutUKFirst1 @Jenny_1884 BS

@Jenny_1884 They get a percentage for every "medication" they prescribe from "big pharma". At one stage, they had me on 23 tablets a day; I have reduced that to one-half of one tablet a day, and I am so much better and healthier.

Who else agrees that GPs shouldn’t be given monetary incentives for prescribing certain medications?

Doctors DON’T have a final salary pension Doctors DON’T get their exams paid for Doctors DON’T get overtime Doctors DON’T get their equipment paid for Doctors DO pay for their own training Doctors DO pay for their own stationary Doctors DO earn less now than 2008 in real terms

@BanjoBlood16 @DrLKVaughan ISQ

@DrLKVaughan One of my bugbears with electronic records are the "copy and paste" ward round entries in which identical words appear daily. It is important that we do not do this and instead continue to be curious with patients and ask them and listen to them, not copy with blind faith

I absolutely get the frustration many pts feel about having to repeat their 'story'. What initiatives like this ignore is that The Story is THE cornerstone of any clinical encounter. Before I see any pt I have formed a preliminary opinion based on the EPR 1/

@19MW98 @NEndoscopy @ollieburtonmed @UKGastroDr @timricketts_ Reality is % of funding going to GPs has fallen from 11 to 5, whilst still providing 80-90% of healthcare. Productivity has dropped in hospitals & increased in general practice. Number of consultants up by 48% & GPs down 5.5%. Anyway you look at it hosps are the problem.

Q: Your intel says there’s no evidence that Iran is building a nuclear weapon. Trump: Well, then my intel is wrong. Who said that? Q: Your Director of National Intelligence, Tulsi Gabbard. Trump: She’s wrong. 1/

@anon_opin music.apple.com/gb/album/let-m…

Any song which features the artist reciting his or her name is always rubbish.

What do we think?🤔 Hmm…. A Daily Mail headline so clearly designed to make you furious. Being shared by salivating Tory MPs who love a good rage farming story! So, what’s going on here? Let’s take a look!👀 🧵 1/13

@Parody_RCGP DRE is in guidance , especially in symptomatic pts with normal PSA Why have @BAUSurology not updated guidance before going to Times? 🙄 @rcgp you need to counter this public GP bashing by @BAUSurology for following their own guidelines 🙄

The British Association of Urologists call out GPs for using outdated assessments for prostate. Checks notes....we are following their guidance which they admit to not having updated since 2016. Taylor said it best....

@bet365help Yes

@Yelofnitram Hi, we have sent you a DM regarding your query.

@bet365help my account has been suspended, but I don’t know why. Can you help?

@bet365 help me. Why is my account suspended?

GP practices £/patient/year Risen from £152.81 to £169.75 This includes all costs, staff, patient appts, buildings etc If this had kept with inflation this should be £207 A real terms cut of £37 (£2.3bn) Can’t see a GP blame the Govt & @NHSEngland @wesstreeting more needed