Andrew Rideout
1.5K posts

Andrew Rideout
@anstride
Public Health Consultant & nurse. ProfD. Usual disclaimers apply....
Dumfries, Scotland Katılım Haziran 2012
2.5K Takip Edilen477 Takipçiler

“As a mother and as a woman I can say unequivocally that I support single-sex spaces, and they are a critical part of how we protect women.” Bravo @_KateForbes. Another @theSNP woman standing against Sturgeon’s Self ID legacy. heraldscotland.com/news/24950391.…
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NEW PAPER: Nursing is NOT a set of tasks.
Our theoretical proposition elucidates the complexity of daily work.
Understanding the complexity and interconnectednes of nursing care (and expertise needed) reveals the risks of staffing by task allocation sciencedirect.com/science/articl…
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@jrmcmanaway What's your concern with this comment? (Genuine question!)
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Andrew Rideout retweetledi
Andrew Rideout retweetledi

@DrEilidhMaria Within the Health Protection/ Public Health context that is what I aim to do most of the time.
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Andrew Rideout retweetledi

@sugarplumNat Patients, families, and staff all suffer - patients most, but the effect on families and staff is not inconsiderable.
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@sugarplumNat It's unlikely to be 'purely a management issue' - at heart it's a political issue - managers and clinicians are both doing the best they can with the limited resources they have.
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@LisaTrainer15 @TradSkowronski You don't have to kill someone to achieve the first two.
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@TradSkowronski Would you put someone out of their intolerable pain? Would you spare them a tortured, terrifying death? Or would you let them suffer a nightmarish end?
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I'll never forget this lecture at medical school, before we called it Assisted Dying.
"Raise your hand if you support a change in the law to allow Physician Assisted Suicide and Euthanasia for suffering patients?"
About half the students raised their hands.
"Ok," said Prof, "and of those with hands up, keep them up if you would prescribe your patients the drugs which would kill them."
Some hands faltered. Some fell.
"Ok, now keep your hands up if you feel you could inject a patient with lethal doses of medications which would stop their breathing and stop their heart. And you would have to watch the effect of your actions and sign their death certificate."
A lot of hands fell.
It's easy to talk about euphemisms like "Assisted Dying". It's better to talk about the reality of a doctor legally killing their patient. That is what is being asked.
Could you squeeze the trigger?

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Some time in 2025 after the Assisted Dying vote:
Mabel is too frail to return home from hospital, but has no acute medical problem after her UTI was treated for 3 days. She has been sitting in a hospital bed for 5 weeks waiting for a care home placement. She feels awful about taking up a bed.
The hospital is under immense and all too familiar pressures, just like in 2024. Patients line corridors. Ambulances queue for hours to offload patients to A&E. Every bed is precious.
But there are so many Mabels.
After the third discharge plan for Mabel has failed, a manager asks the ward doctor: "How frail is Mabel? Is she in the last 6 months of life?"
"Possibly..."
"Has anyone spoken to her about all her options?"
"What do you mean?"
"Well, has anyone asked if she is suffering unbearably? It's important she knows all the options open to her. It's important she has real choice."
That's how this will go. Little conversations like this. Throughout the NHS. For every Mabel.

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all I did was turn up. People far cleverer than I did the hard work. Far smarter than me made it happen.
I tell you so that you know the NHS is alive and well myemail.constantcontact.com/Thank-you.html…
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Andrew Rideout retweetledi

The NHS may be broken, according to @UKLabour @wesstreeting, but here’s how to fix it.
Prevention, Prevention, Prevention, Prevention….
1. Prevent poverty. It’s the single biggest determinant of ill health, and health and social care demand, both now and in the future. Blair and Brown made good progress in reducing it. So it can be done.
2. Prevent illness, with a relentless focus on living well, self-care, mental health support and tackling the commercial determinants of illness. Dental disease is the commonest cause of childhood operations, and yet it’s almost 100% preventable.
3. Prevent existing risks and diseases getting worse, with evidence-based screening and a substantial shift in resources to primary, community and social care
4. Preventing waste and medical harm, by ensuring patients receive the right care, in the right place, from the right people at the right time. This is the toughest nut to crack, as it requires adequate numbers of well trained and well rested staff working in safe, clean environments with the right equipment. We currently spent three times as much litigating harms from maternity care than we do on maternity care. This is a permanent disaster and would be a very good place to start. Instead of repeating our mistakes, we need to learn from them.
For more detail see @PrivateEyeNews and come to the shows @edfringe @theSpaceUK Aug 2-17
tickets.edfringe.com/whats-on/phil-…
tickets.edfringe.com/whats-on/phil-…
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Here’s the absolute highlight: an astonishing 60 seconds from @ESOldfield. It is THE mini-sermon our culture needs.
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