BarraMacGiollaAoláin

Thank god I’m leaving this madness.

Man who confronted Al Jazeera journalists was Met Police special constable bbc.in/3PAmVo3

Spoke with Palestinian PM Mustafa and expressed Ireland’s enduring solidarity with the Palestinian people. We agreed on the urgent need to address the humanitarian crisis in Gaza and rising settler violence in the West Bank. Only a two-state solution can bring lasting peace.

In reality, the headline should read: “Israel tortured and starved Palestinian child, Walid Ahmad, whom it held hostage under administrative detention, without charge, in its prison.”

There will be no consequences for this.

Will you be discussing this @ShelaghFogarty ?

Palestinian teenager was starved in prison before death, judge rules trib.al/N4tslMV

I will be letting patients know that @wesstreeting is blocking your referral.

The level of ignorance is staggering.

I did not expect to find myself nodding along to Tzipi Livni, Israel's former, and hawkish, Foreign Minister. Yet here we are. She is right on this: A State that treats the rule of law as optional, and human rights as conditional on race or nationality, irreparably corrodes itself. The decades-long project of violently subjugating Palestinians has not only harmed its victims. It has consumed Israel, from within.

Journalist and war correspondent Janine di Giovanni: ​"If a missile hits a hospital in Ukraine, Europe calls it a war crime." ​"But if multiple missiles hit Gaza and 100 people die, it becomes Israel's right to defend itself."

Important to let patients know that @wesstreeting is preventing referrals and that’s why they will not see a specialist

The Government is mandating GP referrals have to go to a Single Point of Access (SPoA) - with a stated aim of 1 in 4 being bounced back to the GP to manage. It is now confirmed in writing that those patients will not be on official waiting lists. 1/2

I’ve been doing this GP malarkey for nearly 20y now. It struck me today that the only way I can carry on practising the way I used to is if I do it at my own personal expense. It never used to be like this - there was enough time in the day for bereavement visits, wellbeing checks, proactive care, time with colleagues to discuss patients & build relationships. General practice today is decision making at the same speed as a shoot-em-up game. Today was just me for 55 same day requests for appointments, clinical supervision of three members of staff, medical student education, paramedic education and all routine needs for a population of 1250 patients. We’re fortunate to have personal lists - though the new contract doesn’t value the continuity at all - and that matters to me deeply. Leaving work at 7, I decided to pop in to a patient of mine that I’ve known for 14y. In their 80s, they’ve just had joint replacement surgery and are having a bit of a wobble. We had a chat, they felt better, we have a plan & I’ll check in next week. This is the kind of GP I want to be. My day would have been less frantic, I’d have eaten/urinated at a sensible time, and I’d would have been less snappy with the children whom I saw briefly before bed if there hadn’t been so much nonsense crowding my day: 25 mins on hold trying to get through to a specialist (and failing), an insurance company slyly demanding a conversation with me about a non-urgent issue because it saves them money, dealing with consequences of private tests not requested by me but with the inevitable ‘see your GP’ as disposition, missing discharge medication, delayed follow-up, inappropriate ‘GP to’ as the heart failure team have a waiting list - and much more. Commissioning gaps, poor clinical pathway planning, govt targets on access over quality, media perpetuation of entitlement over responsibility and disproportionate investment & expansion of specialists over general practice have caused this. This is not ‘part time’ GP working - as a partner that’s never a thing. This is expectations from everywhere without resourcing to match. We want to deliver the things we did 20y ago - that’s why we went into this. If you want your family doctor back then you need to support us - because we want to be that too. I’m a GP, but also a Mum, wife and daughter of aged parents. I can’t do this at my own expense any more, and nor should I have to. Arguments of laziness and greed always abound, but really what we need is a properly resourced service. Please stand with us - a fight is coming.

Liz Truss’ chancellor!!

In today's debate on endometriosis, I again tried to get answers on the new mandatory Advice & Guidance and its interaction with Jess's rule: reflect, review, rethink "Rethink: If appropriate, refer onwards for further tests or for specialist input." england.nhs.uk/long-read/jess… 1/2

@drlukeevans And will the A+G be responded to by consultants only? I have examples where nurses are responding.

In essence, the GP thinks the patient should be seen by a specialist, but through gated A&G, the specialist just gives advice - then what? There are no clear answers on what the effective single point of access system will do in these cases and what happens to patients... 2/2

BREAKING: MBS IS PUSHING TRUMP TO STRIKE IRANS ENERGY INFRASTRUCTURE: Saudi Crown Prince Mohammed bin Salman is urging Trump to continue the war against Iran, calling it a “historic opportunity” to reshape the Middle East and potentially weaken or remove Iran’s government. He thinks Iran is a "long-term threat that must be decisively dealt with." - NYT

BREAKING: Israeli strike kills medic in attack on ambulance in southern Lebanon 🔴 LIVE updates: aje.news/e3f29t?update=…

Ulster teams at it again…