Jack Bramhall

In the midst of all the planning for #COVID_19 in the uk. A big thank you to all the admin teams in the #NHS putting in the extra work with rescheduling appointments and answering patient queries. Often forgotten but vital. #coronaUK #coronavirus

Emi Buendia ❤️

@danbardell We have never won games like that in my lifetime

Unai Emery does things that no other #AVFC manager has ever done in my lifetime. Villa don’t win those kind of games like that. He is the messiah.

@ShaunLintern @mndassoc So sorry to read this Shaun.

💔 #MND Pls support the @mndassoc

@Burnt2020 @sib313 @ShaunLintern @wesstreeting I would really hope so, i am no longer in the NHS but for the first rounds we certainly popped out and sorted out tea, coffee etc. Equally i am sure there will be plenty very busy on the day trying to help out

@bramhall_jack @sib313 @ShaunLintern @wesstreeting Will those managers come and support the residents on the picket line? Bring some tea and biscuits and stand with them and acknowledge they’ve been treated like crap for years?

At NHS Providers just now @wesstreeting delivered tough attack on the BMA and resident doctor leaders ahead of the 5-day strike starting this week. He said the BMA is "increasingly behaving in cartel-like behavior" and puts NHS at risk. Received a spontaneous applause from crowd.

@sib313 @Burnt2020 @ShaunLintern @wesstreeting Probably also fair to state that the audience at these kind of events are not at all representative of your general operational manager population

@Burnt2020 @ShaunLintern @wesstreeting I could say the same for some doctors. But it would not be true in general of either group.

@ShaunLintern @wesstreeting Mr Streeting seems to be doing a great job of galvanising Resident Doctors with inflammatory language like this

@DrEilidhMaria Some nice small leather goods. A good knife. Coffee beans. Fragrance. Ember heated mug. Ski stuff?

@ShaunLintern I fear this will become more frequent as more trusts are updating IT systems (which they need) yet we have stripped out all the delivery/operational roles needed to manage switches on this scale.

"The Trust has implemented a new Electronic Patient Record (EPR) at the weekend and issues with the technical roll out of the product has added to the ability to manage the current levels of pressure."

@ruthlt82 @isitsleepytime I believe in you Dr Pick. 🌹 were unbelievable- dominant performance

@isitsleepytime I was at the England game in Brighton, she was INCREDIBLE

@RoyLilley @nhse What a lovely way to treat your staff

I’m hearing @NHSE has pulled the plug on reorganisation as it can’t fund the redundancies . Ouch!

@sib313 Yep fair- been on the sharp end of a few of those “reshuffles” and “restructures”

@bramhall_jack Yes. But, however you count them, there are very few NHS managers and the good local operational managers are the first against the wall when the top leadership wants to see cuts.

There is a conflict in the NHS between naive attempts to cut costs by firing admins and managers and actual productivity. The result doctors have less time with patients: bmj.com/content/390/bm…

@sib313 Do you think there is a bit of an issue between everything and every role coming under the umbrella of “management” a lot of the angst I see on here is legitimate but should be directed to the most senior levels or national leaders not your general service manager types

It is a common populist view that all those managers just get in the way of doctors' work. The opposite is true in reality.

@screenrotpod the boys have made it

@ShaunLintern Almost as if implementing ideas based on old tropes without a plan isn’t a good one….

Sir Keir Starmer’s plan to overhaul the NHS has been thrown into chaos after no money has been set aside to cover the costs of making thousands of redundancies at ICBs thetimes.com/article/14b7f9…

@DrEilidhMaria Looks amazing

Time for the NHS to seriously re think how it uses management consultants blogs.york.ac.uk/healthcare-man…

@isitsleepytime Regardless of one’s views on PAs etc- the handling of this situation by their leadership has been really really poor, certainly not helping any potential relations

@AliJaneMoore A slight aside but external contract management is done really poorly in the NHS, no surprise things like this go overlooked. This story is just awful

Trusts should want to know about a range of offences committed by contractors who have access to their premises - from fraud to arson to assault. They need to know that the companies employing them have carried out these checks and acted accordingly. 3/3

Having now skim read the 360 pages of the latest David Fuller report I am surprised there is not more about working with contractors, including those from PFI firms. Nor is there an explicit recommendation on DBS checks. Both were important elements in the Fuller case 1/3

@HMAnderson39 Not much you can do, have to keep things safe and assume. Big trusts where you may be able to stand up a few lists safely i have seen cross speciality/consultant discussion with MD, decision on what goes ahead/has clinical priority.

Last week Times reported on NHS England assessment of last year's strikes, including cancelled cancer ops and heart surgery. Interested to hear from resident docs and NHS managers about this - can it be avoided in future strike action? thetimes.com/uk/healthcare/…

@isitsleepytime @JeremyVineOn5 @thecarolemalone That was unpleasant viewing, Dr Nieuwoudt handled that well considering he was constantly talked over....