Dave Raw
1.9K posts

Dave Raw
@davetheraw
Consultant Anaesthetist, QI enthusiast, part-time cricket coach. All my views are mine alone and do not represent the views of my employing organisations.
Katılım Aralık 2011
502 Takip Edilen288 Takipçiler

Could there be a better metaphor, than the health sec staring at a micro pipette whilst talking about making sure we’ve got everything we need?
Department of Health and Social Care@DHSCgovuk
✅ Supporting frontline NHS staff @ImperialNHS ✅ Embracing tech and innovation @RelationRx Hear from @JamesMurray_Ldn on on his first visits as Health and Social Care Secretary 👇
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HS2. A masterclass in how Britain destroys money.
The cost:
• 2011: £32.7bn
• 2013: £45bn
• 2015: £55.7bn
• 2019: up to £88bn
• 2020: up to £106bn
• 2026: up to £102.7bn… for a fraction of the original route
What’s been cut along the way:
• 2021: Eastern leg to Leeds: SCRAPPED
• 2022: Golborne link to Scotland: SCRAPPED
• 2023: Birmingham → Manchester leg: SCRAPPED
• 2023: Crewe hub: SCRAPPED
• Euston terminus: paused, downsized from 10 platforms to 6, now needs private finance
Original plan: 11 cities, 340 miles, £32bn, open 2026.
What we’re getting: 4 stations, 140 miles, £100bn+, open 2039.
A national embarrassment, paid for by taxpayers.

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@dieworkwear I’m pretty happy with this one. Big enough to fit a laptop too timeresistance.co.uk/collections/du…
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@ShaunLintern Another bureaucrat who knows nothing about healthcare. Brilliant
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This is nonsense. The tiny down tick in the national Wait List is explained by the removal of patients from the wait list (and not by offering them treatment), for which NHSE is rewarding Trusts. It’s shifting deckchairs on the sinking ship.
Karl Turner MP@KarlTurnerMP
The NHS results published today speak to the hard graft that you’ve done to motivate Ministers, officials and our brilliant NHS staff. You should be hugely proud of your record in government. Thanks for your service to our country, Wes.
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Liverpool release images of planned Jota memorial bbc.co.uk/sport/football…
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@DrHuw @Anaes_Journal I’m a bit concerned this “sustainable anaesthesia” lark is sounding more and more like a cult. The impact of anaesthetic agents on the environment are negligible.
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@Anaes_Journal Surely the choice of anaesthesia should be made in the best interests of the patient, rather than as a priority for “reduced resource consumption”?
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Here are some practical, system-level and research-focused actions to advance sustainable anaesthesia!
#anaesthesia #climate #MedTwitter
doi.org/10.1111/anae.7…

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@Slotoholic The ball actually changes direction when in close proximity to Sesko’s hand. Definitely a handball
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Dave Raw retweetledi

What if the biggest “win” for families in the last 50 years was actually a trap?
Rory Sutherland dropped this on Alex O’Connor’s podcast: The two-income household started as a nice option. Both partners work, more money comes in. Feels great at first.
Then reality shifted. Governments got double the tax. Existing homeowners watched their property values soar. House prices rose to match two salaries.
Suddenly one income wasn’t enough anymore — even for high-earning singles like consultant surgeons. Families traded ~35 hours of free time per week for only modest gains in lifestyle.
What began as freedom quietly became an obligation. And it left single people and parents who want to raise their own kids at a real disadvantage.
This one stings because we sold it as pure progress.
Personally, it makes me question how many modern “upgrades” we’ve normalized without counting the real cost — especially lost time with family.
What’s something you once thought was clear progress that now feels like it came with a heavier price than we admitted?
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@Viktor03000 In the military they are actually usually trained using Flemish
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@Gentleman_Ways Judging by the odours emanating from some people you walk past in supermarkets, it’d say they were not showering or bathing for days. Disgusting.🤢
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This may seem arcane, but it’s a deeply concerning & spectacularly cynical move from this government to sideline NICE - the National Institute for Health and Care Excellence - whose role is vitally important in protecting NHS patients from the lobbying clout of the Pharma industry lobby.
Until now - and since 1999 - NICE has made independent, evidence-based decisions about which medicines constitute value for money for the NHS to buy. Largely free from political manipulation, it’s renewed internationally as a model of how to protect patients against excessive drug company prices. It enables the NHS to strike hard bargains with Big Pharma.
But @wesstreeting has just used a statutory instrument in parliament (that no-one has voted on) to award himself power to dictate what the NHS pays for drugs, overriding NICE’s vital role in insulating the NHS from pharmaceutical price gouging.
Why would he do something so self-evidently bad for patients? Because, it seems, this is a price the government is willing to pay to do a deal with Trump on US-UK drug pricing.
What an outrageous power grab for a man who claims to care about patients. Already hospitals up and down the country are cutting staff and closing services under pressure to make cost savings. But every pound spent on, essentially, increasing profits for US Pharma is money that *doesn’t* get spent on nurses, doctors and treatments we know are good value for money.
As the editor of the BMJ, @KamranAbbasi, wrote this week, this: "will end up harming vulnerable people to boost the profits of already obscenely profitable drug companies."
Starmer has shamelessly caved in to the White House. Even the former Tory Health Secretary, Andrew Lansley, now a Lord, has joined forces with Labour and Lib Dem MPs opposing Streeting’s power grab.
Truly an appalling move from a government that claims they’re rebuilding the NHS while, in this case, blatantly undermining our abilities to provide cost-effective care.

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