Kehinde Junaid🇬🇧🇳🇬 Proud of the NHS🌈

@Telegraph @wesstreeting Additionally resident Drs are typically in the top of their school year with incredibly high STEM A level scores, they spend 5-6 years studying and finish with £100k debts. I took 19 years to get a consultant post, no one else trains for that long in the NHS - it’s a tough job!

Every hospital should have a delirium champion. We have stroke and sepsis champions - why not #delirium? #PatientSafety

Medical student experience of an encounter with a patient with delirium - "Mrs. P was 83. She was in a bay of 4 patients on a medical ward. Two of them were noisy - one was calling out repeatedly, another had a loud TV. Mrs. P was quiet. Eyes open, staring at the ceiling. Looked unhappy and puzzled. Not eating the lunch tray in front of her. Not pressing her call bell. Not moving much. In a busy ward, quiet patients are 'settled' patients. Nobody seemed worried about Mrs. P. I was taking histories as part of my clinical attachment. I sat down next to her and said hello and introduced myself. She looked at me briefly but didn't answer. She looked away. I asked her name. She did not answer. I asked her again and she gave her name. I asked where she was. She looked surprised by the question then said, 'at home'. She had no idea she was in hospital. I mentioned this to the ward doctor. He came and assessed her. She was profoundly inattentive, disoriented in time and place, and had been like this for at least two days based on the nursing observations - which had documented 'settled' and 'comfortable' because she wasn't causing any problems, though two entries also mentioned 'confused' ? baseline - though no additional mental status assessments had been done. She had pneumonia and constipation that were already being treated, but nobody had formally recognised that her quietness was delirium. Hypoactive delirium. The subtype where patients don't shout, don't climb out of bed, don't pull out their lines. They just... go quiet. And going quiet, in a hospital, can make you less visible. Hypoactive delirium is more common than the hyperactive form, and it carries a worse prognosis. Patients with hypoactive delirium have higher mortality rates, and longer hospital stays. Yet it's detected even less often, because it doesn't trigger alarms. It doesn't create workload. It doesn't disrupt the ward. The noisiest patients get the most attention but the quietest patients may be sicker. Since that day, I make a point of doing a delirium assessment on the quiet ones."

1 week to go until the Faculty of Old Age Psychiatry @rcpsychOldAge Annual Conference. Book your place and hear from @cathmummery @Gill_Livingston @IvanKoychev @DrJosieJ @ProfRobHoward and many more! View the programme & book bit.ly/OAPsych2026 #OAPsych2026

Eating disorders are becoming more common which is why we’re concerned that children and young people’s services in England are facing planned cuts of £2.1 million by 16 ICBs this year. Read more ⬇️ rcpsych.ac.uk/news-and-featu…

NEW: I FOIed HMRC again regarding McCloud rectification, here are some insights into the data they sent me yesterday 18/02/26 in their 8th extract (table below) - Only 23,380 submissions across whole of public sector, lots more RPSS sent out, fewer than 1 in 7 NHS issued statements have been processed! - NHS submissions are the vast majority at 16,180 (67.7%) no surprise there doctors are the biggest group *by far* paying annual allowances charges but that's a tiny fraction of all the RPSS sent out in the NHS, so lots of people *are* ignoring these ?!?! - DONT IGNORE these - most people getting refunds/compensation with avg over £14k - if you don't apply you aint getting that cash back - 55% user submitted, 45% using an agent - remember via the NHS cost claimback its fully compensable to use an expert accountant - its complex & time consuming with lots of pitfalls - you don't need to do this yourself! That message is starting to sink in which a greater proportion now using an agent - It's complex! The  risk of errors and risk of not claiming the the right amounts are significant, so I and others would strongly advise using a specialist medical accountant (i.e. AISMA) - that's what they are professionally accountable to do! All our claims are reviewed by TWO accountants - HMRC have clearly been working overtime since last FOI with outstanding processing down 90% so HMRC processing should now be measurable in days/weeks, not months! Remember - you will qualify for FREE expert accountancy advice if you ✅Paid AA in 15/16-21/22 (cash or scheme pays) ✅Pension growth ↑ in any yr 15/16-21/22 post-roll* ✅Pension growth ↑ £40k in 22/23 * difficult to determine as NHS pensions decided to no longer include old growth - NOT HELPFUL “Triage on a page” to see if can reclaim cost of accountants👉 [bit.ly/TGMcCloudTriage] Help video 👉📹 youtube.com/live/UXTKe-9Xa…] Sign up 👉 bit.ly/MazarsGoldstone Please feel free to share with those struggling (or burying their head in the sand hoping it will fix itself!) not on X / DNUK / social / whatsapp etc

Don’t miss the chance to hear Baroness Clare Gerada and Professor Robin Dunbar share their insights at the Men’s Mental Health Conference. Register today: bit.ly/3NrQNSx

The NHS is inviting up to 50,000 eligible adults to take part in a major new mental health research study. This will help us make new discoveries about the links between genes, background, biology and mental health. Read more ➡️ england.nhs.uk/2026/02/thousa…

🧵What are the differences between Ketamine and Memantine - 🚨1/7 Both are NMDA antagonists - But with different clinical effects. Here’s why 👇

Great 2see #digital transformation of mh services discussed as part of @rcpsych #workforce event last week &how it enables ⬇️#healthinequalities @OwenBowdenJones @adave_NHS @drjulespsych @wendyburn @0gbeni @Maitra_R @DeruKehinde @HylandDeclan @AgnesAyton @Asifmbachlani @raj_psyc

Last chance to submit your poster for the Faculty of Academic Psychiatry Conference will take place on Wednesday 25 March at Keele Hall, Keele University. Submit via this link, deadline is tomorrow at 1pm forms.office.com/Pages/Response… #acadconf26

If in trying to prevent young suicide we start not with a social media ban but earlier, with the multiple factors that lead to tragedy, we would target child abuse, isolation, bullying, exam pressure, autism, being in care, self-harm &, also, online risk. cambridge.org/core/journals/…

Reminder that January is a high risk time for suicide. People facing the year ahead, family rows over Xmas, alcohol. Look after family & friends. Ask for help. Suicide is preventable.

Several weeks to go until the RCPsych Medical Education Conference 2026! Join colleagues working in medical education, to hear the latest innovations in delivering teaching to resident doctors and undergraduates. Register your place here: bit.ly/MedEd26 #PsychMedEd

As 2025 draws to a close, join us in reflecting on some of the incredible breakthroughs from the Faculty this year! 🧠 In November, a new brain atlas offering unprecedented detail in MRI scans was developed by @UCLIoN researchers. ucl.ac.uk/news/2025/nov/…

A valuable flute went missing yesterday from the owner's bike on the way to a lunchtime session in Cassidy's in Camden St. It has huge sentimental value and a reward has been offered. If anyone sees it, please send a DM. RTs appreciated.

Will AI do more harm than good to the nation's mental health? Academics debated the ethics of allowing the use of AI in health care systems at the 63rd Maudsley Debate. kcl.ac.uk/news/science-t…

Restricting access to suicide methods is one of the best evidenced approaches to prevention. Barriers on bridges, limits on paracetamol & in developing countries, a ban on pesticides. New review by my Manchester colleagues & friends. 1st author @SarahESteeg

Just over a month to go until poster submissions for the Faculty of Old Age Psychiatry @rcpsychOldAge Annual Conference 2026 close. Submit your poster by 26 Jan 2026. Submit your poster here: bit.ly/OA2026poster Find event details: bit.ly/OAPsych2026 #OAPsych2026