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JP Lomas
8.3K posts
JP Lomas
@jplomas
NHS Anaesthesia/ICM Consultant ~ Open source developer ~ https://t.co/VV6DLPqWAA chairman ~ https://t.co/UeVkwkcGxk curate ~ https://t.co/YqAcKIhEjN ~ GMC 6103186
United Kingdom Katılım Mayıs 2009
580 Takip Edilen2.2K Takipçiler
Think how good the NHS could have been with the GE majority and a SoS laser-focused on the job rather than sharpening knives.
Gaming the stats and eyes elsewhere: no wonder we've Brownian-motioned our way to even worse since Labour came to power.
Wes Streeting@wesstreeting
Under Labour, NHS waiting lists are falling, ambulances are arriving faster, there are more GPs, and higher patient satisfaction. Lots done, lots to do. The Health Bill will boost the impact of our investment and modernisation: cutting bureaucracy to invest in patient care.
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@mrjamesob I’m tweeting to wish you’d stop bleating about the fleeting Streeting meeting
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@PetersPOCUS @Anaes_Journal Turns out that it is. Welcome to the era of Opinion-based Medicine.
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@jplomas @Anaes_Journal I couldn’t agree more! It’s a legitimate question - “what are the benefits of sterile gowns in spinal anesthesia?” But opinion is not the evidence required to change practice guidelines.
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The majority of our X responders agree with Whaite et al in “Sterile gowns for spinal anaesthesia – environmental cost without clinical gain?”
Low incidence of infection & large volume of waste - is it time for new national guidance and more research?
…-publications.onlinelibrary.wiley.com/doi/full/10.11…
𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢@Anaes_Journal
Should we STOP using sterile gowns for single-shot spinals? Why? 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…
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Rotameters today…
FRCA daily #1523
✅✅✅✅✅
I scored 100% today
frcadaily.co.uk
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@LarcombePeter @sib313 @d_magpie @wesstreeting I’d argue that falls into Staff & Systems
But while you’re at it, let’s add punitive tax regimes and brain-drain meaning you get less work out of more staff (eg look at drop off consultants working >10 PAs)
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@jplomas @sib313 @d_magpie @wesstreeting And then all the treatments we provide which didn't previously exist. At the behest of government we now have an entire on-call tier providing stroke thrombectomy. So maybe that's why the headcount is up
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We’re investing more in the NHS and delivering differently.
I'm investing £237 million in 36 new and improved Community Diagnostic Centres.
This means shorter waits for tests and scans closer to home, more convenient services, and more footfall to our high streets.
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@sib313 @d_magpie @wesstreeting Resources:
Staff (headcount alone is a terrible metric)
Space (capacity, flow & infection control)
Stuff (supply chain & procurement)
Systems (interplay of above, macro/microsystems & pathways)
The NHS remains a woefully undermanaged, under-resourced political punchbag.
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@d_magpie @wesstreeting What about more doctors? The extra 20% or more added since 2020 hasn't increased NHS activity. Maybe doctors are not the bottleneck.
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@DHSCgovuk Attention @NickFerrariLBC — a “task force” detected.
The classically deployed political decoy from an uncomfortable truth.
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Corridor care is unacceptable and undignified.
To end it, we’re sending specialist teams to the hardest‑hit NHS trusts and rolling out new urgent care services.
This includes new and improved urgent treatment centres and same day emergency centres.
Read more:
gov.uk/government/new…
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@DHSCgovuk @wesstreeting @BBCNews Do the committee get to speak to the whole of Cabinet?
Of course not.
You “speak” via the package you and negotiating team put together.
Quit the peacocking for the cameras and get an honest deal done.
#AsBadAsTheLastLot
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Resident doctors have already had a 28.9% pay rise. We're offering 4.9% more on average for this year.
“I want to talk to the whole committee. Because these are the people who rejected the deal on the table.”
🎥 @WesStreeting on @BBCNews
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@ShaunLintern More shameful peacocking: Streeting gets to dictate with whom he negotiates no more than BMA can insist on negotiating with whole of cabinet.
A lot of trust to be repaired now, and I fear Streeting is too entrenched in his own spin/web of lies to accomplish anything.
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Streeting claims BMA are lying when they accuse govt of changing the goalposts as negotiations terms were for a 3 year deal and were accepted. He also warns costs of future strikes could come at expense of any future deal. BMA tell me they never accepted the terms.
Wes Streeting@wesstreeting
As the latest round of unnecessary strikes come to an end, I have written to the BMA Resident Doctors Committee asking to meet the whole committee. It’s time for the BMA to be realistic and reasonable about what the country and the NHS can afford.
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@LBC @NickFerrariLBC entirely manufactured strike by an abysmal government needing PR cover for impending failure to hit targets despite heavily cooking the books
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On behalf of those you galvanised, thanks to @LondonAnaesth @ramey999 and @Shr_Nottingham for the hard turn away from the iceberg.
Time will tell if it has all been enough, but from all those of us who care deeply enough about HMS NHS — thank you.
#high6
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@noolslucas @emilyltownsend @wesstreeting @OAAinfo @NPEU_UKOSS @Marianfknight @ProfRecordSB All excellent reasons to add to the compelling case…
The de facto patient safety specialty needs to be embedded in a position of oversight, not sat it the long grass of arms-length engagement.
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@jplomas @emilyltownsend @wesstreeting @OAAinfo @NPEU_UKOSS @Marianfknight Most recently, working with @ProfRecordSB to define a national dataset for obstetric anaesthesia, a key step towards better data, benchmarking and improvement
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NEW: The 17 members of the maternity and neonatal task force chaired by @wesstreeting have been revealed (see screenshot)
Curious what people think of the makeup of this - it will be used to discuss various major updates, including recommendations from Thirlwall and Nottingham
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@noolslucas @emilyltownsend @wesstreeting @OAAinfo With the best will in the world, that appears too remote from core leadership to ensure the safe steer of a multiprofessional team — especially considering the make up of the taskforce main.
As on labour ward, a quiet and marginalised anaesthetic voice is bad for patient safety.
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@jplomas @emilyltownsend @wesstreeting Anaesthesia is contributing to one of the expert groups of the task force so hopefully the anaesthetic voice will be heard @OAAinfo
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Bringing waiting lists down… by making it harder to get listed.
@wesstreeting @Keir_Starmer: disgusting, you should be ashamed.
Paper targets at the expense of real health outcomes.
Navigating this will be hardest for those who need help most, worsening health inequalities.
Dr Rachel Clarke@doctor_oxford
Yesterday you may well have seen the headlines announcing that from April onwards, GPs will be “made” to offer patients same day appointments for 'urgent' health issues. The implication, which I cannot imagine Wes Streeting is unaware of, is that he is on the side of patients, whereas recalcitrant & possibly even workshy GPs are the problem. A subtle undercurrent of GP-bashing, in other words, just as in previous governments. The headlines omit a crucial aspect of the new GP contract, which this letter in the Times brilliantly highlights. GPs will no longer be able to refer patients for specialist care as they do currently. New mandated "advice and refer" systems are being introduced for all specialist referrals from general practice, supposedly to 'streamline' care (as though GPs aren't highly trained physicians who know when a referral is needed). As anyone waiting desperately for an appointment with a neurologist, oncologist, rheumatologist or orthopaedic surgeon will already know to their cost, currently waiting times can be absolutely horrendous – and this looks horribly like yet another barrier to patients receiving the prompt care they need from a specialist. Already, for example, I am aware of patients with a new diagnosis of major, life-changing diseases such as multiple sclerosis, motor neurone disease or lupus having to wait many heartbreaking months to see a specialist for the first time. That is simply not right. It is a national scandal. If Wes Streeting’s aim is to massage the waiting list figures so that it ‘looks’ as though he’s improving care for NHS patients (while actually keeping patients away from doctors via a tortuous saga of ‘pathway navigators’ and other hoops that only create more delays) this would be an excellent way to do to.
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@VirtueOfNothing Reductionist nonsense that does a disservice to doctor, nurses and — crucially — patients.
Fortunately, there is plenty of room in the sea.
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Buffing of waiting list stats ✅
"Strike-busting" posturing ✅
A grandstanding, detail-light cancer 'plan'/flop-in-waiting ✅
Pointless re-organisation ✅
Painfully obvious that the NHS has been a front for this modern-day Brutus's posturing.
theguardian.com/politics/2026/…
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