Jimena Seara Prieto

The conservatives have been in government for what seems like 350 fucking years up until last year but apparently this is now a problem that they tell us they want to solve Where was the interest in tackling the insanity of student finance just 1 year ago? Or 2? Or 6?

So are u employing more GPs (there are many, just no jobs out there fr them) or “equivalent GPs” (non doctors) as you say in the video. There’s a big big difference Wes

Media & public need to know - Resident doctors don't choose to join NHS. By law & regulation NHS is a state monopoly employer for doctors that they must work for it in order to: A) receive their full medical licence B) do specialty jobs building up to become a consultant or GP

The dispute is on pay and jobs The latest offer had: Pay: Nothing Jobs: no new jobs (just a few repurposed jobs) No one is expecting it all at once, but the last offer had no new jobs and no pay increase - is it any wonder residents overwhelmingly rejected it.

The BMA is made up of everyday doctors, of whom 29,215 (83%) voted against this deal. This isn’t a 52/48 Brexit style vote. This is a condemnation of a poor deal that was not acceptable.

Hi Wes. I voted no to your “offer” in very good conscience. The biggest damage to the NHS this Christmas is having you as Health Secretary

When @wesstreeting calls doctors ‘moaning minnies’ & ‘juvenile delinquents’ he is infantilising highly trained professional adults who don’t deserve to be paid less than they were 18 years ago. It is not the language of collaboration.

This is what you get @wesstreeting when your principal method of negotiating is to offer something you promised six months ago and didn’t implement, and then to hurl puerile insults at the other party. Maybe stop worrying about political advancement and start doing your job?

He now uses this to blame doctors on the failings of a sinking NHS that have preceded strikes.

Streetings offer is a farçe. He knew we would not accept it because we have balloted to strike multiple times over the last 4 years and have been very clear on our demands. His “offer” does not even attempt to address any of those demands.

Let’s be very clear about what’s happened: Wes Streeting knew that winter pressures were coming, again, for the 50th year in a row. So he offered doctors a ridiculous offer that is nowhere near ANY of the requests from the last 4 years.

Strikes will GO AHEAD from 17-22 December, after resident doctors in England voted overwhelmingly to reject the latest offer from @wesstreeting.

Government could reduce waiting lists by funding more anaesthetists. They haven’t. A shortage of anaesthetists causes operations to be cancelled on a daily to weekly basis. Long waiting lists are the fault of the government. Not doctors. Not strikes. The government.

Tell us please, what improvements have you made to our working lives in the absence of strike action. Because we are either all blind or you are lying. Flu season happens every year. You should plan ahead for it with or without strike action happening.

"I would urge you to carefully consider your decision. There is a way to avert further strikes and enable us all to focus on continuing to make the improvements to your working lives that we are committed to, and which you deserve." - National Medical Director

Doctors opening their inboxes to see what Wes has offered them this time.

Hello @BMAResidents We’ve now shared the offer from Wes Streeting. On the headline, it sounds big: “4,000 jobs.” But you need to read the detail, not the headline. First: it’s only 1,000 more jobs this year. We currently have around 10,000 training posts and more than 30,000 applicants. One extra year of 1,000 posts does not fix the crisis. It barely touches it. Second: none of these posts are new. There is no increase in the overall number of jobs for resident doctors. Every one of these “new training posts” is just a locally employed doctor post being converted into a training number. So if you don’t get into training, there will now be fewer jobs available outside training. That is not expansion; that is moving the deckchairs on the Titanic. Third: UK graduate prioritisation is being attached to this offer. This policy costs the government nothing, and they were already planning to do it. It is being packaged into the offer to make it look bigger than it is. Fourth: there are no long-term fixes. These 4,000 posts are temporary, one-off, and will not permanently increase training numbers. We simply hit the same bottleneck again a year later, but worse, because medical school output is increasing and there is no plan for higher specialty posts. The government has not even confirmed which specialties these posts will be in, where they will be, or whether any higher training posts will follow afterwards. Fifth: the offer is designed to split us. It takes a crisis affecting everyone and turns it into a race. Some might feel they have been given something and walk away. That is exactly what the government wants: doctors divided. They are clearly under pressure over December strikes. A month ago, Streeting was talking about consulting on prioritisation. Now he is rushing emergency legislation. That is not confidence. That is panic. And panic means we can get more, if we stay united. And remember what is missing entirely: *no multi-year pay deal *no pay uplift for 2025/26 or 2026/27 *no employment guarantee for doctors stuck in the bottleneck *no extra pay for hours over 40 or antisocial hours *no nodal reform to stop starting salaries falling behind PAs *no funding for GMC fees or essential costs *no meaningful change to premia or safety-critical allowances This offer gives us: *no real expansion *no job security *no sustainable plan *and no headline pay talk at all About the poll: We will run an indicative poll online, which will open at 7am on Friday 12 December and close at 7am on Monday 15 December. We will ask you what you think of this offer and whether it should form the basis for next steps. Remember: *The Government presented this offer on Sunday with a deadline of Tuesday to respond. *Strike action has compelled the Government to make a new offer. *Voting in this indicative poll will not settle either dispute. *A YES vote in this poll will not prevent us taking strike action after December. *This poll result does not affect the status of the re-ballot; vote YES in the re-ballot regardless. We want to hear your thoughts and are presenting this offer factually. I will be voting NO. I personally think it isn’t worth the paper it is written on, and I suggest you do the same. Vote NO. Do not let government buy off our unity with repurposed posts and short-lived promises. We are worth more than this. In solidarity, Nick

I then apologise to the patient, show them what a cervical lymph node is and safety net them.

Note that I have said the most likely differential is reactive lymphadenopathy. They said “unclear pathology”. They weren’t a GP.

Reactive lymphadenopathy sent to ED to try to expedite US scan. We don’t do emergency US scans. This doesn’t require it.