Keith Miller

@currys Thank you. I have done so.

@keester76 Hi Keith, thanks for getting in touch. We're sorry to hear about the issue that you are facing in this regard. Could you please DM us via the link attached below, so that we can assist you further? Thanks - JB twitter.com/messages/compo…

Your installers came to my mum's house on Monday. Her gas boiler has not worked since they turned it off. You are refusing to sort the issue you have caused. You finally agreed to come in another 6 days, leaving an elderly lady without heat or hot water for over a week. @currys

@Kavitha_Nades @Sonos And great tunes they are, Kavitha. Wish I'd gone with bose rather than sonos years ago. I may have to cut some losses at some point and do it.

@keester76 @Sonos We’ve been Bose for a while without any problems. But Dave’s the tech one. - I just play the tunes!

Anyone lost patience with @sonos and sold their speakers (if anyone would buy them) and switched to a different system? Seems so wasteful but the system borders on unusable much of the time. What did you choose instead?

@yuanyi_z I wonder if that 'small man', Keir, is sifting through twitter complaining about other people's choices of wall pictures?

A petty gesture from a small man.

@LeedsXtra_ We are the underdogs. We're a playoff team at best at the moment. We've sold three of the players who gave us top two quality.

We're playing like we're the underdogs. #LUFC

@EmergencyBod @Trisha_the_doc Sounds like a busy day in ED

I would love to see this, if only to watch the heads of so many man-babies explode.

@dr_woodall @Paulio1984 @BenAllenGP I haven't seen those comments, though I'm sure you're right. This isn't about the GP taking responsibility, though. It's about how care can be delivered closer to home and results acted upon by appropriate person - a truly integrated system.

⭐️Liason psychiatry following up patient after hospital discharge⭐️ ✅️ They want to start antipsyotic. 📝 Written to GP to do an urgent home visit for ECG and bloods as they are unable to prescribe until done. Reasonable? Alternatives?

@BenAllenGP No, it doesn't. These are exactly the sorts of discussions we ought to be having. Why can't this sort of pathway be achieved by partners agreeing how resource flows appropriately to enable it?

@keester76 Agree, it makes sense to be done in community. It just needs the work to be funded and contractual. 30p/ day to look after each patient doesn't enable that.

@Drjimwood65 @BenAllenGP Exactly this. Capacity and funding would be appropriately resourced to do this in a truly integrated system.

@keester76 @BenAllenGP The results need processing by a GP though. Having said that, it totally makes sense for it to be done in GP but the capacity and funding isn’t there for it. (Also ECGs aren’t available in a lot of surgeries as ECGs aren’t in the core contract and are unfunded)

@adje__ @BenAllenGP Exactly. We don't have a truly integrated system that allows this sort of pathway to be achieved with resources directed to the right places to do it yet.

@keester76 @BenAllenGP Just for avoidance of doubt - you’re saying that a good system SHOULD be able to do this, but not that the request in the system we have is acceptable?

@Paulio1984 @BenAllenGP Precisely. A truly integrated system would ensure this sort of pathway was available and resourced appropriately.

@keester76 @BenAllenGP Because it ain't a truly integrated system and GP gets less only 7% of total NHS funding. Unless secondary care is prepared to take a pretty big pay cut, then it needs to step up and start actually fulfilling its contractual duties.

@dr_woodall @BenAllenGP Well, no, which is why I specified 'a truly integrated system'. A truly integrated system that put patient journies ahead of funding streams would ensure community based teams received resource it needed to do it.

@KMiddleton60 @AimeeRobson4 @DHSCgovuk @wesstreeting I really hope Lord Darzi, a surgeon and academic, realises his personal understanding of delivering healthcare in the community is limited, and seeks instead to find the expert insights from those who understand it every day

Health and Social Care Secretary @WesStreeting has just launched an independent investigation into the performance of the NHS. Here's why 👇

The NHS led the argument for sugar tax and it is great to see we were right- a key contribution here to preventing childhood obesity, diabetes and other illness and a clue to what “health in all policies” can mean in practice theguardian.com/society/articl…

@alexarmstrong Oh man, you must have wanted to crawl under a rock after you'd seen yourself tweet this

#lookandplay (205) No rules. The only limit is our imagination. Look 👁️ & 🎶 Play Today we are inspired by @MPaigeWaldron 🎶🖖

@utdtribune @KrisSmith98 I agree, really, but surely ManYoo would be a terrible option for him? There must be several other clubs who are able to offer a more coherent and promising coaching development for him. Hopefully he'll stay with us for now and move to Citeh or equivalent if we don't go up then

Leeds fans don’t even know their own player. If you can’t tell or see that he will be a long term CDM, then football and assessing your own players ain’t for you. If you think an 18 year playing an average right back that you still have to teach the nuances of midfield to, is worth more than £35 million? Y’all are even dumber than you look. Bellingham went for 25 and he was playing week in and week out in the heart of midfield and bossing it. 35 for Archie is WITH tax

A DM for £35m might be the most hilariously bad Archie Gray assessment yet