Mark Russell

@Anna_L_Mitchell @DrSelvarajah Solution to that is integrated prescribing so that you’re responsible for prescribing and monitoring for these patients, not GPs

@thedoctorkhan @thegradmedic @KitanAlabi fundamentally it all comes from central government who view the junior doc paybill as a global cost, which they don't want to see rise. So the baseline will gradually be suppressed to fund premia. And you've just made collective bargaining markedly more difficult...

@thedoctorkhan @thegradmedic @KitanAlabi Because they operate in an actual free market, without a monopsony employer. You can of course do this - but don't think that it won't have unintended consequences. Specifically, you are right - you can have baseline + suppl. But while junior doc funding is complex,

@NadiaKamil The trouble is you’ve just created a good way to realise that their SSRI won’t do them much harm but that grannies x med otoh, will. To look at it another way, what proportion of the people you refer to were both a) entirely serious at the time b) impulsive or distressed?

@fireboyle Yikes - hope you feel better soon

Flew home from 🇵🇹 last night…worst flight ever as was in agony and heart racing. Woke up with fever, shivery and exhausted. GP was amazing, appointment within an hour and is treating it aggressively. Bed and antibiotics are order of the day! nhsinform.scot/illnesses-and-…

Take a moment And watch this It’s genuinely…beautiful 🥹❤️

@Rahee1991 It's a clear marker of articles written by Scots but I would say you'll be fine

Ok, so is outwith actually not a word? Scottish academia - do you use outwith in your writing?

@WelshRev @johnmcdonnellMP @chrischirp We do manage in Scotland - the world hasn't ended, and people mostly be have responsibly

@johnmcdonnellMP @chrischirp Who is going to police the behaviour of roamers or protect the livestock from them & their dogs, & who will be liable when the dogs and humans who don't know how to behave to and around livestock get seriously injured or killed? Not sure the member for Hayes understands the issue

Really please that today Labour has committed itself to a legal right to roam on the Scottish model, which was a policy we announced in June 2019. earthlyuk.wordpress.com/2019/06/04/rig…

@theAliceRoberts 5 years older than you actually are

Exactly how old and/or qualified does a woman need to be before some people take her seriously?

@LondonAllergy @DrLindaDykes For those who don’t need urgently, go to Amazon

This iconic graph tracks how rapidly our planet is warming. Yet every time it's shared on Twitter, someone always asks, "Why does it begin in 1850?" The answer is simple: it's when we first had enough thermometers to compute a truly representative global temperature average.

@Dr_KM_ @doctorrah N=1 but definitely more effective for migraine in (one off) larger dose. Maybe because reaches a higher serum concentration more quickly I guess

I knew (from here) about being able to give 600mg Ibuprofen, but I didn't realise it could be QDS. It's this just my ignorance, or is there a culture of systemically under-dosing? Shouldn't we be going up to max NSAID dose before adding opiates?

Have your say at our Microsoft Teams event on Thursday 11 May at 10:30am. Email ourhealthtogether@lanarkshire.scot.nhs.uk to register.

@abbeyellis123 Congratulations!

What a Friday!!! Still hasn't quite sunk in yet but couldn't be more excited to be a West of Scotland Paeds ST1 as of this August! 🤩🤩

Public Health Minister @jenni_minto visited one of the first community optometry practices providing the NHS Community Glaucoma Service, Scotland’s new flagship eye care service. Read more ➡️ ow.ly/UT5E50NN2lv

Proud to be providing supporting this transformational service with the National Digital Platform @ndpscotland #digitalhealth

@elagnab @trishgreenhalgh @wesstreeting I mean, yes, it is, but as we’ve established that equates to a 36-40 hr week. So what you’re asking for if you want them all to be available 5 days a week is for them to work 60-80 hrs. Doesn’t sound that sustainable does it?

@markjrussell @trishgreenhalgh @wesstreeting Yes I get that but I am trying to establish if the fact that there are x number of GPs but a significant proportion are only available to patients 3days a week is a factor in the pressure on appointments.

@elagnab @trishgreenhalgh @wesstreeting So the fact surgery website tells you that they are only available for consultations Mon-Wed doesn’t really help you know if they are p/t. If they arrive at 8, leave at 7, do an hour after kids in bed & spending Thurs am catching up on referrals/paperwork -> 40 hrs

@elagnab @trishgreenhalgh @wesstreeting You seem to think that the only work which GPs have to do is when there is a patient sitting in front of them…