Ram Moorthy

The article selectively reflects history: pay for residents / juniors was really poor when in the late 90s with overtime attracting only 1/3 of normal. This was correct by the 2000 contract. To get 80% had to work 56hours per week. Base pay is vital not relying on overtime

Medicine is a distinct & elite profession & I’m getting tired of people trying pretend that there’s a shortcut to the years of hard work it takes to become a doctor Tiered rotas are nothing more than gaslighting patients into worse care I’m glad it’s being called out publicly

Did these 1000 posts actually exists or have the government used the strikes as an excuse to get out of a mess or have they created a range of rota gaps by pulling these posts and trusts will now have to recruit?

This type of debate is not new and despite a lot of talk it remains reliant on doctors . If the need to reduce residents then have to accept how will a service run without consultants or SAS doctors- is the public ready for a 2 tier NHS .

A 3.5% pay uplift is a real terms pay cut for consultants in England. The role of consultant should be fully valued, including pay, hours worked and its complexity. We need to stand together to demand a better deal. We are opening a ballot for industrial action on 11 May

I've been trying with the BMA research team to produce one graph to rule them all. Real terms pay with inflation indexed on the same graph. Look at the CPI dotted line, our pay, the average public sector worker, worker & our comparators. It's not pretty! ONS & NHS digital

How remarkably silly this article is! I would argue the reverse - the attempt to move to a consultant-delivered, rather than the historical consultant-led, system is the CAUSE of many of the problems we see with the NHS. The big experiment died out because: 1/

@ldwijesinghe Seeing many deciding on subspecialty at ST3 or 4 and this is too early?

@rammoorthyENT We used to do this in surgical training. I couldn't specialise until doing loads of gen surg. The graphs show if you specialise later you become world class but later than hitting 'just below' by specialising early. We wanted trainees to get to the top sooner hence just below?

Can this be extrapolated to surgery? Should there be more encouragement to train across the breadth of a specialty and then subspecialise much later (ST7 or 8) ?

The tedious repeat of 'The BMA blocked the set up of the NHS' is somewhat galling when the actual history is the BMA was calling for a national health service from the 1920s.

If you are a member or fellow of the College please do vote . Do the first time the President will elected by the membership.

Investment vital especially adequate theatre capacity for surgeons - for too many years theatre sessions reduced to accommodate allow consultant expansion .

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Improving productivity requires adequate clinic space , operating theatres, equipment and beds . The lack of investment in these areas have stopped any attempt to improve productivity.

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@AriReddy The level of independent specialist practice varies from country to country -many countries with shorter programmes are unable to practice at the level required to be a NHS Consultant. I do agree that the UK training proramme does need complete reform

1️⃣ Most people don’t realize how unusual the UK’s doctor-training model is until they compare it internationally. France, Germany, Australia, the Netherlands — all move doctors to independent practice years faster. The UK isn’t the norm. It’s the outlier.

Historic moment as first RCS President to be elected by members and Fellows. Great candidates with a vision for the future

Which of the following is not one of the consultants committee demands? 1/2

🎉 Congratulations to Ms Fiona Eatock - the new BAETS president! 🎉 We’re excited for the next two years of your leadership and look forward to working together to shape the future of endocrine and thyroid surgery!

I’m genuinely proud to share something close to my heart. Over the past few months, we’ve been working on a new video series called “Know Your Numbers” — a campaign designed to get people talking (and acting) about blood pressure. As a GP, I’ve seen too many people only find out about their high blood pressure after something serious has already happened. The truth is, it’s often silent — and yet completely preventable with simple checks and small lifestyle changes. These videos bring that message to life — through real stories, authentic conversations, and community voices that remind us all how powerful awareness can be. 🎥 You’ll see me and others sharing why this matters — not just as clinicians, but as people. Because knowing your numbers really can save your life. I’m so proud of the team that brought this to life and to everyone who shared their stories so openly. If you haven’t already — please watch, share, and encourage someone you care about to check their blood pressure. It only takes two minutes. 👉 Check it. Change it. Control it. It could save your life. #KnowYourNumbers #ProudMoment #PublicHealth #PrimaryCare #BloodPressure #NHS #Prevention #CommunityHealth #DigitalHealth #TeamWork youtu.be/CcZfYZ28jo4?si… @NHSEngland @NHSDigital @CvdPrevent @Dochayter @FrimleyHC