James Cave

@Doctors_net_uk news story: Trust conducts 'thorough investigation’ after PAs found to be ordering CT scans What really bugs me is after 30 yrs as a GP i still cant order doctors.net.uk/news/trust-con….

I would have thought somebody that ill would have avoided contact with everyone- tegardless of possible underlying cause- isnt that what COVID taught us? It shouldn’t require a doctor surely

Medicines and global warming: a complex problem Read the editorial by @JAHCave on why it's not just about swapping to dry powder inhalers and the importance of taking a holistic approach to tackling the issue. bit.ly/4a5ZiIy

Now the session on Real World Data should be interesting. NICE is a founder member of the @GetRealinsti

#NICEConf23 some rather generic sessions so far in Manchester. Fascinating how X/Twitter has fallen by the wayside at these sorts of conferences. Gone has the live feeds. As said “ innovation has redundancy built in”

Redaction at the heart of NICE appraisals In the September editorial @JAHCave takes NICE to task over the amount of information that is redacted in its technical appraisals. bit.ly/3ODzV9s

NICE produces technical appraisals of drugs to support clinicians and patients in their choice of the right treatments. Yet in 80% of their appraisals vital evidence and information is redacted. Our editorial in @DTB_BMJ this month dtb.bmj.com/content/early/…

NICE’s TA on #mavacamten takes their redactions to a whole new level. Usually its just the less important stuff like the evidence of effectiveness or cost- but in this TA we arent even allowed to know what to use it for? See nice.org.uk/guidance/gid-t… #MHRA #NICE

We are very pleased to learn that Australian Prescriber will resume publishing from its new home with Therapeutic Guidelines Limited. We look forward to reading the next issue. bit.ly/41sKijH

@rogerthedoctor Mine is “ Im terribly sorry…”

'With the greatest respect...'

@adamsonjon More to the point do doctors still really take the oath? Worship Greek Gods? train children of their professors for nothing? never carry out surgery on kidney and gall stones? No-one qualifying from Barts in the 1980s took it for sure

Commentators and politicians really need to understand that when they think they are being clever invoking (the only four words anyone knows from) the Hippocratic oath, anyone in medicine immediately recognises it as a sure fire sign they don’t know what they are talking about

Top 10 Thursday A countdown of the most accessed articles from 2022 6. What dose of paracetamol for people with low bodyweight? (DTB Select) bit.ly/3zCm377

@pash22 @PharmRJ @US_FDA @EMA_News @MHRAgovuk @dariustahir @hnorms @DTB_BMJ @ObserverUK @shanti_das @JonUngoedThomas @NICEComms @bengoldacre @marpinoir Thank you- I’ll have a read…

@JAHCave @PharmRJ @US_FDA @EMA_News @MHRAgovuk @dariustahir @hnorms @DTB_BMJ @ObserverUK @shanti_das @JonUngoedThomas @NICEComms @bengoldacre Yup, @marpinoir et have v recently written abt "Science, the endless frontier of regulatory capture" sciencedirect.com/science/articl…

Social media is fueling enthusiasm for new weight loss drugs: Are regulators @US_FDA @EMA_News & @MHRAgovuk watching? endpts.com/social-media-i… via @dariustahir & @hnorms @PharmRJ

@pash22 @PharmRJ @US_FDA @EMA_News @MHRAgovuk @dariustahir @hnorms @DTB_BMJ @ObserverUK @shanti_das @JonUngoedThomas @NICEComms Agree. It seems that our regulatory bodies have forgotten their primary role. @bengoldacre talks of “regulatory capture”.

@JAHCave @PharmRJ @US_FDA @EMA_News @MHRAgovuk @dariustahir @hnorms @DTB_BMJ Yup, this is really snowballing out of hand James. Chk out "@ObserverUK investigation by @shanti_das & @JonUngoedThomas finds Novo Nordisk gave millions to obesity charities and healthcare professionals, including expert who advised @NICEComms " theguardian.com/business/2023/…

What does the TIME study tell us about morning and evening dosing of antihypertensive medication? Read our commentary on the TIME study. bit.ly/41xMXcd

@GPDrYvetteDoc Our DNA rate is very low. I’m prepared to get shot at for saying this but i think the DNA rate can reflect the inflexibility of our appointments system. Pts who DNA possibly were after something else or are struggling with a really difficult issue. Call them?

Another day, another DNA. This time for my HCA. A 30 minute appointment booked less than a week ago

@bmj_latest Really important article

"The UK must establish safeguards that prevent the MHRA from automatically following questionable approvals from other regulators" Avi Cherla and colleagues write that the MHRA's new regulatory model must prioritise safety and efficacy over speed bmj.com/content/381/bm…

@MFAminGP @LG_NHS @tbugembe @parthaskar @NuffieldTrust A doctor would have been struck off for this ( see “promised laptop case”). What action was taken ?

@LG_NHS @tbugembe @parthaskar @NuffieldTrust Hey, 1. The email clearly says it is a Trust Decision and not an individual decision 2. It also says most other trusts in London are following the same. Bullying & Lying Both in one email - 😡

Dear @LG_NHS When your social media team come to work in the morning ? Please respond to the below If inaccurate, my apologies If true,then we may have a problem. A big one. Look forward to a response Regards