Rob Setters

@theveindoc @MichaelAArouet In my opinion it's society's responsibility to take care of children, particularly when their parents aren't able to.

@RobSetters @MichaelAArouet And you talk of taking care. It is parents’ responsibility to take care of their kids not other workers.

Something is clearly out of balance when someone earning £10k and someone earning £140k take home the same net amount. No wonder so many hard-working people and entrepreneurs are leaving the UK. Would you want to live in a country that punishes hard work and jobs creation?

@theveindoc @MichaelAArouet No but it's not as simple that one worker is comparing themselves to a whole family. Also this scenario is extreme as not very many earn £140k pre-tax and not many families earn £86k in benefits. The framing is disingenuous.

@RobSetters @MichaelAArouet You seriously think it’s OK that both take home the same? Effing ridiculous.

@MichaelAArouet @ArgieBargieVLLC If this is your logic, then all labour should be paid at a flat rate as well. Premier league footballers and nurses on the same salaries.

@ArgieBargieVLLC Progressive income tax is not fair. It should be a flat tax

The Impact of Exercise on Intervertebral Disc Health: A Systematic Review and Meta-Analysis 🔥🏃‍♀️👏 pubmed.ncbi.nlm.nih.gov/41840183/

@MrJacobBarnes @anaesthetic_spr And where did they call themself a medical doctor?

@RobSetters @anaesthetic_spr A doctorate in philosophy doesn’t make them a medical doctor. Sneering at nurses? No, calling out sophistry.

“Dr Clinical Lead for Physical Health Consultant Practitioner Senior Clinical Leadership NIHR” Basically a NURSE.

@Xeon4f145d96s1 Well that's my bad then. I thought you would go from ST3 to ST4+ fair point. Unfair to keep an experienced doctor at ST3 as well.

@RobSetters A doctors pay would only go up if they were given a higher position. If they worked at that level for the rest of their life they’d get paid whatever is on that contract. You don’t get automatic pay bumps as a doctor anymore.

The NHS hates doctors. We should bring it to its knees.

@Xeon4f145d96s1 I deleted the wrong post as they didn't line up. My bad.

@Xeon4f145d96s1 The nurse pay wouldn't progress over £65k a permanent doctor would progress above £65k would they not? At a department level if they have max £65k that's the options. Again I'm not getting into who is most suitable. But money seems to be the reason for the difference, not hate.

@DrJoFranklin @CoastingGP There is a reason they come through msk. Many people sit on ortho wait lists for months to be told there are no invasive treatment options then get referred back to physio and wait again. Conversion rates are poor from primary care. Research is very strong in this area.

@CoastingGP Your patients are lucky that you somehow have the option to bypass MSK service. Make sure powers that be don't make same MSK team the mandatory route to ortho & rheum referrals as many places nor to the only route for MSK rad Ix.

Local rubbish musculoskeletal service wants to know why we are not referring into their service Should I tell them it’s because they are rubbish??

@CoastingGP What are you doing with your msk caseload instead?

@RyanShorthouse Maybe you would like to donate 9% of your income to the treasury

We must stop telling recent graduates to worry about their student loan debt. We are unnecessarily and unfairly worrying them. Tell them the truth. The system is designed in such a way that it will never be unaffordable to them: - Their repayments per month are a fixed % of their salary. If they don’t earn enough, they don’t pay anything. - They stop paying after 30 years; any outstanding amount is written off by the government. - Majority don’t pay the interest they’ve accrued. - Student loans do not affect your credit score.

@MartinSLewis I have Lloyds and Halifax, can't see any issues on my mobile app now.

Do you use the Lloyds, Bank of Scotland or Halifax apps? People have been messsaging me this morning of being shown other peoples transactions. I want to see how widespread this is. Has it happened to you. If so a) What are you seeing? Which app. b) If it is someone elses transactions does it give any of their details too (name, account number etc)?

@DrBoofle @PaulGadsden82 Your definitely anon so you can "raise concerns"

@PaulGadsden82 Hi Paul, This is as "spicy" as I have been on here yet someone is still demanding my GMC number... "You can put glitter on a turd but a PA will still always be a Physician Assistant 😘" Thoughts? (No prayers 🤣)

New rule. If you're a doctor and you're found to be insulting patients online you should lose your right to practice.

@Montyburnout123 @dr_musgrave You must have a perfect lifestyle

@RobSetters @dr_musgrave “in the world we live in lifestyle changes in some people is almost impossible” - it really isn’t that difficult, we just make an excuse for people.

If I am asked as a doctor what I’d advocate - effective lifestyle changes or medication to treat a disease - I always recommend lifestyle changes.

@dr_musgrave I don't think we should judge those who cannot enact the lifestyle changes we suggest, it's a combination of circumstance and biology.

@dr_musgrave I think in the world we live in lifestyle changes in some people is almost impossible. So it defaults to treating the disease. Some people can and some people can't, or can't to a point where it improves things dramatically. Sometimes the only option is to treat.

@londonHenryGB @GMooBah Define net taker.... What is it you do that contributes so highly? Is a healthcare assistant on additional state benefits a net taker because they are low paid?

@GMooBah I can only presume you are a net taker of the system.

I earn about 11x the national average gross wage. And I take home roughly only 3x the same person on the national average wage. Tell me again how the incentives aren’t skewed to earn less and be less productive…

@Northernlurker1 @HSJEditor It's cheaper to send a secure email link than buy CDs, have staff manually transfer files onto the CD then post it to him Then the cost to each patient who now has to buy a CD reading device It's more expensive and bad for the environment Better processes exist at other trusts

@HSJEditor He asked for a x ray. He got it. In a suitable format that can be cheaply & quickly produced. A treating clinician could get his x ray in a timely and appropriate manner too. Is it really the NHS’s issue if he can’t access the images? The service is there to treat not illustrate

Stupid patients, sticking their noses in on issues that are beyond them...imgaine not knowing the difference between 'PAC technicians and radiographers'? - and he's a teacher too...I despair!