👀it’s out! The llatest 2023 GOLD COPD guidance has been released... 🌟There are BIG changes this year. Here are my first thoughts… but lots to digest: TL/DR: 1. Revised #COPD defn 2. Etiotypes 3. ABCD is out, ABE is in 4. Farewell ICS-LABA 5. New exacerbation defn 1/n👇

My wife and I talking this evening about how important names are between patients and health professionals. And reminded of this

Spent a bit of time in ED the last few weeks doing some resp in reach. Absolutely in awe of the amazing ED team and what they have to deal with at the moment and so friendly when we come down. Superstars Chorley & Royal Preston

An interesting case this, & there's a bit more to it Under current partner, Dr Ann Robinson, Withnell Health Centre got excellent scores in 2022 GP patient survey Yet SSP Health has been chosen for new contract -despite far less impressive scores 🧵1/5 lancashiretelegraph.co.uk/news/23249557.…

Gorgeous book - would have never usually picked up. Thanks ShelterBox book club @mathangiwrites. Well worth a look. The story of 5 girls living in a Bangalore slum called Heaven.

My local GP surgery - please see this thread! Practice with great pt satisfaction surveys / results potentially losing its contract. 1000s of pts objecting. Shaun Lintern Hugh Pym House of Commons Speaker The Rt Hon Sir Lindsay Hoyle MP Steve Barclay Wes Streeting

It takes 3.2 seconds to RT and help find her missing mum Nicola Bulley who was last seen walking her dog near a Lancashire river she was last seen on the morning of Jan 27 walking her dog on a towpath by the River Wyre off Garstang Road please call 116 000 with any information

Terrible situation - my local GP - wants to carry on running practice - great pt satisfaction score, comparative low hospital admissions from practice, and 1000s of pts letters supporting our local gp only for company on verge of taking over. Pts not listened to!!

#WithnellFold is 1 of a handful of #ConservationAreas in our region. A village with a unique way of life. Lying on the Leeds Liv Canal, with its own nature reserve, protected green space, & wildlife in abundance, it is visited by many for its beauty & access to the outdoors. 1/3

A developer is proposing Chorley Council downgrade the #greenbelt status of the adjacent farm to build a 19ha business park. Please join me in asking them to ensure this proposal is treated with the scorn it deserves & is stopped in its tracks (excuse my hasty sketch!) 2/3

Spent last 3 days supporting the wards to support the junior drs in achieving pay restoration through industrial action. Massive shout out to our PAs and ACPs helping us support our patients and supporting the strike. Thanks 🤩 Ward 23 LTHTr LancsAdvancedPractice EHCW

I would really appreciate it if anyone working in sleep & ventilation and #respiratory in the #NHS could fill this survey out- it’s on correct NIV & CPAP inpatient documentation. It will only take 5mins to fill out. Thanks in advance #respisbest surveymonkey.com/r/KCBQBWC

BTS has published a Viewpoint on Virtual Wards. The Viewpoint considers some of the key issues and the benefits of #VirtualWards, highlights unanswered questions, and responds to concerns expressed by some BTS members. It is available to read here: bit.ly/3XdSTWR

27 years ago!!! 🤯 Loved this movie - saw it twice at the cinema. Im such a geek!!!

PLEASE SHARE if you know anyone who may be interested. Specialty doctor jobs.nhs.uk/candidate/joba… or clinical fellow jobs.nhs.uk/candidate/joba… 12 month fixed term. Opportunity to develop clinical knowledge/skills, support undergraduate education, gain research experience and more

We have such a wonderful GP practice - amazing pt feedback and low admission rates! All everyone wants is to keep it that way! BBC News - Withnell Health Centre: Plea to secure village GP's future bbc.co.uk/news/uk-englan…

Important service update.

Really saddened to hear this for us in secondary care. It was such an amazing service and one recommened all the time. With all the stresses on secondary care at the moment this seems short sighted....

💥 NHS STAFF 💥 Please consider signing this open letter to Victoria Atkins & Amanda Pritchard at NHS England expressing your dismay at their extraordinary decision to cut NHS Practitioner Health funding for hospital staff. Please share widely 🙏 Letter here: forms.gle/YmXpi8dxSbW7UR…