Happy Christmas ♥️

I’ve worked in A&E for 22 years & seen nothing like this before. The NHS is in a critical state. We need urgent action for sake of our staff & patients. Steve Barclay Rishi Sunak we need you to listen to those who know what’s happening. To get them to listen, pls retweet

Here's my top 10 good news stories for nature from 2022, yes there has been good news! 1. Cranes are successfully breeding in Ireland for the first time in 300 years! Shows the power of rewilding 🍾 (📸Karol Waszkiewicz)... kraniche.de/en/news/first-…

For those who don't fully understand what is up with the NHS, here is a thread for you that might help. I'm a consultant physician working as a doctor in the NHS in Yorkshire and Wales for 32 years now. I have experienced the NHS at its best (2008) and its worst (2022).

"It becomes a self-perpetuating spiral. If people with frailty spend longer in hospital, stay in discharge-to-assess beds for longer and get insufficient rehab and therapy, they are going to have higher care needs at the end" hsj.co.uk/integrated-car… Health Service Journal British Geriatrics Society Dave West

"To have the intended impact, care homes must be able to provide rehabilitation to help older people recover. This requires expert input from nurses, therapists and medical staff. If not in place then older people’s health will decline and hospital readmission become more likely"

CONGRATULATIONS to Treatment Room Sister, Gillian Mitchell who has retired after an INCREDIBLE 38 Years of Nursing 🎉 Thank you so much for your hard work and dedication over the years. Wishing you a happy and healthy retirement ❤️ #ProudOfOurStaff #TeamSET

Another reason to avoid TRAMADOL, it can induce hypoglycaemia, even in none diabetic patients! #TRAMADONT doi.org/10.1111/fcp.12…

📢NEW GUIDELINES📢 Most treatment guidelines are written for people with single conditions; a recommended treatment might therefore not be right for people with multiple conditions. These new recommendations are therefore vital reading! #GeriatricMedicine #BGSconf #MedTwitter

This should be on every front page… NHS activity has doubled over ten years! Try and grasp the fact that the amount of activity staff are doing for patients has more than doubled in ten years! Beds haven’t. Staff numbers haven’t. Time hasn’t. kingsfund.org.uk/projects/nhs-i…

Today is #InjuryPreventionDay💥 Effects of overprescription contribute to a significant portion of injury-related harm, including falls. Understanding the different types of increased risk- from dependence to adverse drug reactions is vital for effective prevention strategies.

Your reminder: Rest is a requirement, not a reward.

Sept 17 is #WorldPatientSafetyDay! Let's continue to involve patients, families & caregivers through: -Shared decision-making with managing meds -Listening to their medication experiences -Identifying med-related side effects together Resources here: deprescribing.org/resources/depr…

Presenting poster today #BGSConf Int Conf on Falls & Postural Stability British Geriatrics Society, on role @bhsct of community falls pcist reducing inapprop polypharmacy/ACB, identifying osteoporosis/osteopenia via pcist DEXA referral Carole Parsons Paula Burns Eimear McCusker Moira Kearney

.Royal Pharmaceutical Society has launched new interim professional standards for pharmacy services delivered in ‘virtual wards’ to ensure the delivery of high-quality care for patients being treated in their homes pharmaceutical-journal.com/article/news/r…

Queen's University Belfast 🎓 #netzero climate conference presenting poster Paula Burns Carole Parsons. Great discussion Jonathon Porritt on #moop falls pharmacist deprescribing-saving 1 tonne of CO2 emissions Eimear McCusker Cathy Harrison Belfast Trust QUB Pharmacy School DebGompertz

Friday morning caption competition…

🦴 iv zol in the days just after #hipfracture should be 1st line treatment for osteoporosis ➡️ Consensus statement from UK & Ireland 🆓 Open access 🔗 academic.oup.com/ageing/article… FLS Database Ireland Australian & New Zealand Hip Fracture Registry @MichalLaurent11 ICON_org Falls & Fragility Fracture Audit Programme Iain Moppett Xavier Griffin British Geriatrics Society AAOS

The Gardiner Brothers, born in the U.S. to Irish parents from Galway, dancing to Jose Feliciano's "Feliz Navidad," x.com/Gardiner_Bros/…

EPIC downtime