I’m simply horrified to see NHS England now literally breaking the law in how it misrepresents physician associates & other allied health professional - who are NOT doctors - to the public. These posters are from the Bradford District & Craven Health & Care Partnership. 1/n

Fancy seeing you here… 👀 #VoteLabour #Change

When it comes to the denigration of the medical profession, primarily to the detriment of patient care & safety, I have low expectations of Govt & its quangos GMC & NHS England. However I am disappointed at the senior clinicians who sell out the profession after they climbed

This is just appalling and demonstrates how this is politically driven mendacity supplied without question by NHS England 100% designed to mislead. Physician is a protected title. GMC Department of Health and Social Care

A&E attendance for children 0-4 years ⬆️42% in last 10 yrs - mostly for minor illnesses, feeding probs, infant crying previously managed by health visitors🚨👶🏿👶🏼👶🏾 Cutting health visitors by ⬆️40% over the same period has been a false economy 🚨 ihv.org.uk/news-and-views…

Royal College of Emergency Medicine Channel 4 Dispatches Adrian Boyle Well done Adrian, not an easy job to comment on this. You were honest and appropriately concerned. As are we all. We should take responsibility for things within our power to change and never lose sight that patients should be at the centre of everything we do.

This isn't winter, this isn't one A&E, this isn't one system. It's everywhere, and it is entirely avoidable by prioritising safe & dignified emergency care. Stop blaming patients and driving "efficiency" and "redirection" - whole system approach is not just the front door...

I tweet quite a bit - but this one is different and perhaps the most important I’ve ever written I hope it gets shared as much as possible, so new parents don't make the same mistake I nearly made (even as a dad of five, having worked in A&E for 23 years and someone who teaches

Helen Bevan Organisational systems - which leaders own - still incentivise and reward action, busyness, and reacting.

“In the 1970s I worked on 'culture change' programmes. What a fool I was. I learned how behaviour is a product of the system. Change the system and behaviour changes. Culture change is free. If you work on the people in a command and control system it gets ugly.” John Seddon

We are building another great team to push forward on much needed work to address needs of biggest user group of healthcare, our older population. Come and work with us to ensure a healthier older population now and for the future!! Young Geris (irony intended) Wes Streeting Andrew Elder John Dean

“Mass emails that demand clinicians to discharge older patients without proper assessment are not only disrespectful but also undermine the clinicians' role.” This has driven me potty over the years. Did they think we weren’t trying, before their email? It’s multifactorial.

TLDR: while it’s easy to see why Wes Streeting and the public are dismayed at the state of the #NHS, there are signs of promise and fairly established solutions. We will have more to say on both as the Govt begins to set its course nuffieldtrust.org.uk

Change.

Time to re share this perhaps? Shaun Lintern was asking us for ideas to give Wes Streeting on how to get the most from our health & care services. A focus on #Frailty is helpful in terms of getting the most value for every £ spent. The #Blueprint from British Geriatrics Society is excellent.

@ahernemer Iain Wilkinson Agreed. Good access to acute care for older people has been hard won over the past 40 years in the UK. Access for those who need acute hospital care must be sustained.

“Leaders say they want transformation, engagement, innovation, creativity and agility … but their actions and the environments they create say otherwise: that what they actually value are the status quo, sameness, safety, certainty, busyness and consensus” Sonja Blignaut

“Short-term thinking repeated again and again doesn’t lead to long-term thinking.” Seth Godin

So, I said I'd left Twitter with a great (actually quite small) fanfare, but inevitably I had a look at recent comments re @rcp #AGM and The King's Fund report and so feel moved to comment. I was elected to council a year ago. The PA issue is hugely important, and it's clear that