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21.11.2025 17:41 โ ๐ 77 ๐ 17 ๐ฌ 0 ๐ 2@profnicolacooper.bsky.social
Professor of #MedEd at the University of Nottingham, Physician (Acute Internal Medicine), and Chair of the UK Clinical Reasoning in Medical Education group @ukcreme.bsky.social
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21.11.2025 17:41 โ ๐ 77 ๐ 17 ๐ฌ 0 ๐ 2So much of the UKโs steady decline post war can be explained by how easy it is for some people to fail upwards. Some spectacular examples with COVID and Brexit - often the same people in both. And easily identifiable by the frequency of their appearance on BBC Radio 4 Today programme
21.11.2025 11:44 โ ๐ 41 ๐ 9 ๐ฌ 1 ๐ 01/ How does the COVID Inquiry's Module 2 report align with what we said in @independentsage.bsky.social at the time? A ๐งตon Transparency, Early & Decisive Action, Scientific Advice, Integration of Social & Economic Harms, Communication and Behavioural Science, Governance, Data and Preparedness
20.11.2025 16:43 โ ๐ 177 ๐ 96 ๐ฌ 6 ๐ 7GPs up & down the country warned Wes Streeting, Department of Health and Social Care 6w ago that forcing the implementation of online forms without safeguards was a fools errand & raise false expectations
Have now decided not to talk to @BMA_GP @doctor_katie @DavidGWrigley
So here we are ๐คท๐ปโโ๏ธ
If, like me, you lost a loved one in the UKโs deadly second COVID wave, this WhatsApp chat will confirm that the then government has blood on its hands.
20.11.2025 13:58 โ ๐ 145 ๐ 60 ๐ฌ 5 ๐ 2TOO LITTLE, TOO LATE. For shame, Mr Johnson and the team you pretended to lead. Preventable deaths on your hands. They will not return to us. You live on, rich and vainglorious.
www.theguardian.com/uk-news/2025...
stinadeee 4h "The abuse of women and girls is the most pervasive and unaddressed human rights violation on Earth." - Jimmy Carter "I am fortunate to have a lot of strong women in my life..." - George W. Bush "I'm absolutely confident that for two years if every nation on earth was run by women, you would see a significant improvement across the board on just about everything..." - Barack Obama "Quiet! Quiet Piggy!" - Donald Trump
Women are watching abusive dynamics play out on the national stage and for many it feels very, very familiar to what theyโve experienced regularlyโ
I hope midterms are a referendum
Can you see the problem ๐คท๐ปโโ๏ธ
Wes Streeting canโt ๐คฆ๐ปโโ๏ธ
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend ยฃ400pa on hair
GPs receive ยฃ169pa per patient
Wes Streeting accused of taking โchaotic and incoherent approachโ to reforming NHS which makes it unlikely Govt will hit targets, according to damning @instituteforgovernment.org.uk
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Warnings rise for U.S. as a severe flu strain causes outbreaks. A flu strain that emerged over the summer is causing unprecedented outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly 2 months.
www.nbcnews.com/health/healt...
Finally!
09.11.2025 21:40 โ ๐ 0 ๐ 0 ๐ฌ 0 ๐ 0On this day we remember them.
We will never forget.
#RemembranceSunday
This report was published 20 October 2022
This was the day Liz Truss announced her resignation
Also the day General Practice was ignored & lost potentially forever
publications.parliament.uk/pa/cm5803/cm...
GPs - โLazy, laggardsโ
1.3million appts take place in General Practice each day
20 x more than A&E
3.5 x more than hospital out-patients
5million more appts each month than 2019
Wes Streeting has decided he doesnโt need GPs
Letโs see if people agree
www.kingsfund.org.uk/insight-and-...
โProfessional protectionismโ = patient protection
Itโs really important people understand why knowledge is needed in patient care
Protecting a role eg Nurse/Dr is about protecting patients from harm
You donโt know what you donโt know or understand what you have never been taught
Poster: one health, a relationship between humans, animals and the environment
You might have seen me using the #OneHealth hashtag often: this is why...
A World Health Organization poster for today, November 3, One Health Day
GP Crisis is due to Top-Down management
~20% cuts in ยฃ/patient funding in 10yr
~Partnership future undermined
~NI hikes
~ยฃ moved to Primary Care Networks
~GP roles cut from practices using ARRS
More costly services being promoted by Govt/NHSE at the cost of patient care
Physican Assistant - Associate - Assistant
Started as a good idea but was soon a very bad idea for patients when pushed by those who had no idea about safe medicine
Itโs time to make sure the Leng Review recommendations are implemented
substack.com/@drstevetayl...
Racist incidents against UK nurses surge by 55%
Royal College of Nursing calls on government to stop using anti-migrant rhetoric, which it says emboldens racist behaviour
www.theguardian.com/society/2025...
The โmanagerโ is blaming the players, #NHS is โbrokenโ according to Wes Streeting
But he has spent a year โbreakingโ the teams who provide care for patients
Waiting listsโฌ๏ธ, A&E waitsโฌ๏ธ, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause
As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep
Govt banned them in case I was influenced to prescribe medications
This should also be banned
Influence being bought in Govt
Patients should influence not the healthy & wealthy
This is madness - how can they justify yearly flu vaccination for all staff (and seriously encourage staff to have it with various deals) but then ignore the other infection that is hitting staff on regular basis?
I hoped this madness would change with new government - sadly it has not.
โDoctors have warned that the governmentโs decision to exclude health and social care workers from its covid vaccination programme is putting patients at risk and will have a major impact on an overstretched NHS.โ
๐คฆ Unbelievably shortsighted, based on what exactly!
www.bmj.com/content/391/...
#NHS vs #TeamGP
24.10.2025 20:40 โ ๐ 35 ๐ 20 ๐ฌ 2 ๐ 0If you're a physician working in England, share your insights to shape our submission to the governmentโs call for evidence on the 10 Year Workforce Plan.
Have your say: ow.ly/g23550XatiH
Submit your responses by 9am on Monday 20 October 2025.
Write to your MP: Save the future of general practice
We have been increasingly concerned about the messages aimed at GPs from Wes Streeting, Stephen Kinnock & Department of Health
They have said this is just a few BMA leaders
Itโs not pleas write here๐๐ผ and share
dauk.org/write-to-you...
I do hope BBC Panorama is working on this, with a proper deep dive into the associations+funding of Reform Thereโs so much talk of spying. Nathan Gill, close to leaders of a party that aspires to govern the country, has *admitted* working for Russian interests. What are the links btwn Russia+Reform?
14.10.2025 08:34 โ ๐ 40 ๐ 17 ๐ฌ 1 ๐ 0WMA has adopted a landmark Statement on Artificial and Augmented Intelligence in Medical Care, outlining global ethical principles to guide the safe and responsible use of artificial intelligence in healthcare.
Press Release: www.wma.net/news-post/wo...
#MedicalEthics
Well done Shafaq Aftab. When a reviewer stole her work and published it under his own name, she fought for a YEAR to get the journal to retract the paper. Just wondering why it took Wiley a YEAR to do this. ๐งช #academicsky
retractionwatch.com/2025/10/03/w...
After a long pause, I've just done another England Covid & NHS update as we head into the autumn/winter season.
TLDR: we're in a significant Covid wave now, the NHS is stretched, get boosted if you're eligible.
christinapagel.substack.com/p/england-is...