Paul Green - Dir of Primary Care

You can add in a few chancellors. No per capita growth for a good long time.

Had the bureaucracy to be cut been defined yet?

Since this was announced ICBs report having their responsibilities expanded.

I can see no risks whatsoever with GP fit notes being replaced by non clinical review funded by ones employer.

No risks whatsoever.

None.

🤯

#mayfieldreview

Unsure.

Not to directly compare to racism of course, but he could treat NHSE and ICB staff with a lot more respect.

My 32nd working in the #NHS anniversary today.

(Currently going (v v v slowly) through reorganisation number 10)

But, but, but...

Its hard not to conclude the handling of the #NHSE #ICB changes shows many of the traits of a #peoplelast belief system

Perhaps the coming one affects extreme wealth and therefore will get air time?

Farage never met him

Good to see #PMQs feature questions about #pharmacy and #dentistry

The #NHS is SO much more than acute hospitals.

When 5 UK political parties are polling between 15% and 26% you know FPTP has to end.

I guess all the folk saying 'yeah but in the UK #Giuffre was above the age of consent' support the grooming gang defence that 'in Pakistan they'd have been above the age of consent'?

I've commissioned General Practice in Devon for 33 years. I've moved organisation once, and been TUPE'd 9 times due to reorganisation

10th TUPE pending

Thats a lot of time, effort, cost, opportunity cost

Their own messaging strongly suggests the latter.

😭

I do the portal, seen within 24 hours if clinically needed, within a few days if not. 👍

Its that time of year where NHS staff are accused of genocide for administering the #covid vaccine, AND accused of genocide for not administering the #covid vaccine

Its pretty clear the 25/6 #GP estate investment programme has been designed to underspend.

Isn't it?

I wonder if @rthonwesstreeting.bsky.social has evidence for saying 'most NHS staff support NHS league tables'?

Then they're not Utd fans

In the #SWW area a combination of ludicrous unit cost rise, unjustifiable standing charge rise, and removal of #labour govt support cos the old (lower) charges were too high means a lot of households are seeing bills rise by >50%

Will winter 25/6 be the year people can't afford to eat, heat, wash?

I wouldn't rule out him doing the same with Greenland

Looking at NHS ICB staff 'pulse' survey results.

I wouldn't say all ICBs are in an irreparable state. - but I think some might be.

😔

NHS annual survey suggests unpaid overtime equates to circa 54,000 wte.

No one should call that 'productivity gain'.

Its a failure and dangerous to design jobs that cant be done within the funded hours.

🤣

Blimey that's some uptick in #mounjaro #tirzepatide prices!

Maybe they recognised her?

Or...'we want you to know if you commit a serious crime in the UK you may never spend a day in custody and be free to immediately sneak back to the UK'

Also, generous use of the word 'plan'.