Graph showing consultants vs GPs 1950-2020. Prediction will be even more consultants per head of population vs GPs by 2040. This has to be reversed if we are to deal with needs of future population

This is why it’s so difficult to see a GP

My respect for GPs quadrupled when I worked as FY2 on GP Placement.

This is what I witnessed.

- GPs had excellent knowledge base which was wider than any specialist and they were keeping that up to date with ever changing guidelines and protocols.

- GPs had a constant flow of…

Over the last four years, Hilary Cass has conducted the most robust review of the medical evidence for transitioning children that's ever been conducted. Mere hours after it was released to the press and public, committed ideologues are doubling down. 1/6

Excellent report. Describes how socio-cultural factors impact on people’s perception of their condition. Many parallels with ADHD where there has been a huge increase in presentation and young people after cursory assessment are being prescribed powerful and addictive drugs.

Places on Earth that don't look real - thread 🧵

1. Namibia, where the desert meets the ocean

Useful commentary on the thread as well. We’ve got to stop thinking that money is the only problem holding the NHS back.

This is Sarah and Gemma, Wendy’s daughters. Our mum died peacefully early this morning. She wrote a blog post before she died so you can read about it from her perspective.
Sarah and Gemma

whichmeamitoday.wordpress.com/2024/02/22/my-…

UK public debt:
Jan 2024, £2.647trn, 96.5% of GDP
Feb 2020: £1.791tn, 79.1% of GDP
May 2010: £1.03tn, 65% of GDP

Tories borrowed more than all Labour Govts combined.
Squandered on tax cuts for corporations/rich, contracts for cronies.
No new industries.
Public services destroyed

For those upset with me for highlighting the unfairness of this man competing in the women’s hurdles because they think I’m being “unkind,” I would ask, “And is his insistence on competing in this category not unkind to the woman standing next to him?” Selective kindness is not…

Not investing in primary care 'most significant policy failure' of the 'past 30 years' bit.ly/48aTdcY

Maybe I’m daft but I can’t help wondering how it is that in the past the country could afford to give people a grant to go to university, we had final salary pension schemes, retirement from 60 years old, an NHS that worked, GP visits at home, affordable housing, hundreds of

Here is the heart of the problem. It is not just the Israeli President who believes that all Palestinians in Gaza are guilty, as CIJ_ICJ noted, many many Israelis agree with him, including much of the army and the security services, as we see in the clip below. Hence the…

This is the key challenge for Wes Streeting MP if he becomes SoS, completely changing NHS England's focus onto primary and community care. It will take enormous political strength, and will require wholesale culture change at the top of Department of Health and Social Care, which has been antiGP for 20 yrs

I really don't understand the level of denialism on the hole the UK finds itself it. GDP is a huge 24% below its pre-fin crisis trend - that's £23,000 per household.

The Internet is beautiful.

I've spent the last 3 years collecting the best websites.

Here's a list of my 8 best picks:

🔖10/10 would Bookmark:

Excellent analysis of problems related to A&E. By someone who was instrumental in achieving the 4 hr wait target when Labour was in power.

Is it time to change the law on assisted dying? In this week's episode, James explores the debate with Jenny Carruthers, Tanni Grey-Thompson, Ilora Finlay, Aneez Esmail Dignity in Dying, Imogen Goold at University of Oxford and Andrew Green The BMA.

thenakedscientists.com/podcasts/naked…

Drop the paternalism. It’s high time doctors stopped thinking they have a monopoly on what’s in our ( the patient’s ) interest. Why not ask us? Full access to personal EHRs not only empowers patients but is a basic right.

The DHSC annual report and accounts was recently released and I have some interesting observations.
assets.publishing.service.gov.uk/media/65b236c8…
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