Dr Huw
@DrHuw
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Consultant Anaesthetic Doctor | “Inserts tubes into tubes”
Joined December 2020
Wow!. Blocked by my own regulator on social media. Interesting times…….
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God Bless our orthopaedic junior colleagues for making us smile on a gruelling trauma list
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This Doctor was struck off for sexual harrassment. Yet the Caucasian transplant surgeon (in the same Trust) was only given an 8 month suspension for sexual harrassment. What could possibly explain the different outcomes @gmcuk?.
Doctor who sexually harassed three women struck off
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Because it’s a corporate NHS grift in the UK . Useful idiots overpaid to promote nonsense with no accountability. Proper “wellness” is being paid on time, IT that works, hot food, limited mandatory training, parking/bike stores, not being bullied/infantilised etc.
Why are many doctors irked by “wellness” initiatives like modules or yoga sessions, even well-meaning ones? . Burnout is not a resilience problem. It’s a systems-level problem that comes from chronic workplace stress. It won’t be solved by individual-level solutions.
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@SImonBu14712300 @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM There is no such thing as “working at registrar level”. Unless you’ve been to medical school, obtained your medical degree, done foundation training, then completed core training, then competitively obtained a specialty rotation while sitting 1st/2nd parts of postgrad exams.
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There are no shortcuts in medicine . Despite what “medical leaders” tell us, you have to put in the hard graft, the bookwork, the lectures, the private study & the postgraduate exams. Unfortunately for UK medicine & patients, 2024 is the rise of the bottom of the pyramid
@drcolinm of the @gmcuk has written this in a recent blog about future education &, as a card-carrying educationalist, I disagree vehemently . The last 50 yrs of educational research tells us a very clear message. The single most important determinant of expertise is knowledge.1/
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This reads to me as encouragement for PAs/AAs to take ‘action’ if a senior Dr refuses to engage with this project. Last time I checked, we have our own contracts & job plan, mutually agreed, none of which involves mandatory supervision of non-medical healthcare workers.
@parthaskar @ExplosiveEnema2 @cannula_service @thetimes let me provide you with an insight if I may? . 1. Whilst you may like the idea of a supervisor set national scope, the GMC (your regulator and now ours) has stated scope is individualised in this country. Therefore, you can state what you like regarding what your wishlist is.
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“In the beginning, there was Infection Control…. ”
What experience in the workplace radicalized you?
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In my experience, I have found FY2’s to be quite the opposite: inquisitive, professional & highly motivated . This is despite a toxic NHS culture from the #bekind mob (which, sadly, includes numerous medical colleagues) that seeks to consistently infantilise & demotivate them.
@iDrSunny @DrEilidhMaria @MallinsonT In my experience, I have found, without exception, the FY2's to be the most unsafe. And not just on one occasion. Having said that, we ALL make mistakes. Show me one doctor that hasn't. I find this a witch hunt snd it sticks in my throat. Not just for PA's.
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Without #MedTwitter & named/anonymous accounts calling out the obfuscating & gaslighting, all of this would proceed unobstructed. Vast majority of Doctors now have zero Trust in Colleges or so-called ‘medical leaders’. Perfect example below 👇.
We're aware of concerns raised in response to words used by our Chair, Kamila Hawthorne, at yesterday’s Health Select Committee. Her remarks in relation to PAs were made in the context of a wider message about GP practices not having the space to train and host the various roles.
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Lord Bethell’s “commitment to modern attitudes to data sharing”
Commitment to modern attitudes to data sharing would have been one of the key concessions I'd've sought from BMA when negotiating their bumper pay rise. Ministers may rue the day they missed this chance to cut one of the most depressing drag-anchors for modernising the NHS.
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Once again, the GMC (the UK’s failed medical regulator) is interfering in matters that it has no place, experience or jurisdiction in doing so.
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Every time AA advocates gaslight & dismiss our protests as ‘elite protectionism’, I will gratefully refer to this eloquent & superb thread from @dr_ianjackson on why we are so concerned about maintaining the safety standards of our wonderful specialty of anaesthesia.
Thread for those who do not understand why I might be against Anaesthesia Associates or whatever they might want to call themselves. Anaesthesia is high risk area - one colleague used to say my job involves giving sublethal doses of dangerous drugs & wakening you up at the end.
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This is sadly a prime example of how poorly the NHS treats its employees. And, thus, one of many reasons why disengagement is exponentially on the rise.
Dear rota coordinator, I'd love to come in at short notice to help with ongoing pressures but given you are currently refusing to give me annual leave to be a groomsmen at my best friends wedding which I've given you over 6 months notice for, I sadly find myself unavailable.
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Remind me again why anon accounts exist
Update from @gmcuk to external stakeholders: "looking at what action they can take" in response to "social media issues". They are likely collecting social listening data & tracking accounts (👋). Source: GMC update to Health Education and Improvement Wales MAPs Group (Oct 2023)
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Some of my recent ‘unexpected anaesthetic issues’ have come from what I deemed ‘low-risk’ patients. Nearly 20yrs of anaesthetic experience (+HO/SHO & 6yrs MBBS) enabled them to be identified & managed safely. We must protect the future of the profession & the safety of our pts.
@DrLKVaughan Interesting thoughts and insights. I would happily have eg a hernia repair performed by a PA who does that all day everyday. And a GA from an AA having been pre assessed as low risk. Less happy with diagnosis in unselected all comers.
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The usual suspects get their panties in a twist when I post about grifting DEI jobs earning £60-80k pa. They’re awfully quiet about this abomination which is even more grifty. Imagine NHS Trusts using this £60k to incentivise existing staff to innovate on reducing discrimination!
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This resonates. I love giving anaesthetics & I value my colleagues . But I am totally disengaged from my Trust’s ‘values’, it’s obsession with corporate DEI nonsense & it’s infantilising appalling treatment of intelligent hard-working people. Its just a job, nothing more.
@trentconsultant 6 years in as a Consultant and I'm already RIP (retired in post). I do what I have to but nothing more and go home on time. What's the point if our employer thinks so little of us.
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Scrap @UKANRO . Scrap the MSRA. Return to regional & face-to-face for CT1 & ST4. Prioritise medically-qualified doctors over AAs in all areas of anaesthetic practice. These should be the @RCoANews’ priorities to secure the future of the specialty. Actions speak louder than words.
This is remains the massive hole in the Workforce Plan that needs urgent clarity. With over 3000 applicants wanting to join anaesthetic training, and an urgent need within the NHS for anaesthetic doctors, where is the plan for expansion of training posts? I will keep searching.
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What experience in the workplace radicalized you?
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Rates of discrimination continue to rise in the NHS despite the ubiquitous presence of these unaccountable corporate gravy trains of grift
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😇
Who is the most famous person that dislikes you?.
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“Train people well enough so they can leave, treat them well enough so they don’t want to” Richard Branson. Medicine does neither for our younger colleagues. @parthaskar eloquently explains why it needs to change.
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A Consultant colleague opines…. “I just don't get this obsession with a medical degree in this day and age.”.
@Caesarnots96696 @mouseter_chef @First_Neptunian @GMCharlatan @PepperNutty @iDrSunny @parthaskar @JanetEastham @drmattuk @doctor_oxford @implausibleblog @Xeon4f145d96s1 @ExplosiveEnema2 @AnaesUnited @medicalmodelbri @chriscraigCCC I just don't get this obsession with a medical degree in this day and age. Never have, probably never will. Somebody, some day may convince me.
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One by one the different specialties of medicine are acting to halt the expansion & scope-creep of unregulated non-medically-trained healthcare providers. This is not ‘bullying’ or ‘pile-ons’ by drs, this about pt safety & protecting the future of our profession.
GPC England passed this emergency motion in all parts today:. “That GPC England fully endorses the recent statement by UEMO expressing concern over the increasing trend of "Physician Assistants/Associates" (PAs) being used to substitute GPs in English General Practice, &. (1/11).
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@fessdoc @HelenRSalisbury @ENT_UK Theatre-based ENT procedures & acute presentation of ENT problems should only be performed by a medically-qualified & adequately trained ENT surgeon. Can’t believe I’m saying this in 2023. It’s like the emperor’s new clothes. What is wrong with people?.
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One-third of the holy triad of NHS grift is IPC. A non-evidence-based practice of hypocritical ‘rules’ designed to keep the workers in line. Exhibit A 👇.
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No one can answer this question. See also: . “What is the medical model?”. “What unique role do MAPs fulfil in the MDT that doesn’t already exist?”. Provide honest evidence-based answers to these then maybe the debate can start in earnest.
@doctimcook @RCoANews Genuine question. If it can take up to 8 years to qualify as an Anaesthetist, why would anyone want an Anaesthetist Associate, with only 2 years training, involved in their care? If AAs are safe, why bother going to medical school to become an Anaesthetist?.
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The corporate IPC brigade clocked off at 17:00 on Friday . These grifts do not extend to the weekend
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The biggest problem with ‘Medical Educators’ is that they’ve had far too much influence & meddling with training, recruitment & curricula. And they’ve absolutely ruined it all.
If you can’t do, teach…. Medical ‘educators’ are the bane of my profession. Out of touch, clinically inept but entitled. Usually with a professorship (sic) from a university nobody’s ever heard of.
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@ankitkant @RestoreGPUK Every A&E should have a GP surgery (not just minor injuries unit) bolted onto the side of it at triage . It would save admissions, money & provide work for unemployed GPs.
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@DrGailBusby Nope, I have genuinely been blocked by the independent health regulator to whom I am forced to pay the princely annual sum of £433.
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@shaun_thein @SWBHnhs @doc_hnaqvi @drdhruvparekh Congratulations on your job!. Please get them to reprint the badge with your well-earned title of ‘Dr’, surname and specialty.
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@Dogtor_Erin @amateursuman explains it better than I ever could.
Could not figure out why I’ve been humming Shake It Off to myself all afternoon. Then remembered a patient I’d seen who had a broken ankle with “talar shift”.
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Anaesthesia is a specialty which prides itself on rigorous safety, standards & training. I just cannot fathom how something which goes against all of the above is being forced through despite the significant concerns of thousands of anaesthetists . @RCoANews.
My thoughts on this consultation, which is now hitting inboxes, can be summarised as:. 🧵
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Ladies & Gents,. Behold, the merry-go-round of managerial mediocrity all the way up the ivory towers.
Just announced @julianhartley1 will be appointed as CQC’s new chief executive - he has a huge job on his hands. A long serving NHS trust chief, he'll need to put patients' interests first ahead of the trust sector.
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A suspiciously coordinated set of #BeKind = #BeSilent tweets from our ‘medical leadership’ in @NHSEngland . There is no place for *any* personal attacks in the NHS. Patients have to be clear that *all* NHS staff are qualified to treat them with appropriate skills & knowledge.
The cases highlighted in this article are unacceptable. There is no place for these personal attacks in the NHS. In the medical community we have to be clear that all NHS staff should feel safe to come to work and be treated with respect and dignity.
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Tell me you’ve worked at Northwick.Park without telling me you’ve worked at Northwick Park.
Paternoster Elevator, or continuous elevator, does not have doors and never stops.
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Adding these pics to my rapidly growing folder of “Why IPC is the 3rd point of the NHS Grifting Triangle”.
One of the hospitals where I trained had a miniature horse visit the ICU as a therapy animal. Personally I think waking up and seeing a tiny horse in my hospital room would be deliriogenic. To each their own I guess 🤷
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@HelenBevan @artpetty @goranhenriks This is all management gobbledegook . What we need are bodies on the ground contributing towards patient care not being paid to sit in endless Teams meetings self-congratulating each other over more made-up nonsense. Absolute waste of tax-payers money. For shame!.
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@shaun_thein @SWBHnhs @doc_hnaqvi @drdhruvparekh The “Hello, my name is” campaign was started due to Doctors not introducing themselves at all. You should insist on the changes to your badge - it is important to maintain a professionalism & to ensure that pts know exactly who you are & what role you have.
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@shaun_thein @SWBHnhs @doc_hnaqvi @drdhruvparekh This first name & limited role nonsense that is on badges is part of a deliberate top-down deprofessionalisation of Doctors. It blurs the lines between Doctors & other healthcare workers & is just confusing at best but misleading at worst for patients.
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@NicholasChrimes @nosecglasses @AirwayMxAcademy Unfortunately, patients don’t always abide by the playbook & human factors are human factors, so it’s not that simple when humans are involved. It’s easy in the cold light of day to simplify complications of airway management, one of the most stressful scenarios in medicine.
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These Patient Safety awards ceremonies are nothing but a whole lot of self-congratulatory performative nonsense . There has never been a more unsafe time to be a patient in the NHS.
The 15th #HSJpatientsafety Awards are now open for submissions!. We have 25 categories for 2025 including 2 new:.- Advancing Patient Safety with Data and Analytics.- Nursing-Led Patient Safety Initiative of the Year. Register today to start entries:
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I do wonder whether many NHS organisations are flouncing off X under the excuse of ‘Musk’s toxic far-right playground’, to avoid the public scrutiny of their ongoing dastardly deeds.
I know they are under a LOT of scrutiny on many issues- mostly facilitating #PhysicianAssociates-without control & making an absolute horlicks of it all. Didn't know @rcgp had left @X altogether. So @KamilaRCGP what platform do we do accountability now on?. Or just an IT thing?🙂
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@mancunianmedic @Batmannnnio Managerial ‘reputation protection’ always trumps patient safety & staff wellbeing in the NHS.
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@BubsandJacks @DocDoLi What experience do you have of medical recruitment or working in the medical profession?.
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NHS Trust IPC bullies prioritise the toxic enforcement of evidence-devoid mandates such as banning wristwatches, allowing therapy alpacas on wards & banning staff from drinking water in clinical areas.
One thing that really stands out from the Inquiry testimonies is just how many professional bodies repeatedly raised the alarm about the inadequate infection control guidance in hospitals…. …and how their concerns were disregarded at every stage, with profound consequences.
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@AirwayLegend In the UK NHS, many clinicians have been bullied into a ‘learned helplessness’ by a toxic mediocre middle-management who love to flatten hierarchy, deny autonomy & champion corporate nonsense at the expense of pt safety & staff wellbeing. Still love the airway though 😀.
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@rhys_elgumati Theatre overruns are multifactorial & most often due to overbooked lists as surgeons have less list management control. An appropriately booked list should allow me to teach a resident Dr (2hrs? Really? 🤔) & you to close.
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@parthaskar @ExplosiveEnema2 @Dr__Chloe @19MW98 @LeedsHospitals It’s on a public domain link Partha.
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@Academic_owl Nope, the sign was unacceptable due to overt racism, end of. Validating unacceptable actions with a hypothetical -ism is not an acceptable excuse.
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@BenGunnEx @gmcuk The transplant surgeon had a long history of sexual harassment against training doctors, racial abuse & discrimination. Despite multiple warnings, he continued with his harassment - the GMC have failed in their duties not to erase him from the medical register.
DAUK has taken the rare and serious step of writing to the Professional Standards Authority (@prof_standards) regarding the MPTS decision on James Gilbert. We've urged the PSA to refer this case to the High Court, viewing the 8-month suspension as woefully inadequate.
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Surely the best way to solve the medical job market crisis is for us to support the GMC in identifying all the medical anons, and striking them off along with the doctors Vote lot. Then there would be more jobs for worthy doctors, and we no longer have to deal with these nobs.
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@DrMichaelSagner @DonnaWakefield_ @MedCrisis @dieworkwear From an infection control perspective, this is also untrue.
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Essentially social & political justice in a nutshell.
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@UKGastroDr “Flattened hierarchy” is just another bullshit corporate public sector term (like “trained in the medical model”) used by NHS managers & senior MDT ‘leaders’ to bully & humiliate the medical profession.
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“I’m going to be looking after you today, keeping you asleep, keeping you safe, keeping you comfy”. Patients are trusting & apprehensive pre-surgery - as a minimum, they will be expecting an anaesthetic doctor for this most vital of roles
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I’m privileged to witness unconscious competence in many of my respected colleagues on a regular basis. For example, watching a gifted surgeon operate truly is a joy to behold.
Move to conscious incompetence to start learning what’s missing from your knowledge base. Which in medicine - is a lot!!. Then you can strive for conscious competence in your practice. Dare we dream for the ultimate - unconscious competence in medicine? . Prolly not. Corrupt.
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“some trainees are anxious about AAs taking away their learning experiences”. It’s more than “some” . Training of junior anaesthetists in the UK is of an exceptionally high standard for many reasons. Current de-prioritisation by NHSE, GMC, AoMRC etc. threatens these standards
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@Xeon4f145d96s1 No, EDI is another NHS corporate grift. Huge amounts of time, resources & money is spent employing & utilising a self-selecting population of staff with very little evidence of improving outcomes.
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“I’m going to be anaesthetising you….I’ll be looking after you”. This is misleading & confusing to the patient. “…so she makes it clear that she’s working alongside a consultant”. Again, this is misleading unless the Consultant is present throughout the case
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@Statsjamiefact Enforcing this type of unwanted supervision is unlikely to be accepted by Union representation of the medical profession.
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@DrMichaelSagner @DonnaWakefield_ @MedCrisis @dieworkwear Respectfully disagree - have been in operating theatres for over 20yrs and never seen surgeons, anaesthetists or theatre staff being required or ‘reprimanded’ to tuck scrubs in.
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“some degree of independence”. “the AA can take the trainee down to the ward to do an assessment”. So, some anaesthetic depts are utilising AAs in a partially-dependent manner?. So, some anaesthetic depts are using AAs to train anaesthetic doctors?. No, no, no
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Literally a fortnight between virtuously promoting their #SeeMEFirst initiative & another unacceptable episode of overt NHS racism. Divisive.Exclusionary.Inequitable. #NHSGrift
@Xeon4f145d96s1 No, EDI is another NHS corporate grift. Huge amounts of time, resources & money is spent employing & utilising a self-selecting population of staff with very little evidence of improving outcomes.
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I’m sure many companies monitor other ‘accounts of interest’ on social media but one has to wonder quite what information is being gathered & for what future purposes…. Yet another convincing reason to remain anonymous.
Did you know? @gmcuk employs social media specialists to monitor criticisms and shape their strategy. The extent of this is outrageously far-reaching. Thanks to @Mike88881221 for uncovering this through FOI. If I’ve tagged you, the GMC has been tracking you. Congratulations?.
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NHS DEI ‘Culture Champion’ roles are expensive unaccountable roles for grifters.
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IPC spend most of their time telling Doctors they can’t wear a wristwatch, whilst allowing alpacas to visit wards. Yet, the moment they’re required to adopt EBM & logic……. .
This is Dr Lisa Ritchie who was the Head of Infection Prevention & Control for NHS England & Chair of the IPC Cell. In this video, she explains why patients should never wear FFP3 masks - even if they are known to be highly infectious or if they are clinically vulnerable…. /1
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This 👇. Centralised recruitment systems such as ANRO are inferior processes that are unfit for purpose.
We have become so adverse to local recruitment on the basis of nepotism to the point that local recruitment is how every member of the healthcare team is recruited and trained apart from junior doctors.
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There is no ‘Freedom to Speak Up’ in the NHS. There is no protection for Whistleblowers in the NHS. Careers are precious . This is exactly why anon accounts are present & needed.
I find it pretty concerning that so many people seem to have been reported to regulators, their employers, their trade unions and even the police for raising genuinely held concerns pertaining to patient outcomes and safety. Is this normal in healthcare?.
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What’s fantastic way to advertise a job @RNAppleby . Having made a similar step, I wholeheartedly concur.
A thread about medical taboo #101: Moving jobs as a consultant: After 5 happy years in London, I took the momentous decision to leave. It was almost as mochas a shock to me as it was to my colleagues, I thought I would stay forever, so why did I do it, and what did I learn? 1/11
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The @LBC presenter Matthew Wright’s facial expressions say it all. The NHS is a circus run by absolute clowns. Power-hungry, money-grabbing clowns.
‘This year there will be qualified doctors without a job.’ . ‘We’re seeing GPs driving Uber now.’. Caller Dave is dismayed by the continued expansion of physician associates when places for doctors are shrinking.
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This should be the @RCoANews & local Trust’s priorities for anaesthetic departments. Specialty Anaesthetic Doctors have so much value to add to departments clinically & non-clinically. Additionally, the option to pursue the CESR route. Invest in our future. Thanks @RobJimFleming.
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This is a great photo Kash, very evident how supportive your dept is of its doctors in training . Sadly, people will always seek to create division & offence even when none exists.
I'm using X less and less, primarily because of the nonsense responses you get to posts (such as us welcoming our incoming ST3s). Unclear if ill-informed, mischievous or malevolent. All trainees are appointed via an independent national ranking process, we celebrate them all
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@Xeon4f145d96s1 @DrGoblin3 @Dr_Done_ @Moham1287 @OrthopaedicOz When you’re on the right side of history…
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“No matter what you do, no matter how hard you try, you’re screwed because it’s all fixed and rigged. There is a club and you ain’t in it”. George Carlin.
💯 It is clear the @RCPhysicians delayed the EGM and tried to influence the outcome - remember the emails between the then President & @CMO_England . @DrAsifQasim @trishgreenhalgh @djnicholl @parthaskar @Xeon4f145d96s1
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@Jean_Jeannie1 @valhumphreys51 @PhilipSteart Doctor’s contracts are national contracts - Trusts cannot influence these. Any such proposals would have to be mutually negotiated at national level with BMA/HCSA involvement. Any such individual job-plan changes are mutually negotiated w/ line manager.
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Good . It seems absurd to be saying it, but of course UK medical graduates should be prioritised for UK medical training places. There should be a merit-based clearing process for non-UK medical graduates if above training places remain unfilled.
A brilliant statement and a good start. I will look forward to seeing the updates on how this future policy is put into action. Home graduate doctors must be prioritised for training posts.
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