Mark Green
@DrVoles
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GP, Berkshire County Chair of @bbolmc Amateur wine reviewer. Just ran 5K. T1DM. #wearenotwaiting DIY Artificial Pancreas user. @TheOnCallRoomUK
Berkshire
Joined December 2011
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A lad who is 18 in 4 months was referred to an adult
#NHS
service with a 1 year waiting list. His referral was rejected as not 18, even though he would be when eventually seen. Paeds waiting list too long.
This demonstrates complete lack of common sense. The NHS is full of it.
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There is going to come a point when
@TheBMA
is going to need to make a decision.
I suspect the BMA Council will need to ask GPs, Consultants and Junior Doctors if they are all prepared to walk out. Full withdrawal of labour at the same time. Indefinitely.
= Likely resolution.
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So.....someone who isn't even a GP yet......is giving advice on health policy..... No life experience. A year at NHSE.
Can no one else see how utterly absurd this is?
#NHSCrisis
#nhscollapse
#NHSOnLifeSupport
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Hey
@SteveBarclay
I see you've had a 31.7% pay increase since 2010.
Why are you worth over £20K per year more now, compared with a decade ago, but
#Juniordoctors
aren't?
@Doctors_Vote
@RobLaurensonD4P
@BMA_JuniorDocs
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I agree
@BBCNews
, I don't yet know why
@SteveBarclay
has been the Health Secretary since October 2022 either.
#NHS
#Reshuffle
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Can you explain why you told a group of MPs that GPs do not have a particular desire to strike over pay? The RCGP is not a union, it is well outside your remit. A motion to strike was overwhelmingly carried 2 months ago by UK LMCs. Are you on our side?
@KamilaRCGP
@Parody_RCGP
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It's interesting that this is being blamed as an "IT Blunder".
PAs know they can't prescribe, let alone Opiate medication.... yet.... whoever these individuals were, chose to ignore this legal restriction.
What will happen to them?
Oh. No. It's an IT blunder.
Uh huh. Probity?
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#isitok
That a doctor engaged in debate with a covid denier, and they tweeted
@gmcuk
asking to refer the doctor. The GMC replied with a form to use to report - at a time when doctors are working themselves ragged, this is the response from their regulator.
#IamDrPhilipLee
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Can someone, anyone, explain to me like I'm a five year old - how on earth it is appropriate for a PA to be supervising a Junior Doctor....... when a PA is not an Independent Practitioner, not a Prescriber, nor are they regulated (at present).
This is utterly INSANE
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You're advising
@wesstreeting
on Health Policy?
Your plan for General Practice will be the final nail in its coffin. It will drive the remaining GPs away.
Frankly I'm astonished that someone with so little experience as you, could be employed in such a position
@Parody_RCGP
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SERIOUSLY. CAN SOMEONE TELL 2° CARE SECRETARIES TO STOP ADVISING PATIENTS THAT I CAN EXPEDITE THEIR APPOINTMENTS.
5 WASTED APPOINTMENTS THIS MORNING.
MANAGE YOUR OWN WAITING LISTS
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What an absolute joke.
They really are trying to kill off General Practice aren't they?
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Just pondering.
Today I had a 2 letters from a 2ww cancer clinic.
They were both by the same PA.
One was a discharge from clinic, the other a cancer dx.
They were good letters - but if there's a mistake. Who is responsible? The PA, or me for accepting the information from them?
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Theres a meeting of
@BMA_GP
tomorrow, to discuss the announcement of a 1.9% uplift (20% cut over 5 years) to GP funding.
I trust they will no longer be keeping their powder dry....
The Government already have blood on their hands.
We need to look at Industrial Action v seriously.
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Lord Darzi?!?
Where'd they wheel him out from?
He was a disaster last time and he'll be a disaster this time.
If I recall he had some bonkers ideas for General Practice, is a surgeon in the private sector and knows nothing about how we work.
*gets popcorn* 🍿 🍿 🍿
🚨 NEW: Lord Ara Darzi has been appointed by
@wesstreeting
to lead a review of NHS performance.
"Honesty is the best policy and this report will prpvide patients, staff and myself with a frank assessment of the state of the NHS, warts and all."
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The ignorance here is astonishing. (He's a GP)
GPs have to pay for location, staff, heating, lights, etc
Best case scenario is the business breaks even at £10 per jab.
Worst case, the GPs lose money/pay to provide the service.
All whilst providing a normal GP service too.
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Oh of course.
Let me set up my remote monitoring equipment and night vision goggles.
I think it's next to my magic wand case, hold on.
What does this even mean?!
Perhaps write "no action required" next time.
Ta.
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@timspector
Just like that my respect for you has gone.
This shows immense ignorance.
Primary Care is failing due to overwhelming demand, and vast lack of funding (and lack of workforce planning over the past decade). It doesn't need dismantling - it needs huge resources to save it.
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I know this is nothing new - but how is it that one of the leading politicians in this country, is unable to stand up in front of the public- be honest and accept that General Practice is jn crisis. We have a net loss of GPs and simply acknowledge it.
@SteveBarclay
Just a reminder that Steve can’t do maths
2000 fewer GPs than 2015
How good do you think he is with pay numbers?
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Dr Bramall-Stainer (
@doctor_katie
) speaks with passion and fury about the devastating impact of abysmal contract imposition upon General Practice.
Standing Ovation from the entire room 👏👏👏
#confLMC2024
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Considering the immense conflict of interest here. The only correct course of action for
@KamilaRCGP
is for her to resign.
I would recommend that any current members of the college consider cancelling their membership until there is a significant change of leadership.
There is only one decent course of action to be taken here.
This is a resignation issue.
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#pulselive
Charlie Massey of
@gmcuk
states Revalidation helps change doctors practice and therefore improve patient care. Asked if any evidence it improves patient care? Admits is bureaucratic/burden - but says doctors feel it is beneficial - shouts of NO! Echoed round the room.
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The media were made aware of the shameful power plays
@SteveBarclay
is trying. Unprofessional late changes and demands are a pathetic attempt to derail talks. Clearly the Govt dont want to rectify this.
@Telegraph
@thetimes
@BBCNews
@guardian
@MailOnline
@BMA_JuniorDocs
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@tom_gardiner95
@wesstreeting
You're advising
@wesstreeting
on Health Policy?
Well. Your plan regarding General Practice will be the final nail in its coffin. It will drive the remaining GPs away.
Frankly I'm astonished that someone with so little experience as you, could be employed in such a position.
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Dear GPs.....
Well done!!!
I'm so proud 👏
GP referendum
61.2% turnout. (noted tech issues)
99.2% said no to the contract.
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@DrTeckKhong
I'm sick of this nonsense. Aren't you a GP?! You should know better than that.
You know that most ED pressures are downstream. You know the figures have shown it isn't work due to GPs not seeing patients.
There comes a time when we are all working above and beyond.
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@sbattrawden
@piersmorgan
We are seeing increasing anger and abuse towards the NHS and its staff.
Samantha of
@TheDA_UK
has asked that those supporting the NHS, might put a blue heart 💙 next to their name in support of the NHS + staff.
Would you be willing to join us on this?
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Hey
@MailOnline
@thetimes
@Telegraph
@guardian
@BBCNews
@ShaunLintern
Did you know that over the past decade
@SteveBarclay
has received a total 31.7% pay increase, approx £20K. Yet apparently the
#juniordoctors
demands are unachievable. Thoughts on this hypocrisy?
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Does this mean that those OT courses for first contact practitioners..... were a mistake? Surely not. Perhaps just added to the website in advance of a public announcement.....?
Why go to all that effort if it wasn't going to happen?
Something not right here.
@Dr_S_Parker
@Parody_RCGP
@Ask_foradoctor
@Dr_Done_
@DrSelvarajah
@DrVoles
@ExplosiveEnema2
@iDrSunny
We've now heard back from the University of Plymouth. The web pages have now been taken down as the courses are not available and if the courses do return it will be clear that practitioners will always operate within agreed scope of practice.
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@WorcsAcuteNHS
Would you mind explaining to me why you have used a photo of my father in law, who sadly passed away last year.
As far as I can tell you haven't contacted us, the family, for consent.
It was a huge shock for his daughter to see him being used in promotional material in this way.
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I'm glad I'm no longer a member of
@rcgp
if they're promoting PAs and encouraging PA membership for the RCGP.
Colleges have a lot to gain from the increased funding from membership.
The Profession have a lot to lose and the Royal Colleges seem to be complicit in that.
A great first day at
#RCGPAC23
@RCGPAC
a lot of positive conversations about the role of
#physicianassociates
- looking forward to day 2
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@DrSteveTaylor
I thought as much.....
So.... should we be looking at a national policy via
@BMA_GP
that PAs should not be signing off letters/seeing patients in clinic? Or that GPs should be rejecting these letters?
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This would be an absolute disaster in my area - in fact, in any semi rural area. This cannot and should not be mandatory.
It destroys continuity of care.
Has there been a consultation with GPs?
A consultation with patients?
Who will staff these Hubs?
Same-day access hubs should be rolled out across primary care ‘in a mandatory way’, according to the pioneer PCN highlighted in the seminal report laying out the NHS’s plans for general practice.
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Calling on all Medical Organisations to write similar letters.
@BMA_GP
@TheBMA
@rcgp
@AoMRC
@NASGP
tag any other relevant groups please and retweet if you feel so inclined. Ta.
BAPIO letter to
@gmcuk
CEO regarding the
@the_mpts
decision of Dr Arora
@RameshMehta15
@jsbamrah
@mathew_satheesh
@Sajay70
@JoydeepGrover
@H3MADRI
@ZorbaTheDoc
@ParagSinghal09
@ke015115
@gmenon1423
@BapioSAS_LED
@BAPIOWM
@BAPIOPC
@sidhuGP
@kgajanan6
@pulsetoday
@Rebeccasmt
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Lots of work to be done.
I am one of the GPs "bending" the rules
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The medical community is aghast at the Toombes vs Mitchell verdict & what it could mean for our future & 20+ years previous practice, including the message it sends to the those with disabilities & their families. This case is personal to all of us
#IAmPhilipMitchell
. Please RT.
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@ClareSieber
I am so disappointed to hear this.
We were very clear at the LMC Conference about needing increased transparency.
They may not like the content of your report, but you have a right to share it with your constituents.
This is a very concerning attempt to silence from
@TheBMA
1
5
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@DrTeckKhong
We are working harder than ever, above and beyond. We need to support each other. We need help and we need to question why things are the way they are. I suggest the issue lies with Government failure in staff and facilities planning over the past 10yrs. Stop misleading people!
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1
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@wesstreeting
2 things:
Patient speaks to consultant by phone or f2f if lucky. Consultant asks GP to prescribe and arrange tests on their behalf. Waste of a GP appt/resource.
Patient on waiting list. Hospital says see GP to send expedite letter. Waste of appt. Hospital should manage this.
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3
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would just like to stand up as an elected representative of GPs in Berkshire and go on the record to state that I also think same day access hubs are a bad idea.
Also suggest
@CharlotteBenja1
needs to consider retracting the veiled threats of
@gmcuk
referrals. Not a good look.
Reason 43323 for being an anonymous account.
To avoid the likes of Dr Benjamin (
@CharlotteBenja1
) sending us to the GMC which has a fucking body count.
Imagine doing this to colleagues!
I wonder if she has considered the GMC guidance on bullying? Back at you.
Bite me.
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0
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3
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This is terrifying.
As a GP with 15 or 16 years of clinical experience, plus 6 years of med school before that - if I phone the hospital for advice - I expect to speak to at least a Registrar or Consultant.
Happy with SHO too.
PA? No. Not at all. This raises huge safety concerns.
Functioning on a middle grade rota
@DrSarahClarke
- is this replacing doctors? Is this safe for patients?
4/🧵
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@theveindoc
The mess that UK doctors find themselves in happened on your watch.
You and your ilk are responsible for pulling up the ladder behind you.
Eroded pensions, eroded salaries, eroded working conditions, devalued professional status just for starters.
You should be ashamed.
1
2
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This immensely out of touch.
Appreciate the rose tinted spectacles trying to be painted - but I still do visits, as do all other GPs. I know a large proportion of my patient list - as do that majority of GPs. Don't paint us in a bad light inappropriately to make your point.
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Overwhelmingly Carried.
This Conference does indeed believe that The NHS needs GPs more than GPs need The NHS.
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7
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@ClareGerada
@Dr_BellaR
Oh good. You've still not retired? You do an excellent job of pulling the ladder up behind you.
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And so they should. They have my full support.
🚨
@BMA_JuniorDocs
tell members they will strike for 3 days every month, summer and winter, for as long asit takes after "derisory" offer during talks with
@DHSCgovuk
From today's print edition of The Sunday Times, click to read in full:
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@Amoxicologist
You can see it now "by the time you sign off my portfolio, you will no longer own any of this surgery. Now if you could kindly review the reflections I've submitted this week"
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@NikkiKF
@PrimaryCareNHS
@NHSEngland
I'm afraid this isn't the retraction, or apology that we hoped for.
You've recognised the situation, but for the second time in this pandemic you have released a statement which has denigrated the entire profession which you stand for.
Its just not good enough. We deserve better.
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I do not consent to my GMC fees being used against the Union which is there to protect me.
Weird that in spite of the vast sum we pay them - we have no say in the direction of travel, senior leadership, priorities etc.
#quango
Today we have responded to the BMA, strongly rejecting the basis on which they have proposed to bring legal proceedings.
You can read our statement on our website -
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Full Support For Our Junior Doctor Colleagues (not just GPs, but all) at LMC England Conference.
All parts Carried.
@BMA_GP
@BMA_JuniorDocs
@Parody_RCGP
0
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Utter nonsense.
Years of failing the young and vulnerable in this country, but apparently it's GPs not seeing patient face to face that is driving long term sickness.
Rubbish!!
IDS claims GPs are scared of mental health. Such ignorance.
6
10
34
Classic flawed logic and overselling by
@RishiSunak
this morning.
If GPs see more complex patients more rapidly, waiting lists will actually increase. This doesn't change the Hospital bottle neck (which is mostly a funding issue)
Of course, this won't increase GP appts either.
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9
34
I understand why they have to say this.....
But.....this is absurd. "Tell us how many eyes you want us to treat otherwise we can only treat one"....
#bureaucracy
#nhs
#nhscrisis
#madness
@DrSdeG
@AskJeevesWij
@Dr_Kasaraneni
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Very disappointing to see this level of censorship on such an important issue.
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I would strongly recommend all newly CCT GPs to relinquish your membership of this organisation which has repeatedly looked after its own interests ahead of those of its members.
The exam issues are the tip of the iceberg.
Congratulations to the 2,000 GP trainees who have CCT'd & are moving to the next phase of your GP journey. As a newly qualified GP member you're now part of our First5 community. Find out what support is available from your professional home ➡️
@KamilaRCGP
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@danny_mercer
I'm not entirely convinced.
As a student - I wouldn't describe myself as immersed in the NHS.
3 years in - is very little experience.
He lacks a CCT.
He lacks practical experience in hospital OR General Practice.
But.... Better than most advisors... So there's that.
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1
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Full Pay or Resource Restoration for General Practice.
Industrial action. If needed.
LMCUK Conference 2023. This is now General Practice Committee of the BMA Policy.
#conflmc23
Stem and Part i Unanimously Carried.
Parts ii and iii Overwhelmingly Carried.
1
11
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Excellent maiden speech by
@DrFJameel
at the LMC Conference today. Powerful, moving and a clear message to the government and the profession.
#lmcconf
0
6
31
No response.
OK. Start chest compressions....
Can you explain why you told a group of MPs that GPs do not have a particular desire to strike over pay? The RCGP is not a union, it is well outside your remit. A motion to strike was overwhelmingly carried 2 months ago by UK LMCs. Are you on our side?
@KamilaRCGP
@Parody_RCGP
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5
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It is fascinating how
@NHSEngland
announce these grand schemes before they've even actually negotiated or got an agreement with General Practice on this.....
🙄
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#juniordoctors
#juniorcontract
#patientsafety
We MUST protect the NHS, for the sake of our patients.
0
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@EmergencyMedDr
@BMA_JuniorDocs
@TheBMA
@TheDA_UK
@Doctors_Vote
@RobLaurensonD4P
I am curious to know why the media blackout.
@BBCNews
worried about breaching their partiality to the current Government? Surely
@Channel4News
won't ignore it tonight?
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4
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All parts Overwhelmingly Carried.
The feeling...the anger in the room was palpable....
#confLMC2024
0
9
27
This is daft.
A nursing home was told they can't give disp aspirin anymore by inspectors. GP to sort.
Reason? Elderly residents won't take it in 125mls of H2O
But they do fully dissolve it and take it with a less water
It's only 2 patients, but
Can we stop this insanity please?!
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0
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@DrAdamCol
@docib
When I worked in A&E (before you were a student, btw), it was the same. Except minor injuries have never been part of a GP contract or role. Minor illness - how do you suppose I stop my patients from visiting you? Shall I call them all, everyday, just in case. All 12,000 of them?
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0
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@caffeinaemic
@doctor_katie
@HeedDoc
@DrPhilBanfield
@ERunswickBMA
@m_ratwatte
@RoshanaMN
@ShabaNabi
@dr_zo
@TheBMA
Ah yes. The Dermatologist....
The one who knows the square root of FA about General Practice.
Some people think this is satire.... I'm pretty sure it isn't.
It is moronic. No matter what the intention...
0
1
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Is a little bit miffed that a private health care company favourited my tweet about how bad it will b when t NHS is privatised.
#nhssurvival
0
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@RobLaurensonD4P
@JeanetteRCR
The Royal Colleges will end up earning vast sums of money through membership and training for these roles.
That is a MASSIVE COI.
They need to be removed from the debate.
0
3
25
"The right to see a GP within a week"
@EdwardJDavey
will announce.
In a system where demand is outstripping supply - why focus on increasing demand?
All that enshrining this "right" will do is drive up demand/consumerism.
Focus on "needs," not "wants."
Fix capacity.
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2
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Any respect the profession had left for
@DrBruceKeogh
has now gone. Spin and career put ahead of what's right. Time to resign.
#PinoKeogh
1
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CARRIED.
This motion gives
@DrFJameel
a very strong steer to take contract reform forward as a priority to improve our ability to care for our patients!!!
Thanks to
@drbrown1970
for proposing and driving this.
#generalpractice
#lmcconf
@BMA_GP
@TheBMA
2
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This is utterly bonkers.
6% takes a doctor’s starting salary to £31,147 + the consolidated £1250 payment = £32,397.
Starting salary for a Physician’s Assistant is £43,742.
Physician’s Assistants are NOT doctors. They can’t prescribe meds. They can’t request X-rays.
They are supervised by doctors.
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Final part below
The Government are doing everything they can to delay and avoid negotiations. They are to blame here. They need to be held accountable.
The media - if it has any impartiality left somewhere - needs to make the public aware of the Government's persistent failings.
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8
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@BBCBreakfast
the
#juniorcontract
is about patient safety and survival of the NHS. Your decision to ignore y/days protest is disgusting
0
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The silence is deafening from pur college.
Perhaps the rest of you would like to ask
@KamilaRCGP
the same question.
Why do you say GPs have no desire to strike over pay?
Why are you not supporting our profession at a time when we most need to be united?
Can you explain why you told a group of MPs that GPs do not have a particular desire to strike over pay? The RCGP is not a union, it is well outside your remit. A motion to strike was overwhelmingly carried 2 months ago by UK LMCs. Are you on our side?
@KamilaRCGP
@Parody_RCGP
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@SteveBarclay
If I bent the truth like this, I would be hauled in front of the GMC.
Develop some integrity for goodness sake.
0
0
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One month
@andrealeadsom
@VictoriaAtkins
A better deal is needed.
You don't need Industrial Action during the election year, do you?
Great work
@doctor_katie
0
5
22
Patients are suffering.
NHSE are using Covid regs to impose a real terms cut to services on General Practice.
The profession has spoken and has had enough.
It's time for
@NHSEngland
to engage properly or face the consequences.
Today the BMA's GP committee in England has entered into dispute with NHS England over the 2024/25 GP contract.
@doctor_katie
has written to NHS England stating her commitment to finding "mutually acceptable solutions to this dispute to benefit patients and practices". [1/2]
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@UHP_NHS
@DrMinaIp
@BMA_James_Steen
Take Ownership is one of the Core Values of your Trust.
I assume you will ensure that this is taken seriously, the person responsible "takes ownership" and following disciplinary proceedings, apologises to the doctors it was sent to?
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The best possible choice to give us the strongest possible chance for the upcoming contract negotiations (they're still not going to go well, of course - so be prepared)
@BMA_GP
2
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1
0
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@rcgp
@HelenRCGP
Any plans to revoke the "Companion of the College" award given to The Sultan of Brunei in wake of the introduction of laws to stone to death those participating in homosexual activity? Does this comply with the ideals of the college?
#LGBTQ
#NHS
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@doctor_oxford
@gmcuk
@TheBMA
For a long time it's felt like a "be careful what you wish for" situation.
Felt it ridiculous that we pay for our own potential executioner.
Then recently - they appear to be an extension of Government anyway..
Could it be worse? Possibly.
Do they need reform? Definitely.
0
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20