Rachael Moses
@NHSRachaelM
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Head of Clinical Leadership, Resp National Clinical Advisor, Consultant Respiratory Physiotherapist, NHS Team @MedicalAidPal , Views own 🏳️🌈 She/Hers
Newcastle/Leeds/London 💙
Joined January 2010
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Posting this again as this is badly needed for our Palestinian, Israeli, Jewish and Muslim colleagues and all who have an affinity with this horrendous situation
If you know someone that’s affected wrap your arms around them metaphorically or physically - they need it ❤️
Compassionate inclusive leadership is needed in these times more than ever. If someone comes to you to talk about their upset, fear, anxieties please take time to just be present with them, listen, & show compassion. That’s often the most powerful thing they need in that moment
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NHS porters are the backbone of hospitals. Many have a story to share. I know Porters who are ex- military, retired police officers, those in recovery & people who genuinely want to care as a chosen career. Too often Porters are looked down on & today, I want to say thank you💙
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In the NHS we aren’t always very good at looking after those at the top so today, maybe check in on Your Consultant, Your Matron, Your team lead, Your Manager
In my experience all the above deeply care for their teams but quite often at great personal sacrifice
#OneTeam
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I’m going to be honest. Im so overwhelmed with this OBE. I didn’t think normal people ever got them. Especially not the boat rockers.
I feel a fraud, an imposter but after all the ❤️ and support I feel proper proud. Here’s to the people who are in our circle. I love you ❤️
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I am President of the British Thoracic Society and stand alongside my intensive care colleagues
I have been vaccinated because I know it is the single most important thing I can do to avoid being admitted to ICU or dying from COVID
And because it will protect all I care about 💙
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Cannot switch off after today
Today we have 7024 people in hospitals with COVID & 160 on ventilators - this is a 37% increase in one week.
The majority cared for on respiratory & acute wards which are already under pressure & more so as the weather changes & winter approaches
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I’ll say it again…..as a Respiratory Clinician I continue to wear a mask while commuting and in offices and at work to reduce the potential spread of infection & protect those more vulnerable than myself
This pandemic is not over and it’s OK TO WEAR A MASK if you want to
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Team
#NHSNightingale
London
Michael is our
#Physiotherapy
lead who is responsible for the provision of 24 hour cover for both our
#ICU
& Step Down Ward
Our Physios will have traditional roles (eg respiratory/rehab) & also flex to support our nursing teams
#OneTeam
#RehabLegend
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A sad reminder again that just because an older person does not have children, it does not mean they are not equally as loved or valued as someone that does
Next of Kin’s who aren’t “blood relatives” should not be devalued as part of our care process & communication. Ever. 1/3
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Team
#NHSNightingale
London
Our
#OccupationalTherapy
lead is Cecily who leads our therapy step down unit
#OTs
takes a “whole-person approach” to both mental & physical health & wellbeing to enable people to achieve their full potential after critical illness
#RehabLegend
💚
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New Job. New Twitter Handle
@NHSLeader
Started in my fabulous new role today…..
Head of Clinical Leadership Development with
@NHSLeadership
team
I’m so excited for a number of reasons…..
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I’m all for
#endPJparalysis
but please can we remember it’s only meaningful if patients:
🔸Can function once dressed
#OT
🔹Can move when dressed
#PT
🔸Can eat well when dressed
#DT
🔹Can talk when dressed
#SLT
Clothes are good 👍🏻
Therapy is vital 💪🏻
#RehabMatters
#AHPs
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To ALL Doctors in training, if you ever get the chance to work with non-medical Consultants please do. We are AHPs, Pharmacists, Nurses, Scientists, Midwives, Psychologists (& more)
We are kind, approachable & keen to help you learn. We are not a threat to you or your career 💙
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It’s Ruth’s 40th Birthday and she’s spending it with her
#NHSnightingale
family on a night shift
Like any other
#NHS
team we have made a right fuss of her
@ruttie12
we ❤️ you 😘🎂🧁
#OneTeam
#NHSworkers
@NightingaleLDN
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Truly feel so many others are deserving of this award but I will accept gracefully on behalf of all those around me, those who have supported me and to those who never say no to my ideas 😍
For anyone that doesn’t think they are good enough, take it from me you are ❤️
#ACPRC21
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Being a non-medic in spaces dominated by Doctors can often be a lonely time & feels like you’re always having to prove your worth
Thank you to all the lovely Doctors who make people like me (the “other” professions) feel welcome, valued & appreciated as equals - it means so much
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After 3 yrs of hard graft, data collection, cost analysis & pt outcomes we have been awarded >£300k pa to substantively fund a regional
#tracheostomy
team
The power of
#Consultant
#AHP
posts & a
#MDT
to change people’s lives & save over £2million in 3 yrs
#RehabLegend
#WeDidIt
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Consultant and Advanced Practice Clinicians are not replacements or substitutes for Doctors. Nor do we want to be. We are highly skilled, autonomous, dedicated clinicians who deliver excellent care as part of a team
@BeverleyHarden
as always I stand alongside you
#Physio21
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The most consistent advice I’ve given as a NHS therapy manager is you cannot provide perfect therapeutic interventions/rehabilitation during a pandemic
You have to give patients & yourself realistic expectations, have time boundaries & know your physical & emotional limitations
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Respiratory Physiotherapists work 24 hours a day, 365 days a year
Here’s our AMAZING on-call Physios tonight - still hard at work
@RBandH
Absolutely ❤️you
@physiorachajb
@OMGrespphysio
#Inspirational
And huge shout out to other
@WeAHPs
working day & night 🌈
#Secondattempt
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Team
#NHSNightingale
London
Speech and language therapists provide life-changing treatment, support & care for people who have difficulties with communication, or with eating, drinking and swallowing.
Imperative after critical illness. Introducing our Lead Jackie
#RehabLegend
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Delighted to be appointed as
@BTSrespiratory
President-Elect
Following in some great footsteps as the first non-medic in this role I hope to bring diversity of thought & leadership into this inclusive & innovative society
I’m delighted for this opportunity of change
#RespIsBest
We are pleased to announce that Rachael Moses (
@AHPLeader
) has been appointed BTS President-elect for 2021. Her tenure will begin in December 2020 as Dr Graham Burns assumes the role of President for the year. Read more at
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To all those living with
#LongCOVID
who haven’t been listened to, believed or cared for.
As a NHS clinician and leader I am so sorry, I hear you and I believe you 💙
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#Physiotherapy
#Management
for
#COVID19
in the acute setting
Incredible bunch of
#Respiratory
experts led by
@PhysioPeterT
and super fast edits by
@chodgsonANZICRC
Please share but note ‘in press’ for
@JPhysiother
& thanks to
@JoP_Editor
for expediting
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So my ask is that we continue to prepare our AHP workforce across the whole NHS pathway. I may call on clinical leaders to troubleshoot or provide advice from afar. I’m not afraid to say I can’t do this alone.
I am committed to
#NHSNightingale
and we will make this happen 4/4💪🏻
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Thanks for all your kind messages as we opened
@NightingaleLDN
today. I know that
@WeAHPs
haven’t been mentioned much but I can assure you that we are a critical workforce to support
#NHSNightingale
and I will be sharing some of our amazing
#MDT
tomorrow. Watch this space ❤️
Watch live: Prince Charles opens the NHS Nightingale hospital at the ExCel Centre in London which will treat
#coronavirus
patients
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Standing with 100% solidarity today supporting the
#NursesStrike
💙
Quite a vibe outside St Thomas Hospital. You should have a wander over from the Tory Tower
@RishiSunak
@SteveBarclay
and hear directly from our
#Nurses
#OurNHSPeople
#RCNStrike
#FairPayforNursing
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A huge shout out today to all those working outside their scope of practice in roles they never thought they would need to
You are invaluable to our
#NHS
and our Health & Social Care
Here’s our
#MSK
#Physiotherapists
#NHSNightingale
London leading by example 🌟
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Today another dear friend and Physiotherapy colleague was tragically killed in
#Gaza
Essa Essa was a brilliant clinician who had been awarded a 2023 research grant
His huge heart & warm smile made him loved by all who knew him
We will never forget you 💔
#CeaseFirelnGazaNOW
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Well that’s me officially
@BTSrespiratory
President
Thanks for all your support, I meant every word I said in my Presidents Address
#BTSWinter2021
and looking forward to the next 12 months
#RespIsBest
Todays message: Always be your beautiful authentic self
#BeYou
⬇️
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#NHS
⬇️
Shit leaders can read a Harvard Leadership Paper out loud & paraphrase as if they actually know what they are talking about
Real leaders breathe, eat, sleep their leadership morals and translate them into behaviours that you see & feel
Be the leader you wanna see ❤️
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Team
#NHSNightingale
London
Danni is our amazing
#Dietitian
leading the nutritional pathway for all our patients. Established feeding regimes for critically ill patients is essential to ensure optimal recovery & rehabilitation
Essential in our ICU & Ward teams
#RehabLegend
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Team
#NHSNightingale
London:
The
@BritishArmy
have been outstanding and here are two utterly fabulous
#QARANC
#Nurses
who have helped us so much with such professionalism, dedication, experience and are always smiling😍
#armynurse
#britisharmy
@army_nurses
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Team
#NHSNightingale
London
@londonahps
we thank you all for your incredible support as we now work as
#OneTeam
Huge thanks to the leadership & support of
@tolanAHP
@Moosie67Laura
@RachDalton1
and all those from afar - we couldn’t do this without you
#AHPsIntoAction
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I’m pulling together a FREE live streamed study day & update on
#LongCOVID
for all health and social care workers (CPD certificates provided)
Please post the names of speakers you would love to hear from and/or talks (use twitter handles or DM contact details)
Please share
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£10m investment for specialist long COVID clinics. This has to be invested in therapies including:
Physiotherapy
Occupational Therapy
Dietetics
Psychology
We CANNOT have the usual commissioning of clinics with therapists as the add on 😤
#BackToBetter
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Another dear friend and Physiotherapist killed
His name was Ouda
He was one of our best MSK Physios at Al Shifa and also a Sports Physio at Jaballia Refugee camp club. He loved football his favourite club was
@realmadriden
He was only 35. We will never forget
#CeasefireNOW
💔
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10 years ago today I ran the Blackpool Marathon with my dear friend Clare (aka hoppe) A couple of years later she was diagnosed with cancer. She always wanted to run another but sadly died a year ago. I brought her back with me to run today and hope she’s looking down smiling 🙂
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Team
#NHSNightingale
London
James is one of our amazing
#Chaplains
working to help patients, staff and families 24 hours a day
Such a vital role to provide emotional, spiritual, religious and holistic care for people of all backgrounds
#RehabLegend
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As a Consultant Physiotherapist (& NMP) I have been supervised & educated by incredible Doctors, Nurses, Pharmacist’s, AHPs, Scientists (+ more)
It’s part of MDT education & learning.
The notion that only uni professional groups can supervise & educate each other is archaic. IMO
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I would love to see some significant media coverage (or documentary) of the role of
#AHPs
in ICU Rehab & beyond
Therapists are needed needed now more than ever to enable full recovery and our patients need us!
What do you think?
@BBCNews
@itvnews
@Channel4News
@SkyNews
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Just leaving the ward & a pt stopped me to write this
It has melted my heart!
Dr Vyas your patients adore you!
@NHSMillion
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UK Media: Please Please Please can we start talking about NHS staff as Health and Social Care Professionals it’s so demoralising when media constantly refer to only one or two professions the NHS is so much more
Thanks to
@DrAmirKhanGP
for always referencing “other workers”❤️
'This is a kick in the teeth for them.'
@drAmirKhanGP
reacts to the news of the government's recommended 1% pay rise for NHS staff.
He says the government should reassess it and 'recognise that the NHS particularly has worked hard during the pandemic.'
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I don’t think the majority of
#NHS
staff have stopped to process the last two years. All those feelings & emotions parked away while people just try to carry on as best they can
We must continue to look out for each other now more than ever & remember
#MentalHealthMatters
💙
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6 months ago we had 15996 people with COVID in hospital beds and 311 people on ventilators
So vaccines work but COVID is NOT OVER
The thing that angers me is the lack of awareness that with every new infection comes an increased chance of one more person suffering
#LongCovid
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Feeling overwhelmed, excited, nervous and proud to be formally appointed as BTS President-Elect 2021
Looking forward to showcasing the incredible, diverse, multi-professional world of Respiratory Medicine and all we have achieved and will continue to achieve together
As of today, Dr Graham Burns begins his tenure as BTS President, and with him, we welcome Rachael Moses as the President-elect.We would like to express our gratitude to the outgoing President, Dr Munavvar, for his contributions and support during this year
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I am sharing my
#Oncall
#Respiratory
#Physiotherapy
Information and Guidance document we have adopted
@LancsHospitals
Happy for it to be used as a document or adapted locally - whatever is useful. Share with anyone that needs it
Sure it’s not perfect but it’s a start!
1/3
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If you’re a senior clinician or manager feeling the effects of
#NHSWinterCrisis
please take a moment for junior staff
Quite often the most vulnerable part of our workforce & may lack the resilence & emotional strength to ask for help under
#NHSPressure
Look after each other 💕
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Huge shout out and acknowledgment to all
#NHS
managers working tirelessly in what has been another very busy day in hospitals
Juggling admissions, discharges, rota gaps, staff sickness & relentless working conditions
We appreciate all you do & continue to do. You are amazing ❤️
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Sending solidarity and hopes for a peaceful night to all our colleagues working in the emergency services tonight. From Paramedics to Police Officers and all in between 🙏🏻
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I am a feminist
I am a Trans Ally
It’s totally possible to be both and I stand in solidarity with my Trans Colleagues & Patients and against the hate they experience.
And I will always call this out
Solidarity
@TransNHS
#TransIsBeautiful
#LoveNotHate
#NHSTransAllies
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FREE
#COVID19
Respiratory Therapy Update Session
Saturday 9th January 09:00 - 16:30
For Newly Qualified Physios/ Students or ANYONE that would like a ICU/Respiratory refresher
@WeAHPs
@ARNS_UK
@BACCNUK
@ARTP_News
@BTSrespiratory
@ICS_updates
@TheACPRC
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#tipsfornewdoctors
Most hospitals have oncall respiratory
#physiotherapists
working 24/7 365 days yr
Use us. Call us. Check out the example criteria. Don’t be scared we are lovely, dedicated & really good
We can help you save a life/prevent ICU & your consultants will ❤️you)
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That
#FridayFeeling
is seeing & hearing a patient laugh without his tracheostomy for the first time in 9 years!
This team are changing lives & it’s only possible due to the team ethos they have
What great role models & advocates for the utterly fabulous
@WeAHPs
in the
#NHS
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🌟FREE LIVE STREAMED TEACHING
DATES ⬇️
🌟Mon 22nd 10.30 Acute AIRVO/HFOT
🌟 Mon 22nd 12:00 airway clearance CF & Non CF
🌟Tues 23rd 12:00 NIV Home & Acute devices
🌟Wed 24th 12:00 OT/PT Mobilisation combo
🌟Thurs 25th 12:00 Resp Rehab @ home
🌟Fri 26th 12:00 Psychology
Due to the overwhelming feedback on this already we are planning our next sessions. Please let us know what is helpful and we will do what we can. NIV and cough assist being planned next week. These are basic updates turned around quick!
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A reminder of the £1,000 personal development budget for every nurse, midwife & allied health professional to support their personal learning & development needs over three years
Many
@WeAHPs
@WeMidwives
@WeNurses
don’t know this
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As a manager when you get a message like this is truly melts your heart. You have no idea how much comments like this mean to us in time like this
#NHSCovidHeroes
#Covid_19
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As a respiratory clinician I will continue to wear my mask come Monday everywhere I go but also encourage my family, friends & patients
Yes it’s warm but it’s not a patch on wearing full PPE inside a hospital for 12 hrs
Why? 54,674 people tested positive today in the UK
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Staff from all disciplines working overtime, staying late, covering sickness, caring for each other, doing everything to make sure shifts are as supportive as they can be, even when people are struggling emotionally & physically.
The solidarity is powerful but the fear is there
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The interview bias in the NHS has to be called out. We need to support all marginalised communities & those with protected characterises to enable an equal playing field. Otherwise we will NEVER have diversity in the most senior roles. We all need to call this out when we see it
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The statistics are openly available for anyone who wants to deny that COVID exists or us Respiratory Clinicians are worrying over nothing. We worry because we care about you 😞⬇️
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Our
#Covid_19
#OnCall
#Respiratory
#Physio
‘Just in Case’ Box contains:
Scrubs
PPE
Alcohol wipes
Sanitary products
Hot brew bag
Sweet & Savoury snacks
Shower kit
Drinking water
#NHS
#Planning
And The
#OnCall
#Respiratory
Guidance Document ⬇️
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Today, for the first time in her 27 years Ras (an NHS Dietitian) has been able to use a hospital bin independently
Ensuring we have accessible equipment and access for all
#OurNHSPeople
is essential and I’m so proud of Ras for being the fabulous change agent she is 🤩
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Thank you Simon Stevens for recognising
#Therapies
as an essential part of the
#NHSNightingale
workforce
It was great to see both our CEO &
@CNOEngland
in the hospital today
We are rapidly mobilising a range of
@WeAHPs
to meet the needs of patients. We won’t let you down.
Take a look inside the new NHS Nightingale London hospital, built to to help the NHS fight
#coronavirus
➡️
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AHP posts have been cut across the country for years
Do more with less they said
Impossible with 1 therapist & >50 patients to see a day
AHPs need equitable funding just as much as our fab Drs & Nurses do
We are the answer to
#WinterPressures
#WinterThinkTank
#BTSWinter2019
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Health & Care services have become dependent on the workforce being ‘resilient’. And if you aren’t ‘resilient’ you are a failure
We MUST change our culture to develop systems that nurture & support
#OurNHSPeople
so we don’t need to be resilient
#APConference2021
My mission ⬆️
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We are loving
#ThisMorning
#NHSNightingale
Rainbow wall here in our well being centre
It really brightens up our day ❤️
#NHSheroes
#StayHomeSaveLives
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Being a manager is a bit like being a Mam...you can’t really have favourites
But here’s Ras a superstar Dietitian who is one of the most amazing, inspiring AHPs I’ve EVER met
Ras is a Respiratory Dietitian
@RBandH
& the only wheelchair user DT in the UK
#AHPsDay2020
#AHPsDay
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@NHSEngland
@PHE_uk
NHS Managers:
Can I kindly make this really clear why
#Respiratory
#Physiotherapy
is an Aerosol Generating Procedure and your staff need correct and ineffective protective equipment during
#COVID19
1/8
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Do young people have these?
Mine is almost 25 years old but still has me
#GCSEs
and
#Alevels
in!!
#NationalRecordofAchievement
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One of the most amazing things about the
#NHS
is that we care for people with not a second thought to their gender or sexuality.
#LGBTQI
The love at
#PrideinLondon
today is incredible for the
#NHS
& each other
#PrideMatters
#Pride
#SaveOurNHS
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Bookings now live for the FREE
#LongCOVID
multi professional study day this month
More a save the date as we build agenda & more info via email updates once signed up. Suitable for multitasking, viewing live or later
Please share as all welcome
#OneTeam
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FAO
#ICU
#Respiratory
Doctors and Nurses all over the world
Your
#Physiotherapists
are planning & preparing to support you during the
#COVID19
crisis
We are willing, able and upskilling our colleagues to support the potential increase in patients requiring admission 1/4
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When I qualified there was a therapist on every acute hosp ward with no need to obsess about ‘flow’
Patients, families, staff loved it
Therapists gave Therapy
Over 20 years I’ve seen posts disappear, downbanded & no investment to meet demand
#NHS
needs therapists to survive
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After a day learning about
#LongCOVID
yesterday and a day of caring for those in hospital with
#COVID19
today I went to visit the National COVID Memorial Wall
A ❤️ for each of the 150,000 lives taken & how apt being outside of St Thomas’ Hospital
Absolutely broke my heart 💔
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Team
#NHSNightingale
London
Alex is our Radiology lead responsible for diagnostic imaging on site. This is an essential frontline service to ensure both accurate diagnosis and treatment review in critically unwell people
#RehabLegend
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I was not prepared at all for the mixture of emotions I have just experienced having my
#COVID19
vaccine
Flashbacks over the last 10 months combined with the strength of all we have achieved in that time
Massive thanks to
@leanrock903
and all those vaccinating us 💙
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I know I love a selfie but this is ridiculous!!!!
Had some fab pressies from lovely patients but this ones left me speechless 😍🤣
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You cannot watch this video and not be heartbroken. We must create a system and culture where our most senior clinicians can speak up, be believed & action be taken. My heart goes out to Dr Jayaram - what an incredible human. I hope he has the support & recognition he deserves ❤️
EXCLUSIVE: The doctor who helped catch Britain’s worst baby killer.
Dr Ravi Jayaram spent two years pleading with hospital managers to investigate Lucy Letby.
Instead, they made him apologise and attend mediation with her.
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Team
#NHSNightingale
London:
The first of our
@WeAHPs
leaders is Matt an Operating Department Practitioner
#ODPs
are highly skilled clinicians who provide care to patients at all stages of an operation & at Nightingale support our critical care & emergency teams
#RehabLegend
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For all the managers wanting to ‘diversify’ their recruitment approach…simply asking an ethnic minority or LGBTQIA+ or disabled person/colleague to sit on an interview panel is not it - it starts way before the shortlisting process
Tokenism does not = equality or equity. IMO
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#ICU
#Respiratory
#Physiotherapists
Final stages of
#Covid_19
Physio Guideline plans led by the awesome
@PhysioPeterT
& this bunch of seriously clever (& very dedicated) people
So much work has went into these the team keen they are used across the 🌎
Out very soon
#CovidPhysio
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Met a person on the train last night & I can’t stop thinking about them
They were clearly a very kind, sociable person
They noticed my NHS rainbow badge & asked compassionate questions so I warmed to them immediately
I asked questions in return & the conversations started 1/7
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Therapists are a fundamental part of
#NHS
Without them people would not be able to:
🌟Walk again
🌟Talk again
🌟Eat again
🌟Regain function
🌟Live life to the full
We are often the forgotten workforce
We are important to our patients!
@WeAHPs
@NHSMillion
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Proud to be a
#Physiotherapist
standing in solidarity today as we strike for better pay & conditions for all
#OurNHSPeople
I’m sickened by what this government has done to our
#NHS
Shout out to all on picket lines today &
@NewcastleHosps
Physios 💙
#CSP4FairPay
#NHSStrikes
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#InternationalNursesDay
A huge message of love and respect to all the wonderful
#Nurses
I have had the privilege to work alongside
but extra special mention to me Mam & Dad (both were Nurses
@NewcastleHosps
) who inspired me to work in the
#NHS
❤️you all xx
#IND2020
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Compassionate inclusive leadership is needed in these times more than ever. If someone comes to you to talk about their upset, fear, anxieties please take time to just be present with them, listen, & show compassion. That’s often the most powerful thing they need in that moment
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Harry, the nation feels every bit of pride you are showing wearing your military uniform. Massive respect x
#QueenElizabethII
💙
#PrinceHarry
#GrandchildrensVigil
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If we truly want more diverse clinicians in NHS Leadership positions we need to be kinder to them when they make that move
Microaggressions (eg moving to the dark side) made in jest are harmful & for those that suffer everyday microaggressions will be less likely to apply
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My 12 year old lab can’t climb the stairs anymore without help so he waits for me at the bottom of the stairs. It’s fills my heart with equal measures of love and sadness.
#DogsOfTwitter
anyone else get this feeling?
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An incredible sense of teamwork in the planning & preparation phase. Everyone pulling together to make this happen. Dedication, passion, enthusiasm & kindness on so many levels across Military, NHS & supporting organisations. AHPs have never had a more important role than now 3/4
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The dedication of
#oncall
physios never ceases to amaze me. Ever!
#Respiratory
#Physiotherapists
get paid £16 (before tax) oncall rate for an entire 15 hour night on call (incl weekends)
A tenner to be at the end of the phone/stay sober/and within 40 mins of the hospital (1/2)
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I’m posting this as people often think I am weird when I have conversations with strangers but in my experience these chance conversations can often lead to very meaningful things & I think we need to normalise having random conversations as small acts of kindness ❤️
#BeKind
7/7
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#COVID19
#Physiotherapists
:
We have established the International COVID19 Physiotherapy Collaborative (ICPC)
In <24 hours we have the following counties represented but need more
If you are a Physio Leader in your country please DM or email Rachael.moses
@lthtr
.nhs.uk
Pls share
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