Chris Hebbes
@chebbes
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Educationalist,mentor,scientist, lecturer,consultant anaesthetist and intensivist.Interests: eLearning, simulation,assessment,pharmacology,sepsis 🏳️🌈 he/him
Leicester, UK
Joined June 2007
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Wow! As a consultant anaesthetist, I can’t say I’ve ever come across a light anaesthetic. What a breakthrough.
In a UK-first,
@OUHospitals
have performed a heart procedure where a new valve is delivered through a leg vein under light anaesthetic to treat severe heart valve disease.
This means patients can avoid open heart surgery, and they can go home after just a few days!
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Bank holidays are bad for care. Why should we have 4 days of just oncall staff - it makes no sense. Wonder whether we should just give people the time to use whenever suits them? Easter and Christmas increasingly irrelevant with a diverse workforce so does it really matter when?
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Very uncomfortable hearing a midwife on
@BBCNews
explain why she doesn’t want to be vaccinated. When I’ve had first hand experience of how sick pregnant covid patients can get, this feels wrong. Why give this antivax sensationalist airtime? It sends the wrong message
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Im a fully trained NHS consultant anaesthetist and intensivist. I’m fully vaccinated, as are all of my immediate family as it’s the best way of avoiding serious illness and death, and reducing the impact on vulnerable patients who need the icu beds occupied by covid patients
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@muddy_gas_doc
Agree. All need to do our bit, pick up after ourselves, but changing bin bags, sorting laundry traditionally falls within the role of a housekeeper. I don’t mind doing it…. But im quite an expensive housekeeper and it’s not the best use of my time, nor that of other clinicians
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Blood, sweat, tears and a whole load of CHO cells. Thanks to my supervisors
@DaveGLambert
and
@JPThompson1964
, too many colleagues to mention for their support and to the patients and volunteers who kindly donated blood to my study
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14 years as a doctor, two sets of professional exams, an MSc and working on PhD, countless on-calls, and finally.... I’m on a register!
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‘On CVVH and the creatinine is getting better, and the eGFR is normal’
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Agree. I’m another consultant who will be an intensive care registrar tomorrow to support patient safety whilst postgraduate doctors strike for fair pay and conditions. I would have been in theatre but the government failure to resolve the dispute means that I can’t do that work
12 hour shift covering my junior doctor colleagues today as they take industrial action.
@SteveBarclay
@RishiSunak
you have caused this by not talking and not addressing pay erosion in our profession
#solidarity
#JuniorDoctorsStrike
#PayRestoration
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Oncall phone call from work. I thought I’d hung up and was immediately and vigorously greeted by the dog. I hadn’t, and I think my reg has heard my entire conversation with the dog.
Anyway, any consultant jobs going somewhere else? 😬
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I’d quite like to do that to be honest
In Victorian slang, MUFFIN-WALLOPERS were old women who would meet up to gossip over tea and cakes.
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Choice of consultant job very much based on colleagues. The bricks and mortar change but colleagues are there for most of your career. It’s been an absolute shocker today but our team are amazing.
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Probably being naive but angry watching
#Hospital
. Private sector taking nhs patients on to treat their cancer and charging the nhs higher fees - its a pandemic, not a time for profiteering, there’s an ethical and moral duty to do it at cost and not profit from misery.
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@ShaunLintern
@DHSCgovuk
@BMA_JuniorDocs
‘Some doctors will receive a pay rise of £20,000’. Given that this is pay restoration, these doctors have had a pay cut of £20,000 in real terms. Would anyone consider that reasonable? Maybe
@SteveBarclay
would take a £20,000 pay cut if he thinks it’s acceptable?
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@DGlaucomflecken
I love my surgical colleagues but it has to be Last Christmas by wham. When they’re scrubbed…
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If medicine isn’t for you then fine, but don’t pretend to be a doctor. The whole point of studying is that there’s a lot of material and it’s necessary to be safe.
Assist me, take blood, scribe, plenty of valuable roles in healthcare that do not require a medical degree
@medicalmodelbri
@rcgp
"I looked into medical school. I didn't want to be a doctor. I didn't feel that I could commit myself to studying a number of years."
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Outcome 6! ~3000 cases, countless on-call shifts, some amazing experiences, and ready to finish training. Looking forward to new challenges 😀
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@gmcuk
The bma have asked for a pause because of safety concerns. As a profession - in line with duties of a doctor, we are obliged to act on safety concerns. What are you doing to resolve safety issues? Ie not confusing MAPs with those with a medical degree. needs a separate register
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@MattHancock
Indeed a our nurses are fantastic. Maybe they should have a payrise - because it would be nice to be valued more so that our healthcare staff don’t need to use food banks to survive
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This is not ok. The EGM result was to suspend expansion of AA numbers pending regulation.
This is suggesting that we have an unregulated workforce, recruited on a nod by their mates. Bad for safety, without scrutiny and deviating from college guidance.
Recruitment for doctors-in-training - impersonal, centralised, anonymous, miserable.
Recruitments for Associates-in-training - parley with our mateys and see to it they land the job.
Why the inconsistency
@NHSE_WTE
?
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@dawnashley13
@nickbrazel
@NTeesHpoolNHSFT
@MADEinHEENE
Doctor and physician associate are not the same. Maybe reserve the doctor award for someone who is a doctor and have a pa award for the PAs. This is undermining and unsupportive of medical staff. Read the room.
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I'll never complain about a 15 minute FRCA viva again...
Pleased to say that I've finally successfully defended my PhD thesis (subject to minor corrections), relatively unscathed!
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Healing. After what has been the worst 2 weeks of my life finally feeling a little like myself again. Learnt a lot, grown and found out that I have the best possible set of friends anyone can have.
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Just get vaccinated. Please. And tell those that you care about to get vaccinated. What a day.
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@VictoriaAtkins
How will those beds be staffed when people of various staff groups are striking because you don’t seem to be able to pay them properly and we can’t recruit or retain?
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@drcarolinej
Disagree. I’m working a night shift to support my junior colleagues and the future of the nhs. What are you doing to ensure that we have well trained, well paid professionals of the future? They seem to be mostly leaving under your party’s administration…
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I’ve been allocated an anaesthetic list! Can’t explain the wave of relief and excitement after a lot of ITU. I’ve even got a minder for my return to anaesthetics!
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Finally - my room has been painted! Just sent the curtains to be cleaned but it needed some colour on the walls!
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@DrBenLovell
Many will be logging in from home. We might choose to let friends into our homes, but would we choose to let all of our work colleagues in? Especially if the dining room table is doubling as an office or playroom for the children.
It’s just putting additional stress on attendees
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I’m support consultant tomorrow- which means that I can do break relief in every theatre and put Wham! on. It’s a festive gift to everyone!
#Whamageddon2023
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Life sometimes throws a curveball. My colleagues are amazing both as colleagues and friends but in looking after those who matter. Thank you
#TeamED
@Leic_hospital
and
@DART_UHL
for making the last 24 hrs a little easier and for caring
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I hugged my parents today, for the first time in 18 months. All fully vaccinated and nobody in a vulnerable group. Thank goodness for science
Nothing changes… after ordering food mum: ‘are you sure a sandwich is going to be enough for you’?…. 🤣
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@jpobjoy91
Love it! Diet propofol, or propofol max for those who are ‘resistant to anaesthetics’
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@Jeremy_Hunt
Didn’t you completely fail to negotiate with junior doctors and just force your contract on them without their agreement? I wouldn’t say that’s a good negotiator- that’s bullying
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And thank you to
@EM3FOAMed
too
#TeamED
@Leic_hospital
- Lots of hard work from the whole team! Wonderful to see everyone pulling together!
@ItapsTeam
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Celebrating a week off with
@Nigella_Lawson
#MellowMeatballs
Perfect comfort food as the nights draw in
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Out out for my birthday… portrait mode doing some heavy lifting!
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This is representative of the strength of feeling and the concern about unregulated non-anaesthetists. All 6 motions carried - hopefully paves the way for regulation and importantly upholding standards and safety, valuing our doctors in training. A good day for anaesthesia.
Thank you to everyone who attended our EGM tonight and/or voted by proxy in advance. We apologise for the technical difficulties experienced during the meeting.
All six resolutions proposed by members were carried.
Full results:
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A doctor in training colleague stopped me in the corridor to say thank you and that they had a good time rotating through ICU and learnt lots. We all try hard to give a good experience but the good feedback means a lot :)
#BestICUInTheMidlands
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@Baroness_Nichol
The only thing I think this has triggered is thinly disguised outrageous homophobia. There’s no medical basis in your assertions.
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This. Other issues at the moment, staff leaving because of pay and conditions, but there is an artificial bottleneck. Anaesthesia is so specialised that this devastates those who are unable to join an st4 post but have undergone core anaesthesia/accs anae.
If your op or procedure is cancelled due to lack of anaesthetist, remember that the government specifically operates and chooses to maintain a bottleneck halfway through their training that leaves hundreds of people without progression. Will do anything except pay for doctors.
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Brilliant day! New anaesthetic starter in theatre with me, so lots of teaching, followed by some echo mentoring, and bumping into someone whom I supervised as a medical student and is now a registrar. It's great to see people grow!
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@UKGastroDr
Doesn’t appear anywhere in the BMA suggested scope of practice (either in/out of scope) - but given that IuD/minor surgery is in ‘red’, it’s not a wild extrapolation to suggest that it’s inappropriate. 
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@WelshGasDoc
Look, raise an eyebrow and respond with ‘I wouldn’t bother if I were you. He’s only going to be disappointed’ and carry on as if nothing has happened
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Wonderful to be involved in interviewing for medical student places. Feel young, but reflecting that I started my journey 22 years ago. It's clear that the future is in safe hands - an engaging and empathic group. I sincerely hope that we sort out FY jobs
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I’ve been introduced to Scottish tablet. I don’t think my pancreas will recover
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Bed gravity very strong this morning - I just need to wake up in a world where trump isn’t president, Boris isn’t pm, covid is eliminated and brexit was never a thing.... too much to ask?
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I’m sure it’ll subside eventually, but I have a mini burst of excitement every time I see this. Very much looking forward to joining the team!
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Aren't our team fantastic!
If you want to see my rendition of "making your mind up", you'll just have to come and work at the best ICU in the midlands and join our fabulous team
I cannot say how much this moment meant to a patient that has spent 50 days on ICU. To be outside, to be happy, to be singing to her favourite songs with a supportive MDT. True
#rehablegend
@uhltherapy
@AicuLri
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Happy
#NationalComingOutDay
- not a massive fan of themed days, but there’s still a lot of homophobia in the world, and this is important. Be yourself, love who you love.
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Covid has taught me that both the anaesthetic and the ITU bits of my job are really important to me. After full time ICM for 3 months I’m ludicrously excited that I’m getting to do a theatre list next week (and I’m going to make some PhD progress as well)
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@NigelMercer
@TheBMA
No. I support my colleagues, and will do so by providing cover. This is important, and for the future of the nhs. The public care about nhs care at the point of need and will continue to support on this basis. If retention issues continue, there will be no nhs. Enjoy your holiday
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Whoever thought that taking every junior doctor and moving them all at once on the same day needs a stern talking to.
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A plea to all trainees to use their study budget. The new rules mean that if something is funded, the money will be paid in full, to the total amount, without a cap. This is a great move - but we risk losing it if we don't use it.
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@SteveBarclay
@theRCN
As a taxpayer, perhaps you could use my money for pay restoration rather than making an argument based on a loophole that doesn’t address the root cause of the issue
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@SteveBarclay
Doesn’t really help. We need a tax deregistered system. Like the judges. The AA is a perverse incentive to cut PAs, which reduces the ability to work on waiting lists. Only meaningful impact is <10pas,which means stopping doing the valuable nonclinical work. This is paralysing us
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A lovely day, break in the weather and some downtime before being on call tomorrow and again next weekend. Fingers crossed for some decent weather and post on call climbing later in the week…
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@BBCr4today
@pritipatel
* "rule of six" (unless you, like Dominic Cummings, choose your own rules - for example fox hunting, driving to have an eyetest...)
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Brilliant - in all hospitals. Whilst we should be empowered to ask smokers to stop (I have a right to work in a smoke free environment as do our patients), smokers can be self righteous, ignorant, aggressive and rude. This empowers people to do the right thing!
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Apparently this time 7 years ago, it was the Easter I made hot cross buns for work 😂
At the place where I’m now a consultant - I’ve definitely found my people!
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Horrible to see lots of talk recently of hate crimes. I’m fairly open and honest about my sexuality - mostly because i don’t want to lie to myself, my friends or family. I don’t often hold hands with my partner outside because of fear of repercussions. We still need pride.
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Some doggy wanted a cuddle. End of the sofa, and gradually worked his way up to be on top of me. Excellent work, doggo!
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Finally! It’s been a rough 6 weeks since my last leave, and I feel a fraud because of some unplanned sick leave, but been to a wedding, ceremoniously muted the WhatsApps, been on the bike and climbing some stuff and met some new friends. It’s going to be a good week :)
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The evidence is circumstantial but an act of dog may have been committed…
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@alouise_93
All of this! I used to get told ‘I don’t know how you do what you do when you can’t make a decision over food!’ Decision fatigue is horrible! At the end of on-calls I almost couldn’t care what I eat
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@julianhartley1
If I remember correctly,
@TheBMA
have already agreed to meet ACAS,
@SteveBarclay
has not. This is very one sided with junior doctors being far more reasonable, the govt won’t entertain any idea of compromise
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Outcome 1... Thank goodness. I think. But now I need a proper job - yikes
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Apparently I needed cheering up, so our wonderful ward clerk made me into a sunshine!
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@MattHancock
But it's a real terms pay cut, isn't it. And the uplift doesn't apply to out of hours. So those of us in acute specialties where there are shortages and problems recruiting and retaining aren't helped by this. Thanks.
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@DrNeilStone
Never mind that, you’re late for the meeting because it’s taken so long to sign in. It’s now time to update to the new teams…
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I’m fairly stressed at the moment but it’s been a bit of a self care day. Need to remember to remind myself how lucky I am to have a job I love, a great team and a happy home. Our girls have donated tonight’s dinner :)
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Realising that tomorrow might be the last time I work with some of our junior doctors on ITU - the last 6 months have formed a close group that have worked well together - we’ll miss them
#COVIDLegends
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A lovely day. I’ve been at work for most of the last 2 weeks, and the car has been off the road for the last 6. Stars aligned and I was able to get to my happy place (even if there was horizontal rain and it was cold).
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Now that I’m not on call I can finally relax! Time to cut the Christmas cake (it’s boozy...), and a glass of wine. Happy Christmas!
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A beautiful day. Oncall for the weekend so this is my downtime. First oncall back after sick leave and this was much needed, I forget how tiring work can be when I’ve been away for a bit. Peak District heather in full bloom today
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Honour and a privilege to have worked for the NHS for 15 (17) years. In the privileged position to love my job and have amazing colleagues who I count as friends.
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We’ve started WPBA clinics at the best anaesthetic dept in the midlands™️ - and so I’ve had a lovely morning supervising, assessing and teaching some POCUS. Easy to get lost in things being busy but at moments like this, I love my job :)
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Very deluded. If I’m honest I think a lot of doctors and nurses may have gone to a linen cupboard for a quiet cry at the end of a long shift - particularly during the surge when boris felt the need to ignore his own rules and put colleagues at risk
"I don't think at any time he thought he was breaking the law... he thought just like many teachers and nurses who after a very long shift would go back to the staff room and have a quiet drink"
Tory MP Michael Fabricant urges Boris Johnson to apologise
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A balanced account on
#panorama
,
#bawagarba
speaks candidly and with dignity. Let’s hope the nhs moves forward and that jack rests in peace. I would rather trust a doctor that admits their mistakes than one that covers up. A fair result, but more questions than answers.
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I fall within the middle group of consultants. I don’t benefit from the early rise nor the end of career part. Also lose the potential for CEA. So my potential earnings don’t improve and nowhere near FPR. I don’t trust the promise of jam tomorrow. It’ll be mouldy by then…
@trentconsultant
I voted no.
The offer falls way short of what we have asked for, while compromising significantly (CEAs/BMA rates).
DOI: raised by a hardball financier
These are my own views only. Please don’t let them compromise anyone else’s.
Just please vote.
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@ShaunLintern
@clifford0584
Not sure the government understand how to negotiate. It’s upsetting that they care so little that the tories are willing to allow the strike to go ahead without the action that they could take to allow everyone to move forwards. Patients will come to harm because of inaction
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@LouiseAllard18
The problem is that you are talking about a different time. Doctors pay was fairer, could afford a mortgage, costs were lower - I’m sure you benefited from free accommodation for example, the workload was different. No bed rest for 6 weeks after your MI…
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A talk from
@GinnyAB
at College Tutors meeting that gives inspiration and hope. I remember the comments during my FY surgical job about ‘partners… that’s what gay people have’. Upset me at the time, but felt unable to challenge. With
@PRiSM_Surgery
this feels like a change.
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@SteveBarclay
If you cared about patient safety, you would discuss pay and retention, to reduce the loss of qualified staff - a far better tool to ensure minimum staffing. I, like other consultants will be ensuring safety by acting down to support junior colleagues. What's your contribution?
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@BarryMcGovern7
@rstatstweet
The ggplot cheat sheets are lifesavers! (And similar for most of the tidyverse)
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Happy
#ComingOutDay
! A day with a serious message, important to support those that are struggling. It wasn’t easy in the 90s, it might be easier now, but people still need love and support. And
@RainbowNHSBadge
and unicorns :)
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