Acute Medicine is a growing multi disciplinary profession. Pull in other specialties, involve GPs, it will grow and is becoming the main hospital specialty. The future is bright! -
@JackieBene
OBE
@acutemedicine
@take__AIM
I was hoping I would not have to share this post but today we lost a colleague to Covid-19.
Gamal Osman was a front-line, courageous doctor with a wife and family who depended upon him.
Please read his story, share and support his family if you can.
Some Consultants will strike tomorrow and Friday in the
@NHSEngland
. I will not. I am coming in to work a normal weekday shift both days. I have been a consultant for 9 years.
I do no private work and can live on my pay which is over 3 times the average UK salary.
Please stop with this mis informed, short sighted, and dangerous rhetoric.
There is enough work for every member of the healthcare team. All of whom are valued.
Surely
@TheBMA
reps concentrating on pay reparations for Junior doctors who you represent rather than this unhealthy obsession with PAs who are on a different pay structure with many PAs staying on Band 7 for many years.
Who wants to study for 3 years after school and get a starting salary of £28,407?
Who wants to study for 4 years after school and get a starting salary of £43,742?
Who wants to study for 5 years after school and get a starting salary of £32,398?
3 A levels ➡️Nurse/PA/Doctor.
@gaslad
PAs will continue to see undifferentiated medical patients on AMU safely, supervised by a medical Consultant. Supporting with prescribing and radiation requests. PAs enhance patient care and junior doctor training.
In Trusts where this isn’t working the Trust needs support.
@doctor_oxford
I’m an
@NHSuk
Consultant. In my humble opinion the NHS needs to be de-politicised once and for all.
I’m sad ☹️ to say currently no party will ever be able to fund and manage healthcare properly in the UK.
We will continue to be understaffed and underfunded until that happens.
Welcome to our new doctors and newly qualified F1s
@NorthBristolNHS
.
While you care for the hearts and minds of your patients. Please make sure you look after your own too.
We’re all with you.
#TipsForNewDoctors
You’ve got this!
@BlondeRach33
I’m an
@NHSuk
Consultant. In my humble opinion the NHS needs to be de-politicised once and for all.
I’m sad ☹️ to say currently no party will ever be able to fund and manage healthcare properly in the UK.
We will continue to be understaffed and underfunded until that happens.
Absolutely fantastic effort! Bringing together accurate patient information through collaboration between
@nbrisNHSdigital
, clinicians, nurses, AHPs and our product partners
@System_C
. Thank you everyone.
@NorthBristolNHS
As of today, latest NEWS 2 scores are feeding through from CareFlow Vitals (eObservations) to CareFlow Connect (handover tool)
@NorthBristolNHS
. With 3500+ staff now using CFC for handover, it's a transformative step bringing clinical information for patient care into one place.
Donated platelets for the first time today!
Thanks to the
@GiveBloodNHS
staff at
@NHSBT
Southmead for making it as relaxed 😎 as they could while being professional.
Why not give someone the gift 🎁 of blood 🩸 this Christmas 🎄. 🤶🏻🎅🏻
All employed PAs have Consultant supervisors. The supervisor and PA manage scope of practice using national and local policies, governance structures and ensure PAs work safely.
Hard working colleagues of all specialties with PAs do this. So how is unsafe PA practice happening?
So… I thought I’d sleep on this before I commented.
My questions:
1) What are you actually going to do about unsafe and inappropriate practices happening now?
2) Where shall people report these concerns about their departments? What action will be taken?
3) Where is the
Smoking cessation is an issue for all of us.
@MatthewEvison1
has revolutionised the audiences approach to helping patients quit.
As withdrawal starts rapidly within 30 mins AMU is a perfect place to start treatment.
@acutemedicine
#sambristol
A useful statement from
@BritSocGastro
about Clinical endoscopists which includes supervised Physician associates.
Never to the detriment of doctors training.
I hope
@RCPhysicians
can work constructively with
@RCPL_trainees
et al.
For the next 2 days I will be dealing with scenarios time and again where my patient moans and groans, always deteriorates, becomes pulseless and dies. It must be time for the next
@ResusCouncilUK
ALS Course
@NorthBristolNHS
with the excellent team from
@NBTresus
!
#NBTproud
Nigel Lane is a Consultant in our Acute Medical Unit. He wants to
#endPJparalysis
and has tips on how you and your relatives can help aid your recovery during hospital.
#StayWell
Acute Medicine Awareness Week - 18th-22nd June 2018.
Start getting exciting ideas ready to promote acute medicine on your unit. Check out the website for more information, previous ideas and to register.
#AMAW18
#takeAIM
@acutemedicine
#acutemedicine
You shouldn't now discharge a new asthmatic on just a "blue inhaler", recommendation is now they go home on ICS and LABA such as 'Symbicort'.
Step 1 on the pathway has gone! Who knew?
#ScouseSAM
@DrOKaneAgain
I deeply respect you as a fellow Acute Physician but you need clear facts.
There was a national Consultation on this by
@GOVUK
and
@gmcuk
was chosen not
@The_HCPC
. No extra cost to Physicians. You had an opportunity to express an opinion.
@RCPLondon
regulate no-one?
@FPARCP
.
It was a real privilege to examine for the
@FPARCP
in
#Liverpool
over the last 2 days. My first time.
OSCE style exams are hard + nerve wracking. Not only for candidates but examiners know the high stakes too.
Real mix of abilities of
#physicianassociate
students seen. 1/2
When the world around you is too much to face and everyone’s talking
#GE2109
the
#cat
puts everything in perspective.
#unconditionallove
for a stroke not a vote. 🙂
The physician associate (PA) is a new breed of healthcare professional taking pressure off doctors and providing patients the continuity of care they need.
Mohammad is one such PA based at Holycroft Surgery in Keighley. Read more here:
#GPWorkforce
Everyone I’ve met
@NorthBristolNHS
this week has been working caring for patients under immense pressure. Were looking after patients from across the South west. To patients I say ‘it’s busy but we care’. To staff I say ‘thank you’.
#teamAMU
#teamED
.
It made me feel that PA courses must be very varied across the UK.
There might need to be more consistency in course delivery of national PA curriculum to ensure students are not disadvantaged.
I wasn’t convinced the large spread of skills was simply due to candidate variation
Thank you to all those working in
@NorthBristolNHS
#teamAMU
this weekend. It has been busy and brutal physically but as a team we have delivered exceptional healthcare, personally.
Yes this
#DoctorsAreDickheads
represents poor experiences of care. We try to and should improve this if needed.
But doctors are humans, patients, parents and professionals. Attacking us is counterintuitive when we campaign for improvements.
#twitter
is this really helpful? 🤔
My take on this: NEWS 2 is here. It has arrived. And you will be using it, because it's the most evidence-based generic deterioration score yet. The question is, will you be an early adopter or a laggard, because you will adopt it.
It’s just sad how
@TheBMA
are deflecting onto PAs their inability over decades to reduce pay erosion and deteriorating working conditions for the doctors they represent.
As a
@TheBMA
member for over 20 years that’s how it feels.
@dr_nigel_lane
@TheBMA
Do you not understand how incredibly infuriating it is to show up to work being more skilled, more trained and more knowledgeable and useful in the workplace than someone, with them doing less work, and them getting paid 11k more, whilst you scrape by pay cheque to pay cheque
Is Amb score suitable for all AMUs in the UK?
Cat Adkins: ‘if all patients in our patient population streamed to SDEC just using Amb score half would stay over 12hrs’
@DanLasserson
asks are SDEC scores useful?
#sambristol
@acutemedicine
#teamAMU
have been working with
#teamED
to care for growing numbers of patients including those with flu. Again today the teams were constantly busy as expected at this time of year. We do our best for patients; that’s what we do.
#nbtproud
@NorthBristolNHS
@BristolPost