Dr. Brendan O'Shea
@drbosheaGP
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GP, Asst Adj Prof TCD, Medical Director at K Doc & Dad. End of life care, overweight, inequality & system design. Better. Why/ Why not ? Always Ask Views my own
Newbridge, Co Kildare, Ireland
Joined November 2011
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Pinned Tweet
How we die matters!
If you're over 50, or have life limiting diagnoses, if you don't have an End of Life Plan, you're letting down yourself & your loved ones
Consider
or look at
@EndOfLifeIE
@IDsMAiD1
@DWDCanada
@IMT_latest
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A large proportion of Irish people having vaccine provided by The State would be very likely to make a personal donation if asked, to enable a citizen in a LMIC (eg Malawi)to be vaccinated ?
RT if think this is a runner
#WHO
@DrMikeRyan
I'm sure
@AerLingus
and
@ryanair
would happily transport vaccinators and vaccine supplies anywhere in the world that the Irish gov requested, and I'm sure Irish vaccinators would go anywhere to administer it. Unlike vaccines, there's no shortage of arms in need.
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Direct Provision is shaping up to be the Mother & Child scandal of our era.
Shared bedrooms, communal toilets and showers, canteen for over 200 asylum seekers, and a kitchenette shared by 19 men. Now we hear of yet another
#COVID19
case in a Direct Provision centre where dozens share 1 kitchen. Heaven help us!
#EndDirectProvision
#refugees
#Ireland
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It’s called NPHET, not NC19ET.
Surely they should either go for a name change, or else start to meaningfully reflect on all of the other conditions that the other 32,000 people who usually die each year are dying of !?
Eh ?
#COVID19ireland
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If you believe that Contraceptive Care should be made available free of charge to people who need it in Ireland (er....like it is in every other EU State 🤔🙃), please RETWEET this (front page ST yesterday).
Simon Harris & Co to be applauded in moving on this..
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The longer the pandemic goes on, the more we need to consider health issues other than Covid 19
From a GP perspective
Increased alcohol/THC use
Overweight
Mental health issues
Carer Burden
Delayed Cardiac & Cancer diagnoses
And GMHS (see below) are all of growing concern
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@FergalBowers
Proper thing Fergal. It’s personally upsetting and also it is an attack on quality and effective journalism - as such, an attack on an important aspect of our democracy.
Enormous respect for your balanced and objective reporting always, and especially this last 18 months…
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On duty at my GP Co Op
Mid fifties man attends with forehead laceration
Seen, sutured & discharged
22 minutes
We see same numbers as local ED
If he attended ED it takes hours 🙄😳 ? Why ?
@IMT_latest
@RCGP_RoI
@aausgp_ireland
@CormacLucey
@irishmednews
@RealEddieHobbs
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49% of our NCHDs in Ireland are not on any formal training program.
This is incredible.
Profoundly unfair for them and fundamentally unsafe for public patients.
@eilishor
@FergalBowers
@foley_rs
@IrishHospice
@SageAdvocacy
@IMO_IRL
@IMT_latest
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Just over a year ago a 16 year old died after lying in ED in UCHL for over 10 hours of no active management.
HSE had 1 consultant and 3 NCHDs trying to care for over 250 acute cases
Quit virtue signalling and fix your HR issues folks 🙄😔
@IRE_FJD
Sepsis carries a 5 times higher mortality than acute myocardial infarction & stroke.
Treat all patients presenting unwell with infection with a high index of suspicion for SEPSIS especially those who are immunocompromised, the very young, old & pregnant.
#RecogniseSepsis
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Giving these out to everyone I vaccinate - people very receptive.
Very easy to produce.
Supporting
Get One Give One Campaign
@IMT_latest
@med_indonews
@MedisecIreland
@RCGP_RoI
@rcgp_ni
@DrBrianHiggins
@knutmoe
@docmait
@IDsMAiD1
@ritakj
@WalleyRay
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Having GP Teams work more hours - we're already dangerously over stretched
We need more GPs & a lot more GP Nurses
@IMT_latest
@PriscillaLynch
@gmcrotty
@astaines
@illonaduffy
@eilishor
Asking GPs to work extended hours may be unsafe via
@NewstalkFM
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A 10 minute chat with any Intern, SHO or Registrar will remind you how utterly appallingly the HSE continues to treat our finest young people, up to and including IMGs working as NCHDs in our peripheral hospitals.
Worse than Dickensian….
@IRE_FJD
@loreillysf
@DrMartinDaly
I am absolutely horrified at the latest missive from
@HSELive
with regard to asking new consultants to accept a contract which does not exist - Am I surprised?- No- the distinct dislike and "hate" of doctors is endemic in HSE - Relationships fractured before employment
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Dumping on a major scale
Profoundly disrespectful of these patients and their GPs/GPNs
What are we doing with these when they arrive ?
@IMT_latest
@WalleyRay
@illonaduffy
@mike0callaghan
@gmcrotty
@Medcafe1
@austinpbyrne
@austinoc_austin
@gpbuddy
@karencanning
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CAMHS ‘Service’ Ireland
A view from GP
In doing complex paperwork this
Sat morning 🙄
Do the HSE actually care about the
#mentalhealth
health of our young people ?
@DrWilliamBehan
@illonaduffy
@IMT_latest
@kfmradio
@NewstalkFM
@PatKennyNT
@leinsleadernews
@DrBrianHiggins
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Another Vanishing GP…
If you still have ‘your own GP,’ the chances are you won’t miss them till they’re gone 🙄😣
Govt needs to act now !
@RCGP_RoI
@roisiningle
@rcgp_ni
@IMT_latest
@kfmradio
@leinsleadernews
@astaines
@knutmoe
@WalleyRay
@irishmednews
@MartinRCGP
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The absolute contempt with which HSE managers treat Junior Hospital Doctors is totally incredible
Its contempt towards the Doctors, and the Patients they are attempting to care for.....
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Making a case for more Community Care and stronger GP input into Nursing Home Beds as part of HSE Winter Plan on Primetime....
#IMO
#HSE
#IHCA
#ICGP
@drdhanlon
Dr. Brendan O'Shea, GP and Asst. Prof of Public Health and Primary Care says that there are good things in today's HSE Winter Plan but states that "if this Government was really interested in Sláintecare" it would introduce several thousand nursing home beds rather than 500.
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Every person with a medical card being treated for raised BP should be supplied with their own BP cuff through their pharmacy on diagnosis.
RT if you agree !!
❤️💊❤️ 💊♥️
@illonaduffy
@todowd
@mike0callaghan
@drdhanlon
@gaIIyy
@juneshannon
#hypertension
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The HSE and Dept of Health unfortunately have a strong Anti Doctor and Anti Patient bias element within them. They treat Patients, Nurses and Doctors with contempt.
Politicians are unfortunately practically disinterested.
Perhaps we need to march to change this....
Just to be clear,
@HSELive
are lying about doctors being overworked to protect their necks and have nobody take them to task. Breaking European Union rulings and deliberately misleading
@EU_Commission
about it.
Industrial action strongly needed.
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Who is actually responsible and who actually oversees the sending out of something like this to any mother or any other human being ?
#HSE
#IMO
#Beyondstigma
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Elimination is unrealistic and prohibitively expensive.
Control through effective population behaviours, level 1-3 lockdown, and high volume test & trace is best strategy.
This approach likely to avoid overwhelming ICU bed capacity.
Medically vulnerable stay cocooned.
It would be really useful for us non-medics to get an accurate assessment of where the consensus is among medics on Covid tactics and strategy.
Are those advocating zero Covid getting excessive prominence in the media?
Maybe some polling of the profession would help.
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Just after 1-5 pm at K Doc, 26 consults, integrated teamwork (GPs, Nursing Team & Admin - all electronic).
Clean, well appointed / stocked rooms, excellent telecommunications, most people seen by Nursing Team first.
K Doc - run by GPs - part of health system that runs well
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Great decision - Stephen Donnelly to measure indirect pandemic/ lockdown costs.
All acute hospitals should have website to show real time high vis public display of waiting times for all services as part of this.
Consider a RT if you agree
#HSE
😷🦠😉🦠😷
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Further key insight from Stuart Flint today on Stigma and Obesity ......
#ObesitySummerschool2020
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Country’s only Paediatric Pain Specialist Downs Tools and Quits - leaving OLCH and Temple St.
Grim reading indeed.....
Heroic service provision no substitute for proper Management, Politics and Funding.
Surely a new low, highlighted by Eilish O Regan, Independent today P17....
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What about 4 years for a hip replacement, burning up your kidneys with NSAIDs.
And I hope you don’t need Bariatric Surgery in a hurry either.
We are spending gazillions on our public hospital system - bad before Covid - appalling now…
It epitomises heroic failure…
56 weeks waiting time for a MRI to diagnosis Endometriosis is not justifiable.Endometriosis is very painful, causes excessive bleeding and has potential to cause infertility and ovarian cancer.
A life is at risk with so much delay in diagnosis and treatment.
@HSELive
plz fix it.
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Doing large volumes of tricky phone consultations and a few face to face ones with people with some very tricky medical issues. They are incredibly appreciative.
Things feel a lot more meaningful
🙏🏻 😌🙏🏻😌
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Really interesting point Chay
A system does exist - but only outside of the HSE
GP Electronic Medical Records - almost everyone has one, and they can do customised pooled data no bother.
GP already does mass vaccination.
Hand it over to us !
@WalleyRay
@DrBrianHiggins
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Celebrating World Family Doctor Day in Kildare, Ireland,
Good Work, Great Career and now
GP POCUS
(Point of Care Ultrasound)
#BeAGP
#FamilyDoctorDay
#ICGP
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Practice Nurses - no maternity or study leave or pension. No career grade or career progression. Little by way of funding for education.
Could we practically address this for arguably the most skilful of the useful Nursing Disciplines ?
#IMO2020
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Final Day on bus home from Syrian Border
#Syrian
#Refugees
Day 6 of
Mission to Northern
#Jordan
Hard Work / Wonderful Teamwork
💯👌👍👊
@IMT_latest
@gmcrotty
#kilcullen
@RuthShipsey
@MedisecIreland
@astaines
@aausgp_ireland
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Our hospital sector is already well funded. Our primary care sector is not. Hospital Funding is not the issue - it’s how the hospital funding is used, and funding the primary care sector that will make a difference.
Sláintecare is hot air
John Crown: Only true funding reform can fix hospital problems, todays equality is the same as the Lusitania achieved with the Titanic when it joined it on the ocean floor
via
@IrishTimesOpEd
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Would GP Nurses be any good at proactively having end of life planning consultations with older frail patients in their practices ?
@IMT_latest
@karencanning
@PracticeNurses
@LoftusOrla
@JeanCallanan
@IDsMAiD1
@muirishouston
@drkathrynmannix
What do you think ?🤔
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Thrilled - another cohort of GP Trainees coming off
@ICGP
Training
Delighted to be at TCD Scheme & awarding The Dr Sarah McAnallen Medals for best Trainee Research Project, moderated by Kildare Faculty ICGP
@IMT_latest
@gmcrotty
@gpbuddy
@DrWilliamBehan
@FoyFintan
@ritakj
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Most influenza seen and treated in GP Surgeries and GP Co Ops.....yet no GPs at this table....
Another day, another flu update from the State’s health authorities. Significant growth in older people presenting in emergency depts. Level of flu much higher than in previous years. Particularly in North-West and East...
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We’re powering ahead !
Great to get this for one of my Patients today from The Coombe.
GP Led Clinics could unblock many problems….
…..need more GPs +lot more GPNs
@DrBrianHiggins
@IMT_latest
@trishmhorgan
@trishmhorgan
@drdhanlon
@deirdre_lundy
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Funding for social care is abysmal across the spectrum - our older people get put into nursing homes earlier and for longer than most other affluent societies….
Thousands of young men & women ‘dumped’ into Nursing Homes when their parents (Carers)die. Welcome to Ireland - Worst country in EU to have a Disability. Shame on Us. My son’s fate? ‘I’m tired. I’m scared. I know I have the potential to do something good’
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Agree.
In the absence of a system wide plan to immunise GP Teams, high profile images & sound bites of a select few GPs being immunised looks like spin, not substance.
Personally I have a lot of difficulty if I’m offered immunisation without my Practice Team....🤔
While I'm truly delighted to see many colleagues receiving their Covid vaccine, it's hard not to be frustrated at the lack of clear plans for GPs + their staff who continue to see patients daily + try to keep patients at home thus protecting hospitals
#keeepgeneralpracticeopen
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DOH Spin Doctors - big porky on front page IT today - there have been additional strands of service introduced, but to boldly state it’s ’a new contract’ really is a cheek.
It’s a 40 year old nightmare 🙄😖🤔
@IMT_latest
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Great reminder for all GPNs do in practice !
But Ts&Cs for GPNs are the worst in the Irish Health System - we need to do better this year eh ?
No pensions, career grade, sick leave, scant educational support - all of which are a given for HSE employed Nursing Colleagues 🙄 !!
Over 2,000 General Practice Nurses
#GPNs
in Ireland 🇮🇪 play a pivotal role in healthcare provision and are presented with an ever increasing range of conditions and patient needs as our role is constantly evolving. This video highlights just some of our
#roles
&
#achievements
.
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A view from the GP Front Line in today’s
@SundayTimesApps
How busy is it and what actually goes on in GP during the Twindemic of Covid & all of the other seasonal infections ?
@IMT_latest
@illonaduffy
@drbriankennedy
@DrWilliamBehan
#CovidVaccines
#pandemia
#Health
@sburx
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Can anyone tell me why ever do so many endoscopists insist on sending GPs images of the inside of people’s (frequently normal) colons ? Often 3 pages of it ? Like why ?
Just interested in the bottom line diagnosis and management 🙄😔
@IMT_latest
@irishmednews
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The astronomical margin of waste in everything done by the HSE and the Hospital Sector requires to be called out every time. These people are killing the health service....
@caulmick
@SimonHarrisTD
German price: €0.5m/bed
Irish paediatric hospital: €3m/bed
Populations served?
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All over EU, most women can avail of free at point of care contraception, but not Ireland.
This clearly most disadvantages women on the margins.
It would cost a pittance to fix it.
Watching US changes to funding Contraceptive Care reminder of the critical role of funded Family we wait for Irish state why don't Insurers in Ireland,VHI,Laya etc fund Contraception in Community?
#ReproductiveChoice
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It’s a material fact that many GPs are getting these requests - not ‘bashing’ anyone to highlight it…
The image below relates to a form letter signed by an administrator.
And it’s not ok !
Very sorry if your troubled by this…
@drbosheaGP
@IMT_latest
@IrishPsychiatry
The psychiatry bashing is getting old, passive aggressive twitter rants don’t achieve anything
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Just consulted by a highly organised fearless articulate 79 yo lady telling me she wished to donate her body to science.
Advised her about Think Ahead and she said post it out to her
immediately !
Great tool for end of life planning at
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We’re on Staycation....
We’re going to Dine for Ireland and eat out every day for the next two weeks....
Last night - An Teach Bia in Ennistymon
😷😉😷🍽🥂🍽😷😉😷
This is now, tonight, Saturday at 7.30pm in Dublin. Our beautiful city centre is decimated. Hospitality businesses are on their knees. We need help. So many jobs & livelihoods on the line 💔😢
@Paschald
@mmcgrathtd
@adriancummins
@mcdigby
@CWeston_Indo
@mcculld
@davidmcw
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Many GP Practices have been fully busy with routine & Covid related care. Cheers to GPs, Practice Nurses & Pr Admin getting on with Immunisations, Antenatal Care & Chronic Disease Management, Co Ops on call every night.
Unfortunately, efficiency makes
us almost invisible
😷🙄🙃
"We cannot keep postponing care indefinitely, and the backlog of demand is growing. Some minor problems will resolve without intervention, but some serious conditions will sadly be missed."
@HelenRSalisbury
on the latest challenges in primary care
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ICGP Council this morning…
Dr Diarmuid Quinlan highlights ‘the invisible workload’ of GP - not properly recognised or supported, against a larger backdrop of inadequate numbers of GPs.
@IMT_latest
@foley_rs
@juneshannon
@eilishor
0
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Heaven forbid the Medical Council should issue a statement that >45 hours per week for NCHDs is unsafe for patient care and for the NCHDs.
And knock me down entirely were the Postgraduate Training Bodies to row in behind them…
All NCHDs who cover extra shifts - either due to illness or unfilled positions in the rota should be paid locum rates. Until this happens, and as long as we keep accepting extra call shifts as standard, the issue of chronic understaffing will never be fixed.
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Any health care professional in primary care who already vaccinates in any of the national immunisation programs should automatically qualify on provision of evidence of completion of the horrible HSE Land Module on Covid Immunisations.
End of story.
@ChairIpna
good point. do we have enough vaccinators to match the expected vaccine deliveries? or have we built up ‘Covid vaccinator’ into such a challenging role that it’s tough to apply/qualify?
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Are these people for real ?
HSE advise the public
“See your GP for non urgent issues”
Can anyone explain what these people think it is we do every day ?
Knowing where to go when you're ill is important at this time of year.
#BeWinterReady
@DMHospitalGroup
@MLMCommHealth
@HSECHO7
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Er....most mental health care is actually delivered by GPs....hope they’re properly reflected in the MHCP ?
The Mental Health Clinical Programmes are a joint initiative between CSP,
#HSE
Mental Health Services, and the College of
#Psychiatry
of Ireland. The aim is to standardise quality evidence based practice across the Mental Health
#Services
.
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Actually need upscale capacity more in Primary Care INMO. No matter how many beds in Hospital, unless you have adequate Primary Care Capacity, they will always be swamped
Start with better recognition for GP Nurses eh ?
@PracticeNurses
@karencanning
@IMT_latest
@med_indonews
It is wholly irresponsible that we still do not have a Plan B in place to scale up capacity within our acute hospital system.
We need private hospitals on the pitch so our health service can act as one at this extremely difficult time.
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If people approaching end of life have these discussions - it really makes a difference for them & those they leave behind
I'm considering this on Ted X - is it relevant for you ?
@IMT_latest
@SarahFitzWiMIN
@DrMarkMurphy
@drkathrynmannix
@gmcrotty
This
We need to talk about this
And think about this
And make plans for this
And for that we need people being frank and honest about medicine death pain suffering and quality of life
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This typifies much of what is wrong at the HSE
A bare handwritten unsigned note on paper
Profound disregard and inherent contempt for the patient
Couldn’t be bothered to commit to a waiting time
Hundreds of services run on similar lines
@IMT_latest
@RCGP_RoI
2
4
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Wonderful to be at UCD this morning with Roisin Doogue for launch of PG Diploma in Primary Care Nursing
@ucddublin
Great collaboration UCD School of Nursing & GP
@walter_cullen
Delighted to have
@ICGPnews
&
@PracticeNurses
input to course design
@slaintecare
@IMT_latest
1
4
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Cork meat plant stayed open despite having 226 Covid cases, Dáil hears
This is incredible arrogance, greed, recklessness.
One has to suspect extraordinary political manipulation. It's the agricultural equivalent of
#golfgate
Who own this plant ?
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We need more GPs....and...A LOT MORE GP Nurses !
If Irish GP was staffed to same extent as NHS & Commonwealth Systems, we would move from c 4000 GPs & c 1900 (many part time) GPNs to 5000 of each. Best type of Primary Care Investment the HSE could make
@DrWilliamBehan
“Covid 19 Challenges and Collaboration in General Practice. A GPN Perspective”. Great article in Nursing in General Practice Journal, co-authored by
#RANP
Orla Loftus Moran
@LoftusOrla
&
#GPN
& IPNA PRO Theresa Lowry Lehnen
@lehnent
.
#GPNs
#ProudProtectors
#TeamGP
#Collaboration
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We only have 65 GPs per 100,000 popln, also a major deficit relative to NHS, Commonwealth and most other affluent societies, where the number is closer to 95-105.
We are even worse when it comes to Practice Nurses....
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Have you a view on Medical Assistance in Dying ?
For yourself ? For others ?
#assisteddying
& are more pressing ! Oireachtas Committee 🇮🇪 makes reccomendations in 2023
@EndOfLifeIE
@IDsMAiD1
@IMT_latest
@RuthShipsey
@rosablackgp
@astaines
@gmcrotty
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More GPs & Practice Nurses in the community would be a better way to reduce numbers in ED than having GPs in ED....Slaintecare
Cork University Hospital urges GPs to cover A&E shifts in a 'desperate attempt to plug a hole'
#ResourceGP
#InvestINRespect
#RobbingPeter2PayPaul
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Doctors are right about this, and the answer is more GPs and a lot more General Practice Nurses.
Better access to GP led Primary Care is a key social resource for Irish Society, and we are European (even Brexit!) Pariahs in having cost barriers to access to GP care...
Doctors warn that extending free GP care to under-8s is 'putting pressure on a timebomb' as many clinics are already at capacity
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At present GPNs in Ireland have no pension, career progression and patchy sick leave.
This makes it almost impossible for younger Nursing Colleagues to consider career in GPN. Until this is fixed - we’re at nothing !
@drdhanlon
@WalleyRay
@IMT_latest
@karencanning
@drbosheaGP
@WalleyRay
@karencanning
@PracticeNurses
@IMT_latest
Unfortunately undergraduate nursing education also need significant reform in order to ensure Nurses qualifying are suitable equipped to work in community and primary care settings!
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Are you sure where you stand regarding availability of Medical Assistance in Dying for people who may benefit ?
Smashing letter- Dr Ken Ollinger GP
@IMT_latest
👌🙏🏻
@IDsMAiD1
@EndOfLifeIE
@RCGP_RoI
@DrMarkMurphy
@DublinYFG
@ViviennePhelan
@TullMcAdoo
@DeathCafe
@DrLindaDykes
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Great piece of work Orla 👌👍👏👏
Value and input of GP Nursing requires to be continuously restated and measured until it is adequately resourced and adequately available in all GP Practices across our Health System
@karencanning
@PracticeNurses
@WalleyRay
@austinpbyrne
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Beach at Lahinch looking spectacular this evening….
We’re blessed entirely !
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In my practice, we only have a HSE courier at 11 am 4 mornings per week. That means my Chronic Disease blood work has a window of 8 hours in which to get done in any 40 hour week. Could HSE Clinical Design take a look at that eh ?
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Career pathways into GP Nursing in Ireland are far from clear and not well supported.
Slaintecare will not be delivered without adequate numbers of GPNs, nor will the Human Resource crisis in GP
@WalleyRay
@karencanning
@PracticeNurses
@IMT_latest
A great article about GPN Nursing in the UK, written by Sarah O’ Donnell
@sarah_searz
Sarah is the lead ambassador for the GPNSNN, lead GPN at Rooley Lane Medical Centre in Bradford, & chair of the Primary Care Nursing CNO national Shared Professional Decision-Making Council (UK)
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Fantastic paper by Travers et al on reversing Frailty in older people in General Practice. Excellent GP Trainee Study - strong evidence 👏
@RCGP_RoI
@GpTrainees
@MedisecIreland
@IMT_latest
@gmcrotty
@itsthatgirlsuzi
@Medcafe1
@gpbuddy
@darachociardha
0
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ICGP calls for 25% of Medical Undergraduate Teaching to be based in General Practice….
We’re full on at
ICGP Autumn Conference 2022
@LiamGGlynn
@MartinRCGP
@Independent_ie
@astaines
@IMT_latest
@ICGPnews
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Obesity & Overweight
Can we improve Medical Care for
People suffering with Obesity ?
Join in Obesity Masterclass Thursday 17th 6.30 pm !
Register at
@RCGP_RoI
@rcgp_ni
@ICPObesity
@karencanning
@ChairIpna
@IMT_latest
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As in Restaurants and Pubs…
Should people attending Health Care Facilities (ie GP Clinics &Hospitals) be requested to demonstrate
Covid Vaccine Cert ?
@IMT_latest
@med_indonews
@IRE_FJD
@karencanning
@mike0callaghan
@WalleyRay
@ICGPnews
#Unvaccinated
#COVID19
Yes
172
No
1989
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Short of perhaps ICU and CCU Colleagues, GP Nurses have absolutely been among the most ‘Front Line’ of Frontline staff, in terms of numbers seen in communities and in keeping essential services running to the greatest extent possible…
@IMT_latest
@ChairIpna
@PracticeNurses
Nurses Association Slam Minister’s Omission Of General Practice Nurses As Frontline Healthcare Workers
Read more here:
#IGPNEA
#GPN
#Frontline
#Healthcare
#COVID19
@PracticeNurses
@IMT_latest
@drbosheaGP
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A serious Major Good News Story 👊
Retweet vigorously eh ?
@IMT_latest
@RCGP_RoI
@irishmednews
@RuthShipsey
@gmcrotty
Fantastic early evidence in Ireland of impact of HPV vaccination re: precancerous abnormalities 😍
Dramatic reductions in high-grade cervical dysplasia in the first cohorts of girls vaccinated, now those women have turned 25.
This likely to improve further as time goes by.
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Critical Budget Failure highlighted by START Docs - everyone can have a free abortion but 60% who need Contraceptive Care & Primary Care Sexual Healthcare have to pay for it in Ireland (many can't). Fixing this is key to containing numbers of abortions in Ireland...
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Another piece of cruelty culture that urgently / absolutely needs to go ?
RT if you agree…
@_AnimalAdvocate
@MercyForAnimals
@Act4AnimalsEU
#cruelty
The Government of Ireland : Ban Sulky Racing in Ireland - Sign the Petition! via
@Change
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Hope the IMO takes a serious run at this. NCHDs have been sold repeatedly down the tubes by HSE & Post Graduate Training Bodies colluding to maintain public hospital system in a model of heroic failure, at the expense of our best.
We can do better ?
@IMT_latest
@med_indonews
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In the interest of public safety would the Medical Council see itself as having a role in relation to Trainees who are consistently exposed to unsafe rosters ? Like removing their hospitals as accredited training sites until they smarten up ? 🤔
If sleep deprivation is combined w a system that discourages doctors to ask for help, it’s easy to see how errors are made
If blame follows the error…nothing changes
A doctor -like anyone else- should have rest, reasonable accommodations & the support of colleagues
#safety
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Sinn Fein position on immunisations ?
Just back from Cambodia - they have taken political dysfunction to its highest form - scientific ignorance - key first step
Really hope SF can get their loose canons under control ahead of governing..
#slaintecare
#VaccinesWork
#vaccination
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The Good News though.....
Over 9 put of 10 young adults indicate they will accept the Covid 19 vaccine
👌👍👌👍👌🙏🏻👊👍👌👍👌👍
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Sharing experiences on first months of GP Provided Early Termination of Pregnancy and how to reduce numbers of abortions in the future...
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Would have thought a bit of educational collaboration between IPNA, ICGP and HSE Education would be the way to go here, with a 30 minute blended learning module for GP Teams ?
(Consider RT if you agree ?)
@drdhanlon
@paulreiddublin
Will
@HSE_HSeLanD
have a
#covidvaccine
module for vaccinators? Considering it had for recent
#fluenz
, it definitely should for
#Comirnaty
#GPNs
@paulreiddublin
@hselive
@HSEImm
@HSEprimarycare
@roinnslainte
@PracticeNurses
@tombarr26816936
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Fab Conference IGPNEA in Waterford
There are no problems !
GPN is on the move !
Exploring
#globalhealth
& evolving scope of GPN Practice with
@LoftusOrla
&
@lehnent
GPNs need full support re pay, SL & Mat leave, education & career paths
@IMT_latest
@PracticeNurses
@IMO_IRL
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Why do most women have to pay for medical contraception (er....but everyone can have a free Medical Abortion ?
🙄🤔
Why does a child (or anyone) in Ireland have to pay for a prosthetic limb?
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Important points well made by Senior GP Colleague with a lifetime of reflective practice
Decisions on assisted dying legislation should be made by patients, not politicians
@IMT_latest
@juneshannon
@Orlaodo
@Medcafe1
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Putting principles over personal gain and ambition…
❤️👏👊🙏🏻💕❤️
Outstanding example by the younger generation - better than us by far 🙄
#justice
#islam
Chess Grandmaster Anna Muzychuk, on refusing to play in Saudi Arabia. 'In a few days, I'll lose two world titles, one after another. Because I decided not to go to Saudi Arabia. I refuse to play by special rules, wear abaya, be accompanied by a man so I can get out of the hotel."
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One of a network of very large National Parks, rapidly developed under a policy of sustainable ecotourism, informed by evidence based rewilding and biodiversity 🤔
@think_or_swim
@IrishRainforest
@MikeHudema
#biodiversity
#ClimateActionNow
#ClimateAction
@IMT_latest
Conor Pass National Park would be an incredible Christmas present for everyone in Ireland.
It could become a greatly needed sanctuary for wildlife and a fantastic amenity for everyone!
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Great series of booklets available from Irish Hospice Foundation for any engaged in care of people at End of Life
Chock full of practical advice, thoughtfulness & grounded in community care
@juneshannon
@karencanning
@PracticeNurses
@lehnent
@RCGP_RoI
@IrishHospice
@IMT_latest
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We need more GPs and a lot more Practice Nurses.
Unless we build greater capacity in primary care, hospitals will never cope.
Good to hear
@paulreiddublin
acknowledging the need to invest more in primary and community services to avoid unnessecary hospital use.
@ICGPnews
has called for more direct access to GP for diagnostics /investigations so we can support this
@gpbuddy
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Well done and thanks for taking a stand Stephen !
The worst happens when good people stay silent...
Y'day I watched in horror as this motley crew were herded through Dublin city centre. Their shepherds, a malevolent gang of fascists and conspiracy theorists. They screamed & boo-ed at me as I stood outside Trinity College, the university I graduated from as a medical doctor.
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To prescribe Ozempic for a patient with a medical card I have to complete questionnaire with 29 pieces of medical information on it 🙄
Get real please
@HSELive
🤔
@ICPObesity
@K_Gaynor
@karencanning
#obesity
@danobrien20
@CormacLucey
@gmcrotty
@IMT_latest
@aausgp_ireland
More than half of the world's population will be overweight or obese by 2035 without significant action, according to a new report.
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Agree. In the light of no further deaths and or surge in demand for ventilators, lockdown and containment should be set aside in favour of brilliant cluster management and selective progressive easing of restrictions.
We need a different strategy. We won't do well if we run through a few more of these cycles.
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Hmm.
General Practice, where most mental health consulting happens, needs investment.
More GPs,Practice Nurses & In Practice Talk Therapies Better fix for mild / moderate anxiety & depression than Secondary Care Services.
More immediate care, in communities, protects your ED.
In E.D., We're seeing individuals referred anxious they've contracted COVID19
Then representing with Panic attacks, restricting their daily life
Many never accessed mental healthcare before
Irish Mental Health Services need proper investment to meet their needs
@SimonHarrisTD
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It’s
#WorldFamilyDoctorDay
2021 !
Great to
#BEaGP
, go to work hard, at a great job & wonderful people.
Not perfect, just very good, & going places fast. After over 30 years, it’s still deeply engaging and of real use to Society.
Check us out below...
@ICGPnews
@IMT_latest
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