Emma de C
@emmdechen
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Irish, Director of Nursing , ANP , Mum of 3, Sheffield
Sheffield
Joined February 2011
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Great moment at the end of our vaccine clinic when our lovely young security staff came forward and asked could they have their first vaccines after watching all the HCPs talking to patients all day.
They said their info had come from peers and social media.
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Can I also say off the back of this tweet, don’t underestimate the importance of having medical staff that people can relate too, young, older, different socio economic backgrounds, to have reach and compete with social media we must have diversity in health care.
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@NursingNotesUK
@PeterStefanovi2
@RMTunion
@nurses_united
@GMB_union
@unitetheunion
@unisontheunion
She said what?
How awful and what a horrible colonial mentality. You can’t just go and take nurses from overseas and they come here and also remain underpaid and overworked. So wrong.
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If there are any student nurses who are about to graduate early and feel they could benefit from a (virtual) mentor. I’d be very happy to help. Background is ED
I’m sure I could find you a few others too. No question too silly, tea & sympathy plenty
@WeStudentNurse
@WeNurses
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When will we accept that the General practice 10 minute appointment system is no good for patients and is taking clinicians to breaking point.
With a looming mental health crisis I think now would be a good time.
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I can’t imagine gaining a Doctorate and then being piled on by a tonne of undergrad and recent post grads for using my Doctor title.
There’s a million confusing things in the NHS, we should certainly work on improving that across the board rather then rounding on individuals.
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Who are all these AHPs who want to be impersonating Drs because today I had a clinic with complex patients on 10 min appts and tbh I just want a couple of tonsillitis and UTI’s and to chat to them about Health Promotion and be nice and everyone be happy.
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I have microwaved my tea twice since 1 o clock that’s how busy General practice is right now.
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@drhelenrainford
Was lovely, all credit to our lovely GP, Has who spent time chatting to them and helped them feel comfortable about it.
They even laughed at my “old” joke when I they asked about side effects and I told them quicker 5G and they were all like “she knows” 😂
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Does everyone know that General Practice nurses have loads of experience of running mass vaccine programs?
#WeGPNs
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Practice nurses have never stopped working face-to-face, my blog post for
@NurseinPractice
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I find it problematic that in instructing primary care to offer face to face appointment once again a significant portion of primary care has been ignored.
Practice Nurses never stopped providing vital face to face care for patients.
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@chersvacca
Without meaning to HCPs have become very inaccessible to having those co incidental chats, seeing these lads change their mind by just getting to know us a little, probably a touch of behaviour science regarding loss aversion with such big queues too but also building trust
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@mrthomasjacques
@josefpoulton
@ISM_JD
Yes I don’t get it, we actually do different jobs and there’s no need to vie for seniority. It’s actually offensive to nurses as it feels like a backhanded compliment
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Just off the phone with a very upset practice nurse who is a few months having her baby and has found out she will only be eligible for SMP
Until T&Cs are standardised in line with NHS, retention will always be a problem at practices (might die on this hill)
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Another day of vaccinations in General Practice.
Very grateful to the nurses and HCA’s who volunteered to come and work with us this weekend giving all of our nursing staff some downtime whilst we still hit our target of over 600 per day
@WeNurses
#nursesarewonderful
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@JodyToomey
@damiaen
@evilniamh
That’s in incorrect, current PHE guidance for vaccines is hand washing between patients.
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Just had my notification that I’ve been accepted onto the HEE advanced practice portfolio route, delighted!
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@UnasNews
@clareaminton
Today they’ve told me they had “the best time” vaccine clinics are so uplifting, great community spirit
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@dr_dru_
This is so accurate, the health service is literally on its knees at the moment, not close to breaking, broken.
The blame can’t sit with anyone other than those who have ignored all of the warning signs, underpaid staff and not prioritised health inequalities and health.
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Didn’t take long, contacted by someone recruited to Primary care under new ARRs role, background secondary care now in 10 min appts, GPs too busy too support, nurses unhappy because of salary disparity.
Isolated, tearful feeling out of their depth…predictable.
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@Lucy_Ward13
@olifranklin
She’s a baby, she’s not being naughty i’m pretty sure teaching her no isn’t what she needs.
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@lahlah29367524
@janemartinson
This is wrong, domestic violence is so much more complex than that. Perpetrators hide their real selves, relationships are complex with children and finances involved. We need men to stop being violent to women not women to choose better
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In case anyone is wondering how valuable the GPN role is, I have had to cover GPN absence with 3 people, a sexual health nurse specialist , a respiratory nurse specialist and a School nurse each doing a day.
GPN is a very specialist and much needed role that we need must invest
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@BeyondGoodPod
@Missy_E36
So children that have to share chargers at home or struggle with organisation get punished probably repeatedly over stupid rules.
I’m an adult and I struggle to keep my phone charged, the anxiety that this would produce is wholly unnecessary
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This thread is the absolute perfect example of what happens when you try to whip up a frenzy to suit your political agenda.
Those that bite and trash other professions in the process are shameful and show their Bias.
Responsible Clinicians have been non medics for a long time.
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PAs there was a time when ANPs were called “Noctors” and it was publicly debated if we had the skill. We got feedback that some of our colleagues didn’t want us or weren’t supportive of the role.
It’ll pass, it’s ugly and not a true reflection of what health professionals think
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As if I needed to be any other reason to be proud of my team.
This week our nurses ran all our normal clinics, 2 nurses sat advanced practice exams and then we vaccinated 1240 front line workers in 2 days. Their commitment is amazing
@gp_awards
@EmmaThompsonWeb
@alunwindle
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Something that has become apparent to me is that we could really do with a GP advanced practice module.
The expectations of what ANPs can deal with has grown but the training hasn’t necessarily caught up, contraception, Minor illness, blood results. Would love to see it happen.
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The lack of continuity in Primary care right now means spending so much time reviewing blood results with no clear reason why they were taken… aaargh.
Bloods are part of a puzzle, not the answer.
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Lots of Love for our PA colleagues. Is this system perfect, No. Are this one group to blame? Absolutely not. Without them would more people struggle to access healthcare…
Should we spend our time slagging of our colleagues or should we be demanding Fair T&C for all.
I’ve worked hard not to be drawn into the PA debate on Twitter, as it’s impossible to have nuanced reflection in limited space.
However, as we come to end of the year, I reflect that without the PAs in our dept, service would have collapsed at times.
Valued & valuable.
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Working with paramedic colleagues yesterday and we had some time for a chat.
I don’t think i’ve ever fully appreciated the level of personal trauma that goes with the role, being first on scene to tragedies, they deserve everything they’re asking for and more
#Paramedicstrikes
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Twitter has become so boring, impossible to have any thoughts on current affairs without everything being weaponised in the Doctor v everyone else debate.
Nursing staff are as much part of core GP and are also having a tough time, zero
Solidarity shown as usual.
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I just went online and booked a GP appointment for this morning, had the option of 5 times telephone or face to face.
Don’t believe a word the daily mail tells you.
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@indyboy73
This is very true, other than briefings there are still people out there that still haven’t had any contact of Covid or it’s devastating effect, throw in constantly changing info and a government that breaks the rules who could blame them for not believing or taking it seriously
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@HannahAlOthman
Way to steal her moment, that’s the least romantic thing anyone has ever done
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@iDrSunny
So the Dr who was supposed to be supervising “made” her go in.
I really hate that it’s become acceptable for any clinician to post updates of their clinical day, makes me deeply uncomfortable to see a distressed pt discussed like that.
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@scottishphil83
We had this conversation yesterday my daughter had done her a levels and has done really well exceeding her predicted grades and getting what she needed for uni and yet there’s loads of her peers with similar grades refusing to tell each other what they got as it’s not AAA.
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Oh look, another anonymous account scoffing at the achievements of another non medical cohort of staff.
Shameful.
Did you think "Queens Nurse" was an accolade?
Perhaps bestowed by Royalty for particularly outstanding service?
Apparently not!
Then again, the adoption of grand titles to elevate yourself appears to be the Modus Operandi of a certain cohort of faux leaders
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@EmergMedDr
Unfortunately this has become a (perceived ) war between the family and the hospital, incredibly sad that it ends like this but this has to be in Archie’s best interest and I believe the hospital are right to hold the line.
Shows the importance of early relationship building
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GP colleagues, when maternity pay was such a turning point for salaried GPs within the workforce why do we still not have Mat pay for GPNs?
How do we petition for it?
@theRCN
obviously but can we come together as a collective and push for equity for all Primary care staff?
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Unless you have spare day & a penchant for constantly repeating yourself, I don’t recommend vocalising your support for your PA colleagues on twitter & despair for a broken system that turns HCPs against each other.
As I have neither I’ll bow out for now
#FreePalestine
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@jhall_m25
@RidgeOnSunday
@SkyNews
Have you watched the interview? He wants parole boards and monitoring this man got out under the current government after half a sentence with no monitoring.
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@DurrutiDub
@oceanclub
Awful, immigration has been a huge feature in every Irish persons life, we’ve been welcomed all over the world as well as been on the receiving end of racism. That these refugees who have undoubtedly already have experienced trauma, have to experience this in Ireland is shameful
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@CatrionaRennis1
@doctorrah
I think the lesson here can be that you’re never too low down the chain to raise concerns about a patient and if you don’t feel you’re be listened too you take it else where and don’t stop till people are listening
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Khan Yunis, densely populated city in the South of Gaza.
Remember Palestinians were advised to go South and Snipers shot at anyone trying to return to the North. The boarders are closed.
Sound on for a real life horror story.
BREAKING| Israeli fighter jets attack several residential towers in Hamad City in Khan Yunis, south of the
#Gaza
Strip.
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Doctors who do these clinics day in day out are absolute hero’s. I have no idea how it’s humanely possible.
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Delighted to be taking over as chair of the Shared Decision making council for primary care.
The meetings are invaluable, working collaboratively to raise the important issues for
#GPNs
@sarahbgleeson
and
@C_Carmichael83
have done a fabulous job chairing
@kstorey63
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There is not another branch of nursing where nurses need to have multiple specialisms, a good understanding of finance/business, be capable of working independently, teach and yet receive no guaranteed sick pay, mat pay and in many cases still be offered between £14-20ph
#GPN
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I don’t want to jinx it as have had such rotten luck with travel but I’m in the queue for a flight home to Dublin to see my Dad for the first time in 2 years.
OMG…home
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@lahlah29367524
@janemartinson
useless ones? The fact that you can say that publicly shows how society tolerates a level of sexism.
No most men aren’t violent to women but violence to women is epidemic and we don’t blame victims.
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Who is this helping?
It’s factually incorrect, creates huge public confusion and mistrust and the person stating gives no details of their credentials but alludes to being a medic.
There is actual, factual research out there on the benefits of ANPs in terms of outcomes.
What has nursing experience got to do with medicine?
Nurses diagnose symptoms. Doctors diagnose disease.
Nurses provide care. Drs provide treatment.
Nurses relieve symptoms. Drs manage illness.
Completely different jobs ≠ benefits knowledge to do the other
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Really moving to call by the
@theRCN
picket line this morning and here the support from the public. Excellent organising
@EllaRN01
stay warm.
Nurses don’t want to strike, they have no choices left
#SafeStaffingSavesLives
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The last 2 weeks have been a complete rollercoaster. I’ve accepted the post of Director of nursing and clinical governance
@AppNightingale
and will be leaving the place that has been my second home & family for the last 11 years.
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We need
#GPNs
to understand their worth.
A vital part of General Practice and Public health.
When nurses are empowered, great things happen
#teamCNO
@WeGPNs
@RCNGPNForum
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After a tough year, so lovely to receive this for my amazing team today.
Huge thanks to Sheffield’s Primary care development nurses for all their support this year.
Very Proud 🍾
@EmmaThompsonWeb
@sisterwelton
@alunwindle
@kstorey63
@WeGPNs
#teamCNO
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@Shakira_RN
I’m sorry you had to experience that. To be honest a racist GP is one for the GMC, I hope your colleagues consider that on your behalf
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Just this week a Doctor mocked a nurse for not knowing about junior doctors only to show she didn’t know that a midwife wasn’t a nurse.
2 years ago after 25 years in the NHS I had to get a colleague to explain the role/training of an OT as had only worked with frailty OTs
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@SholaMos1
Can’t help but think she’s crying for herself and not all the poor people she mentioned.
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Last day as a locum at a practice I’ve been at for 3 months was not expecting this.
Sometimes Nursing feels like the hardest job in the world but more often it’s the greatest gift.
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Primary care is wild, 10 minutes to work out if you’re seriously ill or not, do some tests and make a plan….
Then you get to do it all again over and over.
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Photograph with my lovely team taken for an article. All amazing women/nurses.
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15 years married yesterday and many more together.
My husband took me for a post work burrito and a pint of icy Margarita to celebrate 💙
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Setting up vaccine clinics has not been easy but just received a message from a friend who’s a hospice nurse to say she’s booked in and it looks like she’s our first patient, makes it all worthwhile.
I think it’s a sign (that our appointment book works)
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12 hour shift at OOH and I have never seen so many hot kids in one day before.
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Excellent week this week, we’ve recruited 3 new experienced
#GPNs
to join our team in new posts, we had a unprecedented number of applications.
Definitely one of my favourite parts of my Job
#nurselead
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Whilst I appreciate the additional costs to partners replacing staff comes with costs, using agency’s comes with costs, loss of QoF, patient outcomes cost of retraining new staff, the list go on. GPNs are valuable finite resource and should be treated as such
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First shift at a rural practice and had forgotten that country folk are hard as nails.
My 3 weeks of SOB with a touch of vertigo was a Fast AF bumping along at 170, no bothers.
Pleased I can still remember how to do an ECG after 10 years.
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This morning
@JackHowieson
, who has resisted a dog for at least 15 years, kissed this little face goodbye and all I got was a “see you later”
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Come and work with me! We’re recruiting Trainee Nurse Associate post, come and work with our team of General Practice Nurses
@SheffieldUHS
#GPN
@WeGPNs
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Vaccinating community health workers and one of the dentists have turned to with a big delivery of cakes for us as a thank you ❤️.
Hearing human stories and how momentous it is for them getting their vaccines today is amazing, so please we’re playing a part
@SheffieldUHS
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@msteggy
Hate the idea that any 1 group should be running GP or is “delivering better patient care” I don’t want to see a pharmacist for a med problem and likewise I don’t want to see my GP who is exasperated and over stretched because they’ve just signed 100 scripts on their lunch break
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Daily I get sent stuff like this on twitter.
These days it’s always there just bubbling under the surface, it doesn’t take long for the sharks to circle.
I don’t work with a single ANP that thinks they’re more knowledgable than a Dr (unless it’s on the topic of 4 layer)
@emmdechen
@guidelinexpert
This the typical ANP mentality, thinking that they are more knowledgable than doctors until s**t hit the fan.
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@DrEilidhMaria
I think the major issue is the time not the complexity 10 mins is never enough, surely giving GPs appropriate appt times to deal with what they are skilled at makes the best sense. Many need The “minor illness” to catch back up, not because they aren’t capable
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3 private messages from people asking if I’ll have the vaccine.
As someone who ended up very very sick from a vaccine preventable illness (measles) I absolutely will be having it not just for myself but for others.
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So many GPNs still haven’t received their 6%.
While many in GP, myself included, were able to move to telephone consulting, our GPNs continued with face to Face consults despite the lack of PPE . Many were scared, most sent their children to school despite the risk
This is Mel, a general practice nurse in the
#HoldStill2020
” competition, selected in the final 100.
It wasn’t taken long after they’d lost a PN colleague to
#COVID19
.
She hopes this represents all GPNs, as well as thousands of other nurses as we continue to work tirelessly.
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@rosieICM
The undercurrent of this is that there are many older nurses, no longer working and sadly some who are who think that the nurses of today are not quite good enough, are uppity and still blame project 2000
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Reunited with my Mum tonight after 10 long months, lots of tears
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774 vaccines in 12 hours. Satellite vaccine clinic with 3 days noticed, managed to make it to the hairdresser for emergency cut and colour
#IfYouKnowYouKnow
Urgent jobs done ✔️ (just don’t mention the tree)
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@eleanorchats
Hard agree but also how are we so bad at separating these out at the front door, I see lots of teens on CAMHS waiting lists that are clearly undiagnosed neurodiversity, parents desperate for help as it’s now crisis.
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What a week, vaccine clinic organised, patients booked, snow cleared, 28 vaccinator shifts filled as well as admin and volunteer support.
Very lucky to have been working with a fab team
@HelenLCaley
@naomihharvey
#weGPNs
#CovidVaccines
#teamCNO
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@Emily_Knox
Unfortunately the public has no idea what the GPN role entails but we’re working on that with
@SDMCprimarycare
@louisebrady17
. I’m bet you have lots of very happy customers so if you can, try not to let a few get you down. You do a fab job
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2 days teaching VTS practice nurses about sexual health and contraception. Thank you to the
@PCWT_hub
for having me.
This is the first time we’ve managed face to face and it was so good to meet everyone.
The future of
#GPN
in South Yorkshire is bright,
@EmmaThompsonWeb
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In 2 days we’ve set up a ongoing vaccine clinic that does not put a strain on our current nursing staff by utilising volunteers, secondary care staff and PNs who are available to work.
Looking forward to getting this up and running with
@AppNightingale
to support primary care
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I am sitting in my new (to me) allotment shed listening to the birds and now I totally get why People love hiding in them.
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2 days of teaching the VTS nurses
@PCWT_hub
about sexual health, contraception in primary care, another fab bunch. It’s always such a pleasure and a reminder that the future for GPNs is bright
@EmmaThompsonWeb
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The good news is I have submitted my revalidation. Only 8 more to go before I can retire.
The bad news is I forgot parents evening….again.
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@eveosh
What’s always blows my mind is how people working for an organisation go so all in to protect the organisation, no sense of individual morality.
Fair play to the consultants for never letting it go. I can imagine it’s taken a huge personal toll on them over the years.
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@drtarageorge
@mellojonny
And actually if I remember correctly looking at child adhd diagnosis comparing to adults there is a huge number of undiagnosed adults many who will now be finding out about adhd and self referring down the private route
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@HarlowJourney
@CensoredMen
And the lack of people going, I’m not sure Ryanair woukd make this decision if they had packed flights
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If we are to retain Nurses in General Practice then we need to start talking about the glass ceiling that exists.
Twice this week it’s been raised with me that there is rarely a grade above an agenda for change 8a in General Practice and this is for ACPs not leadership roles.
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