Margaret McCartney
@mgtmccartney
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evidence … Director, @beirasplace
Glasgow
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Could not agree more. These 3 women have done, unpaid, the work that the Scot gov/committees should have done. That evidence based critique has had to be done on this way is damning to
@scotgov
“Human beings can’t change sex. We’re not clownfish. Sex is fixed at birth."
The wonderful
@mbmpolicy
telling it like it is!
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Pleased to announce that am I leaving the NHS for Harley Street, where I will be offering a monthly subscription service of total body MRI, 300 innovative blood tests of various sorts and a specialist interest in prescribing off license drugs via remote AI enabled consultation.
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Delighted to announce new venture. For too long medical tests have been too restricted to only people where there’s evidence of benefit. We think different. Everyone should be allowed them.
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Medical institutions must treat the Cass review as a significant event and act upon it | The BMJ free access
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I hope every single clinician who criticised those asking for evidence reads this report. The personal abuse/defamation has hurt. But healthcare leaders failing to listen when asked whether the evidence based thing is being done has hurt many, many more.
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NHS GP will end up 'doing a dentist'; GP led care will end up being available only to those who can afford it privately. Waiting lists in NHS, already too long, will get longer. good GPs will get burnt out and leave.
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I can never get over the fact that unpaid volunteers are doing more forensic analysis and holding to account than the people paid to do it by taxpayers
We and
@ForWomenScot
are calling on the Minister for Victims and Community Safety to stop misrepresenting the law.
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Where is evidence that more pharmacy prescribing will reduce workload of GPs? Fragmented care and net result of more activity won’t help. Far better to sort the small everyday time consuming things eg request to change rx from a 200mg tablet to 2X100mg due to ‘stock shortages’…
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free access, bmj
why the fuss about PAs?
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Who is advising
@wesstreeting
? You urgently need people who understand recent history and NHS. Underfunding leads to ‘reform’ because the system shrinks to fit. General practice (scotland too) is on its knees. Does anyone care enough to offer an evidence based response?
This week I saw first-hand the difference that the
@AustralianLabor
government is making in Australia - with urgent care clinics that relieve pressure on GPs and A&E departments.
@Keir_Starmer
’s
@UKLabour
government will adopt this approach with new Neighbourhood Health Centres.
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Hi
@drlouisenewson
this looks like non randomised study with no control group of selected patients attending your clinic and has not been peer reviewed, am I right? I can’t find a pre published protocol or registration, can you direct me? Thankyou
I’m so excited to share this new, observational research with you.
Current UK NICE guidelines recommend testosterone should only be considered for perimenopausal and menopausal women who have reduced sexual desire, but actually our research reflects what many of us notice in
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Preventive care is primarily about reducing social inequalities, population health, wages and work, pollution, childcare, travel infrastructure, etc etc - the nhs can’t do that. Statins don’t remove poverty. Real public health prevention takes place well away from NHS
“I’m concerned that we patch people up and send them back to rubbish lives. We’re a sickness service and we need to become a health service.” - Professor Dame
@HelenStokesLam
#TacklingInequalities
#Narrowthegap
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@doctor_oxford
is absolutely right. it is appalling that
@NHSEngland
are deliberating obfuscating and confusing people - they are making a choice not to fund GPs. what an absolute mess. are we to just to wait for the inquiry in 10 years time to tell us 'mistakes were made'?
I’m simply horrified to see
@NHSEngland
now literally breaking the law in how it misrepresents physician associates & other allied health professional - who are NOT doctors - to the public.
These posters are from the Bradford District & Craven Health & Care Partnership. 1/n
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an observation, the doctors who I think really are totally skilled, smart, dedicated, good ethical people....don't go around saying they are a 'top doctor' on their websites
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if someone is confidently talking rubbish about one thing maybe consider that they are also confidently talking rubbish about lots of other things
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So many folk who would not have dreamed of going private a decade ago now are as nhs waits appalling. GPs leaving the NHS as it’s unsustainable. GP will end up like dentistry - harder to get NHS care. A tragedy in plain sight and a governmental choice.
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I really don’t think I’d apply to go to medical school again
This is the job where I was the on call doctor (extremely busy) & got messages from a PA working as 'registrar level' about ward jobs like prescribing & ordering scan etc. for patients whom the PA saw on the ward round. So that the PA can go to their own clinics & theatres.
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hello
@KPMG
, I would love to see what evidence you have that fragmenting primary care into tiny little shattered pieces is good for patients, staff, the NHS, or taxpayers
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Where does the leader of this political party get science/health advice from?
This is the new antivax movement
Patrick Harvie, co-leader of the Scottish greens spreading misinformation about the Cass Report and stoking a culture war by refusing to deny or condemn his colleague Ross Greer’s description of it as a transphobic conservative report. This is irresponsible and dangerous.
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This stuff is heartbreaking. Does
@wesstreeting
think that people should be forced to come in face to face to speak to a dr for few mins for something that could have been done more conveniently on phone? The judgment on a broken profession is staggering
Latest
@UKLabour
release highlights that "just" 72% of 27.3 million GP appts in Feb 23 in England were face to face, compared to 85% of 25 million in 2020.
Just?
@wesstreeting
We offered 2.3 million MORE appts. But only by cramming a quart into a pint. It's becoming unsafe.
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This is totally, totally nuts. Either you need standards and exams and years of training or you don’t. We are going backwards . UK primary care used to be ‘jewel in the crown’ of NHS. Now, esp with appalling %uplift in England, is designing it to fail. Utterly preventable tragedy
The most vulnerable and complex patients to the untrained, unqualified ‘professional’. And worryingly that’s also the GP practice where I’m registered.
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critical appraisal of evidence is a key skill in medicine. It is far, far better to admit that you don't understand something than to defend the indefensible - and far worse, harm patients- because you cannot discount your personal belief system in the face of evidence.
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When one considers the current concerns for actual patient safety in the UK, this seems …. Somewhat misjudged
@gmcuk
doctors involved in climate protests face threat of being struck off | Environmental activism | The Guardian
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What I would really like is for us to be having fewer distracting convos about how big a bunch of flowers/box of chocs are and more about what GMC recommend should be done about doctors who conceal large important financial conflicts from employers, patients or colleagues.
From the end of this month, doctors should not accept ‘an unsolicited gift’ unless it is ‘of minimal value’, defined as gifts such as flowers, fruit, sweets or cake.
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this survey by the
@rcgp
on PAs is terrifying, basically, and the question must also be how on earth we got here. the
@gmcuk
@RCPhysicians
and gov have serious questions to answer; meantime there are GPs who can't get jobs. what's the plan,
@wesstreeting
?
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Hi
@BBCr4today
you seem to have just advocated a screening programme for dementia for 50year olds with no discussion of the multiple issues this raises. Where is balance ?
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the only reason why medicine should have power is because it should act on evidence, and acknowledge and reduce uncertainty.
anything else may as well be homeopathy.
People who passionately believe they are doing good can do grave harm.
What matters is evidence.
#CassReview
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now is a good time for easy spots on who really does not understand evidence based medicine, and are basing their practice and views on ideology instead.
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hey
@BBCr4today
- who didn’t respond to my emails / here’s a critique of your dreadful coverage
Prostate cancer screening: what work should GPs stop doing so they can do this work instead? | The BMJ
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yet it's ok for drs to: conceal large financial conflicts of interest, offer utterly non evidence based £££ whole body screening nonsense, prescribe garbage for autism, spread myths about vaccination harm, or inject people with expensive evidence-free vitamin infusions for lucre
BREAKING: Doctor Sarah Benn found guilty of professional misconduct after being imprisoned for upholding vital sign.
Full Story Here:
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Why do royal colleges exist?
Why were they set up?
Either we need training and standards and accountability for everyone doing certain jobs, or we don’t.
@Dr_Done_
@RCRadiologists
“What qualifications do you have for this role” “oh well, X consultant said I was competent to do it”. Does anyone know why national training programmes, standards and examinations exist? Anyone? 🤯
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to all the people who send 'keep going' messages, I cannot tell you enough how much I appreciate it thankyou 💕💕💕
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there are upteen private clinics offering these drugs to people unseen and remotely. it is absolutely NOT ok to pass info to NHS GP with the expectation that we will safety net/
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Making the most disadvantaged students into disadvantaged doctors is…..distinctly regressive, unfair and solving the wrong problem
A four year undergraduate medical degree, separate from graduate entry degree programmes, is set to launch in 2026, NHS England has said
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deeply amused that gov think that reducing time to train drs will help. hahhahhahaa.
retention, retention, retention
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hello
@JimBethell
- why don't you copy me in and let me reply? better, why don't you debate this with me instead of using silly emojis?
I am a 'serving GP' - and proud of it.
#demandevidencethinkcritically
The NHS is a late-stage acute system built around people staggering into A&E/GP with lumps/bumps to be saved by expensive operations.
Expensive madness! 🤡
Why is this?
This article from a serving GP shows what's holding us back. 🙄
#HealthyBritain
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Omg
@JimBethell
I agree
We cannot keep pouring an increasing amount of money into more doctors, hospitals, and medicines in the hope that we can treat our way out of our health problems.
We need to look "upstream" and tackle the determinants of health.
My speech in
@UKHouseofLords
on NHS.
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