I haven't logged in to Bluesky in ages. But seeing this post being discussed made me find my password and login. And yep, it was worth it.

In this week’s Private Eye. @privateeyenews.bsky.social

“It’s taken me back 50 years. I feel like I’m actually talking to my patients again” Unsolicited, unprompted statement from a doctor who has been using an Ambient Scribe in his practice. This is what AI can do for clinicians and patients, and illustrates why I’m hopeful.

Dispensing GPs: You know and use Ankit AI? Now imagine combining its power with the understanding of the complexities of dispensing! Yes, Dispex AI is live! 🚀 See it in action at dispex.net

I wonder how it would go down if, just as secondary care reject our referrals, I reject secondary care referrals for primary care appts? You want me to do xyz? Sorry, you haven’t provided adequate clinical information. I won’t stoop to the level of the request coming on the wrong form.

‘Winter crisis’ there are no seasons in NHS anymore It’s worth reflecting on the plans the last Govt had 5000 more beds /800 more ambulances Neither were hit despite @NHSEngland stating they were added & just a few ambulances GPs did provide 50m more appts/yr though www.nhsconfed.org/articles/ana...

I’m thinking about work tomorrow I wonder how many other jobs expect the sort of GP type decisions, to be made in 8 minute time windows… for the whole day Literally. It’s a genuine enquiry - do mechanics have a similar working period? Plumbers? Electricians?

Speaking as a former GP who had to help manage countless people and families dealing with terminal illness and palliative care decisions, I can say that working out what the cheaper way out didn’t really come up. Because I’m a human being. www.theguardian.com/society/2024...

I know I should know this....but I don't know this. ankitkant.com

Why do private consultants expect NHS GPs to handle their tasks without resources but resist doing them themselves? "I find it perplexing that there is an expectation for GPs to perform this work without resources, while it is deemed inappropriate for you to manage it."

Are you a GP trainee? Are you able to help me improve Ankit AI? I am looking for official publicly available information that I can train Ankit AI on? It needs to be national, accredited and ideally high quality. Please post relevant links below and I will see what I can do.

Spending on primary care (GPs, dentists, chemists, opticians) has grown at half the rate of other care sectors.

STRENGTHEN PRIMARY CARE

Is there anything else in healthcare that is this good, cheap and fast? ankitkant.com

If you are willing to work for free - don't be surprised if other parts of the NHS take you for granted. Strong and powerful words by our chair Katie Bramall-Stainer at #lmcconf

When someone summarises the WhatsApp chat on AI using AI.

Still no response on NI rises for General Practice GP practices closing GPs leaving GPs unemployed GPs underemployed Patients can’t get GP appts ‘We will bring back the Family Doctor’ was just electioneering All words & no action, worse still more costs #MedSky #GeneralPractice

Following a fantastic conference at @medicsmoney.bsky.social I followed @medicaccountant.bsky.social advice in one of the sessions on getting bits of my pension sorted. Just heard back that it all seems to have updated!

Wait. What. It can do this?

This is heartbreaking to read, but gives a window into the strength of feeling at the current situation. We need something soon, not next week, not next month - it needs to be in the next few hours, otherwise I fear that many colleagues will do the same.

I'm a medical doctor who could not confidently detail one step of the Krebs cycle anymore. Repost if you're the same.

New platform, new opportunity to repost some recent blogs. Have done a lot on the Primary Secondary Care Interface and have learned that No one is Trying to do a bad job… drjongriffiths.wordpress.com/2024/05/10/n...

General question to non-clinicians who might consider using AI for their own healthcare purposes: If it is wrong, who would you hold responsible? NB: as of this moment, I’m not aware of any medical device which incorporates GenAI having passed regulation. Not to say it won’t happen, but not yet.

Are you interested in #AI? Do you, or have you worked in the #NHS? I have a starter pack for you! go.bsky.app/4wM94BJ

NEW: Coroners have issued 36 warnings this year over poor NHS patient information sharing, with some patients dying because clinicians couldn’t access important details about their needs. By me, for the Observer www.theguardian.com/society/2024...

Really good transcript of a recent speech by Stephen Fry, some of my favourite snippets thread 🧵 1/7 stephenfry.substack.com/p/ai-a-means...

The Darzi report is out. I had a chance to read it, and, as far as my opinion is worth, it's much better than I expected. The scope makes some bits disjointed, but that's where you get commentators! I hope you dear readers don't mind the hubris of me adding my own views: /01

We. Are. Insane Private Eye

Over the last week, I have had 7 referrals rejected. Every single one proudly states that the GP should manage the patient in the community. Not a single one tells me who has made this decision. This might seem like a little thing but from my point of view it is huge.

OP is correct here, but it's an uncomfortable truth that wilful forgetting ("memory hole") is also a *completely normal* reaction to pandemics The Black Death and 1918 Spanish Flu feature surprisingly little in literature of the time for exactly this reason. "It was awful and I'd rather not dwell"

WHY CAN’T HOSPITALS DISCHARGE PATIENTS? UK population ⬆️7% - 2012-23 GPs ⬇️ 7% District nurses ⬇️42% Health Visitors ⬇️30% Learning Disability Nurses⬇️23% School Nurses⬇️25% Nursing home beds ⬇️ 12% Residential Care home beds ⬇️16% Social Services ⬇️⬇️ THEY ARE CONNECTED - FUND COMMUNITY CARE