Thank you all so much.

🔴 A 𝘵𝘳𝘪𝘨𝘨𝘦𝘳 𝘸𝘢𝘳𝘯𝘪𝘯𝘨 assumes:⁣ "This might harm you."⁣ ⁣ 🔵 A 𝘤𝘰𝘯𝘵𝘦𝘯𝘵 𝘸𝘢𝘳𝘯𝘪𝘯𝘨 simply says:⁣ "This is what’s coming."⁣ ⁣ One is about protection.⁣ The other is about permission.⁣ ⁣ That difference matters.

United to improve paediatric patient safety, RCPCH and NIHR SafetyNet held a great webinar exploring the WHO priorities with nearly 200 people. We invite you to participate in the partnership, watch the recording and express interest here: www.rcpch.ac.uk/resources/pa...

"Adolescents and their families sometimes find it very hard navigating the health system" Prof Steve Turner, president of @rcpch.bsky.social This event offers practical ED takeaways on sexual health, consent & capacity in adolescent care. 👉 Let’s enhance care together: rcem.ac.uk/virtual-e...

New NHS England Neurology Service specification. ✅FND is one of seven core subspecialties ✅FND services MUST be provided in each specialised neurology centre. This is huge recognition of how common FND is in neurology - and unthinkable 20 yrs ago. 1/ t.co/XvGo0NIryA

Given importance of health to the voting public, it seems politically naive of Nigel Farage and Reform to have their health policy so closely tied to Dr Aseem Malhotra, whose speech today confirms his switch from once respected clinician to conspiracy theorist quack: www.thetimes.com/uk/politics/...

Post Lunch Stuart Hartshorn on the CURLY study Cefalexin for UTIs – Right treatment Length in Young children. curly.digitrial.com Interesting findings already on frequency of true culture positive in Children presenting to EDs #PERUKI25

Hey folks. ILAE's International Epilepsy Congress is now concluded (great meeting!), so I thought I'd share a few highlights from my talk on Functional / Dissociative Seizures (FDS). The full talk (and recording) belong to ILAE, but here are some of the key points!

Entrustment levels don’t have to be confusing! Dr Rajesh Vasiraju’s new RCEM poster and video breaks down clinical supervision into clear, visual guides — perfect for trainees and assessors. Download it now 👉 rcem.ac.uk/college-n...

And now Charlotte Durand on e-scooters Audit from Alderhey demonstrated a clear signal for the incidence of Major Trauma from e-scooters. Helmet wearing (or lack of) was an issue **Private e-Scooters are illegal** #PERUKI25

Having taken a hiatus from BlueSky I'm back. It's the @PERUKItweep conference 2025 Thomas Waterfield kicks off. One of the self proclaimed "UTI men" (with @stuarthartshorn) #PERUKI25

I’m really interested by the bits of this that are within our gift at department and programme level to action now, without big systems changes. Reducing the frequency of rotations, and publishing them early is an easy win. It just needs focus and the will to get it done.

We support NHS England’s ambition to improve conditions for resident doctors through its new 10-point plan. It’s a vital first step, but meaningful progress will only come through consistent delivery and monitoring. Read more here: www.rcpch.ac.uk/news-events/...

I very much do approve. It’s taken years of advocacy and lobbying to highlight the benefits of assessment models like this. This is a great step towards meaningful, inclusive, appropriate competency assessments #MedSky #MedEd

This absolutely chimes with what I see in clinical practice. Gender incongruence is sufficiently common in young people with #FND that we should be screening for it, and the same with neurodivergence. Helping young people to understand their own brain is key to supporting all three.

I’m really excited by the pilot assessments coming to @rcpch.bsky.social training. It’s a positive move towards longitudinal assessment in the workplace. I think @orthopodreg.bsky.social will approve. A shame the #MedEd SoMe audience feels so much smaller now & it’s harder to get the message out.

Calling all RCPCH members.   We’ve got two exciting Trustee roles open and we’re looking for passionate, strategic thinkers to help lead the College through our 2024–27 strategy.   Apply by 10 October, 12:00   www.rcpch.ac.uk/get-involved...

Are you a #Paediatric trainee thinking about leadership roles? Listen to this podcast by Dr Emma Dyer, outgoing chair of @rcpch.bsky.social Trainee Committee. podcasts.apple.com/gb/podcast/r...

September the 1st marks the start of Childhood Cancer Awareness Month. Early diagnosis is key. Are you Child Cancer Smart? #CCAM

Enjoying listening to two of the great people who have influenced me in my career talk about leadership in paediatrics. podcasts.apple.com/gb/podcast/r...

We are proud to announce our next NPEG - Thursday 4 September 2025 from 0900. Join for free at shorturl.at / eqzV3. We will cover general paediatric topics for all levels. @drnickschindler.bsky.social @nnuh.bsky.social

If we want to raise the healthiest generation, we must start by tackling the poverty that’s making children sick. Read more about the report here: rcpch.ac.uk/news-events/...

Our new report with @cpaguk.bsky.social reveals the worsening impact of child poverty on children’s health and growing strain on health services. One year since the Government’s Child Poverty Taskforce launched, the need for bold action is clearer than ever. 👇 cpag.org.uk/news/child-p...

A key way to ensure that young people have a voice, and that voice is taken seriously, is to give them the power to vote. I’m delighted by this news. Now, we have to ensure young people are well informed, and can use their new influence. #NothingAboutMeWithoutMe www.bbc.co.uk/news/live/c9...

🧵⁣ 𝐁𝐮𝐬𝐲 𝐬𝐥𝐢𝐝𝐞𝐬 𝐝𝐨𝐧’𝐭 𝐦𝐚𝐤𝐞 𝐲𝐨𝐮 𝐥𝐨𝐨𝐤 𝐜𝐥𝐞𝐯𝐞𝐫.⁣ They make your audience tune out.⁣ ⁣ Here’s why — and what to do instead 👇⁣

www.paediatricfoam.com/2018/12/ten-... #paedsky #pedsky

Regardless of what you think about PAs/ AAs, if these recommendations are adopted in full then this is a sea change in how this group can work. Many people will see their jobs radially change or go entirely. We can be robust on standards of care while remaining kind.

I’m very curious but also unsure about this article. I see these associations in young people, but I worry that this article starts to fall into a seductive trap of suggesting causation (and therefore treatments) where there might not be.

"Physician associates (PAs) and anaesthesia associates (AAs), who assist doctors in GP surgeries and hospitals, should be known as "assistants" to avoid confusing patients, an independent review says." www.bbc.co.uk/news/article...

If in doubt ask If time allows, ask in person Listen to the answer If the answer doesn’t make sense, ask again in a different way

Apparently it is July, which means many new doctors will be doing their shadowing shifts, ready to start FY1 jobs on the first Wednesday of August. Have we done a Bluesky #TipsForNewDocs yet?

From October 2025, social housing landlords will be required to rectify damp and mould hazards that present a serious health risk within 14 days. "Awaab’s law" is an opportunity to advocate for better health www.bmj.com/content/390/...

What does the 10 Year Health Plan for England mean for children and young people? Our member briefing explores the plan's commitments and what's needed to ensure they work for the paediatric workforce and deliver for child health. www.rcpch.ac.uk/key-topics/n...

Short excerpt on impact of #measles and importance of #vaccination

Until this year, I had never seen a case of measles. Now I’ve seen multiple cases and we are increasingly seeing stories like this in the news. This is an entirely preventable disease. Please vaccinate yourself and your children.

If you have FND, please spare a few minutes for this research study from Bristol. They want to hear from people with FND about their views on complementary and alternative therapy, regardless of whether you've tried those or not. bit.ly/4n5FsF5

Really pleased to see this HSSIB report published - we've come a long way in the last decade to try to emphasise how much fatigue affects healthcare delivery in the NHS, and how under-recognised this still is Hopefully this helps encourage further action (And Shaun one of the very first to help!)

This will not be news to anyone who works in healthcare. Exhausted staff also put themselves at risk. This is happening in every hospital on a daily basis. We can and must do better. #MedSky #PedSky www.bbc.co.uk/news/article...

📢 Calling all LMIC emergency care providers! Do you have an EM research proposal? Find out how you could get grant funding: rcem.ac.uk/lmic-rese...

If you are a postgraduate doctor in training in the UK, please complete your GMC survey this week. The survey is only as good as the data that goes into it, and the more responses, the better that data will be.

Funded PhD opportunity for qualitative work on health inequalities and factors affecting health outcomes at University of Aberdeen, in partnership with Aberdeen City Council Please share! www.findaphd.com/phds/project...

Bank holiday baking and @rcpch.bsky.social Milestones recipe preview! Pistachio and white chocolate burnt basque cheesecake 😋🥮🍫 @nigella.bsky.social thoughts? #cheesecake #burntbasquecheesecake #pistachio #whitechocolate #ashsbakingschool #thegreatpaediatricbakeoff

Back to work tomorrow after 17 full days off. I’ve not even glanced at emails. I wonder what is waiting for me… 😬

Terry Pratchett's "Boots" theory perfectly illustrates how being poor is expensive. A poor man might spend $100 on cheap boots that wear out quickly, while someone who can afford quality boots will spend more upfront but save in the long run.

The UK and the US are becoming a very particular kind of “poor country”. Not poor overall in the big league tables, but in a situation where the average citizen lives in poverty. And if that doesn’t motivate you to change things, I don’t know what will? From @dannydorling.bsky.social’s book.

“We do not make our own luck... but we do make each other’s” An interesting and profound comment from @dannydorling.bsky.social in his book “Seven Children”. The first step to solving a problem is to understand a bit more about it. I’d highly recommend this book to you all. #BookSky

This response from @rcpch.bsky.social is helpful. I think the question is, where do we go from here?

I’ll finish with the poet Amanda Gorman: "When day comes the new dawn blooms as we free it. For there is always light. If only we’re brave enough to see it. If only we’re brave enough to be it’ Written 4 years ago & yet perhaps even more true now? @rcpch.bsky.social www.rcpch.ac.uk/news-events/...

This is an interesting read for paediatricians. We need to have a discussion about what the role of curriculum is & the role of employers. Curriculum has to work for everyone. Employers have to make sure the staff they employ have the skills to work out of hours. www.judiciary.uk/prevention-o...

Absolutely brilliant 15 minute micro-learning from @rcem.ac.uk Recent data from 2012-22 has shown an increase of >500% in 11-15yr old girls requiring ward admission for eating disorder. www.ucl.ac.uk/news/2025/ja... This is mandatory reading for PEM and acute paediatricians. @rcpch.bsky.social