Detailed, considered and nuanced analysis by David Nicholl and Trish Greenhalgh in this BMJ Opinion paper on, "Should doctors speak of their concerns about the mental health of a president?" www.bmj.com/content/393/...

GPs have won a major protection for patients in their negotiations with NHSE & Govt Guarantee of referral, no target for rejections, clear documentation of Advice and Guidance with Consultant name & GMC number Patient safety is always the priority Govt needs to listen to GPs

PUNITIVE SCRUTINY: when complaint pressure—not evidence—drives regulatory action against doctors. The process is the penalty. The GMC & NHS employers must apply transparent, evidence-based thresholds. New BMJ paper here: www.bmj.com/content/392/... @abierkhatib.bsky.socia @copddoc.bsky.social