11/ Final thought: This is a pivotal moment for the NHS workforce. The debate must now shift from ideology to implementation. How these recommendations are enacted will shape the future of multidisciplinary care in the UK. Full text here: www.bmj.com/content/390/...

Quite some headlines on how things need to change after #LengReview. Thank goodness for everyone who stood up for /had to whistleblow for patient safety, resident doctor training and how the public were being mislead. Review could have gone further but …

Physician assistants must never see undifferentiated patients. www.theguardian.com/society/2025...

Dear RCP Fellows, Only 2 days left to vote - the future of your college is in your hands. For integrity, for strong leadership, pls consider voting for: 🩺 Dr Asif Qasim for President 🩺 Dr Louella Vaughan for VP 🩺 Dr Philip Pearson for Council 🩺 Prof Nick Hopkinson for Council #TimeForChange

This is an important election for the RCP With the abolition of NHSE and the Postgraduate Medical Education review we have to ensure the RCP is the Voice of Physicians and leads on policy It really is time for change Vote Asif Qasim Please encourage FRCP colleagues to vote by Monday 14th April

I've talked to hundreds of Members and Fellows and their views are clear: we need to revitalise the RCP and restore the #VoiceOfPhysicians Vote Asif Qasim before Monday 14th April It's time to act: let's make the RCP something we can be proud of

Thank you for your votes & support in the RCP Election - your endorsements to #VoteAsifQasim send a powerful message. We need a fresh start, with new leadership #TimeForChange. I am committed to rebuilding pride in the RCP & restoring your #VoiceOfPhysicians #VoteAsifQasim asifqasim.co.uk/prcp

Voting opens Monday 17th March in @rcphysicians.bsky.social elections If elected I will lead with integrity restore the College as the #VoiceOfPhysicians More mportant than ever with the abolition of @nhsengland.bsky.social See my election statement+video asifqasim.co.uk/prcp #VoteAsifQasim

Great post on the Other Place from @shivanim-kc.bsky.social (TL;DR: some candidates are being a bit creepy with their empty promises. Just VOTE FOR ASIF QASIM, HE DOESN'T DEAL IN THIS NONSENSE).

Honoured to be nominated for RCP Council by @drasifqasim.bsky.social @respirologist.bsky.social & @martinmckee.bsky.social Time to get our college back on track. I strongly support @drasifqasim.bsky.social for PRCP and @drlkvaughan.bsky.social for VP. #VoteAsifQasim #RCPtimeforchange

🧵 1/11 📚 Our new rapid systematic review, led by @trishgreenhalgh.bsky.social in @bmj.com examines the role of physician associates (PAs) and anaesthetic associates (AAs) in the UK. This is a crucially important question in light of the Leng Review

A win: Additional Roles Reimbursement Scheme (ARRS) funding can at last actually be spent on GPs and practice nurses. www.bma.org.uk/our-campaign... @drasifqasim.bsky.social @respirologist.bsky.social @drlkvaughan.bsky.social @drbarrymonk1.bsky.social

"Censorship of science is never about protecting the public. It is about controlling them. When governments dictate what research can & cannot be published, they are not defending the truth. They are erasing it." Powerful words from @martinmckee.bsky.social et al 👏 academic.oup.com/eurpub/advan...

Late last year a report set out serious governance failures at the Royal College of Physicians of London - we wrote about it here. It’s now abundantly clear that things are even worse now. If you are voting in the current elections, please reflect on this. www.bmj.com/content/386/...

Key message here is that there is actually little conflict between good care and the environment. The most effective asthma care is also best for the environment. -reduces the need to use reliever medication -reduces the number of acute exacerbations www.nice.org.uk/news/article... #RespEd #LungSky

For more details www.bmj.com/content/bmj/...

Independent inquiry finds serious governance failures at the Royal College of Physicians #RCPtimeforchange www.bmj.com/content/386/... @respirologist.bsky.social @drasifqasim.bsky.social @drlkvaughan.bsky.social @trishgreenhalgh.bsky.social @drdavidnicholl.bsky.social @drbarrymonk1.bsky.social

Good luck Asif You have been engaged in all the important issues and have always advocated for policies that will improve patient safety and support doctors

Medical school in the UK will soon be out of reach for many highly intelligent and motivated young people who do not have access to financial support

BCIS ACI 2025 national audit data presented by Prof Mamas - radial activity increased again to 95% of all UK PCI cases

Prof Leng giving assurance that her review will be balanced Only v limited published evidence Expertise+experiences of doctors crucial to patient safety - hope they get fair consideration @trishgreenhalgh.bsky.social @thedauk.bsky.social @nickhopkinson.bsky.social www.bmj.com/content/388/...

Great news for sickle cell disease patients in the UK!! Gene therapy reduces symptoms and keeps patients out of hospital @trishgreenhalgh.bsky.social @copddoc.bsky.social @martinmckee.bsky.social @doctoroxford.bsky.social @profaliceroberts.bsky.social www.bbc.com/news/article...

I’m worried sick about patient safety as highly trained clinicians are replaced by 2yr-trained associates. Does this make me a “social media rabble”? Or is the “be kind” movement being cynically weaponised? Those monitoring my posts, put this on the agenda for the meeting you’ve asked me to attend.

1/ 🚨 The UK introduced Physician Associates (PAs) as a response to the healthcare workforce crisis. But the journey has been contentious, with lessons for other countries considering similar measures. A 🧵 on the findings from our new paper with Louella Vaughan and Giuliano Russo

My son Rob says one of the perks of being a marine biologist is the occasional cute sea horse. This one from Fiji.

🚨FOR NEW PATIENTS NHS DENTISTRY HAS EFFECTIVELY CEASED TO EXIST Government’s own shocking data shows a staggering 97% of new patients who try to get an NHS appointment fail to get one The @thebda.bsky.social is calling on the gov’t to act with speed to save NHS dentistry youtu.be/UtqAtGAnuC0?...

#H5N1 - so-called avian flu in US dairy herds and human dairy workers. Terrible #PublicHealth provision in the US could costy us all very dear www.nytimes.com/2024/11/29/o...

In 1970 the UK and Norway were roughly equal, almost no debt, and owned all their Public Services. Now the UK owns nothing and has £3tn of debt. While Norway still owns everything and has the equivilant per person of £10tn. That's how privatisation 'works'.

Pasteur wasn’t such an old fool.

YNWA

Mark is collecting data to test the hypothesis that Covid is having an ongoing impact on our lives and health. Please also send disconfirming examples. This work needs ALL relevant data. #episky #medsky

Day 1 - Meet the Team

Please take a few minutes to do our survey if you have / look/ after people with COPD.

Our new paper, led by @oohgpwales.bsky.social: Muscle weakness post-COVID: a practical guide for primary care TL;DR: patients with muscle weakness after COVID-19 infection may have myelopathy, nerve damage or other organic pathology. Not always due to 'deconditioning'! bjgp.org/content/74/7...

🫘Breaking barriers and gender bias in Nephrology Interesting read in CJASN by @kidneydoc101.bsky.social journals.lww.com/cjasn/pages/...

Elegant analysis here showing that "evidence-based policymaking" means different things in different fields. #academicsky #healthpolicy #episky academic.oup.com/policyandsoc...

Did you know? The General Medical Council employs social media specialists to monitor criticisms and shape their strategy. The extent of this is outrageously far-reaching. Thanks to @mike88881221.bsky.social for uncovering this through FOI. Full data set here: go.dauk.org/0SZ9PB

If only there was some way to remove viruses from milk www.nbcnews.com/news/amp/rcn...

Cats will fill a void in your life you didn’t even know you had. 💚🩵 Have the best Tuesday ever!

“We can disagree and still love each other unless your disagreement is rooted in my oppression and denial of my humanity and right to exist” James Baldwin

Here’s a little zen from the smoky mountains ⛰️

Puzzling and mysterious realization that #longcovid = prolonged, nonclearing infection with all the baggage that comes with such a scenario.

New guidelines. Asthma: diagnosis, monitoring and chronic asthma management (BTS, NICE, SIGN). www.nice.org.uk/guidance/ng245 #BTSWinter2024 #LungSky #RespEd

Researchers probing the effects of tobacco, alcohol, and ultraprocessed food are often the targets of intimidation and tactics designed to deter them from continuing their work or to discredit them, a study has found www.bmj.com/content/387/...

"A role built to compete with doctors, but with less training and more risk to patient safety, is not what the system needs." Gillian Leng’s review of physician and anaesthesia associates is welcome, writes @parthaskar.bsky.social www.bmj.com/content/387/...

Tuberculosis is a preventable and curable disease that continues to devastate the most vulnerable communities. Unified response is needed to tackle #TB among refugee and migrant populations, write Tereza Kasaeva and colleagues www.bmj.com/content/387/...