The #Reform Party has less than 10 MPs, yet cannot co-ordinate how they should vote on a policy in Parliament. Can you trust a party who can't even manage or organise just a handful of people? Mind you, #ToryFailures Robert Jenrick and Suella Braverman aren't smart cookies, are they? #ReformShambles

1. Noam Chomsky's response to the first tranche of Epstein docs - arrogant, high-handed, obfuscatory and, we now know, dishonest - reminded me of something: his response to my questions about genocide denial, 15 years ago. 🧵 www.monbiot.com/2012/05/21/2...

It's rare to see how lobbyists operate. But the Epstein-Mandelson correspondence shows us what happens all the time: plutocrats and government ministers conspiring against the public interest. This is why all lobbying should be in the public domain, but despite Labour and Con promises, it's not. 🧵

Mad to me that Nigel Farage can say all of Zack Polanski’s supporters are “heroin smokers” but it is made illegal to say that racists vote Reform.

Rand Paul: "After seeing this, if you call this a good shooting you aren't watching the video. This was a real tragedy and a mistake. The man had been disarmed and then shot 10 times ... if we say things that are obviously not true, the situation is going to get worse."

Great Ormond Street Hospital has this afternoon published the report into harm caused by surgeon Yaser Jabbar - a 1/4 of children he operated on came to harm. 94 child victims. Read here: www.gosh.nhs.uk/news/orthopa...

I think it is worth remembering that the Gaza Health Ministry’s number is based on those deaths they were able to confirm. There are still those whose bodies have not been recovered. The number of Palestinians killed is still not clear.

I cannot tell you how much doubt was consistently directed at the Gaza Health Ministry’s casualty numbers and how much pressure was put on news organizations to couch those numbers as unreliable. Biden himself said they were fabricated! www.haaretz.com/israel-news/...

GEORGIA — @ossoff.senate.gov : “This is a SEISMIC event. This should have people across 🇺🇸 absolutely shook. This is an FBI raid on the Fulton County elections office… this is a shot across the bow at the midterm elections.” (H/T @atrupar.com )

This is absolutely shocking. Something has to be done about this appalling situation in which so many now find themselves. The government needs to act

My article in the Metro. Why the Green Party must beat the Reform extremists in Gorton & Denton. metro.co.uk/2026/01/28/z...

As an historian I often wonder how people learned nothing from the twentieth century and how we have fallen into the mess and rise of fascism yet again and here we are. People simply *don't care* that they are in a military alliance with and dependant on a fascist state when capitalism requires it.

BASHH is proud to endorse the @sascollective.com's campaign, championing career progression, equity of opportunity, and support for SAS doctors around the UK through six essential 'asks'. To view our statement of support, visit our website: bit.ly/3NFc773

We are delighted that @bashhuk.bsky.social have decided to support our #SASsix campaign! A lot of sexual health care is delivered by SAS doctors. Signposting a career for these doctors to achieve their potential is a vital part of supporting this workforce. We look forward to working with you!

In recent months many new organisations have decided to support or endorse the #SASsix campaign. Most recent was @bashhuk.bsky.social, who did so yesterday. Like us, these organisations believe that supporting every doctor to achieve their potential is right for the workforce. Could you be next?

I really do enjoy updating this slide. Every new supporter gives me a little hope in the future. Nothing that the campaign stands for should be in any way controversial. Much of what it stands for is happening somewhere already, but rarely all in the same place at the same time. #SASsix

If we could all stop voting for fascists, that would be brilliant.

Well done @rcoanews.bsky.social and @assocanaes.bsky.social for taking action and stepping away from activity on Twitter/X It seems that every day reputable organisations are waking up to the fact that they do not need to remain there.

I like being an anaesthetist on days like this. Both @assocanaes.bsky.social and @rcoanews.bsky.social are well established on a lot of platforms. The more folks realise that as users, WE get to decide which platforms should succeed, the better.

Thanks to all our new followers! If you want to read a little more about the SAS six campaign, you can do so in a few places. We wrote a blog for @nhsemployers.bsky.social here: www.nhsemployers.org/articles/sup... There is also some information on our website: www.sascollective.com/sassix

Leicester Partnership NHS Trust become the twelfth Trust we have been able to add to this slide, after their pledge today to use the SAS six in their approach to their workforce. Could your Trust be next? Get in touch! www.leicspart.nhs.uk/news/our-sas...

We are absolutely thrilled that Leicester Partnership NHS Trust have chosen to join our collection of employers seeking to support their SAS and locally-employed workforce. The #SASsix is a roadmap for change, and we love to see it used. Bravo! www.leicspart.nhs.uk/news/our-sas...

In response to today's announcement of support for the #SASsix campaign by @fmlm-uk.bsky.social, SAS Collective member @robjimfleming.bsky.social wrote a blog for our website. "The days of the 'invisible' SAS doctor are over." Read more here: www.sascollective.com/leadershipno...

FMLM is proud to support the #SASsix campaign, championing leadership equity for SAS doctors across the NHS. SAS doctors are essential, and their leadership potential must be recognised. We’re committed to empowering them to lead, manage and thrive.

We are absolutely delighted that Faculty of Medical Leadership and Management @fmlm-uk.bsky.social have decided to support our #SASsix campaign! Thanks, folks. We really appreciate this!

In a post on LinkedIn earlier, Prof Rich Withnall, @fmlm-uk.bsky.social CEO, said: “I am delighted that FMLM has joined a growing coalition of influential healthcare organisations committed to meaningful reform for SAS and locally‑employed doctors." #SASsix

I do enjoy writing rousing rhetoric. "For too long, the conversation around medical leadership has suffered from a persistent blind spot." "It's time to trade the shadows for the boardroom." Brilliant to get support from @fmlm-uk.bsky.social for the #SASsix. www.sascollective.com/leadershipno...

Middle aged man. Cancer of the oesophagus diagnosis. His mum being treated for myeloma “A pox on those who would talk down the NHS, who would underfund it, defund it and even seek to dismantle it. A pox on them, apple.news/AIlG8GsfESGi...

Lib Dem leader Edward Davey calls for a national investigation into Russian political interference in British politics: "Given Reform won't, he must. So will he know launch a national investigation into Russian infiltration into our politics?" Starmer: "Reform is riddled with pro-Putin propaganda"

'Millennials delaying parenthood because they’re caught in a ‘rent trap’, unable to buy a home, may wonder: who is coming to save them, and when?', writes Housing Correspondent Vicky Spratt ➡#Read More: trib.al/ai5pBJD

I spoke to doctors across England for this @bmj.com investigation. Senior medics leading services and training others but stuck on insecure contracts. Others with no supervision, training or progression - just filling rota gaps. Many egs of poor practice from NHS trusts. www.bmj.com/content/391/...

Today is day 4 of #SASweek25, focused around equity, diversity and inclusion. We believe SAS issues are undeniably EDI issues, based on both the demographics of our professional group, and how grade itself can introduce prejudices. youtu.be/IN4J9_b47Aw?...

Today is day 3 of #SASweek25, focused around SAS development AND SAS doctors undertaking extended roles. These things form a big chunk of the #SASsix. We consider it self-evident that a career that is limited, is potential being wasted. We can't have that!

We are absolutely ecstatic that as part of their #SASweek25 celebrations, the @rcpsych.bsky.social have decided to become the sixth college support the #SASsix campaign. We love it! They have announced this on X, hopefully they will do so here too in due course. Bravo, psychiatry!

To the folks attending #SIVA25 tomorrow, don't forget to download the app! It is your indispensable guide to all things SIVA ASM. Available for android and apple, the instructions should have come with one of our recent emails.

The @rcphysicians.bsky.social have been important allies to the #SASsix campaign. We agree entirely with President Mumtaz Patel in her rapid response to this weeks @bmj.com article. Bravo!

‘Once a doctor has been employed in the same specialty by the same trust for more than two years, they should be moved to a nationally negotiated SAS contract.’ 👉 Read our rapid response to a @bmj.com investigation revealing thousands of LEDs are trapped in insecure contracts: ow.ly/m9sm50XwQot

Bearded clown alert. Page 182 of today's BMJ. There are successful, progressive careers to be had for doctors outside of rotational training. However, we have to decide as a profession to make it normal for all, and the NHS has to stop behaving like a 'gig economy' employer. #SASsix

This is an extremely important thread for all of us in NHS secondary care and includes a great piece from @emmajourno.bsky.social and @abirimmer.bsky.social. My concern is, as we try to stay off Twitter, these pieces disappear into the ether. There was a valiant effort to make #MedSkyDebate...

9/ Probably should have tagged some of these folks in the thread. @bmj.com @gmcuk.bsky.social @redrunswick.bsky.social @emmajourno.bsky.social @parthaskar.bsky.social

8/ Alternative career pathways need parity of esteem, and we believe this is how it should be done. Find out more about our work and our #SASsix campaign here: www.sascollective.com

7/ Today's service must not come at the cost of tomorrow's. We believe this is the single biggest workforce issue of the day. The #SASsix campaign is based around appropriate contract use, support for professional development, and the opportunity for senior doctors to become leaders and educators.

6/ As @rcphysicians.bsky.social reiterate in their rapid response (above), we must get better at supporting the careers of doctors outside of formal training programmes, or we won't keep them or see them reach their potential. There should be no such thing as a "non-training" doctor.

5/ Many of the stories in this article are harrowing, and describe international medical graduates and early career UK graduates being exploited with inappropriate contracts, no prospects for career development, and little hope to be had. www.rcp.ac.uk/news-and-med...

4/ Meanwhile, an expose in the BMJ brought the experiences of these locally-employed doctors, in short-term, non-standard "gig economy" contracts, into sharp focus. You can read that one here: www.bmj.com/content/391/...

3/ It also demonstrates that we don't retain these doctors in the workforce. Read more here: www.gmc-uk.org/about/what-w...

2/ The new General Medical Council workforce report once again illustrates that the most rapidly rising cohort in the medical workforce are locally-employed doctors. This year is also looks at their contract duration, and finds that the majority in this group are on short-term contracts.

1/ The medical workforce and the #SASsix, a Saturday morning thread... The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.

You really should read this with your coffee this morning folks. It just might change your perspective and it could save the medical workforce. Plus, there are graphs. I like graphs. #SASsix

Instead of having a coherent workforce plan, the NHS is now part of the gig economy, writes @kamranabbasi.bsky.social in this new Editor's Choice www.bmj.com/content/391/...