The NHS is not broken. The problem is not the NHS, it’s what it’s being asked to do. If you asked Mo Farah to run 5 marathons in a day, and he couldn’t, you wouldn’t say he’s failing. You’d say the ask was unreasonable.

Magic fixes for viral illness before Xmas must be subject to an SSP, surely?

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.

Today I have had time to care. I always care, but to be actually able to translate that emotion, desire & passion into reality is a joy. Things need to change so doctors have time to care. It will be so much better for everyone.

The other place is really very angry, by comparison, isn’t it?

Bluesky definitely has some shortcomings cf X. Lack of option to write longer posts and the silly long winded handle are two biggies. @bsky.app We’re all up for you but you don’t have it on the nose at the moment.

Amanda Pritchard ‘‘welcoming’ the review into PA/AAs. Flaky at best. We need assistants not associates. What they’re supposed to do, on a ‘crash course’ qualification, could be done infinitely better by existing OTs/physios/nurses. Invest in staff with experience.

Wes. “Hold tight” and wait for funding allocations. Our partner leaves on 26th December. “Hold tight” is a loss of 8/34 sessions worth of GP time at our practice. 23.5% reduction in GP availability because we don’t know if we can afford to replace him. This needs sorting NOW.

At Guidelines Live tomorrow, chairing the MH stream and excited by our excellent speakers. Come & say hi!

UK medics - where are you?

I’m lonely on here. A few followers down compared with the other place. Please follow me and know you’ve made someone happy.

Any UK medic starter packs? Or UK GPs?

Anyone else find the .Bsky.social appendage unnecessarily untidy?

Anyone else dragging themselves away from the other place on principle, but sad at having to start over?