Our practice gets a minimum average of 44 online queries an hour on a Monday. 31 an hour the rest of the week We don’t have the resourcing to cope with this unless we cancel all other work. In the past two weeks we have had two sick babies put through on admin form. Despite our website saying don’t

GPs have done all they can to keep patients safe and provide as much as possible 1.4million people will consult today Compare this with 67,000 in A&E The reason for the concerns is we have a capacity problem & a funding crisis The 8 am rush (it’s bad) will be replaced by the GP waiting list (worse)

If @wesstreeting thinks GPs are stuck in 20thC, visit a hospital We are the science museum! ➡️Electronic records since 1991 ➡️Online triage ➡️Ambient scribes ➡️SMS ➡️Online bookings ➡️Electronic prescribing ➡️Online referrals ➡️Video consults DAYS after 1st lockdown…. 1/x

Equally true: @TheBMA warns Secretary of State the NHS will die, should Labour lose the next election, because they refused to work with Drs & imposed unevidenced top-down reforms & dangerous contracts risking patient safety… theguardian.com/society/2025/s… @BMA_GP @rcgp @TheDA_UK

Great article by James here: on the back of @wesstreeting’s letter to GPs this week: (in thread) www.bma.org.uk/news-and-opi...

Newsnight last night. I had more to say but it wasn't easy. We already have Neighbourhood health centres - they are called GP surgeries. Invest in GP - we know it works if funded properly youtu.be/mDEDXFQfqIk?...

This:

For GPs, focus is always on maintaining patient trust in how their confidential data is handled   We were not aware that GP data, collected for Covid-19 research, was being used to train an AI model, “Foresight”….

NEW REPORT: How does patient satisfaction with general practice vary in England? And what do patients value in their practice? We find that patients prefer: - More GP partners - More GP appts - More F2F appts - Smaller list sizes Other findings👇 www.instituteforgovernment.org.uk/publication/...

Science affords us the luxury of forgetting the impact of infectious diseases - In the 1st half of the 19th century 40-50% of children in US did not make it past the age of 5 - TB killed 1 in 7 people in US and Europe - smallpox killed 80% of infected children theconversation.com/infectious-d...

@drkatie.bsky.social was great on R4 Today (7.50 if you missed it) We want not just to stop practices closing but to improve the service they can offer to patients (timely access to a GP they know) and this will cost more than is currently on the table - but it's a start.

A great explainer from GPCE chair @drkatie.bsky.social on exactly what is at stake with the upcoming negotiations for the new General Practice contract. From 11:24 on Matt Frei's LBC show today 👇 www.globalplayer.com/live/lbc/lon...

“Replacing the Carr-Hill formula with a needs-based formula is the best and most sustainable way to make general practice funding more equitable.” @becksfisher.bsky.social @nuffieldtrust.bsky.social @rcgp.bsky.social @drkatie.bsky.social @qmul.ac.uk

Can’t get an appt with a GP? Yet there are 1000s of GPs out of work or struggling to find work NHS England have cut the equivalent of 2 full-time GPs in funding from an average practice, whilst funding ‘additional’ roles via ARRS £2bn cut in real term Not additional then🤷🏻‍♂️ youtu.be/tI69wqP1_3g?...

If you've been wondering where I went: my team in Oxford (60 of us!) build beautiful tools for NHS data. We help researchers work on the whole nation's GP records while protecting - provably - everyone's privacy. It's big potatoes! www.youtube.com/watch?v=GRjR...

NEW: The great Trump-Musk crackdown is coming. And it will hit hard & fast. Journalists will be first. But everyone else is next. I urge you to read my 20 lessons in How to Survive the Broligarchy, inspired by & featuring the great @timothysnyder.bsky.social 1/ www.theguardian.com/commentisfre...

Let me help you Wes Streeting @teamlabouruk.bsky.social GP partnerships are providing 5m more appointments a month compared to 2019 30million half the population 2million is the total A&E attendances a month End the partnership model & I can guarantee A&E waits will double/treble 📌 this post

This is so important & fits the priorities of DHSC & Wes Streeting with digital>analogue Digital transformation is too important We must GIRFT! @DavidGWrigley @BMA_GP @bengoldacre @rcgp @DrMarkColey @marcus_baw @medConfidential @Patient_Data @LabourTogether

🍁Thoughts re yesterday’s Autumn Statement 📱I spent time on the phone to @SKinnock yesterday afternoon. @DrPhilBanfield did the same with @wesstreeting 1/8

omg the Telegraph actually did it

Fridges full of flu vacs! we have no way of storing RSV vac too, comes in a big pack & without buying more fridges, dongles to monitor etc = 💰we don’t have. also think giving before flu will confuse people. If NHSE want us to do more work, need more human & equipment resources @drkatie.bsky.social

@drkatie.bsky.social great work as per on bbc radio 4 this morning to in response to health secretary’s strange sabre-rattling comments and highlighting existential crisis of general practice

Agreed. @drkatie.bsky.social gave a calm, sensible, fact-filled reply Would like to hear similar tone from Health Secretary. Still time to correct if he now feels he misspoke Well worth a listen (from 1:34 into the programme): www.bbc.co.uk/sounds/play/...

You don't have to go through tough times alone Today marks World Suicide Prevention Day 1 in 4 GPs know another who’s died from suicide My own GP took his life in 2021 Please reach out to your LMC, use @BMA_GP support & @NHSPracHealth or one of these:

Salutary case from HMCoroner South Manchester regarding a tragic preventable death Hope PFDR will arise judiciary.uk/wp-content/upl… Why at scale APMS providers operating digital-first cost-saving models is dangerous. A sad but inevitable example#GPSkyky

This is now verging on the criminal. Thames Water has racked up £15 billion in debt while dumping sewage in water courses and ramping up payments to directors and shareholders. The absolute failure of privatisation.

It's a bit rich Oasis saying don't resell tickets for profit when they've made a career doing that with Beatles songs.

Over the last week, I have had 7 referrals rejected. Every single one proudly states that the GP should manage the patient in the community. Not a single one tells me who has made this decision. This might seem like a little thing but from my point of view it is huge.

The challenge is to secure the social licence for using people's data in this way. The need to do this and the work involved is often under-appreciated. jme.bmj.com/content/41/5...

This is the challenge I think. Having all the right governance d in place is necessary but not sufficient for the social licence.

I interviewed Jess Phillips, who I think is an excellent human being, about violence against women and girls, that Election Night, and how Joe Lycett told her she'd won: www.thetimes.com/uk/politics/...

x.com/explosiveene... This needs wider dissemination. Apologies for the link to the other place. On leave else I’d CTRL+C/CTRL+V…

Thank you Mary - this is extremely comprehensive.

I think it was Barack Obama joining that made Twitter seem like a real institution. Now, 15-odd years later, society has moved on and it takes a real giant of culture to give a platform its champagne-smashing moment. Blue Sky UK is launched. Welcome back, @nigella.bsky.social

Amen! Has to be in the top five best albums of all time.

Did you know that hospital care assistants across England are striking? While doctors have dominated headlines, the lowest paid staff have been battling trusts who havr underpaid them for years. "We just want the money we are owed" Full story: www.thetimes.com/article/5041...

Up to his old tricks

Workplace mental health awareness schemes:

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