Flu cases are on the rise and have peaked higher and earlier than last year. If you are eligible for a winter vaccination and still haven’t had it, please get one now, it’s not too late to protect yourself and your children. Stay safe and healthy everyone!

Getting the basics right and communicating at every level are the keys to any successful change and this is a huge one

Flu cases are rising in London - cases are three times higher than this time last year. It’s important to protect yourself this winter by getting vaccinated. The NHS is making it easier than ever for eligible Londoners to get their flu vaccine: www.england.nhs.uk/london/our-w...

Join us tomorrow for this online event: Elevating Patient Care Standards should be a top priority for us all. I am pleased to be chairing the afternoon sessions

www.bbc.co.uk/news/article... Great news. HPV testing in the privacy of our homes. Of course further testing will be offered if HPV is positive. We can make cervical cancer a disease for the history books

Mounjaro injections on the NHS currently have strict eligibility criteria with BMI over 40 (or 37.5 in certain ethnicities) and 4 out of 5 specific medical conditions. But it’s a first step to rollout and will help treat obesity to prevent the diseases caused by obesity in the longer term

If you’re travelling to Hajj (the annual Pilgrimage for Muslims) here’s a few quick health tips. May Allah accept your efforts and protect us all in this time of huge injustice and violence in our world

Join us this morning as I chair the important session on Optimising Primary Care Workforce. I wonder if they will let me sit on the throne 🤣

How can we optimise our primary care workforce? Opening keynote panel- at Primary Care Partnership Network (PCPN) Looking forward to participating in morning pcpn-uk.com/agenda/2025/ @fhussain73.bsky.social Sonia Kumar @victoriatb.bsky.social Rachel Power Estefania Costa @pcpa-uk.bsky.social

When ICBs were told to make huge financial savings, I was still hoping that essential front line clinical services would not be cut. It’s a sad day in my 28 years in the NHS (24 as a GP) to have been informed that funding for GPs to provide end of life care as part of enhanced services has stopped

This really is brilliant news for our patients. Something that will make a real difference. So many patients taken off already long waiting lists because they got their appointment letter after the date of the appointment- excellent work Jacob ! @wpett.bsky.social

Pleased to have the opportunity to raise awareness of breast cancer screening in our South Asian communities this week. Thanks to the radio stations and Islam Channel and B4U TV for having me on. It was great to speak both as a GP and a woman who has had a recent breast screen. #HelpusHelpYou

Savings definitely aren’t a given and currently we have hidden and very visible unmet needs. I have patients waiting for 5 months to make it on to the hospital outpatient waiting list- a waiting list for the waiting list!

Eid Mubarak to everyone celebrating. Thanks @suelacey-bryant.bsky.social for my Eid chocolates! Many people around the world including Gaza, won’t have basic food and water this Eid. Please donate whatever you can @islamicrelief.bsky.social

www.pulsetoday.co.uk/news/workloa... I agree with this. There’s so many factors currently such as long waiting lists for operations. GPs are not occupational health specialists & especially where mental health is concerned, we may not have the knowledge to state that no work can be undertaken

On this holy night in the Islamic calendar, I pray that the innocent people being murdered in Palestine and Ukraine and all those oppressed in the world, get their justice, if not in this world then in the next. May we be forgiven for not using our voices more and helping our brothers and sisters

“Getting the balance right between reform led by ministers and improvement led by staff within the NHS, will not be easy” the abolition of NHS England may be effective long term but with all change, we need to ensure this doesn’t distract from purpose of the NHS:to provide healthcare for patients

Throughout the inevitable disruption that this huge reform will cause over the next 2 years, even if there are long term advantages, we need to ensure patient outcomes don’t get worse- more locally 50% job cuts in ICS is a huge concern for frontline workers and patients

“It’s almost inconceivable that ministers will seek to run the NHS day to day, so some operational function will have to be devised-perhaps like the previous NHS executive who worked inside the department” With NHSE being abolished, the question is what will replace its functions effectively?

Great blog:”what is a neighbourhood health service” and do the 3 different definitions and purposes matter? Everything to everyone can lead to nothing at all!

People in most economically deprived households have twice the number of long Covid sufferers compared to people in the wealthiest households. A stark reminder of Health inequalities and policy makers and the NHS needs to do much more to address this injustice

5 years on and we remember the NHS staff who gave their lives in service to humanity on Covid 19 Day of Reflection

youtube.com/watch?v=gw8r... Got to watch this session as couldn’t make it in person with Ramadan commitments. Many issues eg : lack of trust around GP partners managing their finances, the centre wanting more control over GPs & younger GPs worries over risk - shame there were no partners on panel

Small, intentional, consistent steps practiced daily- is actually the key to success in most aspects of life.We need to value the grind as much as the grand- real leaders walk the talk and there are many, quietly running GP practices or departments in hospitals & community trusts- we must value them

The increased item of service vaccine fee won’t help practices in deprived areas (whose uptake is lower and harder to achieve as @drgandalf.bsky.social explains) Inverse care law in action. Over 1 year since I had to give up my practice as it wasn’t financially viable & health inequalities widen

World Cancer Day- breast cancer is common- don’t let embarrassment put you off going for your mammogram

World Cancer Day- what questions will you be asked at your mammogram? Let’s find out together

World cancer day- some useful tips when going for your mammogram

On world cancer day let’s keep ourselves healthy- join me in the next couple of video posts while I have my mammogram- let’s protect ourselves from this common cancer

www.youtube.com/watch?v=4Tpl... Pleased to have worked with the North East London Cancer Alliance on this podcast: Taking Control of Cancer

Not sure whether to come for your cervical screening test? Why not discuss any concerns with your practice nurse? Cervical screening helps prevent cancer by getting regular screening, if any problems are found, they can be treated early.Don’t let embarrassment stop you getting the care you deserve

An evening of memories at the 30th anniversary of Newham GP Coop Celebrations. It was my honour to remember my late partner Dr Petre Jones who was a founder. The structures in primary care may change, but the amazing dedication of the professionals looking after our community in Newham remains

If you’re unsure about attending your cervical screening appointment or vaccinating your teenager with HPV vaccine , have a listen to this podcast. Lets make cervical cancer a disease of the past soundcloud.com/nhsengland/p...

Extremely damning Public Accounts Committee report about the NHS yesterday Very strong language for a committee report: "senior [DHSC & NHSE] officials do not seem to have ideas, or the drive, to match the level of change required" Other highlights 👇 committees.parliament.uk/committee/12...

It had to be said and strong words AND actions are required “the ambition to move care from hospitals has stalled.NHSE must ensure more funding in community in line with its own ambitions”

GP deserts in Australia. Again those in areas of higher poverty miss out. We need to act now to stop this in England as we are also heading towards GP deserts

Important points in this report- design and planning and ongoing supervision and support are key ingredients if we are to have a successful staff mix. The ARRS in GP roles came with the carrot that they were “paid for” but the PCNs successfully implementing them took time to train & supervise them

Crucial point here that additions to the waiting list are lower than before.GPs are using advice and guidance & also using our gatekeeper role to ensure referrals that are made are necessary. We must ensure that people who need procedures such as operations or specialist treatment, still get them

Brilliant from @becksfisher.bsky.social “Advice and guidance can be effective if used judiciously for the right patients and the advice back is timely and of high quality” We have been using A&G for years in NEL - it’s not a wand to reduce waiting lists- it’s appropriate for when advice is needed

Lots of plans being produced by government- the elective care plan, the 10 year plan, the plan for change- will we the public have the patience to see the action and results when the current situation for patients whether in hospital or under GP care is frankly dire

www.bbc.co.uk/news/article... We GPs feel ashamed too every time we have to tell patients that they have to wait months to get a hospital appointment, many then end up admitted as emergencies We want to work in a system that allows humane care. We are relying on the government to make that happen

Tough decisions for the government to make: investing in the NHS is essential but we also need to make longer term gains in public health and tackle population health and poverty

Many congratulations to Sir Sadiq Khan @london.gov.uk, doing one of the toughest jobs on the circuit with grit and compassion.

Great selection of T shirts and Hoodies for gifting with a difference at Inside Out at Westfield shopping centre Stratford. Every item is designed by talented ex- offenders. Because we all deserve a second chance in life

This is spot on again from insightful @alisonleary1.bsky.social If workforce planning is reduced to counting numbers, we forget that new starters & new roles (eg the multitude of ARRS roles in GP) need supervisory support. We need to value our experienced workers & try to retain as well as recruit

Our GP clinics are full of people suffering from winter viruses & hospital admissions for flu are up 3X more than last year. It’s never too late to have your winter vaccinations to protect yourself. Book in now at your GP practice or pharmacy

youtu.be/4Tplgdqm67s Thank you North East London Cancer Alliance for having me on your podcast series- Taking control of cancer- hope it’s a useful listen for everyone

The Carr Hill formula for general practice funding negatively impacts practices in deprived areas the most reinforcing the inverse care law. Changing the formula is necessary but not easy- we need a needs based or activity based approach. The briefing from @nuffieldtrust.bsky.social poses some ideas

The operational processes mentioned in point 3 in the Health Foundation analysis is one to focus on especially at the primary/ secondary care interface- doesn’t need investment-needs joint planning-seeing so many children attending ED, contacting 111 & their GP with same virus-needs coordination

Thank you @bbclondon.bsky.social for inviting me to speak on today’s MP report about medical misogyny. It’s more than reproductive issues, we need to improve access to healthcare appointments for women with carer responsibilities & understand different clinical presentations such as heart attacks