Phil Williams

Bizarrely the US with separation of church and state has its politics entirely dictated by religion. Whereas UK which is a theocracy actually has minimal real control over its legislatures by religion, despite bishops sitting in the HoL.

Oh lovely stuff

Labour says Reform UK ‘trying to divide communities’ ahead of Farage speech on crime - UK politics live Reform UK leader is to lay out his plans for the criminal justice system if he were to become PM in a speech later this morning

Maybe the real question we should be asking ourselves is what is anyone doing to unite them? - Labour says Reform UK ‘trying to divide communities’ ahead of Farage speech on crime - UK politics live www.theguardian.com/politics/liv...

We need more useful RCTs. Eg comparing ibuprofen and naproxen for gout… so many patients come to me having nearly fixed themselves with simple ibuprofen.

That’s very exciting! We watch it each year on the bbc as the 8yo is obsessed! Been once with her - was one of the most magical moments of our lives 🥰🥰🥰

Yup

We accept certificates from other platforms. Fire training is fire training… brand doesn’t matter. Of course some are country specific…

Mabel Normand about to throw a custard pie. Image shows a smartly dressed woman with a cream/custard pie on a plate

Praise be! It’s the 112th anniversary of the first custard pie thrown in someone’s face in a motion picture

You have to suspend MPs who break the three line whip. There’s really no choice. They still voted against it despite the concessions.

Because they want to rely on Russia and the Middle East?!

That looks so good!

Synod urges Government to scrap assisted-dying Bill and fund ‘desperately needed palliative care’ ‘A Church whose hands are consecrated to bring life cannot support the prescription of life-ending drugs’ Bishop of London warns

“This is a line our nation must not cross,” was the message from the General Synod, after it voted, by a significant majority, to condemn a Bill to legalise assisted dying currently working its way through Parliament.

#assisteddying #churchofengland #synod

Hasn’t that always happened?

There’s something beautiful about “Mr Sam Wilson” - no other prefix or suffix or title. #laity

The first question should be “do you want the job?” If they say yes, they’re clearly unfit…

They hopefully feel called to the job, but that’s completely different

I always go for Pringles and skittles 😬😳

10 YEAR PLAN - Neighbourhoods

DOI: We aim to fit into the new multiple neighbourhood provider (MNP) model, and our member practices and PCNs have major stakes in the single neighbourhood provider (SNP) model

The Plan is a mixed bag of good stuff and areas that need tightening for delivery.

1/17

Behaviour change is often overrated as the ultimate solution to improve health because without social, economic & structural environments that facilitate rather than obstruct healthy choices, behaviour change remains a privilege reserved for those who have the resources to remove the obstructions.

You missed out bags and bags of cash from "sponsors"

Snigger

I think we’re making the mistake of bringing evidence and science into this discussion whereas it’s really about desperation, lack of imagination, power of the gimmick, political soundbites, and listening to the wrong people

UK governments seem hell bent on avoiding directly funding General Practices directly .

The system uses primary care as a cheap offload for what the state doesn’t want to pay for. It’s too easy. GPs across the country aren’t perfect, be we are generally very good at absorbing patients care needs for cheap. But it’s our staff getting screamed out when the wider service doesn’t work

I think we are closer to this than ever before. Let’s face it, patients value their GP, but governments do not. They see medicine as something practiced in hospitals. Our secondary care colleagues are sadly part of this, everything seeming to have to go to a specialists (I found AF pls ref to cardio

That is horrific

The plan makes clear that in future, the more prevention-focused NHS will operate on the basis that "care should happen as locally as it can; [be] digitally by default; in a patient's

I’m sorry, but whoever wrote the sentence that NHS “care should… [be delivered] digitally by default” needs to be nowhere near healthcare, ever.

The strength of GP is continuity of care and "being the expert in knowing your patients", compared to being an increasingly siloed specialist.
Losing that continuity has led to ACPs doing more of the role of GP.
Continuity of care is overwhelmingly popular with patients and GPs.

And continuity is also overwhelmingly associated with far better outcomes for patients.

I remain to be convinced by any claims that AI will revolutionise medicine. It smacks of the Emperor's new clothes.

Exactly. Without the GPs in high numbers it will just spread us further than we are. Then lengths they will go to in order to not give GP surgeries funding is incredible

Eg one or two neurologists in Lincs. Do we want them driving hours between Skegness, Boston, and Lincoln, (not seeing patients) or using that time to see more patients. It’s a tough balance.