GP. DAUK GP Co-Lead. Medical Women's Fed. Sussex LMC. Founder Sussex Outreach Support. Mum, wife, dog + plant lover. Need more time in the day. Opinions my own.

East Sussex
Joined March 2020
Sarah Jacques retweeted
Dylan Cope died after an A&E nurse practitioner mistook his abdominal pain for flu, having ignored his GP’s referral for suspected appendicitis. His family thought she was a doctor. A coroner found he would have survived had a senior doctor examined him. telegraph.co.uk/news/2026/10…
58
405
57
939
108,321
There is still time to book your place at our conference on Saturday. In-person bookings can be made at eventbrite.co.uk/e/dauk-and-… Bookings to join us online are at eventbrite.co.uk/e/dauk-and-…
“When going through injustice and bad disciplinary procedures, you’re not practising at your best and it impacts patient care. “Patient safety is what matters in healthcare. That’s the reason we’re all there.” Dr David Sellu previews his conference lecture tinyurl.com/ykmt2axn
2
1
738
From the DAUK substack archive: Why the GP partnership model still matters - and what we stand to lose by Sarah Jacques 🔗 f.mtr.cool/29105hk6l4
6
7
699
Sarah Jacques retweeted
Tom, that’s utter nonsense, and you know it. It’s like saying that without Facebook and Cambridge Analytica fewer people would have been able to connect and throw virtual parties. And when you say "while they protest", you’re talking about technical experts who know you, and who understand precisely what Palantir does and are challenging the company on technical, ethical and political grounds. As you’ll probably remember, I was Chairman of the British Interactive Media Association (BIMA) when you were Minister for Digital Engagement and Civil Service Issues. You don’t have the technical background to justify presenting yourself as an authority on Palantir’s technology. Your value to Palantir is your access to government, politics, and the media. You advised the company from 2024 - while they were winning government contracts without having to go through procurement processes like everyone else. Alex Karp has said: "Our product is used, on occasion, to kill people" and his co-founders? So answer the constructive things people say instead of falling back to ideological statements. Everyone can see through them. When Palantir technology contributes to a decision that results in the wrong person being killed, what do you call that? A casualty of war? A false positive?
Later today protesters will demand ‘No Palantir in our NHS’    While they protest, someone, somewhere will get an operation scheduled earlier, a cancer diagnosis quicker, a loved one home from hospital sooner - thanks to the software that those protesters would switch off.   Here is what you won’t hear. Trusts using the software have recorded: • 117,000 additional operations • 14.3 per cent reduction in discharge delays for long stay patients • 5.6 per cent improvement in the number of people receiving a cancer diagnosis within 28 days     As a more articulate person once said: ‘certain facts, although in a sense known to be true, are inadmissible.’
25
270
9
668
12,416
For Palantir lobbying and buying politicians is a high return investment for contracts worth hundreds £m and huge training datasets Watson is one of many
Later today protesters will demand ‘No Palantir in our NHS’    While they protest, someone, somewhere will get an operation scheduled earlier, a cancer diagnosis quicker, a loved one home from hospital sooner - thanks to the software that those protesters would switch off.   Here is what you won’t hear. Trusts using the software have recorded: • 117,000 additional operations • 14.3 per cent reduction in discharge delays for long stay patients • 5.6 per cent improvement in the number of people receiving a cancer diagnosis within 28 days     As a more articulate person once said: ‘certain facts, although in a sense known to be true, are inadmissible.’
1
36
67
1,572
Sarah Jacques retweeted
Replying to @tom_watson
Hello Lord Watson of Palantir. Here are some more "inadmissible facts" you have conveniently ignored. According to NHS England itself, on precisely the figures you quote: “We cannot therefore draw conclusions about cause and effect as other variables have not been controlled for.” NHS England confirmed that these figures do NOT provide causal evidence that your employer's software created the improvements you’re claiming england.nhs.uk/digitaltechno… In July, the statistics regulator warned that NHS England would need to "include clear information about causality" in relation to these figures. Another inadmissible fact osr.statisticsauthority.gov.… When the Health Foundation compared hospitals using Palantir’s discharge tool OPTICA with those that were not, its findings went against your purported figures. They "found no meaningful difference in delayed discharge performance in trusts that have adopted OPTICA compared to those that have not... We found no noticeable improvement in discharge performance among trusts using OPTICA." Worse, they also "found a marked deterioration in performance at South Tyneside and Sunderland NHS Foundation Trust after the adoption of OPTICA." osr.statisticsauthority.gov.… Days into your new role, and already publishing disinformation.
9
307
7
1,049
12,816
Sarah Jacques retweeted
Hi Tom, NHS consultant here. The NHS is supported by impressive, innovative and ground breaking technologies provided by a wide range of outstanding multinational corporations. It is a false dichotomy to suggest to people that if we want good health care, we must align with genocide supporting organisations like Palantir. Hope that helps. Niz
Later today protesters will demand ‘No Palantir in our NHS’    While they protest, someone, somewhere will get an operation scheduled earlier, a cancer diagnosis quicker, a loved one home from hospital sooner - thanks to the software that those protesters would switch off.   Here is what you won’t hear. Trusts using the software have recorded: • 117,000 additional operations • 14.3 per cent reduction in discharge delays for long stay patients • 5.6 per cent improvement in the number of people receiving a cancer diagnosis within 28 days     As a more articulate person once said: ‘certain facts, although in a sense known to be true, are inadmissible.’
242
1,791
41
5,989
156,869
Sarah Jacques retweeted
The more I’ve read this poster, the more I shake my head in disbelief. This is literally what we are trained to do at medical students & doctors are experts in this. If your trust needs a poster to remind other HCPs “think safely” - maybe they shouldn’t be diagnosing patients!
This is what they’ve done to your medical degree You don’t despise them enough
39
86
1
303
16,356
✍️ | We've joined with @IPAPharmacy to launch a joint petition calling for greater investment in primary care. We're warning that years of underfunding are putting essential community services at risk. Find out more and sign the petition dauk.org/dauk-joins-ipa-in-c…
4
4
622
How many more avoidable deaths will occur before politicians/health leaders WAKE UP to the healthcare catastrophe they’ve inflicted on the public🚨? The bereaved family of this 19yr old young man have every reason to be absolutely livid, as well as devastated 💔 @CMO_England 1/3
A FOI has just come back regarding the staff involved in the decision making in this tragic case . The death of 19 yr old Isaac Arrowsmith.
3
40
3
87
6,941
Sarah Jacques retweeted
Your occasional reminder that there are already 6300 Neighbourhood Health Centres across the country in walking distance of 85% of the population. (If you add Pharmacies that’s more than double that) 250 centres costing £m’s rather than investing in what’s there already 🤦🏻‍♂️
We're building neighbourhood health services which make it easier to get the care you need closer to home. @DianaJohnsonMP visited the Reginald Health Centre in Leeds to see this in action with GPs, social prescribing and a pharmacy all under the same roof as community services.
4
42
2
65
3,947
Today is #NSMD27, a day organised by Doctors in Distress and NHS Practitioner Health to honour the health and care professionals we’ve tragically lost. We are committed to protecting the mental health of health and care workers to make sure that no more lives are lost to suicide.
3
4
490
Sarah Jacques retweeted
General Practice is at breaking point Nearly 35million appointments per month 8million more than 2019 3million more than 2024 1.3million more than 2025 digital.nhs.uk/data-and-info…
🚨 Your GP surgery is under more pressure. Practices receive just 36p a day per patient. Sign this petition here to urge @YvetteCooperMP to #RebuildGeneralPractice #TeamGP bma.doctor/rebuild
4
66
1
89
2,849
Sarah Jacques retweeted
Look I have issues with Pharmacy First but there is no need to exaggerate to the public @amandadoylegp @YvetteCooperMP can you correct this Reality 6.7million consultations not 14 million, & not individuals In the same period GP practices helped 760million people 🧐clearly not
14 million 🧐🤦🏻‍♂️ - exactly who is writing these media posts Grand total 6,723,951 of which 5,022,769 received treatment This is incidentally a huge prescribing level for minor illness Each costing £40-£52 to provide @YvetteCooperMP @andyburnham nhsbsa.nhs.uk/pharmacies-gp-…
5
48
1
98
5,520
Why are you doing this @andyburnham ?
We're making it quicker and easier for people to get the care they need, closer to home. From this autumn, participating pharmacies will be able to assess and treat five additional common conditions. Find out more: england.nhs.uk/2026/09/patie…
16
13
7
55
7,454
Sarah Jacques retweeted
For gods sake just fund general practice properly
We've all been there. You wake up feeling unwell, try to get an appointment, and before you know it half the day has disappeared. When you're sick, the last thing you should be worrying about is how you're going to get the help you need. That's why we're expanding Pharmacy First. The idea is simple: Qualified pharmacists can assess patients, dispense medicines and prescribe treatment for a range of common conditions, helping people get care quickly and close to home. So you don’t have to go to hospital, and you don’t need to book a GP appointment. Just walk into your local pharmacy and get the treatment you need right there, right then. These services make a huge difference, especially for older people and those who are vulnerable. That's why we invested a further £340 million in community pharmacies, including to deliver Pharmacy First. Six million consultations have been delivered since the launch of the scheme. GPs and NHS 111 have referred three million people to their local pharmacy. And pharmacists have provided more than three million urgent medicine supplies. We’re making it possible for qualified prescribing pharmacists to treat five more common health conditions this autumn, like migraines and ear infections, so access to treatment is easier than ever. And what we’re announcing today will make it easier to see a GP for those who need it. I know how hard our NHS works, how much pressure staff are under and how tough it can be for people to access the care they need from my time as Health Secretary. And I know things have only got tougher in the last 15 years. As Mayor of Greater Manchester, I saw firsthand how important it is to put more firepower in the frontlines and give people more control over their own lives. Every place and every person matters. So we’ll make sure people can get the care they need, where they need it. That’s what this is all about. Faster treatment. More services. Better care for patients. And less pressure on hospitals and GPs. One less headache for people to worry about.
15
264
3
1,127
20,419
Sarah Jacques retweeted
26 yrs I have been doing this doctoring malarky. Headaches are HARD to assess and treat. Acne is actually pretty complicated too Otitis externa isn't as easy as it sounds Scabies can look like a lot of things I don't wish to disparage my pharmacist colleagues, but WTAF are DoH thinking?
We're making it quicker and easier for people to get the care they need, closer to home. From this autumn, participating pharmacies will be able to assess and treat five additional common conditions. Find out more: england.nhs.uk/2026/09/patie…
93
195
13
729
69,234
Sarah Jacques retweeted
In GP - cases that presented as “simple” symptoms: “Tummy bug” ➡️ brain tumour “Runny nose” ➡️ sepsis in newborn “Bit of a headache” ➡️ meningitis “Just a little rash” ➡️ skin cancer I’ve been a doctor for 20 yrs - **Simple symptoms do NOT equal simple diagnoses** 🚩
We're making it quicker and easier for people to get the care they need, closer to home. From this autumn, participating pharmacies will be able to assess and treat five additional common conditions. Find out more: england.nhs.uk/2026/09/patie…
53
351
9
916
41,582