@jplomas

NHS Anaesthesia/ICM Consultant ~ Open source developer ~ https://xitter.cf/t.co/VV6DLPqWAA chairman ~ https://xitter.cf/t.co/UeVkwkcGxk curate ~ https://xitter.cf/t.co/YqAcKIhEjN ~ GMC 6103186

 United Kingdom
boltonft.nhs.uk/consultants/dr-john-paul-lomas/
Joined May 2009
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1.3KMedia
Sometimes typos can brighten your day 🤗
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If you think it's not important to fix conditions and pay for consultants then read just one of the messages I got today. Where are the Drs? They've gone to places with better work life balance and better pay. Without Drs there's no NHS.
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Replying to @PolitlcsUK
Funny how the “if you tax the rich they’ll leave” don’t believe that if you don’t pay the doctors well they’ll leave I’d rather pay our medical professionals well than let billionaires off the hook on taxes
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Ben Morrin appears to be a bit dense. Or BMA is lying. No point being at a table alone.
The BMA
@TheBMA11h
Consultants don’t want to strike, but after 18 months without formal negotiations, they cannot wait any longer. These strikes are planned to take place on 25 and 26 November, with Christmas Day levels of cover provided. There is still time for the Government to make progress.
Graphic with an orange gradient background and a silhouette crowd holding banners and placards at the bottom. Large white text reads: “Consultants confirm strike action”. A banner at the top says “Consultants in England”. A white box displays the dates “25 & 26 November”. At the bottom is an orange button reading “Find out why” with a white arrow icon.

ALT Graphic with an orange gradient background and a silhouette crowd holding banners and placards at the bottom. Large white text reads: “Consultants confirm strike action”. A banner at the top says “Consultants in England”. A white box displays the dates “25 & 26 November”. At the bottom is an orange button reading “Find out why” with a white arrow icon.

Graphic with an orange gradient background and a silhouette crowd holding banners and placards along the bottom. At the top, a banner reads “Consultants in England”. Large text states: “18 months in dispute. Still no formal negotiations.” A white text box below reads: “Consultants are taking industrial action after repeated calls for formal negotiations have failed to produce progress.” A white circular arrow icon appears in the bottom right corner.

ALT Graphic with an orange gradient background and a silhouette crowd holding banners and placards along the bottom. At the top, a banner reads “Consultants in England”. Large text states: “18 months in dispute. Still no formal negotiations.” A white text box below reads: “Consultants are taking industrial action after repeated calls for formal negotiations have failed to produce progress.” A white circular arrow icon appears in the bottom right corner.

Graphic with an orange gradient background and a silhouette crowd holding banners and placards along the bottom. A banner at the top reads “Consultants in England”. Large text states: “Christmas Day levels of cover will continue during the industrial action.” A white text box below reads: “Our mandate must now lead to a credible offer that addresses the dispute.” The BMA logo appears at the bottom centre.

ALT Graphic with an orange gradient background and a silhouette crowd holding banners and placards along the bottom. A banner at the top reads “Consultants in England”. Large text states: “Christmas Day levels of cover will continue during the industrial action.” A white text box below reads: “Our mandate must now lead to a credible offer that addresses the dispute.” The BMA logo appears at the bottom centre.

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Provider cartels, servile to political ghouls, and genuinely awful managers (sadly too often lapsed clinicians) are ruinous for UK healthcare: here’s an excellent example.
Dr Huw@DrHuwOct 3
Here’s a theatre-based example: NHS Trusts have cut local medical/A4C rates for extra surgical (WLIs) to such derisory levels, that no one will do them Whilst simultaneously paying outsourcing companies to do exactly the same work for many many £thousands more Why?
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Words delivered without a hint of recognition of the irony.
Henry Anderson@HMAnderson39Sep 25
NHS England's chief executive accuses Treasury officials of "nonsense" and "pointless process" in pushing NHS for savings. Jim Mackey said "It’s like they’ve got memories that… just get erased every 40 minutes.” hsj.co.uk/policy-and-regulat…
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It’s 2026 and AI is transforming tech… meanwhile the NHS is stuck in the dark ages. What an absolute farce NHS IT is. @andyburnham this is an easy win. Make nhs.net Great Again. (Then can we please have a unified single patient care record please?)
Dr Robert Laurenson@RobLaurensonD4PAug 6
Latest NHS mail changes are about to cause chaos to rotational members of staff. Information governance strikes again. There needs to be urgent reform.
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This is what happens when you let servile accountants and nebulous working-from-types home run a health service unchecked.
Mike Henley 🤨
@trentconsultantJul 15
Want to answer a complaint? Well now you can’t look at the records to do so? Who makes up this nonsense without consultation? While I agree we should protect privacy much of this is over reaching & seemingly doesn’t apply to Palantir digital.nhs.uk/data-and-info…

Stopping unlawful access to records guidance for health and care professionals - NHS England Digital

This NHS England guidance explains what unlawful access to records is, and what organisations can do to keep information safe and check who is accessing health and care records.

digital.nhs.uk
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We don’t make our own toothpaste. So why are we still “making” so many injectable medicines at the point of care? New editorial on why anaesthesia should lead the move to ready-to-administer medicines. associationofanaesthetists-p… #prefilledsyringes #anaesthesia @Anaes_Journal 1/10
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Prefilled syringes are not a magic fix. They still need good storage, segregation, selection checks, training and evaluation. This is a system intervention. associationofanaesthetists-p… #prefilledsyringes #anaesthesia @Anaes_Journal 9/10
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The better question may not be whether we can afford ready-to-administer medicines. It is whether patients can afford us continuing to hand-make them at the point of care. associationofanaesthetists-p… #prefilledsyringes #anaesthesia @Anaes_Journal 10/10
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Extrapolating from surgeries done, there are NO indications for surgical rib fixation. (Minimal exaggeration for point-making)
𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢
@Anaes_JournalJul 8
What are the indications for surgical rib fixation? #anaesthesia #MedTwitter @NavnielKaur doi.org/10.1111/anae.70284
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Do not drink your brew and read this tweet.
exveindoc@theveindocJul 1
I’ve just discovered our new favourite Devon cove is a well known dogging site 😳
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The Ockenden Nottingham report is not only a maternity report. It is also a major patient safety report for anaesthesia. 🧵👇 Safe maternity care needs anaesthetists who are visible, available, senior and properly resourced. ockendenmaternityreview.org.… #anaesthesia 1/10
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The report explicitly says long-term increases in anaesthetic training numbers and consultant posts will be required to meet growing demand. That is an important national message. Safer maternity care will require more anaesthetists. ockendenmaternityreview.org.… #anaesthesia 9/10
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The lesson for anaesthesia is clear: Good people working harder is not a safety strategy. Safe maternity care needs planned capacity, senior presence, proper support staff and shared governance. Workforce planning is patient safety. ockendenmaternityreview.org.… #anaesthesia 10/10
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