Consultant Emergency Physician UK. Rugby Union fan. Scot residing in the south. @majorbaps.bsky.social 🦋
Joined May 2012
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Julie Gibbs retweeted
Time to be Scrooge. Now the strikes are behind us that-which-shall-not-be-named is about to start … although I don’t hear the same level of concern being expressed …
“The recent industrial action has distracted from the fact that large parts of the NHS and social care system more or less shut down for several days over Christmas – and this just stores up trouble for the weeks ahead."
RCEM President Dr Ian Higginson speaks ahead of the annual shutdown of parts of the health service due to Christmas.
Read more here:
rcem.ac.uk/press-release/rce…
Julie Gibbs retweeted
The UK @ternfellow EDcorridor study is out!
Key points
1. 1in5 are treated in ED escalation areas (eg corridors)
2. 10-25% of EDs have no available resus cubicle
3. The problem/solution is flow. More patients waiting for beds in ED than in corridors.
doi.org/10.1136/emermed-2025…
Julie Gibbs retweeted
11/n The report makes some good recommentations, but essentially start at the back door of the hospital and work from there to improve flow. Stop wasting time and effort on demand management, GP bashing or unproven and unevaluated initiatives. Fin
Julie Gibbs retweeted
9/n and the vulnerable. A 12 hour stay for an older person can really harm them.
Julie Gibbs retweeted
6/n High hospital occupancy has knock on effects for the smooth running of the hospital beyond urgent care.
Julie Gibbs retweeted
5/n Hospital occupancy rates and four hour trolley waits are very closely linked. Reduce occupancy, and ED flow improves
Julie Gibbs retweeted
4/n This is a lot of people who are being exposed to avoidable harm. The association between long stays and increased mortality is pretty well accepted. ons.gov.uk/peoplepopulationa…
Julie Gibbs retweeted
2/n The problem of long stays in EDs (and by implication) corridor care has got MUCH worse since the pandemic.
Julie Gibbs retweeted
rcem.ac.uk/wp-content/upload… This report by the All Party Parlimentary Group on Emergency Care went under the radar yesterday (the media was distracted) but contains some really important information. A rambling thread 1/n
Julie Gibbs retweeted
Here's our President, Dr Ian Higginson @RCEMpresident, with a message to our incredible SAS doctors @EMSAS_RCEM this #SASWeek25
Thank you for your continuous hard work, commitment and dedication to the specialty.
Julie Gibbs retweeted
What a fabulous weekend - stunning sunshine, heavy rain, hills, mud, teams, solos and lots and lots of fun. #Endure24 had it all! See you again next year 🏃🏻♀️🏃💜
Julie Gibbs retweeted
@RCollEM have been saying this for years. Meanwhile in England @NHSE/@DHSCgovuk touting all sorts of demand management ideas as the cure for crowding (won’t work), whilst avoiding critical investment in hospital capacity, and social care. Sticking plasters don’t heal deep wounds
Julie Gibbs retweeted
We’re keeping the focus on the pressures facing our EDs today.
Speaking to @NickTriggle, @RCEMpresident expressed The College’s concerns about the unintended risk related to incentivising ED waiting time targets which may lead to some of the most vulnerable patients waiting the longest.
#ResuscitateEmergencyCare
Julie Gibbs retweeted
I frequently get requests to do something different in EDs for a specific patient group. Here's the thing, asking us explicitly to prioritise one condition is also tacitly asking us to deprioritise others.
Julie Gibbs retweeted
We have made it clear that the NHS temporary escalation spaces (TES) guide is "normalisation of what is an unacceptable and dangerous situation".
RCEM Position Statement: tinyurl.com/rcemTES
RCEM News: tinyurl.com/rcemNews1612
TES guide: england.nhs.uk/long-read/pri…
Independent's coverage (in quote repost): independent.co.uk/news/healt…
Called out NHSE’s narrative that it’s possible to provide safe care in corridors. Used strong language putting our statement together, reflecting @RCollEM members’ and colleagues’ strength of feeling on this matter. Degree to which corridor care is normalised is dumbfounding
Julie Gibbs retweeted
I had a conversation today about the difference between "kindness" & "niceness" in leadership so I decided to post about it. The article & graphic explain why, as leaders, we should choose kindness over niceness. Kindness is about caring enough to push people toward greatness, even when it’s uncomfortable. It’s a harder path but better in the long run:
learningandleadershipconsult…. By @emb928
Graphic: @thejustinmecham via @dangrimes1980
