@parthaskar
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Consultant Diabetes, @PHU_NHS GIRFT Clinical co-lead, Diabetes @NHSEngland IMG- From Kolkata 🇮🇳 Bengali Rest? Click link!! Motto? He who is brave? Is Free
Portsmouth
Joined December 2009
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Response to @RCPhysicians ask re @lengreview clinical protocol done- as a Fellow of RCP.
I believe in transparency- so here are my views on some of the key questions.
In summary?
Needs a rejection on key areas of PAs seeing undifferentiated patients.
And certainly not lean on Gen Next to be liability sponge.
And let @rcgp make their own decisions regards primary care- no need to interfere.
NB:
Don't like it, give a counter view.
Don't abuse or be snarky. It's a democracy- it's my view. You are welcome to give yours.
@mmamas1973 @djnicholl @Mumtaz_Patel_1 @OGMustafa @BDChadwick
Link:
nhssugardoc.blogspot.com/202…
I am not sure how to take this gentleman seriously.
After his absolute act of unfettered carnage he has wrought across the #NHS
It's a low bar- but wow he was a diabolically poor Health Secretary.
@RoyLilley @HSJEditor @JanetEastham
UK needs to be ready for emergencies and hostile acts, warns Streeting bbc.in/4ib3EEj
In a local brochure #Durgapuja 🥹
Incredibly grateful to many who keep the memory alive
About how many lives were touched.
The love I have for many who have found kindness in their hearts?
Is boundless
Thank you ❤️
“The pillowcase on my bed probably will tell you many stories.
Of tears, silent in nature, so they do not awaken anybody else.
And the dogs, if they could, would speak much more of the cuddles and licks they have had to give…”
nhssugardoc.blogspot.com/202…
A reminder to @RCPhysicians about what Fellows voted for in an EGM IN 2024
And how data was presented- with it's subsequent fall out due to data manipulation- resulting in resignations
Lessons from the past:
1. Don't manipulate responses to suit a narrative.
2. Don't ignore Fellows and their views by use of 'process'
Yes- standing by that narrative cost me- yet I haven't budged an inch from that philosophy.
Less Chicanery, More Leadership.
I repeat:
The @lengreview clinical protocols for PAs should be rejected -if nothing else- on grounds of presumed COI by contributors.
Also- PAs should NOT be seeing undifferentiated patients.
Full stop.
@Mumtaz_Patel_1 @OGMustafa @HilaryWMedic
Basically...what the powers that be are saying is this.
'We can't afford the NHS. And to sustain it, you, staff, need to take a below inflation pay-rise aka a cut.'
Now- to improve work productivity, you need a couple of other things- beyond pay.
Good working conditions, less discrimination
The NHS can't offer any of the above.
And wonders why the NHS isn't productive.
Workforce planning is an ethereal thing in the UK health care system.
So we are where we are.
You have to love the fact that it's been 18 months since this started @NHSE_WTE
And there are still focus groups running on this...
While we await a report which will confirm that the Pope is indeed Catholic.
And lots of things will be said, asked and pontificated over.
But without any funding- thus based on love, vibes and prayers.
Incoming...soon.
Then again, it comes from the stable of those who categorically stood against Motion 5 of the @RCPhysicians EGM passing.
Evans, Powis, McLeod, Dacre, Whitty et al.
Reminder of that motion 5:
"Demand of a formal pause or slow-down in the deployment and recruitment of PAs until wider medico-legal issues, regulation standards, and exact scopes of practice are legally resolved"
History is such a lovely thing.
@djnicholl @mmamas1973 @Shr_Nottingham @dieracg @Dr_Done_ @PhilSmithIsBack @G_D_Phillips1
Today we have started a review of postgraduate medical training led by @NHSEnglandNMD and @CMO_England
Listen to @NavinaEvans explaining more.
Find out more at england.nhs.uk/postgraduate-…
**Updated data from @NPDA_RCPCH **
As of end September 2026:
Ages 0-18 with #T1Diabetes @NHSEngland
🔵 #ContinuousGlucoseMonitor uptake: 93.5%
🔵 #HybridClosedLoop uptake: 74.1%
🔵 Median Hba1c: 55 mmol/mol
🔵 Minimal to no gaps based on ethnicity & deprivation
Median HbA1c in 2017/18 just before the tech roll out began: 64 mmol/mol
Implementation of @NICEComms NG 18 and TA 943- with funds and a plan
The power of technology in self management- across a population.
And reduction of complications for a generation.
Once you accept less than the best?
You allow mediocrity.
And in what I do- there is no space for that.
@BT1DUK @DiabetesUK @NHSGIRFT
#gbdoc
Pray for Suella & Zia.
The outright racism some now indulge in public?
Is a test for the British population
How ‘racist’ is ‘too much’
🚨BREAKING: THIS IS A GAME CHANGER
Restore Britain have just announced they are willing to deport SECOND GENERATION MIGRANTS
Yes - That is the children of migrants born in Britain and therefore have British passports
If they commit serious criminal acts, bilateral agreements will be set up with third countries to DEPORT THEM
This is the first time in modern history a mainstream political party has agreed to do this
This is HUGE, it cannot be understated the magnitude of this announcement
Your British passport means nothing
You will not be protected by a Restore Britain Government
You will be deported from our country
The overton window shifts once again
Restore Britain are not messing around
Time to sign up patriots
This is our chance to get our country back
Working on the feedback as Fellow to @RCPhysicians - regards the @lengreview protocols for PA working
Unless I have read it wrong?
The RCP has included a few questions on primary care, whether it’s ok for PAs to see undifferentiated patients, what exceptions should apply - and asking for views of RCP Fellows.
In my view?
1. The @rcgp have stated PAs have no role in primary care. It is up to THEM to change that and decide what’s right or wrong in primary care
2. It’s not the business of @RCPhysicians (I think) to interfere in primary care working - we should focus on what we can influence - eg: Should PAs be doing Lumbar Punctures & Peritoneal drains.
Or seeing undifferentiated patients with mythical levels of supervision
@Mumtaz_Patel_1 @OGMustafa @djnicholl @mmamas1973 @Azeem_Majeed @trishgreenhalgh @VictoriaTzB @BMA_GP
British Airways is a private airline @British_Airways
Got zero to do with the narrative of “Britain is Broken”
Can’t stay away from hate
Even on his honeymoon.
Extraordinary.
FWIW?
Ease off the hate during happy moments in your life.
British Airways is an embarrassing disgrace of an airline @British_Airways
Routinely selling many more tickets than seats, putting lots of passengers on standby who bought tickets months ago, a woeful customer attitude of ‘shrug shrug, not my job’ 🤷♂️
Then not sending the luggage of standby passengers: one case may arrive on next flight an hour later, 1 case shrug shrug wait until tomorrow afternoon when it may or may not arrive 🤷♂️
Britain is Broken
'The management of risk and uncertainty is fundamental to the practice of medicine and cannot be casually delegated'
Emphatically stated by eminent clinician colleagues
@martinmckee & @trishgreenhalgh
Undoubted legends in the medical world of evidence & science
A member of the public? Read- and refuse to be short changed with lesser trained individuals looking after your health needs- when you have asked for a doctor
Safety >>>Hubris
Via @bmj_latest
bmj.com/content/395/bmj-2026…
The hubris this country has to follow ideologies in health care
Inspite of any and all data showing safety issues?
Is directly related to the poor safety outcomes the NHS nowadays has
And the powers that be?
Don’t care much at the moment.
NEW: A major national review into maternity services heard “repeated” evidence of “normal birth ideology” despite concluding it was not “widespread” – partly because it relied on AI evidence summaries – a former expert adviser has warned hsj.co.uk/patient-safety/amo…
"Deep breath, gritting of the teeth and a desire to step forward....
Aided by the love of many- in the face of an unfathomable, unexpected loss- with memories of holding the hand of someone till it went cold.
That’s what I suppose is resilience."
'Resilience'
nhssugardoc.blogspot.com/202…
Huge concerns about the lack of declaration of conflict of interest around authors/contributors of @lengreview protocol -continues.
Just sitting down to do the response to @RCPhysicians as a Fellow
And spotted this gem in the document
A PA to do peritoneal drainage, PICC lines, Ascitic drains, Biopsies.
And a Lumbar Puncture.
In an environment where @RCPhysicians has just published a document on Resident Doctors
I have 2 questions to all leaders -still driving this.
1) Why would you encourage such unsafe stuff on the population
2) Have you all lost your mind
No way, any of my loved ones would be getting an LP from a PA- why are you doing this to others?
Insane stuff.
@NHSEngland @NHSE_WTE @SwordsFrankie @svig2
@Mumtaz_Patel_1 @VictoriaTzB @djnicholl @mmamas1973 @JanetEastham @ConorGogarty
“Often times, the ones that are successful loved what they did…so they could persevere when it got really tough.”
(Credit @JonErlichman for video)