Becks Fisher @BecksFisher Twitter profile | Pikagi

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Becks Fisher

@BecksFisher

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Director of Research & Policy @NuffieldTrust , NHS GP, Harkness 22/23, co-founder @NextGGP . Views my own. Usually running.

Joined December 2013

Don't wanna be here? Send us removal request.

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@BecksFisher

Becks Fisher

3 years

General practice in deprived areas is relatively underfunded and under-doctored How should the #inversecarelaw be tackled? We've looked at 30 years of efforts in England, to work out what works, what doesn't & what to do next. 🧵👇

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Tackling the inverse care law

Without deliberate policy action, inequities in the availability of high-quality general practice in England are likely to continue growing, holding back efforts to 'level up' the country.

www.health.org.uk

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@BecksFisher

Becks Fisher

4 years

For most of my life getting married wasn’t legally an option for me 🏳️‍🌈 This woman is the absolute best, in all the ways. We’ve decided to get married and I am the most happy 🌈🙌🚲🥳

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@BecksFisher

Becks Fisher

4 years

Despite rhetoric on #healthinequalities , the current UK #vaccination strategy discriminates against poorer people. 🧵 below on why. Immediate action needs to be allowing vacc sites to move down cohorts (& providing supply to do so) @CdsPcn @NikkiKF @CMO_England @Jeremy_Hunt

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@BecksFisher

Becks Fisher

6 months

The Health Foundation has been a wonderful home these past 6 years. This role @NuffieldTrust really is the stuff of dreams. How fortunate and grateful I am. Here's to wonderful colleagues, current and future.

@NuffieldTrust

Nuffield Trust

6 months

We’re pleased to announce that @BecksFisher has been appointed as our new Director of Research and Policy. She’ll take up the post from this summer, heading up our team of expert researchers in health and social care policy.

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@BecksFisher

Becks Fisher

2 years

Au revoir 🇬🇧. Hello @harknessfellows 🇺🇸. There’s much I’ll miss, but much to learn.

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@BecksFisher

Becks Fisher

3 years

General practice in areas of high deprivation is under-funded and under-doctored relative to need. Paper out today on why Govt needs to ‘level-up’ general practice & where they should focus. 🧵👇🏻 on evidence for #inversecarelaw in #generalpractice .

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'Levelling up' general practice in England

General practice has a key role to play in reducing health inequalities and should be included in the government's 'levelling up' agenda. But to do so it must be properly resourced.

www.health.org.uk

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@BecksFisher

Becks Fisher

4 years

We got through our over 80's cohort on day 1 of vaccinating. We're desperate to be able to vaccinate the bulk of our eligible patients (i.e cohort 4) but @NHSEngland say 'no'. We can vaccinate, and we want to, but we're having 2 weeks with no deliveries.

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@BecksFisher

Becks Fisher

3 years

Recruitment, retention & workload in #generalpractice are challenges across England. But not equally so. Pleased to share @HealthFdn research with @CommonsHealth setting out the degree of inequity in the provision of general practice.

@CommonsHealth

Health and Social Care Committee

3 years

WATCH: In our session today, @BecksFisher described the unequal impact of funding and workforce shortages on GP practices in areas of high deprivation. Watch the session back:

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@BecksFisher

Becks Fisher

3 years

Calling for 'more GPs' isn't enough. Unless the GP workforce is distributed in line with population need, we'll further widen inequity in provision of #generalpractice . And boy is it currently inequitable. Great to collab with @JohnFord1849 & co on 👇

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@BecksFisher

Becks Fisher

5 years

Now I am one with the sofa. But 👍 to this great city @LondonMarathon today. Absolutely cracking atmosphere. Scamper time was 3.33 🙌 to all the random strangers for cheers and to all those who volunteered #LondoMarathon2019

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@BecksFisher

Becks Fisher

3 months

A particularly exciting time to be joining this amazing organisation. Very much looking forward to getting stuck in!

@NuffieldTrust

Nuffield Trust

3 months

Today we welcome our new Director of Research and Policy @BecksFisher !👋 We are all looking forward to working with Becks on a broad range of health and care projects and learning from her expertise.

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@BecksFisher

Becks Fisher

4 years

My preference is to talk about 'how to increase vaccine confidence' (rather than 'vaccine hesitancy') & 'under-served' (rather than 'hard to reach') people. Interested to know what language others think is best.

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@BecksFisher

Becks Fisher

3 years

The last few months in #generalpractice have felt hectic, even by usual #GP standards. short 🧵👇🏻 looks at what appointment/workforce numbers show, with some thoughts on the important bits that those numbers can't tell us....

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@BecksFisher

Becks Fisher

4 years

Poverty is a risk factor for death from #COVID19 , but it's overlooked by the JCVI. Many of my clinically extremely vulnerable patients live in overcrowded, inter-generational households where relatives still have to work outside the home. They can't shield properly.

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@BecksFisher

Becks Fisher

3 years

Delighted that 4 hours after @CMO_England used this stage to talk about leading our profession in a pandemic @DuncanShrew and I rocked up to chat about gender identity, PrEP, ‘risky’ sex and 🏳️��🌈 health. Lots of diversity at #RCGPAC 😂 (I hope he’d approve)

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@BecksFisher

Becks Fisher

2 years

Great to see @rcgp calling for extra funding for practices in deprived areas as part of 'a comprehensive review of the Carr-Hill formula'. Hot on heels of @NikkiKF and great news for #generalpractice @deependgp A reminder of why 🧵👇 .

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RCGP demands action to avoid 19,000-strong 'mass exodus' of GPs and trainees

The RCGP is predicting that 18,950 GPs and trainees will exit the profession in a 'mass exodus' over the next five years.

www.pulsetoday.co.uk

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@BecksFisher

Becks Fisher

2 years

This still feels somewhat surreal! Very grateful for an amazing opportunity, & delighted to be going with such lovely people. Excited to learn more about #primarycare #equity .....and have plenty of adventures 🏃‍♀️🚴‍♀️(hit me up with your west coast recs)

@HealthFdn

The Health Foundation

2 years

A huge congratulations to our four UK @harknessfellows : @BecksFisher , @ZainabGarbaSani , Aoife McDermott and Emmert Roberts, selected by the @commonwealthfnd for their 2022–23 Harkness Fellowships in Health Care Policy and Practice. Read more 👇

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@BecksFisher

Becks Fisher

5 years

Lets be clear. - Migrants use less #NHS resource than the UK-born population - The #NHS is absolutely reliant on migrant staff. - @JenniferTHF @HealthFdn sets it out 👇

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@BecksFisher

Becks Fisher

3 years

What an event #LondonMarathon . Made by.. -all the amazing support -the DIY front garden DJs -the satire signs (see 👇🏻) -the joy of running together again And the sun found its 🎩. So good to be back #WeRunTogether

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@BecksFisher

Becks Fisher

4 years

#Generalpractice appt data for Feb 21 now out. No massive shifts in number of appts/% face-to-face etc, Which is remarkable because general practice is running the same number of appointments AND much of the #CovidVaccine #NHS programme too. Incredible effort. @CdsPcn

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@BecksFisher

Becks Fisher

3 years

Did I hear right? Days before #COP26Glasgow #Budget2021 includes a *reduction* in air passenger duty for some short haul domestic flights? Madness. 🌎🔥

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@BecksFisher

Becks Fisher

2 years

Staying inside because there is a bear in our garden isn’t a problem we usually have back home 😂 @TahoeMarathon @harknessfellows

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@BecksFisher

Becks Fisher

3 years

I think probably everyone should read this, especially doctors. It's hands down the best long form piece I've read all year. All reading recs gratefully accepted, so ping me your competitors. But do read this first 👇🏻 @NextGGP

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@BecksFisher

Becks Fisher

4 years

📣GPs and primary care folks... *who/what are you not seeing at the moment? *who/what are you seeing more of? Will be crunching activity data in due course, but there's a time lag. So - hit me up with your gut feelings please!

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@BecksFisher

Becks Fisher

5 years

GPs in England did an estimated 30.8 million appointments in Oct. Record high. - FTE #GP numbers have fallen by 339 in the past year Mini #thread 👇 on #GP numbers #GeneralElection2019 1/4

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@BecksFisher

Becks Fisher

6 months

Grim, but alas unsurprising. Patient need in deprived areas is greater, but #generalpractice in the poorest areas of England is under-funded and under-doctored relative to the richest areas. Little wonder that access is harder, and people turn elsewhere

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Our briefing analyses how general practice compares in areas of high and low socioeconomic deprivation in England.

www.health.org.uk

@TheKingsFund

The King's Fund

6 months

We find that 30% of people living in the most deprived areas have turned to 999, 111, A&E or a walk-in centre because they were unable to access a GP appointment, compared to just 10% of people in the least deprived areas.

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@BecksFisher

Becks Fisher

5 years

‘I said to @Jeremy_Hunt that you should take the slow down in life expectancy gain as seriously as you would a winter bed crisis... And he did. He ignored them both’. @MichaelMarmot #RCGPAC

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@BecksFisher

Becks Fisher

4 years

Our #PCN covers a highly deprived area. Most people don't live to be over 80. Or > 75 for that matter. Our first cohorts are tiny. BUT we have huge numbers of patients in cohort 4 (over 70, and clinically extremely vulnerable). That's b/c we have LOADS of ppl w multimorbidity

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@BecksFisher

Becks Fisher

11 months

Excellent new paper on continuity of care in #generalpractice from @HealthFdn colleagues ☎️ little evidence for association between consultation mode and CoC 🧑‍⚕️but strong association w GP supply, patient demand and CoC Route to ⬆️CoC = ⬆️capacity

Continuity of care and consultation mode in general practice: a cross-sectional and longitudinal...

Objectives Investigate trends in continuity of care with a general practitioner (GP) before and during the COVID-19 pandemic. Identify whether continuity of care is associated with consultation mode,...

bmjopen.bmj.com

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@BecksFisher

Becks Fisher

2 years

What would it look like for culture within GP practices to prioritise staff retention? We have some ideas here, & I'm keen to hear more. If your practice keeps it's GPs then why do you think that is? If it doesn't then why not?

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The battle to retain GPs: why practice culture is critical

Primary care needs to create a culture where the job satisfaction and wellbeing of staff is prioritised, say Rebecca Fisher and Aoife M McDermott In September 2022, the Royal College of General...

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@BecksFisher

Becks Fisher

1 year

Oh San Francisco. We leave on the night train tomorrow. Running the marathon was a perfect way to say goodbye. Thank you @theSFmarathon !

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@BecksFisher

Becks Fisher

3 years

F2F and ☎️ are both appropriate appt types in #generalpractice , when chosen wisely, together. Real problem is under-resourcing. There are 290 fewer GP surgeries now than 2 years ago, fewer FTE GPs and 1 million more patients. This benefits noone. Not GPs, not patients.

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@BecksFisher

Becks Fisher

4 years

With the exception of HCWs, the top JCVI cohorts are based on biological age. But poverty affects life expectancy. In poor areas people don't live so long.

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@BecksFisher

Becks Fisher

2 years

Today we @HealthFdn release our projections for the #generalpractice workforce through to 2030/31. 🧵👇

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Projections: General practice workforce in England

We summarise key findings of our analysis on workforce supply and demand in general practice in England up to 2030/31, focusing on patient care staff (GPs, general practice nurses and other patient...

www.health.org.uk

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@BecksFisher

Becks Fisher

6 months

‘Child poverty in the UK is a political choice’ (Grim), excellent paper 👇🏻

@bmj_latest

The BMJ

6 months

"If health inequalities are increasing, inequalities in society are increasing, and dealing with these inequalities is urgently needed." @lu_hiam , @BobKlaber , @SoSowemimo , and @MichaelMarmot call for action to tackle the UK's social determinants of health

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@BecksFisher

Becks Fisher

1 year

Interesting & worrying analysis from @HealthFdn colleagues. Health need is greatest in most deprived areas. But in recent years, consultation rates in #generalpractice increased 10% in most affluent areas, and 5% in most deprived.

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Consultation Rate and Mode by Deprivation in English General Practice From 2018 to 2022: Populati...

Background: The COVID-19 pandemic has had a significant impact on primary care service delivery with an increased use of remote consultations. With general practice delivering record numbers of...

publichealth.jmir.org

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@BecksFisher

Becks Fisher

4 years

We desperately need flexibility of vaccine delivery to match local factors and #PCN vaccine delivery capacity. If we have capacity (we do) and huge numbers of deprived, vulnerable people please please let us 💉

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@BecksFisher

Becks Fisher

7 months

General practice has an access problem. Or (more accurately) ‘problems’. Focus tends to be on how many appointments happen, of what type, & how long ppl wait. But good access – and improving access - is about more than that 🧵👇

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Rethinking access to general practice: it’s not all about supply

We’re working with THIS Institute to build a more holistic understanding of the challenges patients face in accessing GP services.

www.health.org.uk

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@BecksFisher

Becks Fisher

4 years

Also, unless we're allowed to crack on, we'll be having to vaccinate our massive cohorts (4,5,6) at the same time as doing second doses for first cohorts. And then we really will run out of capacity. For equity and efficiency we need to be allowed to move through the cohorts

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@BecksFisher

Becks Fisher

4 years

They're at much higher risk of exposure to/death from COVID than a spritely>80 year old who can effectively isolate, and get online shopping from Occado (aka my elderly relatives). Brutal to have to make those arguments, but true.

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@BecksFisher

Becks Fisher

3 years

This fills me with joy. So do the wonderful photos of Dame Burley Chassis presenting awards last night. I'm proud of you @DuncanShrew , of us all, and of @rcgp #RCGPAC

@Richard_GP

Richard Ma PhD 馬富文 🍉🏳️‍🌈🏳️‍⚧️🇪🇺 🍉

3 years

We're queering RCGP, one conference at a time @BecksFisher @DuncanShrew @drkamillak 🙂🏳️‍⚧️🏳️‍🌈 #LGBT #LGBTQ #PrideRCGP #pride @RCGPAC #RCGPAC

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@BecksFisher

Becks Fisher

5 years

BIG news for #generalpractice and #primarycarenetworks with publication of GP contract 20/21. - @NHSEngland consulted for the first time (🙌) & have listened (🙌🙌). - There's more money for PCNs & more time. Key points & thread 👇 @CdsPcn 1/

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@BecksFisher

Becks Fisher

4 years

Wet and windy but lovely solidarity with other folk in #LondonMarathon bibs when our DIY paths crossed. 🤞🏻 many of you are home warm and dry now and 💪🏻💪🏻 to those out now on roads & trails. #The40thRace

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@BecksFisher

Becks Fisher

6 years

Was multimorbidity the elephant in the room of the #NHSLongTermPlan ? It affects so many of my patients, it's a cause and consequence of poverty, and it's on the rise. Future proofing services should mean designing them to meet the needs of the patients they will serve....

@bmj_latest

The BMJ

6 years

The #NHSLongTermPlan aims to “future proof” the NHS for the next 10 years—but doesn’t prescribe a strategy to address one of the biggest challenges: meeting the needs of patients living with multimorbidity @HealthFdn @SarahDeeny @BecksFisher

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@BecksFisher

Becks Fisher

5 years

#GeneralPractice will look and feel much the same to me at work today. But it's all change behind the scenes. Here's our @HealthFdn analysis of what's going on and why. @CdsPcn

@HealthFdn

The Health Foundation

5 years

Primary care networks are launching today. Our new briefing covers everything you need to know: ❓ What opportunities, risks and challenges do #PCNs bring? ❓ What does this mean for the wider health sector? Read it now: #PrimaryCareNetworks

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@BecksFisher

Becks Fisher

6 years

There are 4 names on this report, but so many names behind it. Truly a privilege & joy to work with such talented @HealthFdn colleagues. One almighty team effort from @CatTurton @pstilwell @lizamcalonan @naysayer11 @emilyjeldridge @RThorlby & many more.

Unfinished business

What has changed in cancer care in England over the past two decades? What has worked well, or less well, and why?

www.health.org.uk

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@BecksFisher

Becks Fisher

3 years

I already have the ‘what can you afford’ conversation far too often re prescriptions. Let’s not make this even worse. Well said @HelenRSalisbury @MartinRCGP

@SerinaSandhu1

Serina Sandhu

3 years

Proposal to raise the free prescriptions age is a 'really silly idea to save any money' - @HelenRSalisbury 'I don’t want to move towards system where medicine has to be limited by what the patient in front of me can afford' @rcgp @MartinRCGP @theipaper

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@BecksFisher

Becks Fisher

1 year

I understand ‘challenge’ in running terms to be trying something you don’t know you can do. Running across the Grand Canyon (&back) fitted that bill for me. Now feeling very lucky to be back safe, after the most incredible experience. Now for a comfy nights sleep ⛺️🙄

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@BecksFisher

Becks Fisher

5 years

‘If you don’t go for that job, someone else will, they might be a complete numpty and you might end up working for them’. @LFBCommissioner @NextGGP Compelling argument 😉 #NextGGP

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@BecksFisher

Becks Fisher

5 years

Fundamental challenge for #PrimaryCareNetworks is that funding is per head, not by work done/needed. & based on Carr-Hill 👉underweights for deprivation. PCNs in deprived areas/lots of older patients likely to have greater workload with these specs, and less resource @CdsPcn

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@BecksFisher

Becks Fisher

4 years

Bumper release of #generalpractice #NHS data this morning. Headlines 👇 1. #generalpractice did 22.8m appts in July. It is very much hard at work. 2. Attempts to ⬆️GP numbers are still falling short. They're declining. More detail below.... 1/

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@BecksFisher

Becks Fisher

5 years

An #ultramarathon in 🏴󠁧󠁢󠁳󠁣󠁴󠁿 in November. Inevitably slippery but absolutely beautiful. Emergency bivvy bag remains happily unused 🙌🙌

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@BecksFisher

Becks Fisher

5 years

40% of folks running the #PilgrimsChallenge #ultramarathon @ExtremeEnergyUK today are women. 🙌🙌 for that. 😳for my quads. Box hill is a beast.

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@BecksFisher

Becks Fisher

5 years

#NHS workforce is a horror show, only trumped by #socialcare - 100,000 #NHS vacancies - 44,000 nurses short - 5% fall in FTE #GP numbers (despite promises promises) - 120,00 carer vacancies in social care Analysis 👇 from @AnitaCTHF @BenGershlick @HealthFdn

@HealthFdn

The Health Foundation

5 years

Workforce is the make or break issue for the NHS. Our new analysis finds that nursing shortages continue to deepen, with the health service increasingly having to rely on less skilled clinical support staff to fill gaps in services. Read now:

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@BecksFisher

Becks Fisher

4 years

Excellent adventure. #JOGLE #endtoend

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@BecksFisher

Becks Fisher

3 years

I've long admired the work of @deependgp . Delighted that @HealthFdn is supporting an excellent research team to help us understand more about how to tackle the inverse care law in #GeneralPractice . @dnblane @Stewmercer @careylunan

Responses to the inverse care law in Scotland over the last 20 years

This project aims to understand how the inverse care law has manifested in Scotland over the past 20 years in primary health care.

www.health.org.uk

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@BecksFisher

Becks Fisher

4 years

'The inverse care law is alive and kicking in #generalpractice .. @HealthFdn colleagues and I compare -Funding -Staffing -Quality of care Across #generalpractice in areas of high v’s low deprivation in England👇 1/n

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@BecksFisher

Becks Fisher

1 year

How can #generalpractice contribute to reducing health inequalities? Excellent piece of work from @AnnaGiouleka @JohnFord1849 & colleagues, sets out a comprehensive approach to the Q, and some good evidence-informed answers.

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@BecksFisher

Becks Fisher

2 years

First 🇺🇸 ultramarathon done. If Carlsberg made hills….

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@BecksFisher

Becks Fisher

2 years

Did not get munched by a bear (🙌🏻) Did see an Osprey and quite possibly the most beautiful views I’ll ever run past. Thanks @TahoeMarathon . That was spectacular.

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@BecksFisher

Becks Fisher

3 months

Really excellent start on #primarycare from ⁦ @wesstreeting ⁩ Keen to see detail. ‘A primary care investment guarantee, increasing the proportion of NHS funding to general practice by 1% a year through the parliament’ would feel more concrete…

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Wes Streeting pledges billions to GPs in order to ‘fix front door’ of NHS

Health secretary wants to bring back family doctors, cut pressure on hospitals and solve pay disputes

www.theguardian.com

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@BecksFisher

Becks Fisher

5 years

It’s foam-roller-o’clock (again). Massive thanks to all the volunteers who made ⁦ @RunYorkshire ⁩ such a joy to do. Happy enough with 3.31 #YorkshireMarathon

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@BecksFisher

Becks Fisher

6 months

NHS #generalpractice is struggling. But is radial overhaul needed? As we roll into election season (& mindful of yesterday's grim British Social Attitudes results) that question will be asked. New paper from @hughalderwick and I attempts an answer

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The performance of general practice in the English National Health Service (NHS): an analysis using...

General practice is the foundation of the National Health Service in England, but these foundations are creaking. Demand for care is up, yet general practi

academic.oup.com

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@BecksFisher

Becks Fisher

1 year

How nice to be asked to help open #SAPCASM @sapcacuk on the theme of informed and inclusive primary care. I'm just sorry not to be with you in person. Sending love from one proud sea-side city to another...

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@BecksFisher

Becks Fisher

2 years

Good time to recall this absolute treat of a piece of writing: The Gatekeeper and the Wizard

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@BecksFisher

Becks Fisher

1 year

‘How lucky are we to have something it’s so hard to say goodbye to’ So grateful to @commonwealthfnd @HealthFdn @NIHRresearch & all the amazing people who have made this Harkness Year. We’ve had the time of our lives 🇺🇸🇬🇧

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@BecksFisher

Becks Fisher

3 years

#Oxford pals - we're 💉💉💉again today at the Leys (Dunnock Way, OX4 7EX), and delighted to have walk-ins. Can you share please @ADMBriggs @trishgreenhalgh @HelenRSalisbury @doctor_oxford - either on twitter or local road WhatsApp etc, Thanks!

@MarkLygo

Mark Lygo

3 years

If you need a COVID jab - 1st, 2nd or booster - pop down to The Leys Health Centre in Oxford before 4pm today for a walk-in vaccination. #Helpushelpyou to protect yourself, your family, your friends. #Grabajab now! @OxonCCG @HealthyOxon @OxfordCity @OxfordshireCC @OUFCOfficial

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@BecksFisher

Becks Fisher

1 year

''How lucky I am to have something that makes saying goodbye so hard" Not heading to 🇬🇧 yet, but its been a wonderful few days in NYC for 'final reporting'. Thank you, thank you @commonwealthfnd @HealthFdn @NIHRresearch & my amazing fellow Fellows #HarknessFellowship 🇺🇸🇺🇸

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@BecksFisher

Becks Fisher

4 years

This lovely piece of #Oxford isn’t ‘just’ a place where bikes get mended. It’s an inclusive space, a feminist space and a learning space. It’s a place where community gets built as people get taught. Now it needs our help to survive #COVID . Please donate if you can 🙌🚲🌈

@BrokenSpokeCoop

Broken Spoke Bike Co-op

@BrokenSpokeCoop

4 years

First *donate!*, then have a read of April's story, then *ask your friends to donate too!*

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@BecksFisher

Becks Fisher

2 months

Darzi is back (again). Some thoughts 👇 on where his review team should focus. 👀at how No 10/NHSE/DHSC/treasury work together in service of the NHS (or don't)👀

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Darzi 2.0: A full diagnostic assessment of the NHS may require uncomfortable investigations

While a focus on funding and workforce is inevitable, Ara Darzi and his team must not overlook dysfunction in central structures in their review of NHS performance, says Becks Fisher The phrase...

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@BecksFisher

Becks Fisher

2 years

How much variation in F2F v's telephone/other consultation modes in #generalpractice is reasonable? I'm not sure, and these graphs are thought-provoking. From today's @NHSDigital data with @cfraserepi @rcgp @trishgreenhalgh @MartinRCGP @CharlesTTHF @rankine

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@BecksFisher

Becks Fisher

4 months

If we’re serious about tackling health inequalities, funding and workforce distribution across #generalpractice must change. Brilliant to be @rcgp as they launch their excellent report. @KamilaRCGP @jacoblant @VictoriaTzB @docmagsy @jaketreenotsea

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@rcgp

Royal College of General Practitioners

4 months

Healthcare is hardest to access for those who need it most. That's why we're launching a report to shed light on health inequalities and the changes needed in general practice to confront the stark reality of the disparities cutting people's lives short.

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@BecksFisher

Becks Fisher

4 years

The #NHS promises 'equal access for equal need' @HealthFdn we analysed GP patient survey data to find out whether overall experience of #generalpractice & access to #GPs varies with - deprivation - age - ethnicity Run through in short thread 👇

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In this short analysis our Policy team use data from the annual GP patient survey to explore access to general practice, unpicking how patient satisfaction varies by deprivation, age and ethnicity.

www.health.org.uk

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@BecksFisher

Becks Fisher

4 years

#generalpractice can do lots remotely, but patients should have access to face-to-face appts if needed. GPs are people too, and some are at high risk of #COVID19 @miqedup and I look at how many GPs may have to step back from F2F consults, and what the effects might be....1/n

@HealthFdn

The Health Foundation

4 years

Over 700,000 patients served by GPs at high risk of COVID-19 could be left without access to face to face GP appointments. The impacts of this will be more sharply felt in the most deprived areas, risking widening health inequalities. Read more:

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@BecksFisher

Becks Fisher

3 years

Appreciating the difference between a ‘long run day’ and a ‘day long run’. But delighted that my head torch wasn’t needed (just). Obvs can’t move now. #RTTS2021 #ukrunchat

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@BecksFisher

Becks Fisher

2 years

Glad to see @CommonsHealth recognise the need to make provision of #generalpractice more equitable. They join many in calling for Carr-Hill to be replaced (including @RCGP ). Now need action. Grateful for the opportunity to give evidence @HealthFdn

@CommonsHealth

Health and Social Care Committee

2 years

📢 NEW REPORT PUBLISHED: The future of general practice. We've just published our new report on the future of general practice, with important recommendations on resolving the crisis in general practice and supporting continuity. Read more:

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@BecksFisher

Becks Fisher

2 months

Important paper 👇🏻 - The number of hours GPs work in a ‘session’ (morning or afternoon) is ⬆️. Each session now ave 6.2h - The number of sessions GPs do per week is ⬇️ BMA contract says session = 4h10mins. Neither that, nor @NHSDigital definition of FTE are fit for purpose.

@BJGPjournal

The British Journal of General Practice

2 months

GPs work 51% more hours per session than previously defined, and 6.0 sessions equates to the general NHS definition of full-time working. @J_Hutchinson1 @JonGibsonHE @dataevan @khcheck @SMS_Spooner @RosaParisi09 @MattXSutton @HOPE_UoM #PrimaryCare

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@BecksFisher

Becks Fisher

2 years

High GP turnover is associated with a range of poor patient outcomes. It's also associated with: - Practice size (large > small) - Deprivation (more deprived > less) - Burden of disease (higher > lower) - Geography (urban>rural) Great paper from @RosaParisi09 & co 👇

@RosaParisi09

Rosa Parisi

2 years

Our recent findings on GP turnover in England @dataevan @Bowercpcman @khcheck @MattXSutton @SMS_Spooner @aneezesmail Shing Lau, Jill Rubery, Sally Giles @HealthFdn #primarycare #GPworkforce @BMJ_Qual_Saf

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@BecksFisher

Becks Fisher

3 years

So grateful to @fhussain73 @MartinRCGP @NHS_RobW for an absolute tour de force on NHS reforms and #generalpractice . Loads to think about 🙏 Will make sure it's up on our website ASAP so that those of you still in practice this evening can listen in too.

@HealthFdn

The Health Foundation

3 years

Thanks for tuning into today’s #THFPrimaryCare webinar, and to our speakers @fhussain73 , @MartinRCGP , @NHS_RobW and chair @BecksFisher . A recording will be made available on our website in the next few days 👇

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@BecksFisher

Becks Fisher

5 years

Today @BorisJohnson said that #NHS is his 'No 1. priority'. Today's data shows: - Worst ever performance on 4 hour A+E target - Worst ever performance on 18 week wait If priority then deliver: more money, more staff, and a definitive plan for #socialcare #GE2019

@HealthFdn

The Health Foundation

5 years

‘We can’t expect to see NHS performance stabilise let alone improve any time soon,’ says @BecksFisher in response to today's @NHSEngland stats. Read our full statement: #GeneralElectionResults

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@BecksFisher

Becks Fisher

3 years

Well those were two excellent (-ly hard) pedalling weeks. Of the type you plan from a sofa when miles and gradients seem academic 😳 #hillsofthenorth1000 #prideout

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@BecksFisher

Becks Fisher

4 years

I can’t tell you how much joy it brings me that these kids are playing playmobil same-sex weddings 😍😍 (not that either of us will actually wear a dress. We can aspire to playmobil women in suits 😉)

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@BecksFisher

Becks Fisher

5 years

Lovely realising that the problem with tagging 10 impressive #GP women is that so many more spring to mind. Shout out to some amazing @NextGGP women @nishmanek @RammyaMathew @DrHannahMorgan @rmsteen @SonaliKinra @LFinnikin @drstephcoughlin @NadeejaK @iamDrjuliaGP @Dawnjacksonk

@BeccyA

Beccy Baird

5 years

And adding my #GP list of 10 impressive women @fhussain73 @michellewatts68 @BecksFisher @DrBekkiR @NikkiKF @tabassum_sameer @NicoleA59808566 @abiheller3 @LucieGamman @sheinazs

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@BecksFisher

Becks Fisher

5 years

Defs in all of our best interests to have great leadership in #primarycare . We'll be talking diversity, representation, privilege & more. What next? where next? who next in primary care leadership @ #Expo19NHS @CdsPcn @wd_owen @NextGGP

@HealthFdn

The Health Foundation

5 years

Don't miss @BecksFisher 's session at #Expo19NHS at 12:30 today, where she will be exploring the future of leadership in #primarycare . You can read more about #PrimaryCareNetworks and how they will impact general practice in our briefing:

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@BecksFisher

Becks Fisher

5 years

Well done France 🇫🇷 Well done legs. #croixdefer #alpedhuez

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@BecksFisher

Becks Fisher

4 years

Bracing for tomorrow morning as duty doc in our #generalpractice . There will be lots of q's I don't know the answer to (sick notes etc). We've been super-busy recently, and I hope we still are. Vital people know that general practice is open - as we have been all along. #NHS

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@BecksFisher

Becks Fisher

6 years

This is about many things, but @Ed_Miliband was right to say that it is also about kindness. I happen to think we could do with more of that. Fill it in (you have until 11pm)

@owenjonesjourno

Owen Jones

@owenjonesjourno

6 years

Gay people were once viciously targeted by the media. Now it's the turn of trans people. Filling this in will take 10 minutes of your time, and change lives

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@BecksFisher

Becks Fisher

5 years

- GPs working in areas of high deprivation have more patients per GP. - People living in areas of high deprivation tend to have more health needs. - But GP numbers are falling fastest in these areas. So it's a vicious cycle. 4/4

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A worrying cycle of pressure for GPs in deprived areas

Without urgent policy action, GP shortages will get worse.

www.health.org.uk

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@BecksFisher

Becks Fisher

2 years

What if increasing skill mix in #generalpractice actually drives up emergency admissions and makes patients less satisfied? That'd be worrying....

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@BecksFisher

Becks Fisher

4 years

‘Non-verbal cues that trigger gut feelings appear to be reliant on continuity of care and clinical experience’ Nice one @BrianDNicholson &co. Findings particularly resonant at the moment I think. #covid19 #remotebydefault

@BJGPjournal

The British Journal of General Practice

4 years

GPs' gut feelings in cancer diagnosis study found pooled odds of a cancer diagnosis were four times higher when gut feelings were recorded, and became more predictive of cancer as clinical experience and patient familiarity increased.

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@BecksFisher

Becks Fisher

2 years

Disappointed to miss speaking at #RCGP22 #woncaeurope22 My amazing @HealthFdn colleagues will be sharing our work on - GP workforce projections - Cancer - Digital first PC - Continuity of Care Main stage, 14.30 Thurs @tlswatt @NShembavnekar @GeraldineCTHF @wiltshire_angus

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@BecksFisher

Becks Fisher

5 years

Q: How busy are GPs in England? A: ?????? And that's a problem. Urgent need for better data to help us unpick the issues. This blog is a great explainer:

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@BecksFisher

Becks Fisher

2 years

🚨Ave #GP practice in an affluent area now has 2.5 days more GP time per week than practices in most deprived areas. Inequities in GP workforce supply are ⬆️ This is grim, but not inevitable (🧵)

@JohnFord1849

Dr John Ford

2 years

NEW DATA: Inequalities in GP distribution remain as wide as ever. Over the past 7 years, practices in rich areas have gained on 1 day/wk of GP time, but practices in poor areas have lost 1.5 days/wk. Commissioned by @BBCNewsnight #healthinequalities

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@BecksFisher

Becks Fisher

6 years

Excellent from @trishgreenhalgh on why we need strong primary care, how you get it, and why #Brexit is a disaster not just for the #NHS but for health more widely.

@NuffieldTrust

Nuffield Trust

6 years

'The NHS is under pressure because too many people in powerful positions drank the Kool Aid on fragmentation and privatisation' We've been speaking to @trishgreenhalgh for our latest Friday FAQs. Read her quick fire answers here >

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@BecksFisher

Becks Fisher

4 months

Well said @rcgp @KamilaRCGP 👏🏻

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Doctors call for funding reform to tackle health disparities across England

Open letter by Royal College of GPs says system fails to equitably distribute money and contributes to wider health inequalities

www.theguardian.com

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@BecksFisher

Becks Fisher

4 years

Oh wow twitter people, you have been extraordinarily, heart-warmingly lovely. Thank you.

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@BecksFisher

Becks Fisher

4 years

I’m dreading tomorrow in #generalpractice . We have no warning & no guidance. Impossible situation for government to put doctors in.

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@BecksFisher

Becks Fisher

3 years

'Government must be realistic about what the current service can deliver and much more honest with the public. Politicians must correct the toxic media narrative about pressures in general practice—not contribute to it'. With @hughalderwick @bmj_latest

New plan for supporting general practice in England

No quick fix for the fundamental mismatch between demand for care and available GPs General practice is the foundation of the NHS, but these foundations are creaking. GP consultation numbers are now...

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@BecksFisher

Becks Fisher

5 years

We're 3 today @NextGGP 💥 Never imagined that we'd be celebrating with >1750 Next Genners, from >40 programmes in 3 countries 🙌 Turns out there's vast energy & engagement from this generation of #generalpractice Massive thanks to the many incredible ppl who make this possible

@NextGGP

Next Generation GP

5 years

🎈 🎁 🎊 💃 🕺 It's our 3rd birthday!!!! We'd like to say a huge THANK YOU to everyone who has supported us, spoken for us, & stood up for us along this journey... Esp @NickJHarding @robertvarnam @arvindmadan @DrBruceKeogh @NikkiKF who have been truly amazing! 🙏😊🎉

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@BecksFisher

Becks Fisher

6 years

13 of the best days. #JOGLE .

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