Dan Beale Cocks @DanBealeCocks Twitter profile | Pikagi

Pikagi

Dan Beale Cocks

@DanBealeCocks

790

Followers

830

Following

643

Media

9,649

Statuses

Interested in the NHS, patient safety, suicide prevention, and QI. Trans rights are human rights.

Cheltenham, Gloucestershire

https://t.co/KXmBhwSLbg

Joined June 2021

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

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@DanBealeCocks

Dan Beale Cocks

9 months

Cancer update: I was dxd in 2022, had surgery and chemo, & then surveillance scans showed it had come back. PET CT showed inoperable location, so I'm now getting palliative (but not yet end of life) treatment. I'm getting chemo (irinotecan) and immuno (cetuximab) therapy.

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@robleistoinfo

@DanBealeCocks

Dan Beale Cocks

1 year

Lots of talk about too many people claiming disability benefits. Here's a regular reminder: all the evidence shows that disability benefits are UNDER claimed - people with entitlement to them are not claiming them.

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@DanBealeCocks

Dan Beale Cocks

1 year

@KatyMontgomerie Wait this is like inception - trans women posts something mocking the "you can't misgender people or you'll get arrested" anti-trans meme, and then anti-trans sky presenter takes it seriously and mocks it?

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@DanBealeCocks

Dan Beale Cocks

1 year

@dieworkwear There's some kind of "uncanny valley" thing going on where he just jams all this stuff together and it doesn't work. I'm not a huge fan on English country style, but at least it's coherent.

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@DanBealeCocks

Dan Beale Cocks

2 years

@mariewhite @_NatashaDevon Medical people don't know if he's cis male (can't get pregnant) or trans male (might be able to get pregnant). So they just ask a normal question - "could you be pregnant?" All he has to do is say "no".

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@DanBealeCocks

Dan Beale Cocks

3 years

@mccavfefe @seangunn No, her arguments don't stand up which is why people find it so weird that she'd cling to them. A bunch of stuff she's said is simply factually incorrect (any time she mentions GRC reform she gets it wrong) and she refuses to do the minimum amount of fact checking needed to fix.

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@DanBealeCocks

Dan Beale Cocks

3 months

@JolyonMaugham Ask him why self-reported data for suicide research is fine until it's about trans people, when it suddenly turns into a problem.

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@DanBealeCocks

Dan Beale Cocks

2 years

@rkanglos @DrMakokis You're missing the point: all this gatekeeping may be a good thing, but only if it applies to white doctors too. And we know it doesn't.

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@DanBealeCocks

Dan Beale Cocks

7 months

No, we're not. We're asking why the impossible standards demanded by Cass Review aren't applied to any other aspect of healthcare.

@KamranAbbasi

Kamran Abbasi

7 months

Critics of the methodology of the systematic reviews that form the basis of the Cass Review are displaying their limited understanding of research methods and evidence based medicine — but that’s what got us into this mess in the first place

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@DanBealeCocks

Dan Beale Cocks

2 years

@NeelyMozawala @theovenbath Just in case you need it, their website currently says that booking is not essential. I saved a copy to the Internet Archive here, so if they edit their website to say "booking is essential" you can tell them they made the edit after your visit.

WOOD FIRED PIZZA

web.archive.org

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@DanBealeCocks

Dan Beale Cocks

2 years

@KatyMontgomerie Really weird that their response to this is always "but you're including a lot of mass shootings that you shouldn't include because, er, reasons".

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@DanBealeCocks

Dan Beale Cocks

9 months

@christapeterso Yes! And there was a minor scandal in England because IAPT services (which mostly use CBT) were pressuring therapists to manipulate the data.

@UK_Counsellors

Counsellors Together UK

@UK_Counsellors

5 years

Here are the initial results for the IAPT survey. Final results due by the end of the year. Please continue to share the link as comments can still be added. You can read it in full here ⬇ Please RT to your #IAPT colleagues @SurvivingWk ~ Maria

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@DanBealeCocks

Dan Beale Cocks

3 years

@KatyMontgomerie For a group that bangs on about "SAFEGUARDING" so much they're remarkably interested by the contents of your underwear. Let's remind them of the NSPCC work.

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@DanBealeCocks

Dan Beale Cocks

2 years

@tattbak @DanielaZigova Post partum psychosis is not a trauma response, and it needs urgent, medical, attention. People die.

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@DanBealeCocks

Dan Beale Cocks

2 years

@shaun_vids Yes the figures are shocking. 150,000 rapes each year; 50,000-60,000 reported to police; 4,000 taken forward by CPS; fewer than 2,000 convictions. Total lack of justice for victims.

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@DanBealeCocks

Dan Beale Cocks

2 years

@MForstater @soule_belle In previous tweets you've claimed you're not obsessed about the alien's genitals, but in this tweet you're claiming that you must be told what genitals the alien has otherwise your speech is being compelled. Which is it? It can't be both.

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@DanBealeCocks

Dan Beale Cocks

1 year

@HartlandJoseph They've learned nothing from that time an innocent retired music teacher was hounded by the press because he looked a bit odd.

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@DanBealeCocks

Dan Beale Cocks

3 years

@PaulBrandITV Paul, it really isn't subject to debate. All the major psychological bodies had created a Memorandum of Understand on conversion therapy, and that clearly unambiguously allowed discussion and exploration.

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@DanBealeCocks

Dan Beale Cocks

10 months

@speakoutsister Absolutely wild that The Journal told him he was wrong, and why he was wrong, and he simply says "okay, but if you do the exact same thing with this other search term you get a lot of results" and fails to notice most of those have nothing to do with trans people either.

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@DanBealeCocks

Dan Beale Cocks

2 years

@max_oats @cstross Or you get a link to a page where a real person has asked, but the answers are all either [closed, off topic], or "please search, this is a FAQ", or the OP saying "never mind, I fixed it", or a company rep saying "What's your service tag, oh, you're out of warranty"

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@DanBealeCocks

Dan Beale Cocks

5 months

@JeremyVineOn5 @AvaSantina @thejamesmax @theJeremyVine I think you need to understand that "depression and anxiety" cover a wide range of severity - including fatal illness at the more severe end - and that people are not claiming disability benefits for mild illness because DWP *already* screen these people out.

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@DanBealeCocks

Dan Beale Cocks

2 years

"Just leave if you don't like it" "NOT LIKE THAT". People doing agency work are extracting market value for their labour - this is how capitalism works. If you want to stop them doing it REPAIR THE WAGES.

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@DanBealeCocks

Dan Beale Cocks

2 years

I hope people take note that last week the EHRC said something, and this week they said something completely different. They're in a real shambles at the moment, and all their informal guidance must be check against stat guidance and the actual law.

@EHRC

EHRC

2 years

We have received some queries about ‘long COVID’, disability and the Equality Act and have published a statement clarifying our position. Read more:

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@DanBealeCocks

Dan Beale Cocks

2 years

@DottyDuff @ShaunLintern @chrischirp 1) Where you have a 4 bed bay you turn it into a 6 bed bay. 2) Where you have a single occupancy room for covid+ve people, you cram another covid+ve patient in there. You also need to ignore safe staffing ratios, and need to dilute the staff:patient ratio to unsafe levels.

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@DanBealeCocks

Dan Beale Cocks

3 years

@shaun_vids There's that whole bit that she ripped from the real world and got wrong. But yes, the magic system is basically "OP wizards because white people invented wands" which is pretty grim.

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@DanBealeCocks

Dan Beale Cocks

2 years

@dieworkwear I'd also be interested in coverage of people who don't think they're following fashion, but who all end up undeniably in a niche. I'm mostly thinking English farm workers who buy clothes like this

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@DanBealeCocks

Dan Beale Cocks

3 years

This, about a conference for psychiatrists, organised by NELFT and HEE, is remarkable because they stuffed it full of speakers who have no lived nor professional experience of trans health care, and who push potentially unlawful advice.

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@DanBealeCocks

Dan Beale Cocks

1 year

@dieworkwear And we used to wear those suits at the top of that hill.

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@DanBealeCocks

Dan Beale Cocks

3 years

This wasn't one or two speakers slipping through the cracks. This was a concerted effort to include a large number of explicitly anti-trans campaigners. @NHS_HealthEdEng need to explain what went wrong.

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@DanBealeCocks

Dan Beale Cocks

2 years

@HealthRegLawyer @prof_standards @NHSEmployers @NHSProviders @ProfLAppleby @NCISH_UK This is worrying, isn't it? HCPs expressing suicidal ideation need support, not regulatory action.

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@DanBealeCocks

Dan Beale Cocks

2 years

@KatyMontgomerie But he has pretended to be a woman and tried to get into women's spaces, several times, when he invaded dating websites.

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@DanBealeCocks

Dan Beale Cocks

2 years

@Sandra_McA @RoshanaMN @gmcuk @parthaskar There's an inconsistency here: GMC have to prove their case, doctors are allowed a robust defence, but MPTS will see that as "lack of insight" and "lack of remediation".

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@DanBealeCocks

Dan Beale Cocks

1 year

@DrNeenaJha Also, people don't understand that for a GP part time could well mean 35 hours a week.

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@DanBealeCocks

Dan Beale Cocks

2 years

The multiple choice list has 10 items. Every item is a personality disorder. None of the items are anxiety, nor autism.

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@DanBealeCocks

Dan Beale Cocks

1 year

@DrFrancesRyan @KRutlidge The Conservatives say that there are too many people claiming benefits, but every time the DWP looks at over-claiming they have to stop early because they have always always found that very many more people are under-claiming benefit.

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@DanBealeCocks

Dan Beale Cocks

10 months

@LarsPNorgard @FrancescaElani @KatyMontgomerie England doesn't really have "legal" names, your name is whatever you call yourself.

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@DanBealeCocks

Dan Beale Cocks

2 years

@Harryk51816117 @NotaBeneCLARE @KatyMontgomerie This is nonsense Harry. Lots of men use products to manage incontinence such as pads or bags, and having a sanitary bin available means these men can more easily take part in everyday life. But, also, trans men are men and some trans men use period products.

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@DanBealeCocks

Dan Beale Cocks

2 years

@billybragg @speakoutsister @Womans_Place_UK @jk_rowling See also Bev Jackson splitting out the T from LGBT.

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@DanBealeCocks

Dan Beale Cocks

1 year

@AlisonGeorge10 @nandwics Ask them how those PAs are getting indemnity insurance, and whether the insurers know and understand what's happening.

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@DanBealeCocks

Dan Beale Cocks

2 years

Living on benefits is slowly building up a stockpile of shelf-stable long life tinned and dried food, because you never know when the DWP is going to just stop paying you. People say "That's a lot of food" and I think "It's not enough, I need enough for 5 weeks".

@adamfare1996

Adam Fare 🖤🤍💜

2 years

Living & Working with chronic illness is constantly saving as much as possible because you don’t know how long you’ll be able to work for and disability benefits aren’t enough to sustain any sort of quality of life.

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@DanBealeCocks

Dan Beale Cocks

2 years

@dieworkwear I can understand why a $25 suit looks terrible, but I'd love to know how much he spent to look that bad.

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@DanBealeCocks

Dan Beale Cocks

2 years

@drjanaway Ben, please do listen a bit more closely to survivors who are telling you, clearly and unambiguously, that *they* are being labelled. HCPs are openly saying "You are manipulative", not "your illness causes you to be manipulative".

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@DanBealeCocks

Dan Beale Cocks

8 months

@myswnews REGULATION OF INVESTIGATORY POWERS ACT. Good grief.

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@DanBealeCocks

Dan Beale Cocks

10 months

@speakoutsister Yes, and also biological sex is not the same as legal sex, which is why that cis woman had to campaign for years to get her sex changed when it was incorrectly assigned as male.

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@DanBealeCocks

Dan Beale Cocks

3 years

Another problem with new NICE draft guidance isn't the guidance, but how it's being interpreted by the public. As a society we still don't believe that "mental" = real, and we still think that "mental" anything can be fixed with a cup of tea and a chat and a bit of backbone.

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@DanBealeCocks

Dan Beale Cocks

2 years

I was watching a video about MRCPsych preparation. Here's a sample Q "You are asked to see a 21 year old who arrives half an hour early because he wanted to make sure he wasn't late. He reports that he is finding his [not sure] stressful because he is having problems at work".

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@DanBealeCocks

Dan Beale Cocks

3 years

@JolyonMaugham @stonewalluk @EHRC @GreyCollier @eprochaska That's the thing I don't understand - the proposals ignore everything about how GRA was created and why it exists, and also a lot about EA and how that works. They're obviously incompatible with the law as it exists & have no hope of surviving challenge. So what's the point?

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@DanBealeCocks

Dan Beale Cocks

2 years

@ShaunLintern @UHDBTrust Is there a map of hospital footprints that have declared critical incidents? Because seeing that much red across the country feels like it might be an impactful image.

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@DanBealeCocks

Dan Beale Cocks

3 years

@EHRC This is a freedom of information request. Please release all communication from Baroness Falkner to EHRC colleagues about GRCs, the GRA, and single sex spaces.

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@DanBealeCocks

Dan Beale Cocks

2 years

@DrNeenaJha It's a terrible idea, but it keeps coming up. We need someone to create a short A5 infographic to explain why it's a bad idea, and then we need all the relevant orgs to sign up to it, and we need people to post it as a response whenever someone mentions doing this.

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@DanBealeCocks

Dan Beale Cocks

1 year

...become stuck - you cannot move to a different town, you cannot form a relationship, you cannot leave a relationship, you cannot trial working: you're in limbo because you're avoiding the "lobster pot" (DWP's own language) of Universal Credit & loss of income.

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@DanBealeCocks

Dan Beale Cocks

2 years

@SteveBarclay So that £30bn you wasted on broken PPE could have paid for decent pay?

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@DanBealeCocks

Dan Beale Cocks

2 years

And sometimes this hatred of patients spreads, and you have a dysfunctional culture, where harm against a patient is normal. No-one speaks out against it because it's normal. And if someone does make a complaint it's ignored because "they're all so nice on that ward".

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@DanBealeCocks

Dan Beale Cocks

2 years

Had my first dose of chemotherapy this morning and it seems to have gone well. I feel good at the moment, and I'm back at home snuggled up. This is day 1 of cycle 1, and I'm having 4 cycles.

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@DanBealeCocks

Dan Beale Cocks

2 years

When we talk about "stigma" people will ask for definitions, and sometimes people will say that stigma is about fear. But when you talk to staff about pts they'll use words like anger, annoyance, irritation, frustration, vexation.

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@DanBealeCocks

Dan Beale Cocks

2 years

@cityalan One really easy way to see how staff feel about BWC is to just give BWCs to patients and see how quickly objections are raised. The outcry would be instant, wouldn't it?

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@DanBealeCocks

Dan Beale Cocks

2 years

Of course you think they're nice. You're not a patient. You're not one of the people they hate.

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@DanBealeCocks

Dan Beale Cocks

1 year

@KatyMontgomerie Example #3 billion that they simply don't understand what safe guarding is, and view children as property.

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@DanBealeCocks

Dan Beale Cocks

1 year

@redrubyrose_ I'm sure you've already seen this, but just in case you haven't, here's an early paint catalogue with evocative descriptions taken from nature:

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@DanBealeCocks

Dan Beale Cocks

2 years

@PaulBrandITV I feel like it's time that whenever a politician speaks about a topic their interests are also mentioned. "Mr Bloggs (who is paid £60,000 per year by the Betting and Gaming Council) said 'gambling isnt that bad'."

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@DanBealeCocks

Dan Beale Cocks

2 years

@KateBurkeNHS Flexi working, sensible child care options, better lighting in all areas including car parks, an end to dorm wards in MH hospitals, single gender wards in MH hospitals, better regulation of sexual harassment & abuse & assault, 24 hour food, scrubs that fit, better changing areas

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@DanBealeCocks

Dan Beale Cocks

2 years

@sallyann98745 BPS showing an entirely deficient understanding of confidentiality, which exists to protect the public not shoddy professionals.

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@DanBealeCocks

Dan Beale Cocks

2 years

@KatyMontgomerie "Why hasn't Elon restored the missing likes yet?"

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@DanBealeCocks

Dan Beale Cocks

1 year

@ItsEmilyKaty No, I had cancer last year and I just don't identify with any of the cancer patient stuff I see and I definitely don't think of myself as a "survivor". As a result of the cancer I got an ostomy, and I do see myself as an ostomate. It's odd and I can't explain it.

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@DanBealeCocks

Dan Beale Cocks

3 years

@PlanningShit Imagine delivering a sofa. "How big is the door?" "Well, it's complicated"

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@DanBealeCocks

Dan Beale Cocks

2 years

@thegradmedic @daJMTexperience It's a problem because 1) it distracts from your core message, and 2) it's not relevant to your pay. Imagine we drop the pay of nurses. Does that mean you're now fine with your pay? Of course not, you still need pay restoration.

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@DanBealeCocks

Dan Beale Cocks

1 year

Gov introduced Universal Credit & made an income protection pledge. But that applies to narrow range of ppl; gov expected ppl's circumstances to change & for them to move to UC without that income protection. But if you're going to lose huge amount of income you...

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@DanBealeCocks

Dan Beale Cocks

3 years

@ClareGerada That first line of Good Medical Practice. How do you think doctors can establish good relationships with patients?

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@DanBealeCocks

Dan Beale Cocks

3 years

@TwisterFilm @KatyMontgomerie @BevJacksonAuth @HolyroodDaily @EHRC No it doesn't - self-ID (which would be a statutory declaration, made in front of witnesses, on penalty of perjury) is not "walking into any room you want". Why are GCs so dishonest about everything.

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@DanBealeCocks

Dan Beale Cocks

2 years

@charleybarley74 @WeeMelter She spent months, maybe years, trolling parents whose children had died in maternity scandals. Absolutely vile woman.

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@DanBealeCocks

Dan Beale Cocks

1 year

@Smyth_Chris It's not true. To get benefits you need to be assessed by the DWP independently of your own doctor. The DWP assessments are purely functional (so the diagnosis doesn't matter), and DWP have said they ignore dr's letters.

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@DanBealeCocks

Dan Beale Cocks

3 years

@TracyDempsey @thecassreview @SafeSchools_UK I hope they do, because most people who de-transition will go on to re-transition later, when it's safer for them to do so.

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@DanBealeCocks

Dan Beale Cocks

2 years

I know that pulling a question out of context like this is unfair, but still, come on.

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@DanBealeCocks

Dan Beale Cocks

2 years

@pellowponders @oolon Also, she tried to claim that trans people were not a protected group and thought she wasn't pleading to a hate crime. She was put right on that too.

Portsmouth woman summoned to court after sending offensive 'hate' message to trans woman

A TRANSPHOBE was summoned for a court showdown after sending a vile message to a trans woman on Twitter.

www.portsmouth.co.uk

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@DanBealeCocks

Dan Beale Cocks

2 years

@screwlabour You've fundamentally misunderstood what nurses do. Degree educated nurses are a crucial part of pt safety, and this has been found by the research and also the reports into scandals. We have Healthcare assistants who do not need a degree, provide care, and do fantastic work.

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@DanBealeCocks

Dan Beale Cocks

2 years

@KatyMontgomerie It's really worrying that so many of them fail simple logic that we expect 11 year olds to cope with.

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@DanBealeCocks

Dan Beale Cocks

2 years

@thegradmedic @daJMTexperience You out here saying F1s have to get paid more than NQNs is *terrible* optics. Please for the love of god leave this to your union comms. Because your message isn't "drs need pay restoration", it's now "drs need pay restoration and to get more than NQNs" and guess how that flies?

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@DanBealeCocks

Dan Beale Cocks

2 years

@SteveBarclay @theRCN Pay them fairly. It's baffling that MPs get huge pay, and then on top of that they get huge expenses and subsidised living - and it means you cannot understand the pain caused to people by cost of living crisis. Pay nurses fairly.

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@DanBealeCocks

Dan Beale Cocks

2 years

I don't know why this is a hot take, but apparently it is: if you're a journalist writing about people who've been harmed by MH treatment you should talk to those people, but you shouldn't talk to campaigners who have links to CCHR and scientology.

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@DanBealeCocks

Dan Beale Cocks

2 years

@dieworkwear Here's a tiny 12 second clip that supports your point. I'd love to read about these men and how they knit stuff and what they ended up with.

Tweet card media

Old Salts Knitting (1936)

Old salts knitting. M/S of two fishermen walking along the quay. C/U of hands knitting. M/S of the two men sitting in front of their boats knitting jerseys....

www.youtube.com

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@DanBealeCocks

Dan Beale Cocks

1 year

@JonAshworth This is terrifying Jonathan. AI isn't nearly ready for real-world deployment. The Post Office scandal emphasises the need for transparency around decisions made by computer - there is no transparency around decisions made by AI.

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@DanBealeCocks

Dan Beale Cocks

3 years

@truesolicitor A bunch of people are going to find out the hard way that "protected in law" doesn't mean what they think it does.

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@DanBealeCocks

Dan Beale Cocks

2 years

@emilyltownsend @timkendall1 @NHSEngland @HSJnews This is really good to hear. My concern is that services do not view "withholding care" as a punitive sanction, they see these as compassionate and therapeutic. We need to make sure that all staff recognise this as harmful.

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@DanBealeCocks

Dan Beale Cocks

2 years

@jessesingal @christapeterso You keep saying "Pull up a file", and everyone else keeps saying "...to extract data from that file to the spreadsheet". What about that don't you get?

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@DanBealeCocks

Dan Beale Cocks

2 years

St John Ambulance have the report. They should publish the report. #BreakTheSilence .

@Mick_Finnegan

Mick Finnegan

2 years

I'm outside St John Ambulance Headquarters in Dublin to protest their delay in releasing the report into child sexual abuse. I know it's a bank holiday, but what I experienced as a child I carry every day #BreakTheSilence

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Dan Beale Cocks

1 year

I'm a patient who has had some care from psychiatrists. It's important to me that SAS doctors get voting rights in RCPsych.

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@DanBealeCocks

Dan Beale Cocks

1 year

@MrJohnNicolson @CazHatten @OVOEnergy @carolvorders It's shocking behaviour. And as you are aware, if this is what they do to an MP just image what they're doing to everyone else.

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@DanBealeCocks

Dan Beale Cocks

3 years

@griffitygriff @benjamincohen @sajidjavid The regret rate for transition healthcare is much lower than many other types of healthcare.

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@DanBealeCocks

Dan Beale Cocks

2 years

@genspect @ryangc191 Pro trans organisations are not advocating for lax rules to access children - this is a homophobic and transphobic lie.

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@DanBealeCocks

Dan Beale Cocks

3 years

@yvettedoc50 If ADHD DX and tx was more easily available on NHS, without 2 year waits, people wouldn't need to go private.

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@DanBealeCocks

Dan Beale Cocks

1 year

@RockyWasYer @bsd_junkie @Kentroadsafety Yes, it is the driver's fault. You're supposed to be in control of your 1.5 ton vehicle. Learn to drive.

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@DanBealeCocks

Dan Beale Cocks

2 years

@cmwilliams99 @DottyDuff @ShaunLintern @chrischirp Yes, absolutely. "It's already unsafe, but dilute it even further" didn't fit the character limits. We've seen MPs suggest that the bed crisis can be fixed by "buying beds", so they clearly don't understand

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@DanBealeCocks

Dan Beale Cocks

3 years

@timkendall1 @emilyltownsend @StopSIMMH Thanks for this. I think NHSE/I also need to look at how oversight failed here. Why were so many orgs happy to use the SIM logos when their HINs didn't follow the HIN model? How did so many orgs sign off on something that was so obviously a bad idea?

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@DanBealeCocks

Dan Beale Cocks

3 years

@DrOliverLewis I'm curious about how sticking someone in a box for 20 years is in anyway meeting their "complex needs".

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@DanBealeCocks

Dan Beale Cocks

3 years

@KatyMontgomerie If anyone knows people making, selling, or distributing the NHS version it can be reported here:

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@DanBealeCocks

Dan Beale Cocks

2 years

@speakoutsister @legalfeminist LF is determined to ignore the fact that GRCs are documents that preserve privacy, not grant access to spaces.

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@DanBealeCocks

Dan Beale Cocks

2 years

@MxVivianWulf @truesolicitor Do we know how many wingnuts scrawled incomprehensible nonsense about GC conspiracy theory garbage on the forms?

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@DanBealeCocks

Dan Beale Cocks

3 months

Sorry I haven't always been as kind as I could have been here. But thank you for teaching me about so much stuff. Good bye.

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@DanBealeCocks

Dan Beale Cocks

2 years

@AshHarrison78 @PatrickStrud Maybe read the article. I know anti-trans campaigners hate facts.

Tweet media one

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@DanBealeCocks

Dan Beale Cocks

3 years

@lecanardnoir @TiaTruths @GeneNLeslie1 @FeliciaEntwined @ETVPod @Moonlitpiglet @kungfuhobbit There were no services for children. And then those services were created. Fucking obviously the number of referrals increased - these are children who are now able to access evidence based healthcare, who were previously denied it.

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@DanBealeCocks

Dan Beale Cocks

2 years

These are not words we use to describe fear. These are words we use to describe hate. And it's truth that some staff sometimes hate some of their patients, and sometimes that leads to harmful care.

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