Adam Janjua @JanjuaAdam Twitter profile

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Adam Janjua

4 months

Throwback to 2021 when all the public GP abuse began following a sustained campaign by the Government and (to some extent NHSE) to vilify GPs for the problems the NHS was facing. Was working for the CCG back then but never afraid to stand up for General Practice! #TeamGP #NHS

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Adam Janjua

@JanjuaAdam

3 years

Patient just pushed through the surgery doors and walked into reception without a face covering. Coughing. Stated to staff she wanted a Face to face appt for her new cough! Not had a covid test. Thanks @sajidjavid

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Adam Janjua

@JanjuaAdam

7 months

Went to call an elderly patient from the waiting room. I didn’t know that he’d been trying to see me but I wasn’t available for one reason or the other. I was helping out one of the trainees who was running behind which is why I saw him. The look in the patients eyes when he

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Adam Janjua

@JanjuaAdam

1 year

Parent of teen calls for an appt for neck lump. Given F2F appt within an hour but DNAd. We call to chase as mum stated worried about a persistent lump. Offered further appt same afternoon. Mum declines saying she’s ordered a takeaway and it just not convenient. #Madness #GP #NHS

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Adam Janjua

@JanjuaAdam

6 months

People wonder why they can’t get a GP appointment? One of the reasons is the work that is being passed to GP from the hospital. Just this morning I’ve had to deal with numerous cases of patients who are under the specialist but are told to come to the GP to sort (things that are

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Adam Janjua

@JanjuaAdam

3 months

Wondering why General Practice is so busy? Patient referred to a specialist for a problem that is not “fixable” in the community. Was referred 4 weeks ago and has been told no appointments until November. They have already been back to see a GP 4 times with exacerbations of the

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Adam Janjua

@JanjuaAdam

5 months

Over the past couple of weeks I’ve had several GP trainees come to me (in my LMC capacity) expressing real concerns and fears that they won’t be able to get a job in August when they CCT. This is a totally bonkers situation to find ourselves in. How can they fully focus on

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Adam Janjua

@JanjuaAdam

7 months

Today shall be remembered as the day that this government and NHS England decided to pull the plug on the ventilator that was keeping General Practice alive. Sink or swim it’s clear that GPs have been cast adrift. We’re on our own and I fear this is the beginning of the end.

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Adam Janjua

@JanjuaAdam

2 years

Why is 111 booking in patients with the GP practice when they very clearly have dental issues and should be signposted to the emergency dentist if they aren’t registered with a dental practice? Just creates needless conflict for our staff to have to deal with. #DumpingGround #GP

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Adam Janjua

@JanjuaAdam

4 months

Spoke to on call Gynae Reg today about a patient. Rather than seeing her for an acute issue he suggested we try a certain treatment. What if she’s no better? I asked. His reply - send her to A&E! Under gynae? I asked? No - just to A&E. No wonder A&E is busy! Just not due to GPs!

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Adam Janjua

@JanjuaAdam

7 months

I’ve created this video to raise awareness of what’s happening to the NHS and General Practice now. Have tried to make it an interesting 5 minutes linking back to its history, despite the sad message being conveyed. Would recommend watching to the end as Nye Bevan gives a rousing

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Adam Janjua

@JanjuaAdam

8 months

If people don’t wake up & realise the danger that General Practice is in, they will soon find that GP will have gone the same way as dentistry! How would people cope with a private GP service? 6 in 10 practices are at risk of closure (due to finances) 👉🏽

Report: The Financial Challenge facing Practices in Lancashire & Cumbria

nwlmcs.org

BDA

@TheBDA

8 months

In Aug 2022 Rishi Sunak pledged to 'restore' NHS dentistry. We're still waiting. And when it comes to timely access to care, we now lag behind both developing countries & war zones. A🧵on how Govt has offered big ambitions but no meaningful action on a crisis facing millions.

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Adam Janjua

@JanjuaAdam

1 year

@Iylmkmc It’s a really bizarre way to act and people need to know what happens and why some patients can’t get an appointment when others DNA with impunity. I disagree about your comment about it being unprofessional but you have a right to your opinion and I mine.

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Adam Janjua

@JanjuaAdam

3 years

@DavidFoxon2 @TigressEllie @sajidjavid Masks and sensible measures would really help to protect kids and the teachers - but no one wants to take bold measures. Instead we end up with a tsunami of covid cases in under 16s and are one of the worst performing COVID19 countries in the world. Shameful.

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Adam Janjua

@JanjuaAdam

3 months

Who would want to be a GP?! Spent the morning consoling an upset trainee and calling the police to help get the aggressive patient out of the surgery as they refused to leave. Afternoon started with an email from my PM saying we have been sent a demand notice for arrears of

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Adam Janjua

@JanjuaAdam

2 months

Why do some HCPs think it’s ok to ‘suggest’ a patient needs a further referral for something completely unrelated to their specialism AND then assume the GP will be happy to do the referral? If it’s not your area just tell the patient that you can’t comment on it. Period.

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Adam Janjua

@JanjuaAdam

5 months

Everyone but actual GPs and Nurses will soon be eligible for ARRS funding it seems. Shame on the people making these decisions.

Carolyn Wickware

@cbwickware

5 months

Designated prescribing practitioners (DPPs) and pharmacy technician apprentices to be eligible for ARRS funding for PCNs, says @liz_fidler at #cpcongress

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Adam Janjua

@JanjuaAdam

3 years

@sunita57347943 @sajidjavid Told her to leave and a doctor will call her back within the hour. Luckily the surgery waiting area was nearly empty as it was in between clinics but we usually have chemo patients coming in to have pre chemo bloods etc. It’s not safe if people don’t respect the rules.

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Adam Janjua

@JanjuaAdam

3 years

@anyotherleader @BareLeft @sajidjavid I suspect they have been emboldened by politicians who pander to public opinions - mask wearing seems to be seen as a deprivation of Liberty in the UK sadly. And the media abuse of GPs and primary care that’s gone unanswered by the government is fuelling it.

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Adam Janjua

@JanjuaAdam

8 months

I’ve created this video to help people understand the financial distress GP practices are under. Please share widely to create awareness and start conversations about how we save General Practice. #TeamGP #NHSCrisis

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Adam Janjua

@JanjuaAdam

5 months

This might be an unpopular opinion but the ARRS ‘funding’ mechanism is a big threat to the GP job market. I have nothing but respect for ARRS staff and the job they do, but ARRS funding is mentioned in every Government reply to anyone saying GP funding is suboptimal. They are

Dr H

@DRIISYD

5 months

@JanjuaAdam Jobs are hard to come by these days. The opportunities have significantly decreased, though this varies depending on the location. As ARRS continues to gain momentum, there will be fewer and fewer job prospects for GPs, creating a vicious cycle exacerbated by budget cuts.

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Adam Janjua

@JanjuaAdam

6 months

Sent a 18 year old patient with a sore throat to Pharmacy First. He was duly sent back to us with a message that as he’s had his tonsils out he clearly can’t have tonsillitis so they couldn’t see him?!? 🤔

MIMS Online

@mimsonline

6 months

GPs have had a mixed reaction to the launch of #PharmacyFirst How are you finding the service?

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Adam Janjua

@JanjuaAdam

6 months

@inner_psy Lots of things are happening behind the scenes. All this workload dumping needs to be dealt with as well as seeing patients. Lots of appointments happen via the telephone now as well so an empty waiting room is not an indication that no one is working hard in the building. That’s

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Adam Janjua

@JanjuaAdam

5 years

Decided to leave being a keyboard warrior behind and put my feelings into action and attend a peaceful protest at the Cuadrilla site on Preston new road. Anyone who cares for their neighbourhoods safety should come down and lend their support. #BanFracking #Fracking

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Adam Janjua

@JanjuaAdam

6 months

You’d never see this happening for GP Surgeries. If they overspend by even £1 the partners would have to take a personal loan to cover the costs. Hospitals can spend with impunity and be safe in the knowledge that there is a bailout coming regardless of how poorly managed they

Shaun Lintern

@ShaunLintern

6 months

🚨 ICYMI in yesterday's print Sunday Times - One of England's largest and high profile NHS trusts @GSTTnhs may need a bail out from @DHSCgovuk to cover day to day spending. It is part of a wider £4.5bn spending crisis sweeping the NHS 🧵 1/7

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Adam Janjua

@JanjuaAdam

5 months

Here’s another classic! Patient seen face to face in orthopaedic clinic but this is the message to the GP! Is a consultant incapable of prescribing analgesia for a patient referred for knee pain? GPs have become the house officers for hospitals it would seem.

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Adam Janjua

@JanjuaAdam

7 months

We need a national debate on what General Practice can provide, because we can’t go on demanding that GP delivers more and more and more for less and less and less going forward. What are we prepared to pay for as a nation? and then have General Practice deliver accordingly.

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Adam Janjua

@JanjuaAdam

7 months

Continuity of CARE? You’re having a laugh surely? At this rate the public will be lucky to have continuity of SERVICE! NHSE: “Hi GP Surgery - we are giving you less money but we want more work output” lol. What book of management is this from? #TeamGP

PulseToday

@pulsetoday

7 months

Continuity of care will be required in new GP contract

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Adam Janjua

@JanjuaAdam

4 months

This is quite shocking to read tbh. No one wants to be a partner because NHSE has decimated practice funding over the past 10 years and made it so unappealing. Also young GPs want a job - any GP job - so I’m unsure what Amanda is referring to when she says younger GPs don’t want

PulseToday

@pulsetoday

4 months

NHS England has heard from young GPs who have said ‘we are qualified, we want to take roles in this country, but the sorts of jobs we want aren’t there for us’.

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Adam Janjua

@JanjuaAdam

4 years

@NikkiKF Thanks Nikki - it’s sad and worrying though that as the Primary care director you weren’t asked to lead/consulted on this BEFORE it was announced.

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Adam Janjua

@JanjuaAdam

4 months

I featured on ITV News last night discussing the pressures the NHS is facing and the financial difficulties GP Practices find themselves in due to chronic underfunding. The risk of privatisation is very real if urgent action isn't taken soon. Highlights 4 - full clip online @ITV .

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Adam Janjua

@JanjuaAdam

5 months

I've been saying this for years! These are myths that have been perpetuated by people who are ignorant and/or have an agenda against GP. If it wasn't for GP the NHS would be far far worse off than the mess we are currently in. GP is the solution not the problem.

Matt Discombe

@mattdiscombe

5 months

EXC: A&Es not being overwhelmed by ‘low acuity’ patients, NHS England review finds NHSE expected 20-40% of A&E attends to be patients who could be seen elsewhere. But figure was just 4% Story:

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Adam Janjua

@JanjuaAdam

4 months

NHSE has no money to save GP but somehow keep finding new money for other random job roles.

PulseToday

@pulsetoday

4 months

Pulse PCN: NHS England funds new PCN pharmacy engagement role #primarycare @PulsePCN

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Adam Janjua

@JanjuaAdam

1 year

@ellis1068 🤔 You seem a bit confused about the timeline of events. Maybe read the tweet?

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Adam Janjua

@JanjuaAdam

1 year

A few ‘triggered’ responses to the tweet below. It’s just one of many examples of peoples flippant attitude to GP appointments. People can have their own opinion but one indisputable fact remains-people take the NHS for granted &no where else would people be this casual with DNAs

Adam Janjua

@JanjuaAdam

1 year

Parent of teen calls for an appt for neck lump. Given F2F appt within an hour but DNAd. We call to chase as mum stated worried about a persistent lump. Offered further appt same afternoon. Mum declines saying she’s ordered a takeaway and it just not convenient. #Madness #GP #NHS

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Adam Janjua

@JanjuaAdam

3 years

This job is difficult enough as it is without the non-availability of COVID PCR tests causing us more headaches. How can I tell patients to get a PCR when I know there are none available! Just creates conflict during the consultation.I’m doing my job - please do yours @sajidjavid

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Adam Janjua

@JanjuaAdam

8 months

Wow - I’m speechless at the fact that someone at UMAPsUK felt this was an appropriate way to counter the anti-PA narrative! I’ve not waded into this debate much but as a GP this tweet infuriates me on behalf of the GP profession. Trying to even compare the two is a non starter.

Dr David Wrigley

@DavidGWrigley

8 months

Dear @UMAPsUK - this tweet & graphic doesn’t help your cause at all. Equating 50hrs study with 5 years of postgrad training & study hugely diminishes your campaigning. GPs are not PAs & PAs are not GPs. We do *very* different roles & we should celebrate that & tell patients that

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Adam Janjua

@JanjuaAdam

4 months

Shame on an GPs in leadership roles partaking in this sort of behaviour/employment practice! There is always a choice to not do the “wrong” thing. Devaluing the profession may start with some poor newly qualified GP but will eventually make it full circle to the whole profession!

Mark Steggles

@msteggy

4 months

This is appalling. GPs devalued to alarming degree. This is not acceptable. Not only are GPs working well beyond their paid hours, the pay is being cut.

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Adam Janjua

@JanjuaAdam

8 months

The @nwlmcs Financial Report on the precariousness of GP Practice finances featured on BBC Northwest today. Hopefully this will spread some awareness of the strain practices are under - not just in Lancashire and Cumbria but all over the country. #NHSCrisis #TeamGP

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Adam Janjua

@JanjuaAdam

6 months

Twitter GPs: I’m continually asked what primary care can do to help secondary care manage demand? An opportunity has now arisen to inform secondary care leaders what they can do to help primary care manage demand? Potentially things like a ‘waiting list helpline’ and similar.

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Adam Janjua

@JanjuaAdam

7 months

@MissDxTweets You won’t find many GPs who disagree with your view! But years of underfunding and tickbox targets to achieve including access to our services have left the profession in the state we see it now. A further decline in services will see you having to pay as General Practice has

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Adam Janjua

@JanjuaAdam

6 months

@tracey_crosbie Sorry to hear that Tracey - sadly it’s the patients that get stuck in the middle of our “turf wars”.

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Adam Janjua

@JanjuaAdam

8 months

Words of thanks simply won’t be enough to save surgeries from closing due to severe financial distress. Claps and thanks only go so far. What general practice needs is funding asap.

Victoria Atkins

@VictoriaAtkins

8 months

Accessing GP appointments is a priority for the public. And thanks to the brilliant work of our GPs, practice nurses, physios, pharmacists and others we’re making progress.

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Adam Janjua

@JanjuaAdam

4 months

The ARRS games being played by the people who control the purse strings are getting beyond ridiculous now. The only way this ends is with General Practice losing out. Core GP funding needs investment now.

Kimberley Hackett (she/her)

@kimberleyjourno

4 months

Funding withdrawal could force PCNs to make ARRS staff redundant, @HumbersideLMC & @LincolnshireLMC warn. #TeamGP #GPnews

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Adam Janjua

@JanjuaAdam

4 years

Second from the top! 🙂👍🏽

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Adam Janjua

@JanjuaAdam

5 months

Today I saw a family with 3 kids under 7 - absolutely no access to a dentist despite the mum ringing around. This is pathetic in a supposed first world country. Embarrassing. Politicians with no understanding of GP are pushing it towards the dentist model. Can’t let that happen.

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Adam Janjua

@JanjuaAdam

5 months

There is money for AI but not for core GP? 🤔 What good will AI do when there won’t be any GP around? Also I’d be more worried about Pharmacy First’s contribution to antimicrobial resistance.

PulseToday

@pulsetoday

5 months

GPs will use AI to reduce antibiotic prescribing under Government five-year plan #AMR #antibiotics #AI

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Adam Janjua

@JanjuaAdam

7 months

I think you could swap the word ‘not additional’ with ‘not wanted’ and the sentence would be much clearer. So we will happily spend a huge chunk of money on social prescribers etc but are willing to let the GP profession dwindle into obscurity? At the same time we will defund

PulseToday

@pulsetoday

7 months

NHS England will not add GPs to ARRS because they are ‘not additional’

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Adam Janjua

@JanjuaAdam

8 months

GP leaders have been warning of this moment for years - the government isn't interested in saving the NHS & they are no longer afraid to show that publicly. Do they think voters are fools or is there a more convoluted agenda at play here? Or both perhaps?? #NHSCrisis #NHS #TeamGP

Steve Taylor

@DrSteveTaylor

8 months

That’s the end of some practices in 2024/25 - this is purposeful destruction of General Practice in England It is vital that @andrealeadsom and @VictoriaAtkins act to save General Practice

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Adam Janjua

@JanjuaAdam

3 months

Am I missing something with regards to Salbutamol inhalers. The amount of confrontations trying to get patients to not order monthly for Asthma is astounding. Threats of (and actual) complaints! The resistance to preventers is a real issue. Anyone else having similar issues?

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Adam Janjua

@JanjuaAdam

1 year

@njg_03 Exactly! Or fills in the GP patient experience survey answering no to the question - were you given a convenient appointment time?

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Adam Janjua

@JanjuaAdam

8 months

Calling all Lancashire and Cumbria GPs and PMs on here. I/ @nwlmcs have created a Workload Transfer ‘logger’ so we can get real data on the worst offenders who #dump work on GP practices. I want to test it out and need your help before we release it. If you’re happy to help test

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Adam Janjua

@JanjuaAdam

3 years

This morning has been busier than ever with “routine” GP stuff! Nothings changed - I ask again - what’s routine? Had some spare vaccines so put on a booster clinic at lunchtime. Booked within 24 hours-17% DNA-chased patients - some had forgotten,others out shopping 🤷‍♂️ no remorse.

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Adam Janjua

@JanjuaAdam

7 months

@PKYPKY308 In theory I agree but sadly the powers that be value and emphasise access over continuity at present. So whilst what you are suggesting is clearly the best approach it can’t happen if demand is not manageable at these surgeries. It’s essentially all hands on deck all day every

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Adam Janjua

@JanjuaAdam

7 months

More practice closures on the way! Patients are sleepwalking into a future when there will be less NHS GP provision and a lot more ‘pay to see’ a private GP. The Tory’s seem to not care and Labour seem happy to watch it all burn down so come election time they can pick up the

Katie Bramall-Stainer

@doctor_katie

7 months

A word of caution here, folks: 👉1.9% = a disgrace 👉to match 2019/20 we need 8.7% putting this derisory offer into context 👉 #FPR for salariedGPs ~ c£450m 👉Total practice income/patient has ⬆️ by only £15 in a decade - Yes! *£15* Nice words won’t save General Practice 🧵👇

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Adam Janjua

@JanjuaAdam

3 years

@paddyma91115145 @TigressEllie @sajidjavid Thanks. I see your point but with the way the nation is heading they are all probably retraining to be HGV drivers!

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Adam Janjua

@JanjuaAdam

7 months

Private health insurance companies must be looking at this GP contract offer and thinking it’s Christmas (and all other gift giving holidays all wrapped into one big pay day). GP practices cannot balance the books with a nonsensical 1.9%. They will close down. Patients will loose

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Adam Janjua

@JanjuaAdam

6 months

@TomPMarshall We are working on a Workload Transfer tool but it’s only as good as the input it gets from clinicians. Most of us are far too busy to log on and complete.

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Adam Janjua

@JanjuaAdam

7 months

Surely you know that this narrative is an old and lazy one @BBCHughPym - perpetuated by misinformed hospital staff who need to find any excuse to blame someone for the systemic failures that are plaguing the NHS? Why include it in an otherwise good public interest piece? This is

Irfan

@dr_irfan_malik

7 months

‘People are trying to get into their GPs & unable to see their GPs, so increase in pressure in A&E is getting greater’ Helen Sharp, Deputy Sister, Colchester Hospital ➡️ Well if hospitals weren’t rejecting so many GP referrals & didn’t have very very long waiting lists - may

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Adam Janjua

@JanjuaAdam

1 year

@BeyNaveed Yup that’s what she said one of her concerns was when she booked the first appointment

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Adam Janjua

@JanjuaAdam

7 months

Well worth a read 👇🏽. This is the story of most GP practice across the country. This is not a ‘blip’ that will fix itself - there will be no NHS General Practice if people don’t start taking this problem seriously.

Jamie Green

@drjamiegreen

7 months

1/ I need to share how bleak Primary Care is. I’m a partner in my surgery and last summer, the CQC rated us as Inadequate and placed us into special measures. #PrimaryCareCrisis ... @BMA_GP

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Adam Janjua

@JanjuaAdam

11 months

It’s taken months of engagement & prep work but I’m delighted to say that our @nwlmcs GP Alert State (GPAS) tool has finally launched this week! We’ve had an amazing response from practices wanting to help by submitting data. Big thank you to everyone involved! #TeamGP #NHS #OPEL

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Adam Janjua

@JanjuaAdam

5 years

Today we launched our Non-alcoholic Fatty Liver Disease (NAFLD) clinic in the Fleetwood neighbourhood. This pilot is a collaboration between @Siemens @BlackpoolHosp and the Fleetwood practices. Months of planning for this and finally underway! NAFLD needs to be taken seriously.

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Adam Janjua

@JanjuaAdam

5 months

The madness continues! Patient under the pain management team is asked to contact GP for pain relief! I should clarify that this patient has been under their care for sometime and has stated several times that the pain relief isn’t working. This was not a clinic encounter. But it

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Adam Janjua

@JanjuaAdam

3 years

Very successful ‘pop up’ covid vaccination clinic today in #Fleetwood next to the @FCYMCA . We were well supported by @FyldeCoastCCGs and @wyrecouncil staff. Special thanks to @fleetwoodbeach and @FCYMCA for looking after us so well. Great effort by all involved. 👏🏼👏🏼👏🏼

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Adam Janjua

@JanjuaAdam

4 months

The sheer number of medications that are out of stock is beyond ridiculous now. It’s taking up a huge amount of GP/Pharmacist time to sort out alternatives. What’s going on? We are rapidly becoming a third world country. Feel sorry for patients having added uncertainty as well.

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Adam Janjua

@JanjuaAdam

6 months

Today yet another GP has worked their last day in the NHS and is heading to Canada in pursuit of practicing somewhere where they are valued and respected. When will NHSE and the government learn that unless you treat your workforce well they will leave the NHS? Shameful

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Adam Janjua

@JanjuaAdam

4 years

John - I had the privilege of working with your daughter & I can genuinely say that she was a lovely human being and a wonderful and caring nurse. She made this, very green, junior doctors’ life so much easier with all the help & support she gave me. You are right to be so proud!

John Clough MBE

@CloughJohn

4 years

Today marks 10 years since Jane was taken, you are loved and missed everyday, so proud to be your dad xx

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Adam Janjua

@JanjuaAdam

1 year

Word of caution to colleagues- this new COVID variant seems to elude positivity on Lateral Flow Tests. We are a surveillance practice to sent off PCRs which are coming back positive. So message is not to rely on LFTs alone if you have symptoms.

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Adam Janjua

@JanjuaAdam

6 months

So 90% of respondents of the GP Patient Survey for our practice feel it’s easy to get through to the practice on the phone. Current practice phone bill / year is £1400. We are all being “forced” to switch to Cloud Based Telephony (CBT) by NHSE via their imposed contract.

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Adam Janjua

@JanjuaAdam

5 months

ARRS £is diverting much needed funding from core GP services. NHSE &the government prefer to use this for allied staff rather than employing much needed GPs. This way they can say that they have paid for x number more staff in primary care. It’s a smoke and mirrors numbers game.

Dr Shan Hussain

@DrShanHussain

5 months

In my experience, ARRS funds reduce pressure on other services, not on GP practices. The same £1.3 billion of ARRS funding would pay for over 15,000 new GPs.

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Adam Janjua

@JanjuaAdam

5 months

@dr_jepson Sorry to hear that Paul! It’s a really sad state of affairs and the people who have caused this mess need to answer for their actions.

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Adam Janjua

@JanjuaAdam

1 year

Today I’m officially starting my new job as Chief Executive @nwlmcs . Having spent almost 12 years with the CCG (and later ICB) I’m ready and excited for a new challenge. Can’t wait to get started.

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Adam Janjua

@JanjuaAdam

7 months

Adding to my 33 seconds of fame 😀 I featured on the C4 news tonight speaking about the financial plight of practices in the county. A whole morning of filming condensed into a short clip but I think the message was clear: Fund our public services properly. #NHS #TeamGP

Channel 4 News

@Channel4News

7 months

What do voters want in tomorrow’s budget?

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Adam Janjua

@JanjuaAdam

7 months

@doctor_oxford Please RT Rachel 👇🏽

Adam Janjua

@JanjuaAdam

7 months

I’ve created this video to raise awareness of what’s happening to the NHS and General Practice now. Have tried to make it an interesting 5 minutes linking back to its history, despite the sad message being conveyed. Would recommend watching to the end as Nye Bevan gives a rousing

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Adam Janjua

@JanjuaAdam

4 years

Just wanted to say a huge thank you to @Sheilaknits for my amazing personalised doctor teddy bear! It’s a much better looking version of me!😀. Thanks @BruntonJackie as well. As you can see I’m already putting him to work doing remote consultations (under supervision of course)!

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Adam Janjua

@JanjuaAdam

5 months

@mancunianmedic Thanks David. Something needs to change and soon or we will have a mass exodus of newly qualified GPs. And then it’ll be too late to fix the mess we are in.

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Adam Janjua

@JanjuaAdam

8 months

Today the LMC office has recieved an email from the office of Conservative MP (who shall remain unnamed!) saying MP is busy so no meeting possible but could we “provide some further details relating to the pressures GPs are facing locally”. Safe to say they haven’t read the

Adam Janjua

@JanjuaAdam

8 months

A week on and not a single local MP has been in touch with me to discuss the report thus far. Not even one. To guarantee the best possible outcome for their patients, one would have assumed that they would be eager to investigate the source of General Practice's financial crisis?

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Adam Janjua

@JanjuaAdam

8 months

Over 60% of 227 practices in Lancs & Cumbria are at immediate to medium risk of closure (due to their dire finances) as rated by the practices themselves. At-risk practices cover a patient population of 1.35m (1.13m for Lancashire/215 000 for Cumbria). 👉🏽

Report: The Financial Challenge facing Practices in Lancashire & Cumbria

nwlmcs.org

Nick Bostock

@nickbostock

8 months

BMA warns 1.9% contract offer threatens 'slew of practice closures' #GPnews

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Adam Janjua

@JanjuaAdam

1 year

@LongCovidFight Yes esp as a child involved. Got them an appointment the next day and everything was checked out and child is fine.

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Adam Janjua

@JanjuaAdam

6 months

@usually103633 Nope that’s not true. There is absolutely no evidence to support that very lazy narrative that’s been circulating for years.

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Adam Janjua

@JanjuaAdam

7 years

To mark #WorldCancerDay I have created a video to help raise awareness of the early symptoms of cancer. It’s meant for the general public and has some tips on how to reduce your cancer risk as well. Cancer is killing too many of us. Please share widely.

Be Cancer Aware by Dr Adam Janjua

Video to raise awareness about common non-specific symptoms that could indicate undiagnosed cancer. This is a cancer symptom video meant for the general publ...

www.youtube.com

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Adam Janjua

@JanjuaAdam

3 years

The amount of patients making GP appointments only to try and get us to expedite their hospital appointments is astounding! This is helping to create appointment shortages in primary care! #NHS #TeamGP

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Adam Janjua

@JanjuaAdam

7 months

Thank you Tim! It was nice to meet with you last week - appreciate you taking the time to meet and discuss the @nwlmcs financial barometer report. For those of you who haven’t read it yet the full report can be found here -

Report: The Financial Challenge facing Practices in Lancashire & Cumbria

nwlmcs.org

Tim Farron

@timfarron

7 months

A shocking new report reveals that 10 GP practices in Cumbria and Lancashire are at risk of immediate closure, with a further 111 struggling financially due to soaring costs. I've written to the Health Secretary urging her to support our vital GP surgeries before it's too late.

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Adam Janjua

@JanjuaAdam

7 months

I 💯% agree with this. But that then begs the question of why GPs are so undervalued by those in power? Why is GP chronically underfunded? Do the government not want you to have the best care possible? Finally why are we only being offered a 1.9% funding uplift?

Rowena Christmas

@ChristmasRowena

7 months

Seeing the same GP reduces your risk of an emergency admission to hospital or of needing to use the out of hours service by 30% and astonishingly reduces the risk of dying in the following 12 months by 25% And knowing your patients makes being a GP a wonderful job. @rcgp

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Adam Janjua

@JanjuaAdam

8 months

I’d like to see the evidence that GP patients end up in A&E. This is a myth. A&E attendances have remained fairly static over the last years except for a small increase. Why don’t politicians keep perpetuating these ideas. One thing he is right about though is that there is a GP

Wes Streeting MP

@wesstreeting

8 months

As well as the Government's failure on NHS dentistry, there's another primary care disaster unfolding in General Practice. Because people struggle to see a GP (which costs £40) they end up in A&E (which costs £400). The Tories' answer? Devalue GPs. 🤦🏻‍♂️

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Adam Janjua

@JanjuaAdam

4 months

How about saving the GP surgeries that are on the brink of closure first?

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Adam Janjua

@JanjuaAdam

6 months

It’s official! Over 96% of people who voted say they have no confidence in the leadership at NHSE. This is a damning result that shows the lack of trust that exists between people working on the frontlines and the people who are making decisions at the top. Small sample size you

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Adam Janjua

@JanjuaAdam

7 months

I’ve seen patients make an appointment and miss the appointment in the same afternoon! Having the NHS app isn’t going to magically make that patient attend the appointment. That comes with social responsibility. Is there an app for that Victoria? #NHS

Shaun Lintern

@ShaunLintern

7 months

@VictoriaAtkins "We will improve the NHS app so that patients can use it to confirm and modify all appointments. This will increase choice and reduce the number of missed appointments by half a million every year" says @VictoriaAtkins #ntsummit

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Adam Janjua

@JanjuaAdam

5 months

Instead we’ll defund it so it doesn’t seem like we ‘scrapped it’.

PulseToday

@pulsetoday

5 months

Scrapping GP partnership model would be a ‘disaster’, says Government #GPpartnership #GPcontract #primarycare

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Adam Janjua

@JanjuaAdam

7 months

Wow. There have been many things GPs have been called but this is a first - ‘drug dealer’ 😀. Do they just let anyone into the House of Lords now a days? This type of ‘talk’ is highly unbecoming of anyone of his supposed stature.

PulseToday

@pulsetoday

7 months

Lord Bethell: 'I faced down drug dealers, so I know what intimidation looks like.' The peer, writing in Pulse, doubles down on criticisms of GPs following the row over physician associates

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Adam Janjua

@JanjuaAdam

3 years

It’s mentally draining to have to verbally arm wrestle with nearly every patient on the list about their new cough and the need for a PCR COVID test. No wonder the numbers are rising fast 🤔. Lately it’s like everyday is a full moon.

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Adam Janjua

@JanjuaAdam

4 months

This increased productivity is exacting a great toll on the staff working in GP. It can’t continue underfunded and will soon lead to a crisis point. NHSE are you listening?

GPonline

@GPonlinenews

4 months

GP practices delivered 25% more appointments this April than in 2019 #GPnews

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Adam Janjua

@JanjuaAdam

8 months

This 👇🏽 is a link to an article from 2001 where NHS Dentists were warning about the threat to NHS Dentistry. 23 years later and NHS GPs like myself and others are trying to get the public to realise the danger of practices closing and patients having g to go private. #WakeUp

Usman

@ali_uzi

8 months

@JanjuaAdam @nwlmcs Even before this article dentists realised that nhs funding wasn't sufficient and dental deserts are now common. Gp funding going the same way?

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Adam Janjua

@JanjuaAdam

8 months

Local ICB spends a whopping 52% of its £3 Billion budget on acute care. The GP budget? Less than 8%! Yet every single penny GPs get needs to show Return on Investment (NHS buzzword). I’d love to see the RoI for the money going to acute spend. Or is RoI only applicable with GPs?

PulseToday

@pulsetoday

8 months

'Future growth in funding and staffing needs to be directed proportionately more to primary and community health and care services rather than to acute hospitals.'

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Adam Janjua

@JanjuaAdam

5 months

The rest of the system seems to have very little respect for General Practice. A person - not registered here - visiting the area called 111 for help. Was told WIC/UTCs very busy so try one of the local practices (by walking in to reception) to see if they can squeeze you in as a

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Adam Janjua

@JanjuaAdam

6 months

@RomeoPapa60 In the hospital I think yes. In primary care- the work isn’t ours to do so no.

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Adam Janjua

@JanjuaAdam

6 months

Who says GPs aren’t united? 💪🏼💪🏼💪🏼

General Practice

@BMA_GP

6 months

We have overwhelmingly voted to reject the Government and NHS England’s 2024/25 GP contract changes. More than 19,000 GPs and GP Registrars took part in the BMA’s referendum, with over 99% voting ‘no’. Our message can't be any clearer. @doctor_katie

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Adam Janjua

@JanjuaAdam

5 months

Fight harder @andrealeadsom - General Practice is dying! Words don’t pay practice staff or bills. Talk is cheap if it’s not followed by action.

PulseToday

@pulsetoday

5 months

'General practice is the beating heart of our health system.' Primary care minister Andrea Leadsom champions the integral role of GPs and lays out her plans to protect the profession

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Adam Janjua

@JanjuaAdam

5 months

CCGs were told we were too weak to tackle poor performance at hospital trusts. This is why ICBs were created and yet we are still in a position where secondary care spending is bonkers with little to show for in improved performance. The common denominator here is obvious!

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Adam Janjua

@JanjuaAdam

8 months

A week on and not a single local MP has been in touch with me to discuss the report thus far. Not even one. To guarantee the best possible outcome for their patients, one would have assumed that they would be eager to investigate the source of General Practice's financial crisis?

Lancs & Cumbria LMCs

@nwlmcs

8 months

A week ago we published a report on the financial distress our practices are in. Almost 60% of practices reported financial stress either in terms of reduced income/rising costs and the inability to afford to recruit staff. Read the full report here - #GP

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