Consultant surgeon I’m working with today is moving to Australia permanently in a few months. Reason - better pay, better conditions.
Australia have a shortage of doctors and nurses too, and they’re doing something about it.
Slow hand clap
@SteveBarclay
@Jeremy_Hunt
Wow a tweet about vaccination really brings vitriol.
For clarity I am not remotely interested in your hot anti vaccine / vaccine skeptic take.
The evidence could not be clearer on the balance of risk in favour of vaccination for COVID. No amount of googling will alter that.
@zoeharcombe
Anaesthetist here.
Wear one of these all day, every day.
Oxygen levels remain high, but If anyone has a solution to foggy glasses I would really appreciate it.
Also - please stop spreading bollocks. Ta.
When
@SteveBarclay
says ‘we cannot afford pay rises for nurses’ what he means is that after 12 years in power the government can no longer afford nurses.
#NursesStrike
We have accepted the recommendations of the independent NHS Pay Review Body to give nurses a fair pay rise of at least £1,400 this year. This means a newly qualified nurse will typically earn over £31,000 a year
I see the headlines today are all about how doctors are politically motivated.
I voted Tory until 2010. I never will again.
If you systematically screw an entire cohort for over a decade do not be surprised when they stop voting for you.
It’s politics, stupid.
#NHSCrisis
Wondering today about when I would give notice to go part time in 23/24 to avoid a large pension tax charge that I cannot afford.
I have just started my 4th yr as a consultant, I don’t want to go part time, this is insane.
Please sort it out now
@theresecoffey
@KwasiKwarteng
Another senior ENT trainee this morning discussing his upcoming fellowship in Brisbane, and intention to stay there as a consultant afterwards.
The main reason? Pay.
But sure
@SteveBarclay
you carry on ‘fighting.’
As 5 day
#JuniorDoctorsStrike
begins, new data from NHS shows waiting lists are NOT falling. The lists have now hit a new record high of 7.5m.
With consultants reducing NHS to a Christmas Day service next week - meaning no routine work - the situation is only going to get worse
.
@SteveBarclay
claims that AVERAGE consultant earnings are £134,000 PA.
The ABSOLUTE TOP END of the consultant pay scale for full time NHS work is £119,133 after 19 YEARS as a consultant.
Once again he is talking utter rubbish.
#NHSCrisis
#consultantstrike
I work in a tertiary centre. If we have 1 consultant: 3 senior registrars we are having a terrible day.
Yet
@theresecoffey
is apparently able
to speak with authority on these matters. Dangerous nonsense.
As government passed registration of PAs/AAs by the GMC today one particular clip really intrigued me:
@theresecoffey
here talks about having 1:3 supervision for AAs 🤔
We have to also remember she was health secretary - she’s seemingly marking her own homework here.
The NHS 🤝 New tech.
This type of collaborative innovation can help to take the burden off NHS staff and improve access to care by removing causes of delays in discharging patients.
Visiting great UK-based business
@WeMakeAI
👇
Raising money for the Royal Surrey Cancer Centre (£20m secured from the NHS plus £400k in donations so far and rising!) has persuaded me perhaps unwisely to run a THIRD
@LondonMarathon
this year! So here I am with Poppy this morning in Hyde Park knocking off a cool 17
So. These guys earn more than any doctor ever will, none of them are doctors but they are in charge of the regulatory body for doctors, which is funded by doctors.
Makes sense,
Complete nonsense,
@Douglas4Moray
needs to urgently retract.
Unlike the Scottish government
@SteveBarclay
has refused to sit down with doctors in England.
There has been no deal offered in England, no ballot of members.
Scotland - no strikes.
England - ongoing strikes.
Some context for the
#JuniorDoctorsStrike
If you graduated in medicine at any time from 2008 onwards your pay and conditions at every grade have only ever deteriorated. No change in pay has been above inflation, no change to pension has improved it.
Worse - Every. Single. Time.
You should be able to get a GP appointment when you need one.
Labour will end the postcode lottery for GP appointments, training 7,500 more doctors a year and guaranteeing face-to-face appointments.
Vote Labour on Thursday 4 May to cut waiting times.
A minimum wage of £35k to work in the UK?
That would be less than a newly qualified doctor earns.
See any problems with that, given we’re around 11k doctors short in England alone?
I’m a consultant anaesthetist. I am double vaccinated and was boosted early (in June) as part of the CoVBoost study in Oxford.
Vaccines are safe, effective and keep you out of hospital and ICU. Please do your bit to help get us out of this awful pandemic.
#GetVaccinatedNow
Bizarre that the Scottish government is able to make continuous progress with
@TheBMA
and yet the English government are not.
Could it be that
@SteveBarclay
is a liar liar pants on fire? 🧐
🚨Breaking: Junior doctors in Scotland win major pay deal from Scottish Government - equivalent to 17.5% over two years. BMA has suspended its strike action to consult members on the deal:
Your workforce is burnt out, the service is collapsing and you’re going with this
@SteveBarclay
?
At some point you will have to bow to the inevitable and actually pay NHS staff their worth.
The alternative is an ongoing exodus of valuable staff you cannot replace.
The BMA have said repeatedly & at length they are ready & willing to come to the negotiating table.
It is the government who have repeatedly refused to do so.
The title of this article should replace ‘The BMA’ with ‘The Government’ - anything else is a gross misrepresentation.
5. You aren’t paid your worth in healthcare.
£1800/month for my hours isn’t enough to keep me here.
Apply the same time, energy & training to other fields, and you’d see 10x the return.
There’s easier ways to earn £1800 without 7+ years of training/exams/sweat/nightshifts.
We covered this during the junior doctor strikes
@Jeremy_Hunt
, your ‘solution’ made things worse as we said it would.
You are haemorrhaging senior clinicians daily. Unless you concentrate on fixing the retention issues you have created this situation will only get worse.
Hilarious that
@Jeremy_Hunt
is now somehow the champion of safe staffing.
The entirety of doctors in training went on strike in 2016 because the contract he enforced further endangered safe staffing.
As an anaesthetic registrar nursery fees took up more than half my monthly salary, or nearly my entire (part time GP registrar) wife’s salary.
This really isn’t that complicated.
What is the end goal of the childcare arms race?
“Instead of competing to offer more state-funded childcare as a sticking plaster on cost-of-living challenges, we should address structural reasons why family budgets are now so stretched.”
@TheCriticMag
The irony is that
@Jeremy_Hunt
consistently refused to debate junior doctor representatives during the strikes. This despite repeated invites, in particular from
@doctor_oxford
.
Keep this in mind when he says “man up”
@davehartin
@Peston
It isn’t the mortality rate that is the issue, it is the number that require hospital admission and/or intensive care to achieve their survival potential.
Reports from Italy ICUs are that 10% of infected require ICU admission. If this is true it will completely overwhelm us.
I had never heard of
@Doctors_Vote
prior to the current action.
I viewed the action they initiated as
@TheBMA
finally getting their act together and standing up for the profession, I rejoined for this reason.
I have been a consultant for 4 years, a doctor for 15.
With more strikes looming, DoctorsVote has won 70 out of 75 seats in internal elections at the BMA. They're taking the fight to the Govt. But insiders also describe a darker side to their activism with dissent ruthlessly crushed. My Sunday read:
Looking for answers to the NHS crisis
@SteveBarclay
@RishiSunak
@Jeremy_Hunt
?
Pay NHS staff their worth.
With shortages in the tens of thousands there is literally no other option.
I suspect the ‘costs have risen, activity levels unchanged’ is less a drop in productivity, more staff doing less unpaid work.
The bank of goodwill is empty.
@ChrisHopsonNHS
I’m sorry Chris but this is all complete whitewash whilst you impose yet another contract on GPs.
“We value you” is meaningless in this context.
For gods sake
@Jeremy_Hunt
have you not learned yet?
Fiddling the numbers for a cheap PR exercise makes the situation worse and destroys morale.
We are 40,000 nurses short. Sort it out.
Mr Barclay had repeated this falsehood multiple times. It appears a deliberate attempt to deceive.
@BBCr4today
and
@SteveBarclay
please ensure a correction is issued urgently.
This morning on
@bbcr4today
the Health Secretary
@SteveBarclay
said Consultants get a "tax-free pension of £73,000 a year" when they retire.
This is categorically not true, and we expect him to issue an urgent correction. Here's why 🧵 (1/5)
Still pushing the line that strikes are responsible for the waiting lists I see.
The data he is referring to is in fact from a period where the strikes did take place.
Also this:
Prickly Sunak meets member of public.
Patronises them, laughs at them, and then walks away halfway through encounter.
A genuine sign of contempt from PM towards ordinary voters.
Hey
@SteveBarclay
That was a TRULY terrible speech. It failed to capture any pertinent issue, not a single workable solution, just waffle.
The pension tax issue became a crisis 5 yrs ago, it is now an apocalypse for the NHS.
1. Understand it -
#talktotony
2. BLOODY FIX IT
I will be working today on the emergency surgical list.
I fully support my consultant colleagues on strike.
All the government have to do is get around the negotiating table and talk about pay.
@DrPhilBanfield
has said nothing is set in stone.
They refuse again and again.
The NHS is setting out measures to improve the working lives of postgraduate doctors.
These include improving payroll accuracy, reducing admin burden and enhancing choice and flexibility with rotas.
Come on
@RishiSunak
@sajidjavid
you have reigned over this fiasco long enough.
Doctors want to stay, want to work extra, want to work with you to clear the horrendous waiting lists.
We cannot do this if we are literally paying to be at work due to pension taxation. Fix it now.
1/ Today
@bma_pensions
have formally written to
@NHSEngland
asking them to remove incorrect & misleading information from their website, on the value of delaying retirement
The next time you can’t see a doctor…. Blame Labour.
They haven’t been in power for 14 years, and when they were the NHS functioned infinitely better than it does currently. But sure - Labour.
The next time you can’t see a doctor, your kids can’t go to school and your train doesn’t turn up, remember,
@UKLabour
’s plan is to give even more power to those who are trying to hold Britain to ransom.
Shocking and highlights the NHS staffing crisis which has continued to worsen since then.
It’s not just one or two places, it is everywhere. Doctors and nurses.
🚨 EXCLUSIVE: A senior doctor warned the neonatal unit where Lucy Letby worked was chaotic, overstretched and unsafe for patients and staff in a damning email to the trust chief.
Letby exploited these weaknesses to kill 🧵 1/n
10k patients at this Cosham practice will be getting letters like these today. Local Cllrs, Healthwatch and I are concerned at this decision and the short notice. I’m worried about continuity of care and the impact on other GP surgeries.
No.
You completely screwed us over a decade ago, and have made no real attempt to recover since.
There is a reason that everything in the NHS is worse than when you came to power. The reason is you.
The govt really, really do not think that – I cannot emphasise that enough. The NHS budget is up by a third - in real terms - since we came to power.
Plus, the whole point of the money for the Long Term Workforce plan (the first ever, from this govt) is that the NHS doesn’t just
More than six million runs were completed on the
@couch_5k
app last year - helping people to stay fit and healthy while reducing pressure on the NHS. The app is free and fun and a great way to get active at the start of 2023
@wesstreeting
Wes year upon year of below inflation ‘pay awards’ have reached the point where the work is no longer worth the pay for NHS workers.
Unless this is rectified immediately nothing else matters, people will continue to leave and the already dire situation will worsen.
@mancunianmedic
Much as i wish i was as well
informed as you clearly were at the time... I was in my 20s, politically naive, angry atbth changes to pay and conditions in my F1 year of 2008, and voted the way my parents always had.
A mistake with hindsight 🤷♂️
They will not listen. It is the same pattern over and over.
Forcing through poorly thought out policies, ignoring concerns from experts. Later - failing to own the consequences.
Brexit, Rwanda, austerity, multiple failed NHS policies. The list goes on.
It has to stop.
Ahead of the Government approving legislation to regulate PAs and AAs under the GMC, we’ve taken out newspaper adverts urging MPs to "listen and act on doctors’ very clear warnings" and reject these plans before it's too late.
@DrPhilBanfield
explains why
@ShaunLintern
@RCoAPresident
I was teaching our new anaesthetic ST3s yesterday. They’re brilliant, motivated, excellent doctors.
They tell a story of rota gaps, constant begging emails from old and new trusts for cover. Meanwhile training numbers are reducing, demand is sky rocketing. Very worrying.
@SteveBarclay
You are losing staff at an ever increasing rate and you are doing nothing significant about it. As things stand my choices continue to be to either drop sessions or come out of the pension scheme entirely to avoid losing up to 2 months take home pay every year. Sort it out.
Full solidarity with my colleagues on the
#JuniorDoctorsStrike
today.
No profession should have to ensure the onslaught on pay and conditions we have seen over the past 15 years,
The only way out is up. 👊
The reality of being a consultant doctor in the UK currently. A tax charge more than 2 months take home pay *every year* because the government don’t understand the impact of their own tax policies. Why is there a staff crisis?
@FT
@thetimes
@DailyMailUK
@Telegraph
@BBCNews
This is popping up on the timelines of many NHS consultants. Strangely doesn’t mention the hugely unfair pension tax which results in many paying to be at work for part of the year. I wonder why?
#NHSCrisis
Our NHS Pension Scheme will give you a pension payable for life, fully guaranteed by the government.
To find out what benefits are included as part of the pension scheme, watch this video:
"
How does one define overwhelmed ?
Is it the cancer patient cancelled for the fourth time?
The vascular patient with acute limb ischaemia on a trolley for 10 hours?
The ambulance that took 2 hours to arrive for a septic child?
None of these? All of them?
#NHS
For those replying “it is his choice” absolutely it is, if not a particularly politically astute one imo.
The point is - is £125 for an entire year of primary care treatment (consultations / tests / nurse appts / physios etc etc) enough ?
(Spoiler - it is not)
@ellieealexandra
Genuinely speechless at this. Rest assured you have the full support of the overwhelming majority of consultants.
The opinions of this person are irrelevant.
@ShaunLintern
@neilorpen
2016 was nothing like this Shaun. The profession has not been this united for decades. Certainly not at any point since my career began in 2008.