Chet @chetmb

In discussions with doctors working in EU countries, I am struck by the difference in the priority given to rehabilitation medicine compared to the UK. Rehabilitation Medicine is generally a much bigger specialty in Europe with better access to therapies for patients.

I'm about 90% sure there's always been plans for a certain young player, from the adults managing his career, to be moved to another club at 16, and everything else has just been part of building the hype.

If you are a medical graduate who HAS NOT yet come to the UK- and have done your medical degree abroad eg: India, Pakistan, Nigeria etc ? Then I would seriously advise about thinking whether to pay @gmcuk your money for PLAB If you do- please do so with clear understanding of what comes next. Your chance of getting a speciality post is pretty low. You may have to work for 2- maybe 5 years- (yet to be decided) when you are ready That work will be doing what others don't want to do-in general- with low to nil opportunities of training and progression. Anyone else suggesting so is mostly- lying. I would ask @RCPhysicians @rcgp @AoMRC @gmcuk to clearly advertise that- rather than exploit for money If you want to come to the UK for work as a doctor? Do so fully informed. NB: The above is not the fault of local graduates- but squarely down to @NHSE_WTE making a mess of training and enough places- along with GMC for keeping PLAB running at full tilt- while also supporting lesser trained professionals doing roles & jobs of doctors. The focus has been to reduce dependence of foreigners - yet doing so on the cheap- both financially and training wise- the impact of which falls on the population. @Garethiacobucci via @bmj_latest reports: bmj.com/content/394/bm… #NHSFacts

Hands down the best Youtube short ever made. What an incredible edit! 👏

People keep saying Trump term II is the most corrupt administration ever, so I built a model to find out if it was true. I took the UN's definition of corruption, turned it into eight criteria and 100 points, and scored the leaders history remembers for looting their countries: Marcos, Suharto, Mobutu, Abacha, Obiang, Putin. Then I put every president since Eisenhower on the same scale, both parties, with every exoneration counted right alongside the convictions. Nixon scored 41 and no other American President scored over a 25. Trump's second term scored a 91, which ties him with Suharto and Mobutu and puts him above Marcos and Abacha. So he is not only the most corrupt president in American history. At this pace he finishes his term level with the most corrupt rulers of the last hundred years. PSA: don't come in my comments arguing about the results if you haven't read the full article, because ignorance is a choice. Full article is up now on my Substack (link in bio) and it's free.

The GP appointment book is full… 🧵 With thanks to Dr Colin Wilson Vital read for @DHSCgovuk @andyburnham @YvetteCooperMP @DianaJohnsonMP @JamesFrith

Miriam Margolyes' week:

Daily Mail @DailyMail

2 weeks ago

Miriam Margolyes says she 'didn't want to hurt' Andi Peters and insists she's 'interested in how black people, fat people and cripples feel about who they are' as she speaks out on This Morning 'racism row' trib.al/CGFAGeR

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I wasn’t expecting that! 🤣😂

Everyone’s talking about the dodgy polls exposed by Verbatim and Channel 4. But here is the question nobody seems to want to ask: How the hell did these polls end up splashed across the Telegraph’s front pages? Who fed them to journalists? Who signed off on publishing them? Who benefited? And perhaps most importantly: what links exist between the people pushing these polls, those amplifying them, and Reform UK? This needs investigating properly. Because if the polling was dodgy, the story doesn’t end with the pollsters. Follow the money. Follow the connections. Check the whole chain.

Just in case you wonder if we are making it up about rejected referrals...I present to you the Podiatry Referral rejection matrix..... Rejected referrals arrive with an unnamed generic letter and a lovely chart saying that these patients are not worth it. Plus, my interpretation is that this is not in alignment with NICE guidance. I wonder where these patients are expected to go now?

Nigel Farage’s response tomorrow to the C4 investigation:

One last ‘I did not see it’ for the road

Rob Harris @RobHarris

2 months ago

BREAKING: Arsene Wenger says he was “not involved” or aware of World Cup share off plans The decision to withdraw the project was absolutely necessary and beyond question” and calls for “FIFA that serves our game with commitment, transparency, and integrity.

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Let’s do a reminder- again The #NHS ergo @NHSEngland @NHSE_WTE made the conscious decision to disband the team specifically created to tackle #Racism in the workforce in 2023 And depended on hope & vibes to tackle this issue. Here we are in 2026. While the @NHS_RHO stays true to its name And observes. No idea why people indulge in the facade of “it’s a serious problem we must tackle” Just say it isn’t a priority Better to be honest @DHSCgovuk @YvetteCooperMP @andyburnham

Sky News @SkyNews

2 months ago

NHS staff have been called "dirty foreigners" and "monkeys" amid a "noticeable" and "unacceptable" rise in racism from patients, a survey has found trib.al/lm0btlF

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🚨Instead of watching 2 hours of Netflix tonight, watch this Stanford conference. It's the clearest explanation I've seen about how ChatGPT and Claude really work. It's useful whether you've never touched AI in your life or you've been using it every day for a year. It takes the key ideas and turns them into practice so you can get 100% out of artificial intelligence.

I want to talk about this in the context of how UK sees and uses F1s, and their actual value in the health service. For context F1s are doctors in their first year post-qualification from an intensive 4-6yr medical school programme encompassing core skills & knowledge 1/

Sandip Patel @SandipP61970438

3 months ago

@anaesthetic_spr F1s in ED are of little use

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No one should be celebrating what seems certain to be the imminent departure of #Starmer & arrival of our 7th PM in 10 years Something has gone horribly wrong in British politics. Stability & competence were key parts of what made us a great country. Poorer quality politicians, the cheapening of political debate (in part social media but also MSM) & rise of so called populism led to #Brexit & the decision to leave #EU just exacerbated the demise of competent Govt, sensible politics & decent politicians.

There is an escape route for Labour from certain disaster at the general election: use their Commons majority to ram through PR. It’s cynical, + they’d never govern alone again, but it locks Reform out of No10. The left (Lab, Gr, LD) still have a majority over the right in the UK

😑😑😑

The National @ScotNational

5 months ago

The BBC has been forced to issue a correction after over-stating small boat crossings by more than 140%

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NHS FIRED ITS OWN WATCHDOG Professor Narinder Kapur (@Narinder_Kapur) spent 13 years at Addenbrooke's Hospital (@CUH_NHS) building one of the UK's first Memory Aids Clinics. He was past-president of the British Neuropsychological Society. He had written award-winning papers on patient safety. He had raised concerns about unqualified staff in neuroscience clinics on 13 separate occasions over seven years. So naturally, Addenbrooke's sacked him. It was December 2010. His line manager had never managed a clinician before in her life. Letters of appreciation from patients and staff were handed to the panel and ignored. The Trust then threw in fraud allegations for good measure. The Employment Tribunal later condemned those allegations as, in their words, a most unsavoury incident. In 2012, the Tribunal ruled the dismissal unfair. It found 18 separate points of criticism against the Trust. The very act of standing up to management was listed as a reason relations had broken down. Not an apology has ever come from Addenbrooke's. Not one person held responsible. Meanwhile, patients continued to be seen by unqualified staff. The concerns Professor Kapur raised were vindicated by an internal report that management had kept secret from him throughout his own disciplinary hearing. He has since become one of the most important voices in @NHS whistleblower reform. He proposed Amin's Rule, calling for an independent second opinion before any NHS staff dismissal, inspired by Nurse Amin Abdullah who burned himself to death outside Kensington Palace in 2016 after his own kangaroo court dismissal. He has won a Lifetime Achievement Award from the British Psychological Society. He campaigned for the very protections the NHS still refuses to put in law. The system fired him. The profession honoured him. The NHS learned nothing. Source: abetternhs_com | ajustnhs_com | @Narinder_Kapur | @CUH_NHS

THE INSPECTOR WHO INSPECTED TOO HONESTLY Dr Shyam Kumar @ukorthopod is an orthopaedic surgeon. A good one. Unblemished record. So the Care Quality Commission (@CareQualityComm) recruited him as a part-time inspector to help hold NHS hospitals to account. He took the job seriously. Too seriously, it turns out. Between 2015 and 2019 he raised concerns about botched hospital inspections, a bullying culture inside the CQC itself, and a surgeon at Morecambe Bay whose hip replacement on an elderly patient left her unable to walk. He asked the CQC to review that surgeon's cases. He was told the trust did not want to do so for reputational reasons. A Royal College of Surgeons review later found problems with 26 out of 46 of that surgeon's operations. The CQC's response to Kumar? They called his concerns fanciful. They dug for dirt on him. Then they sacked him. In September 2022 a Manchester Employment Tribunal ruled he had been unfairly dismissed. The tribunal found his safety disclosures had directly influenced the decision to get rid of him. The judgment noted that CQC officials spent their energy gunning him down rather than focusing on patient safety. He was awarded £23,000 for injury to feelings. Not damages for a ruined career. Not accountability for the officials who ran the smear operation. Just £23,000 and a declaration. The CQC issued a statement saying it had learnt from the case and improved its processes. A decade earlier it said exactly the same thing after the Mid Staffordshire Public Inquiry found it had victimised its own whistleblowers then too. The system that was built to protect patients ran a seven-year campaign against the man raising the alarm. Then it said sorry and carried on. Source: @BBCNews, The Guardian, BMJ, Westminster Confidential (@davidhencke)