For those who don't fully understand what is up with the NHS, here is a thread for you that might help. I'm a consultant physician working as a doctor in the NHS in Yorkshire and Wales for 32 years now. I have experienced the NHS at its best (2008) and its worst (2022).

Today I joined a trade union for the first time. My reasons for not joining in my first 5 years are complicated, but my reason for joining today is not. Junior Doctor pay has dropped on average 26.1% in real terms since 2008 (BMA figures). #PayRestoration

🚨 JUNIOR DOCTOR CONSULTATIVE VOTE RESULTS: Junior doctors in 🏴󠁧󠁢󠁳󠁣󠁴󠁿 have voted to reject the Scottish Government's pay offer. 71.1% voted to reject the offer, with a turnout of 66.3%. Read the full details from Chris Smith here. 1/2 bma.org.uk/bma-media-cent…

As I seem to only tweet big life news 💍

1. Exactly one year ago 1 posted this tweet which went rapidly viral and gained 7m views within 7 days. I think it is time for a review. Overall morale within the NHS is, if anything, considerably worse... x.com/peteneville65/…

Some excellent work from Dundee Pavan Raju @grantrod0606

Should we use sterile gowns for spinal anaesthesia? The incidence of infection from a single-shot spinal is low. The environmental cost of gowns is high. What do you think? 🔗…-publications.onlinelibrary.wiley.com/doi/10.1111/an…

An excellent piece of work I’ve been proud to be involved with!

Anaesthetists in training can safely undertake a great deal of ‘solo’ work at distant supervision. Both documents, released by Association of Anaesthetists @Anaes_Trainees and Royal College of Anaesthetists help give guidance on maximising patient safety, team success, and educational benefit. Links below ⬇️

Sterile gowns for spinal anaesthesia – environmental cost without clinical gain: a reply A local survey of 202 anaesthetists found that 88% would consider omitting a sterile gown. There was 95% face mask compliance (elective). buff.ly/4fBaPU0 buff.ly/3Ze85F9

#TBL 459: Pupillometry Thresholds for Neuroprognostication thebottomline.org.uk/summaries/pupi… Article by Nyholm Review by Stephen Waite - finalist of TRIC Network Honorary Digital Editorship competition with The Bottom Line