"Three values have animated my work - truth, justice and hope." Michael Marmot.
Charlotte Bolton
@profbolton.bsky.social
Prof Respiratory Medicine. Focus on #COPD, #GlobalHealth, #rehabilitation #recovery, #AirQuality #Medsky #RespMed. #Lung #lungsky #research. Clinical Academic. FRCP. Social justice, addressing inequalities. Uni of #Nottingham. Views expressed my own.
Dr. Jane Goodall filmed an interview with Netflix in March 2025 that she understood would only be released after her death.
👇… Not right time for vote / when done - do properly! ….
The RCP is asking Fellows to vote on key constitutional reforms, including extending the franchise. A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly. Not enough information. Too many questions. Our views here: tinyurl.com/ye5k2fa2
"the poorest 10 per cent of people would need to spend 74 per cent of their income to eat healthily" www.newstatesman.com/spotlight/he... #StructuralViolence
Michael Marmot: "Stress associated with poverty will damage children"
The health inequalities expert on how rising prices are making us ill.
newstatesman.com
“The review… comments that without core knowledge of the pre-clinical subjects (such as pathology), it is not possible to apply mechanistic reasoning to complex health problems” Agreed Training to be a doctor is necessarily long because, simply put, medicine is complex www.bmj.com/content/390/...
Farewell, associates. Welcome back assistants
On 20 November 2024, Wes Streeting, the UK’s Secretary of State for Health and Social Care, commissioned Gillian Leng to undertake an independent review of physician associates and anaesthesia associa...
bmj.com
Quite some headlines on how things need to change after #LengReview. Thank goodness for everyone who stood up for /had to whistleblow for patient safety, resident doctor training and how the public were being mislead. Review could have gone further but …
NHS physician associates should not diagnose untriaged patients, review finds
NHS physician associates should not diagnose untriaged patients, review finds
Government review says PAs sometimes used to fill roles designed for doctors, potentially exposing patients to risk NHS physician associates should be banned from diagnosing patients who have not already been seen by a doctor, a government review has concluded. The review calls for the government to overhaul the role of physician associates (PAs), who it says have been substituted in for doctors to fill staffing gaps despite having significantly less training. Continue reading...
theguardian.com
The Leng review …. Physician associates need new job title, says review www.bbc.com/news/article...
Physician associates need new job title, says review
It also recommends PAs and AAs wear standardised clothing and badges to distinguish them from doctors.
bbc.com
What a great meeting! The national COPD ‘25 conference was held in Nottingham last week. Great to share research, clinical views and network. Included talks from @nottscopd.bsky.social team - Ayushman Gupta, @amandatatler.bsky.social @drrachclifford.bsky.social and @profbolton.bsky.social
"As I get older I want to be seen in terms of doors that might still open for me, not ones that have already closed." John Launer on why any measurement of a patient's deficits in health should be accompanied by a list of capabilities www.bmj.com/content/389/...
🚨 1 person is hospitalised every 3 minutes from COPD 🚨1 in 2 patients are readmitted or die within 90 days of a COPD exacerbation 🚨COPD is the 2nd most common cause of emergency admission 🚨In the UK someone has a COPD exacerbation every 20 seconds It’s time for change
What a privilege to hear from many people w/ lived experience of #COPD & carers, joining politicians, clinicians working for COPD at House of Commons. The need is huge, the voices strong. Now let’s sort it! humbling to hear stories. Thank you to all patients who came. Now let’s ACT! #COPDVoices
Come and sign up for COPD 2025! Now free, due to the sponsorship support. copd-uk.com/home
COPD UK 2025
copd-uk.com
I've talked to hundreds of Members and Fellows and their views are clear: we need to revitalise the RCP and restore the #VoiceOfPhysicians Vote Asif Qasim before Monday 14th April It's time to act: let's make the RCP something we can be proud of
We are excited to advertise for a Band 6 Respiratory Readmissions Nurse to join our friendly COPD Team at NUH - an exciting opportunity to support people living with Chronic Respiratory Disease!! See below for more details 👇.... www.nuh.nhs.uk/jobs#!/job/v... @profbolton.bsky.social
Re elections for @rcphysicians.bsky.social London, I will be voting for @drasifqasim.bsky.social as PRCP and @drlkvaughan.bsky.social as clinical VP. It’s time for a BIG change at the College to repair the damage, restore the workforce, rebuild the standards & re-establish reputation #VoteAsifQasim
Nick would make a wonderful new member of RCP Council. Integrity. Decency. One of the Fellows who called the EGM. A brilliant doctor and colleague. Just what the College needs more of 👏
Honoured to be nominated for RCP Council by @drasifqasim.bsky.social @respirologist.bsky.social & @martinmckee.bsky.social Time to get our college back on track. I strongly support @drasifqasim.bsky.social for PRCP and @drlkvaughan.bsky.social for VP. #VoteAsifQasim #RCPtimeforchange
💥 Voting for the new @rcphysicians.bsky.social President opens on Monday. 💥 Here's why I believe @drasifqasim.bsky.social would be such a superb new president: Decency. Integrity. Courage. Candour The deepest commitment to excellence in medicine. The true #VoiceOfPhysicans. #VoteAsifQasim
Vital message for doctors!!
💥 DOCTORS!💥 Please share. The #LengReview is running 2 engagement webinars for doctors: 🩺 Resident doctors: 6pm, 3 April 🩺 Other doctors: 1pm, 1 April You can sign up for both here with your NHS email: forms.office.com/Pages/Respon...
We are recruiting!! Are you pursuing a respiratory clinical academic career? Looking for NIHR clinical lecturer post? A post in resp medicine with focus on multiple long-term conditions. jobs.nottingham.ac.uk/Vacancy.aspx... #Respsky #Academicsky #lungsky #medsky @uniofnottingham.bsky.social
Job Vacancy at the University of Nottingham: Clinical Assistant Professor (NIHR Clinical Lecturer) (Fixed term)
Applications are invited from medically-qualified doctors who seek integrated academic and clinical training for a clinical academic career. One post is available in competition between applications f...
jobs.nottingham.ac.uk
Thanks to everyone who came last night to “research lounge” on COPD & making diagnoses in community. Really helpful to get peoples insight, views & suggestions. we’re looking at doing a daytime one soon. Thanks to the team. #CFINDCOPD @nottscopd.bsky.social @uniofnottingham.bsky.social #NUHResearch
Attention FRCPs Happy #RCPEGM Anniversary😱 Here is why I’m supporting @drlkvaughan.bsky.social to be Clinical Vice President at @rcphysicians.bsky.social #VoteLouella & polls open Monday 🗳️
🧵/ Today the BMJ lays out in stark terms the crisis faced by the @rcphysicians.bsky.social. I believe the College has lost the trust of members & ceased to be the credible voice of physicians. This has to change. Here's why I back presidential candidate @drasifqasim.bsky.social to do so.
London FRCPs, this is why you should be voting for Louella as Clinical Vice President! She has been TIRELESS in her fight for standards at the RCP.
The issue of Scope is a vexed one. Here are a few thoughts on why the UMAPs scope is so problematic. 🧵 umaps.org.uk/base-scope-o... 1/
Superb from @drlkvaughan.bsky.social on medical diagnosis & why this new, PA-written scope document simply fails to grasp the breadth & depth of knowledge & skills needed to be a safe diagnostician. Incidentally, Louella's thread also showcases why she would make such a superb RCP VP. #VoteLouella
The issue of Scope is a vexed one. Here are a few thoughts on why the UMAPs scope is so problematic. 🧵 umaps.org.uk/base-scope-o... 1/
Remember that people can be good and kind. Sometimes it just takes a bit of leadership.
In this current harsh world, let's warm a few hearts remembering the events of 7-8 March 1991, when the 90,000 people of Brindisi woke up to find 25,000 Albanians roaming the streets of their town. For perspective, that's roughly equivalent to 25k people suddenly landing in Hastings [Thread] >> 1
And discussed on Today @bbcradio4.bsky.social this am youtu.be/IWNw6nfnN3o?... @trishgreenhalgh.bsky.social @chrischirp.bsky.social
Prof Trish Greenhalgh on BBC Radio 4 Today discussing the latest evidence on Physician Associates
YouTube video by Christina Pagel
youtu.be
Comprehensive rapid systematic review on the role there might be for physician associates or anaesthetic associates in UK in @bmj.com (link in 🧵) by @trishgreenhalgh.bsky.social and @martinmckee.bsky.social. A summary of key points 👇.
Comprehensive rapid systematic review on the role there might be for physician associates or anaesthetic associates in UK in @bmj.com (link in 🧵) by @trishgreenhalgh.bsky.social and @martinmckee.bsky.social. A summary of key points 👇.
🧵 1/11 📚 Our new rapid systematic review, led by @trishgreenhalgh.bsky.social in @bmj.com examines the role of physician associates (PAs) and anaesthetic associates (AAs) in the UK. This is a crucially important question in light of the Leng Review
Our new paper on the evidence base for Physician Associates and Anaesthetic Associates in the UK is out today! Coauthor @martinmckee.bsky.social has done a thread here. #healthpolicy #academicsky 🧪
🧵 1/11 📚 Our new rapid systematic review, led by @trishgreenhalgh.bsky.social in @bmj.com examines the role of physician associates (PAs) and anaesthetic associates (AAs) in the UK. This is a crucially important question in light of the Leng Review