Rhian Last RN - Author, Editor and Educator

@rhianlast.bsky.social

Winner 2021 FPM Medical Writing in Social Media Award for Europe Books: Reflective Leadership in Healthcare: a practical guide-Rhian Last & Sue Lillyman 2023 A Nurse’s Survival Guide to General Practice Nursing-Karen Storey & Rhian Last 2021

GPs have won a major protection for patients in their negotiations with NHSE & Govt Guarantee of referral, no target for rejections, clear documentation of Advice and Guidance with Consultant name & GMC number Patient safety is always the priority Govt needs to listen to GPs

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The number of GP practices in England fell from 7,686 in 2015 to 6,359 in 2025, while the number of homes rose by around 2m over the same period. As a result, the number of homes served per average GP practice rose from 3,066 in 2015 to 3,976 in 2025. www.gponline.com/one-gp-pract...

One GP practice a week closing under Labour, say Lib Dems

The NHS has lost a GP practice a week since the Labour government took office in summer 2024, the Liberal Democrats have warned - as the party promised to guarantee new housing developments come with ...

gponline.com

Just seen the ad for the new director of patient experience at DHSC. Interesting JD. And….although there’s *much* the NHS can learn from customer service industries, patients are not customers- they are co-producers of health. A vital distinction imho.

11:39. Just really tired. External services emailing problems across that they could solve themselves because we're the path of least resistance. 629 tasks. 24 staff. 249 minutes. One practice. One Monday morning. This is general practice. This is what we do. Every single day.

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By 08:01 - one minute after we opened - we were at 154 tasks. The number that appears in NHS workload reports, the one practices get compared on, is the request count. The difference is the unrecorded workload nobody talks about.

….’That’s what continuity is. Not a policy word. Not a contractual metric. Not a slide on a presentation about neighbourhood health. It’s the thing that lets you see the whole cloth when everyone else is looking at individual threads.’ Brilliant writing by @davetriska.bsky.social thank you 🙏🏽

Dr Dave Triska@davetriska.bsky.social · 6mo ago

📝 What you can’t measure What happens when a GP sees something others couldn’t reach? What if the instrument wasn’t training - it was years of knowing a community? Who measures what matters? One room. One family. One conversation. 👇👇👇👇 open.substack.com/pub/davetriska…

In 2025, non-medical clinicians made up a quarter of the UK's qualified prescribers. We’ve identified gaps in supervision, training and planning that need to be addressed if the NHS is to make full use of this growing workforce 🧑‍⚕️ Read this week’s report to learn more: buff.ly/to2szx8

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