bjgplife.com/the-gatekeep... bjgplife.com/the-gatekeep... Parts 3 & 4 of our Wizards and Gatekeepers parable are now out!! Enjoy!!
The gatekeepers and the wizards revisited (Part 4): The Wizard-Psychologist – BJGP Life
bjgplife.com
Neal Maskrey
@stokemacca.bsky.social
Former GP, then medicines and prescribing nationally in UK. Visiting Prof @ Keele Uni. Author of “Rebalancing Medicine”. Family, football, friends. Seeking individualised not industrialised medicine. All views my own.
bjgplife.com/the-gatekeep... bjgplife.com/the-gatekeep... Parts 3 & 4 of our Wizards and Gatekeepers parable are now out!! Enjoy!!
The gatekeepers and the wizards revisited (Part 4): The Wizard-Psychologist – BJGP Life
bjgplife.com
The story of the Paper Boat was a blog I wrote back in 2018 for @gerisoc.bsky.social. It was an analogy that I found useful to explain to patients and families how difficult it can be to predict the future accurately. Now as I and my friends get older, I find myself sharing it once again. 🧵1/n
Just watched the monstrous RFK in front of the Senate Finance Committee claiming he is ‘taking the politics out of science’ whilst doing the precise opposite. My God, the suffering and death that appalling man is wreaking.
Now tagging Bea herself! @drelvey.bsky.social
I'm delighted to host a guest substack post this week by Bea Dutton, a textile artist and part time registrar in the UK - she wrote movingly about her experiences of conducting citizenship ceremonies. This is Britain at its best. have a read! christinapagel.substack.com/p/guest-post...
How can Labour possibly get to the stage where they get something like this so very wrong? Are they not getting good advice or don’t they listen to it?
Ending visas for overseas Care Workers will likely result in Care Homes being unable to recruit & poor care for their residents. This might be you, your relatives or your friends. Unless @teamlabouruk.bsky.social is prepared to increase payments to homes at the same time. Somehow I doubt that.
My father spent his final 3 years in an Elderly Mentally Infirm home. The care staff were from Uganda and worked impressively as a team. Dad received truly excellent care which retained his dignity and love of life despite worsening dementia. They came to his funeral, sang beautifully, hugged us. 😢
In my mother's final years of life had 5 live-in home carers from three different countries. Not a single one from the UK. Labour are making a HUGE mistake with social care, which may cost lives.
Madness is mild! I’ve a relative in a Care Home. I’d say 25% of the staff are recently arrived from overseas and they’re lovely and here. Whereas recruiting locally drew a blank. It’s frightening to think where we will be by the time / if we need care. We already know the NHS locally is 🥵😬
We need to be absolutely clear about the human cost of this policy. More ambulances stuck outside A&Es. More patients dying in hospital corridors. More suffering. More misery. More patient harm. Because Starmer has chosen to prioritise cheap headlines above improving society. Way to go, Labour.
observer.co.uk/news/interna... Awful. How on earth was this allowed to happen? It feels like those of us who have spent their careers in public service are being made fools of. And it’s dangerous for democracy.
How the US president and his clan ushered in a new golden age of corruption | The Observer
The presidency and personal gain now go hand in hand – and no one has been able to do anything about it
observer.co.uk
As the news report that US Secretary of Defence Pete Hegseth had a second signal chat in which he shared detailed military plans with his family One wonders if he was inspired by Mission Gainsborough from this episode of Blackadder Goes Forth 👀
Have you ever seen anything like that? (Masters golf. Rory McIlroy. Grand slam at the 11th attempt. One of the greatest sporting days ever).
Totally. Until and unless guidelines and pathways are explicitly populated with decision points and choices, SDM is arguably a bit of a losing battle.
Once you start looking, it’s tramlines not guidelines everywhere. Inexorably leads to overdiagnosis and overtreatment.
I looked through 7-8 national clinical pathways today. None mentioned shared decision making (an ethical and professional standard and clinico-legal obligation). They are all biomedical treatment escalators that wouldn’t stand up to scrutiny in a court of law should patients come to harm.
"By flooding search results and web crawlers with pro-Kremlin falsehoods, the network is distorting how large language models process and present news and information” www.axios.com/2025/03/06/e...
Exclusive: AI chatbots echo Russian disinformation, report warns
Bots from Microsoft, Google, OpenAI and others spew falsehoods.
axios.com
I see tomorrow is Friday. Is Friday going a tariff day, or a some-tariffs day, or a no-tariffs day? Or will it be some other kind of day, like an annex-Greenland day, or a Hannibal-Lecter-wants-to-have-you-for-dinner day, or an Arnold-Palmer-size day, or something else? I just can’t keep track.
Absolutely shameful, utterly unforgivable www.reuters.com/world/us-cut...
US cuts off intelligence sharing with Ukraine, FT reports
The United States has cut off intelligence-sharing with Kyiv in a move that could seriously hamper the Ukrainian military's ability to target Russian forces, the Financial Times reported on Wednesday, citing officials familiar with the matter.
reuters.com
I taught my dog to play the trumpet on the London Underground. We went from Barking to Tooting in less than an hour. #dadjokes
Zelensky’s refusal to bow to Trump was a big factor in Trumps first impeachment. Why is mainstream media not talking about this?
www.theguardian.com/society/2025...
‘We’re losing decades of our life to this illness’: long Covid patients on the fear of being forgotten
Five years on from March 2020, millions of people still face debilitating symptoms, with huge repercussions on public health and productivity. But politicians are starting to pretend the pandemic neve...
theguardian.com
“This is going to take time to rebuild, but today’s starting point is promising” Our GP committee chair @drkatie.bsky.social speaking about the GP contract agreement on BBC Breakfast this morning. www.bma.org.uk/our-campaign...
This wasn’t some liberal holdover. This wasn’t a career bureaucrat. This was someone Trump’s team installed. And even she couldn’t stomach what they were doing. She wasn’t alone. Five more federal prosecutors resigned in protest. Bless their courage!
Trump Appointed Prosecutor Quits In Defiance Of His Corruption
Read her bombshell resignation letter.
thegodpodcast.com
🔥 Well... this is now over 88,000 signatures! Just one final push to get it over that magic 100,000 and get a parliamentary debate? Why not! Link --> petition.parliament.uk/petitions/70...
@trishgreenhalgh.bsky.social, queen of evidence, has done a systematic review of what scant research exists on Physician Associates in the UK. Great work.
'The absence of evidence of safety incidents [..] appears to have been misinterpreted by policymakers to mean that there are no safety concerns with the substitution of doctors with PAs. This is an error of logic which, if not corrected, is likely to cost lives.' papers.ssrn.com/sol3/papers....
The curious case of Sarah and her sinuses, and what it reveals about the lamentable wrong-headedness among the leadership of England's NHS. My piece in this week's @newstatesman.com www.newstatesman.com/politics/hea...
NHS England has no idea about GPs
Reform will only happen when the organisation confronts how lamentably wrong-headed it has been.
newstatesman.com