stokemacca retweeted
If you have a billion dollars, you cannot buy good medicine.
Because good doctoring has three components — and none of them are visible from the outside.
Technical skill: Can your surgeon actually operate? Other surgeons barely know. You don't.
Relational skill: Does your doctor listen? Patients are actually the best judges of this one.
Cognitive skill: Can they appraise evidence and apply it correctly to you — not to the average trial patient?
No market signal identifies all three.
— Dr. Anil Makam, UCSF
bjgplife.com/the-gatekeepers…
bjgplife.com/the-gatekeepers…
Parts 3 & 4 of our Wizards and Gatekeepers parable are now out!! Enjoy!!
stokemacca retweeted
The low point was my telephone cancer review
Clinician: so you know you’ve got cancer?
Me: yes
Clinician: great
stokemacca retweeted
Why the NHS is failing #826363839
1. Fragmentation of care.
It’s almost impossible to read a clinical story in GP notes now. It’s messages and anima requests and “failed encounters” when someone can’t answer the phone. (1/n)
stokemacca retweeted
I’d like to congratulate @RyderCupEurope on their victory. Your team play the first few days was sensational.
More importantly, I’d like to apologize for the rude and mean-spirited behavior from our American crowd at Bethpage.
As a former player, Captain and as an American, I am ashamed of what happened. #RyderCup
stokemacca retweeted
Au naturel 🔢
City's initial first team squad numbers for 25/26 have been confirmed 👇
Enough of this. FFS. 🙇🏼♂️🙇🏼♂️🙇🏼♂️🙇🏼♂️🙇🏼♂️ ACPs are great but ARE NOT DOCTORS, and most of them know they aren’t and are entirely happy not to be.
stokemacca retweeted
I was the on call Anaesthetic resident for emergency theatres last weekend and a trainee SCP was first assist for certain cases e.g lap appendix and was doing other cases e.g abscesses with local supervision. I felt really uncomfortable with this. 1/n
stokemacca retweeted
Did a Ray Cooney farce with this comedy genius. He was playing the butler. Stole the show every single night without even trying.
One of the kindest, gentlest, most generous actors I had the good fortune of working with.
A true comedy legend.
RIP Brian Murphy.
Hear hear. Backlash on fewer targets is misguided. Bolder cutting of targets required; doing half of the wrong thing is better, but still not great. Targets often / usually distort clinical priorities. Performance measures should focus on failure demand.
We have to do things differently.
I'm instructing the NHS to fix the fundamentals.
It needs to deliver on patients’ priorities – shorter waiting times, being able to get a GP appointment and ambulances that arrive on time.
telegraph.co.uk/news/2025/01…
The original vignette was shocking in its failure to recognise the strength of primary care and general practitioners - strong primary care = better health system, better care, lower costs. I haven’t seen anyone say “Sorry”. Vignette just withdrawn. 🤯🤷♂️
@NHSEngland should respond to this. I saw the original vignette and nearly cried. If they think that’s the future of medicine, count me out - as a doctor and as a patient. Thank you @JohnLauner 👏👏@NHSEngland you could employ people like John!
stokemacca retweeted
‘Choosing to suffer is a privilege’ I need to your help… can anyone get this unbelievably powerful video to @chrishoy Chris - Lucy is raising money for @MOVEcharity and is sending this LEADING the @TheSpineRace 225miles in.
Can people Retweet this to see how far it can go…❤️
stokemacca retweeted
In his wonderful, wide-ranging new book Rebalancing Medicine @stokemacca describes how NICE was born in the late 1990s out of a cost-benefit debate about interferon for MS. There is no better insider account of what followed and how we got to where we are.
Bye. It’s time. The tipping point has been reached. See you on the other side.
@stokemacca.bsky.social
In a week of bleakness, one very bright light - this piece from a 4th year med student. @JeremyHowick @RichardLehman1 @coachingchemist
The art of noticing: A lesson from in empathy general practice bjgplife.com/the-art-of-noti… via @BJGPjournal @Empathy_Centre @uniofleicester
stokemacca retweeted
Head of the OBR, Richard Hughes, say the treasury broke the law by not disclosing a multi billion pound black hole in public finances.
The casual suggestion that Labour lied about the conservative overspend and obfuscation by Tory MPs (and Tory media) is completely unfounded.
stokemacca retweeted
"There is deep disappointment and a feeling of betrayal now, with doctors divided as to whether this blow to our practices is deliberate harm or just incompetence."
The budget will damage GPs’ trust and goodwill, says @HelenRSalisbury
bmj.com/content/387/bmj.q243…
stokemacca retweeted
What's the earliest we get to find out if sanity has prevailed?
Asking for the free world
