Skier, Trauma surgeon . Dual qualification: General Surgeon. Obstetrician & Gynaecologist. Humanitarian doctor .FACS.
London, England
Joined December 2014
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Hay un poco dec twit en tu resentimiento 😂😂😂😂.
Ambos están buenísimos, son distintos y se comen de forma diferente y no hay nada q elegir basta disfrutarlos!! Me quedo con ambos!
trauma doc retweeted
Referrals to secondary care from GPs used to be treated as they were, requests for further support, investigations, and advice from one experienced colleague to another
They have now, to the detriment of patients, been treated as merely optional
This cannot continue
New Substack
🗒️ Dodging Blows
Referral was meant to be a dance between two clinicians. These days it feels more like a boxing match, with the exhausted GP's guard up, protecting their already battered body .
Who wins when everyone is fighting?
davetriska.substack.com/p/do…
trauma doc retweeted
Not Medicine.
This first PA to have a job in IR just so happens to have a doctor parent who is a neuro IR.
As mentioned in the podcast, no IR at all on the PA curriculum/matrix, no limits to scope -
podfollow.com/the-physician-…
trauma doc retweeted
ITU have clearly lost their way
Allowing people without a medical degree to look after the sickest patients in hospital is a total nonsense
I’m just happy we’re at the naming & shaming trusts publicly stage
I will be avoiding @UHSFT 🫡
trauma doc retweeted
We have qualified doctors struggling to find jobs, yet ACCPs are covering ICU registrar rotas.
At what point did we stop asking what level of expertise critically ill patients deserve and start treating medical training as optional?
trauma doc retweeted
“People with a medical degree should work on doctors’ rotas”
In 2026?
That’s controversial in the NHS.
When you want to see a doctor? You should see one
Not people using titles and alphabet soups to obfuscate their actual training- and hoodwink.
Period.
Medical decisions are exclusive for properly trained medical doctors ,all privileges are earned only after rigorous training, not a course. Along with privileges there are obligations like legal responsibility. You cannot have one without the other.
trauma doc retweeted
Doctors make mistakes. Doctors miss things. None of us are perfect. A child who has been seen by a senior doctor who sends them to the ED for further assessment should not be discharged by someone who is not a doctor. Where are the senior EM and paeds doctors condemning this?
Doctor substitution is being championed at the highest levels yet anyone with a grain of common sense or integrity knows it’s nonsense
I wonder what platitudes @theRCN or @RCEMpresident would offer these parents given their involvement in enabling this scenario?
trauma doc retweeted
Genuinely shocking that you can go to A&E - in this case sent there by a GP - but be discharged without ever seeing a doctor telegraph.co.uk/news/2026/10…
trauma doc retweeted
The thing that never happens happened again
Dylan Cope died after an A&E nurse practitioner mistook his abdominal pain for flu, having ignored his GP’s referral for suspected appendicitis. His family thought she was a doctor.
A coroner found he would have survived had a senior doctor examined him.
telegraph.co.uk/news/2026/10…
Seems obvious but we know its not happening and patients are in danger. Agreed !!
trauma doc retweeted
Dylan Cope died after an A&E nurse practitioner mistook his abdominal pain for flu, having ignored his GP’s referral for suspected appendicitis. His family thought she was a doctor.
A coroner found he would have survived had a senior doctor examined him.
telegraph.co.uk/news/2026/10…
trauma doc retweeted
If a GP (a highly qualified doctor) says a child has appendicitis, then it is for someone who actively manages appendicitis regularly, to say they do not, and no-one else. Simple.
A correct diagnosis countermanded by someone less qualified is inexcusable.
Que interesante, y que hizo el gobierno al que informaron esto? Se traspasó esa info al gobierno q entró en marzo
trauma doc retweeted
Formal email sent to @DHSCgovuk and @NHSEngland
Regards PA protocols @lengreview
1. No role for PA to see undifferentiated patients. The supervisory time asked for is not available - and thus will lead to lesser supervision than planned and thus safety issues
2. Absolute no regards Resident Doctors holding responsibility. If anyone as a senior wants to be a liability sponge? Do it yourself- not lean on RDs
3. Given present suggested protocol- review of pay bands as not cost effective - in environment of other staff being de-banded.
That will be position with respect to @RCPhysicians and @gmcuk too
You may not agree with it- but in a democracy- I am allowed to have an opinion
And that’s mine as a senior clinical leader with years of work as a trainer- and leading on safety issues.
You give yours and let’s see what comes out as the final one.
@djnicholl @thomasdolphin @mmamas1973 @DrNeenaJha @BMAResidents
