Audit midwife lead | Governance, compliance & QI driven | Patient & staff experience | Informed consent, safe birth, safe staff

NW London, England
Joined November 2017
Julie Graham retweeted
Replying to @emilyltownsend
What does Dr Kirkup say about the understaffing, conditions and significant increase in UK caesarean rate + other issues raised by maternity teams? Can he work with and advise @YvetteCooperMP on driving improvements?
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Julie Graham retweeted
Repeated themes in the Amos report: understaffing, low morale, burn out, bullying, soaring caesareans, worsening outcomes, racism, poor facilities. Since 2015, data shows maternity services have deteriorated into a dangerous mess. Normal birth ‘ideology’ is not the issue.
NEW: A major national review into maternity services heard “repeated” evidence of “normal birth ideology” despite concluding it was not “widespread” – partly because it relied on AI evidence summaries – a former expert adviser has warned hsj.co.uk/patient-safety/amo…
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Julie Graham retweeted
And… Interviews were recorded. Analysts checked the AI evidence several times. Data was triangulated from different sources.🤔
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Julie Graham retweeted
Sepsis caused 133,484 hospital admissions in England in 2024/25, and can be fatal within hours. A new Modern Service Framework aims to change that, with NICE evidence helping the NHS treat sepsis faster and more consistently. 🔗 orlo.uk/8PVJP @NHSEngland
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Julie Graham retweeted
Today is Allied Health Professions Day! There are 15 AHP roles across a range of sectors from emergency response and diagnosis to rehabilitation. Thank you to all our AHPs for the crucial role you play in improving the lives of patients 💙
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Julie Graham retweeted
If physician associates are able to train in "medicine" and are magically able to see patients independently in two years - why does it take doctors 5 to 6 years medical degree and 10 years postgraduate training before achieving independence? We have to decide whether we want a safe healthcare service delivered by fully trained doctors or go back to a free for all where anyone can practice medicine with a cursory level of knowledge/ training and do away with medical degrees / medical training It's like living in a parallel universe where simultaneously you need over 15 years of training to be considered safe as a doctor but anyone else can do a simple course and get stuck in.
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Replying to @ShaunLintern
Please please please stop using "simple" when describing a blood test. Headline & standfirst writers love it, but it is unhelpful. The cliché grossly misleads with regards to the complexity of interpreting and contextualising the results (especially when equivocal).
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Julie Graham retweeted
If a baby’s head goes beyond a certain point within the pelvis, a caesarean is most definitely not “safer”. Higher risk of PPH, bladder damage and damage to the (stretched up) cervix which can cause tragic second trimester loss or extreme preterm birth in subsequent pregnancies.
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lovely to be on Sunday morning duty @bbcradio3.
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If you feel able to do so, and if you are a doctor, nurse, other HCP, a woman, or a man who cares about women’s health, please REPOST and let’s get more women advocating for themselves and being listened to and heard. Thank you 🙏
Credit: Healthy Living Talks From an American organisation. What is said here is universal ⬇️
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Julie Graham retweeted
Replying to @BirthTrauma
No I will have a general anaesthetic? nobody is saying that saline water is a replacement for neuraxiel or general analgesia
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Did you see❓ NEW report to support improvement in #maternity and perinatal care from the National Maternity and Perinatal Audit (NMPA) @RCObsGyn @HQIP @NHSEngland
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Julie Graham retweeted
My take on what Britains’s buckling health system portends for the U.S. mavenpreprint.substack.com/p…
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The belief that rejecting decades of evidence makes you a critical thinker may be one of the strangest intellectual inversions of the social media age. We have confused distrust with intelligence, contrarianism with skepticism, and confidence with expertise.
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Replying to @catherineroyuk
I’ve looked and it’s for classes and extra postnatal support. What is the problem?
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Great news. Tickets for the @KemiBadenoch show at the Edinburgh Fringe have sold out, so we've moved it to a bigger hall. Sat 22 August 12 noon EICC Buy tickets pleasance.co.uk/event/iain-d…
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Julie Graham retweeted
2/2 You will know more pharmacology than any doctor in the hospital, and no patient will ever ask your name. But the moment something goes wrong, every eye in that operating theatre finds you first. The Anaesthetist: forgotten when it works, blamed when it doesn’t! Good luck!
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