@PSmart01

Emergency Medicine Consultant, interest in #trauma and #resuscitation. Forlorn BBQ enthusiast. Tweets reflect personal opinions.

 Northern Ireland
Joined May 2014
  • Tweets819
  • Following207
  • Followers298
108Media
Peter Smart retweeted
Alan Stout@AlanStout19Oct 18
‘I don’t know how long you’d like us to wait?’…..
JPCampbellBiz@JP_BizOct 18
The practical impacts of the NI Executive’s failure to agree a budget have been surprisingly muted. But that’s about to change as doctors & nurses run out of patience on their unimplemented pay awards. bbc.co.uk/news/articles/c32l…

Northern Ireland health workers run out of patience with Stormont budget delay

The practical impact of Northern Ireland's budget delay seemed relatively muted until earlier this week when hospital doctors announced two strikes.

bbc.co.uk
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Northern Ireland population same as a single health trust in Manchester. Yet apparently we need 5 health and social care trusts and an ambulance trust with ever increasing layers of ‘senior management’ to deliver by far the worst health outcomes in UK. See the problem yet?
The Irish News
@irish_newsAug 12
Salaries of senior Northern Ireland health executives up 50% to more than £2 million per year - while waiting lists continue to soar irishnews.com/news/northern-…

Salaries of senior Northern Ireland health executives up 50% to more than £2 million per year -...

14 members of the Strategic Planning and Performance Group now earn salaries totalling £2.1million, up more than 50% compared to three years ago

irishnews.com
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Couple this with pay erosion, a recruitment crisis and reduction in bed stock/community social care. Any wonder doctors are saying #NHS is broken? Is it any wonder there are #strikes? Failures by successive governments? Or ‘juvenile delinquent’ doctors? @TheBMA @wesstreeting
Dr Steve Taylor@DrSteveTaylor20 Dec 2025
Let’s go back to 2010! We didn’t need cancer pathways as urgent referrals were seen in 2-3 weeks, routine in 2-3 months Recruitment was rising, jobs were good. It wasn’t perfect but in 4 decades of NHS work it was the best it had been THEN SOMETHING HAPPENED ….
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Let’s go back to 2010! We didn’t need cancer pathways as urgent referrals were seen in 2-3 weeks, routine in 2-3 months Recruitment was rising, jobs were good. It wasn’t perfect but in 4 decades of NHS work it was the best it had been THEN SOMETHING HAPPENED ….
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There are thousands of trained doctors in the UK right now — unemployed. Not because they’re unnecessary. Not because there’s no demand. But because the government refuses to fund the NHS roles we desperately need. In this video, I explain how government austerity, fiscal dogma, and a fundamental misunderstanding of money are forcing young doctors out of medicine — and even out of the country — while people are left waiting for treatment. If we have the doctors, we can fund the doctors. So why won’t they?youtu.be/jN42hYQsehU?si=HOuF…

Why is our government choosing NHS cuts over patient care?

There are thousands of trained doctors in the UK right now — unempl...

youtube.com
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Opportunity to join the growing team of SAS in emergency medicine @setrust jobs.hscni.net/Job/42607/spe…
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Sick of being called ‘greedy’, Brown line is consultants, way below the zero line, the blue line is average workers, back above zero. Average pay has climbed at about equal rates over last 3 years but consultant pay still nearly 20% down graph (CPI). There’s full tax restoration, where’s the pay restoration journey, show us Wes.
Wes Streeting
@wesstreeting11 Jul 2025
The BMA Resident Doctors Committee still refuses to meet me. After a 28.9% pay rise, they say another 29% is “non-negotiable.” This is not the way a reasonable trade union behaves.
Guardian front page with headline: doctors’ leader - 29% claim is Not negotiable

ALT Guardian front page with headline: doctors’ leader - 29% claim is Not negotiable

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I’ll drop this here again without comment.
DoctorsVote@DoctorsVoteUK9 Jul 2025
Wes Streeting has failed to commit to negotiate on pay. We are left with no choice but to strike. We will strike between 07:00 Friday 25th July and 06:59 Wednesday 30th July. This will be a full walkout. Strikes are the only message that successive governments listen to.
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The results are in: we have a clear mandate to strike. More than 90% of you who voted in our ballot, voted YES. You’ve made it clear: enough is enough. Our fight for full #PayRestoration for resident doctors in England continues.
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‼️Our NEW Urgent Care Centre at the Ulster Hospital opens 8am Thursday 19 June ‼️ 🏥Open 8am–6pm, 7 days a week 🚶Walk-in & Phone First 📍Access via Critical Care Building, opposite multi-storey car park - follow the signs ➡️ The Minor Injury Unit will close 6pm on 18 June.
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If true? It will be a huge step forward for #PatientSafety in the #NHS The false equivalence needs to stop The public deserves better. And much kudos to all concerned for keeping working on it. theguardian.com/society/2025…
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Myself & @ThomasBurton12 are carrying out research into the short & long term psychological impact on police officers of witnessing prehospital resuscitative thoracotomy. Please re-tweet, share & send to anyone you think it might be relevant to.
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📢 See our Safety Flash on this very issue here ⬇️⬇️
BBC Radio 4 Today
@BBCr4today12 Mar 2025
Children under 8 shouldn't drink slushy ice drinks, researchers have warned, because drinks containing glycerol can make children very ill. But what is glycerol? Prof Ellen Crushell, senior author of the study, explains. #R4Today

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Most of the “literature” to facilitate the role out of PAs and AAs is more fiction than fact. @trishgreenhalgh reveals the substandard quality, gaps in the literature, and measurement/outcome bias. The literature does not stand up to scrutiny! papers.ssrn.com/sol3/papers.…
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Such an important & timely piece of research from evidence-based medicine supremo, @trishgreenhalgh. #LengReview pulsetoday.co.uk/news/workfo…

No evidence that PAs add value in GP settings, finds academic review

There is ‘no evidence’ that physician associates (PAs) add value in GP practices, according to a new academic review.

pulsetoday.co.uk
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So NI unions (@BMA_NI @RCN_NI @NASUWT @unisontheunion) having to fight tooth and nail to get between 5-6% uplifts for 24/25, with public sector pay awards being consistently delayed/diluted but MLAs award themselves 38%. Farcical
Gerry Carroll@GerryCarrollPBP4 Feb 2025
I voted against today's motion, while many MLAs bent over backwards to justify this extortionate pay increase for themselves. In no other job would a 38% increase be considered reasonable. Why should MLAs be treated differently than any other worker?
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Updated RCEM position statement on Spiking: tinyurl.com/rcemSpiking 🚨 Drink and needle spiking are serious crimes. If you suspect spiking, seek immediate medical attention. We have set out our updated position on how Emergency Departments address the medical needs of spiking victims to provide supportive care. 🔁 Repost and share. #StaySafe #DrinkSpiking #SpikingAwareness #NeedleSpiking
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Leaving hospital when you're medically fit frees up a bed for someone who is acutely unwell. When you or your loved one needed admission to hospital, a patient was discharged to provide a bed. Timely discharge saves lives ⏰
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Health Minister, Mike Nesbitt visited our Emergency Dept to meet with clinical staff and hear about the pressures they are facing daily. Our staff highlighted the importance of hospital flow & timely discharge for patients medically fit to leave👇@healthdpt
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Leaving hospital when you're medically fit frees up a bed for someone who is acutely unwell. When you or your loved one needed admission to hospital, a patient was discharged to provide a bed. Timely discharge saves lives ⏰
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