General Practitioner with Public Health background. Freelance Health Consultant interested in models and systems of healthcare. Views are my own honest ones.

Saint Albans, England
Joined November 2012
What a phenomenal customer service from @UKPowerNetworks this morning such a kind manner from Cat on the phone, engineers round v quickly and service restored. I could not be more impressed. Thank you
1
2
527
Can anyone explain to me why when radiology have identified the need for a chest CT scan based on chest x-ray result the GP needs to refer back to radiology for one?
26
4
1
88
25,754
She did it! World record holder What a girl! One proud dad! justgiving.com/page/charlott… @DSAInfo @sallyephillips
My eldest daughter Charlotte, who happens to have Down Syndrome, is running the London Marathon for a local Down Syndrome charity justgiving.com/page/charlott… youtube.com/watch?app=deskto… Shows us what can be achieved with high aspirations, love and support! @DSAInfo @dontscreenusout
4
2
3
24
2,071
My eldest daughter Charlotte, who happens to have Down Syndrome, is running the London Marathon for a local Down Syndrome charity justgiving.com/page/charlott… youtube.com/watch?app=deskto… Shows us what can be achieved with high aspirations, love and support! @DSAInfo @dontscreenusout
2
2
8
1,585
Screening - don't tell me it "Saves Lives" without a statistically significant impact on all-cause mortality. Thanks.
1
1
6
434
The money is there in the NHS It’s just in the wrong places, often doing the wrong things or the right things inefficiently
Replying to @Kit_Yates_Maths
Mismanagement, yes. But chronic underfunding is hard to argue when the NHS added nearly 25% more doctors in the last 5 years.
1
2
580
The brave thing to do, which has been done, is not to bow to political and celebrity pressure but hold onto the evidence and use scarce public funds in the best way possible to maximise the nation’s health and reduce suffering. @David_Cameron @wesstreeting
I am disappointed by today’s recommendation on prostate cancer screening from the National Committee. Targeted screening is a natural first step - but the recommendation today is far too targeted, not including black men or men with a family history, both high-risk groups. Prostate cancer is the most common cancer among British men. We are letting down too many men if we don’t push for a wider screening programme that includes all high-risk groups - and not just the men involved, but their families too, who risk losing a loved one unnecessarily. As I know all too well, prostate cancer can be symptomless early on. That’s why screening is so essential - catching the cancers early when they can be more effectively and successfully treated, like in my own case. I urge @wesstreeting and the government to be brave and bold on this crucial issue. Make the first step more significant than what’s being recommended. Put in place a proper, targeted screening programme that involves all those at higher-risk. Without it, more men will die, more families will lose a loved one. This is avoidable and can be done.
2
215
Surely we should only use the term “Lives Saved” if there is a statistically significant reduction in All-Cause Mortality? @CRUK_Policy
93
Steven Laitner retweeted
Have you signed up to our lunchtime webinar with the PCNs and Federations delivering thriving services in their area? Chaired by @SteveLaitner, with panelists from NICS, BSOL ICS and Unity PCN, make sure to secure your spot today: hubs.li/Q03r_HQF0
1
143
It’s a wonderful world
3
143
What a lovely photo of Charlotte - Happy World Down Syndrome Day to you both from everyone at the DSA. #WorldDownSyndromeDay #LotsOfSocks #ImproveOurSupportSystems #WDSD2025
1
6
776
Stereotypes are there to be broken See the person, not the disability Could not be prouder of my wonderful daughter Charlotte @DSAInfo @DSWorkFit #WorldDownSyndromeDay
232
414
11
9,134
80,068
I had hoped the Polypill was by now an ex-parrot, ceased to be…
1
1
276
Using AI to “take” a good “history” from a patient and present it to a clinician in a summary single paragraph of important clinical information would be a game changer @murrayellender
One huge problem with using AI in the NHS is that there is no relationship at all between problems suitable for AI solutions and the big problems the NHS has. So many AI "solutions" are solving non-problems.
2
1
501
Setting full moon with Mars alongside
1
202
Replying to @SteveLaitner
Agree. Seems quite a reductionist approach. Feeds the supplements industry and gives folk an easy win.
1
1
141