@bigcatdoc

Family Doctor with special interest in asthma. Clinical Lead NRAD 2011-2014. GINA Board member and Chair GINA Dissemination Committee, Opinions my own.

 Uk
bigcatdoc.com
Joined March 2011
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  • Followers2.5K
425Media
Why is this a surprise - it started about 20 years ago when GPreferrals were being scrutinised by remote ‘clinicians’ working for very expensive companies employed by PCGd and PCTs . All to save money in the short term by misguided managers.
The BMA
@TheBMAAug 22
Patients are being blocked from specialist care. A new report from the NHS safety watchdog found evidence that patients were harmed when hospital referrals were pushed back instead of accepted. We continue to argue for an urgent review of a system that puts patients at risk.
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Please share our suggestion in print today for addressing the tragic preventable asthma deaths in childhood in the UK. @rotherhamresp @CHAHAsthma @ginasthma @asthmalunguk @rcgp @BTSchair @RCPCHtweets @PCRSUK @Garry42779 adc.bmj.com/content/early/20…

Draft charter for asthma in children and young people, inspired by Martha’s rule

The UK was one of the first countries to develop asthma guidelines and has robust systems for investigating asthma deaths in children and young people (CYP) under 18 years of age.1 2 Despite this,...

adc.bmj.com
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This excellent article summarises the key changes for asthma care in the 2026 GINA update. Please share widely. @rotherhamresp @AsthmaSpotlight @asthmalunguk @AsthmaAustralia @patscommunity @PCRSUK @BTSchair @RCPCHtweets @EuroRespSoc @rcgp @atscommunity
Global Initiative for Asthma (GINA)@ginasthmaJun 11
2026 GINA report for asthma - The Lancet Respiratory Medicine thelancet.com/journals/lanre…
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Prof Helen Reddell emphasises in an international meeting why SABAs( salbutamol/ albuterol) are not recommended as sole treatment for asthma.
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Happy World Asthma Day. Listen to two short podcasts on paediatric and adult asthma: Spotify: bit.ly/4wbvt5u Apple: bit.ly/42MAP9R  And Spotify: bit.ly/42iN267 Apple: bit.ly/4ua9efb GINA Website Podcast :bit.ly/4n9qVZr
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Tuesday 5th May is World Asthma Day. Check Ginasthma.org on Tuesday for new updated evidence based guidance for asthma management
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In addition to @carloprina ‘s comment the BMA is misguided in their reason for not sharing data for “.. health service planning carried out by government agencies or local NHS organisations” .. how else should care allocation be planned?
carlo prina@carloprinaMay 1
Replying to @TheBMA
I hope you can robustly ensure this is not misinterpreted as a barrier to sharing data across shared care records with secondary care- an innovation which has prevented harm on many occasions that I have seen myself including repeated investigation or incorrect treatment
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Furthermore had asthma data been shared by GPs years ago, (and acted upon by the NHS), when I was Data lead for the NHSE asthma transformation programme … we may not be seeing the tragic preventable child asthma deaths every month in England today!!
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Please share: Important for any medical clinician treating people with asthma Pulse oximeter accuracy in different ethnic groups @rotherhamresp @asthmalunguk @rcgp @IPCRG respiratoryfutures.org.uk/fe… Also see bmj.com/content/bmj/392/bmj.…
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Three simple tasks for 2026 -mainly for GPs and ED clinicians to improve #asthma outcomes - please share ⁦@rcgp⁩ ⁦@PCRSUK⁩ ⁦@asthmalunguk⁩ ⁦@IPCRG⁩ podcasts.apple.com/gb/podcas…

Improve Asthma Care - Three simple tasks for Family doctors

Podcast Episode · Asthma Spotlight · S4 E73 · 15min

podcasts.apple.com
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There are 3 things clinicians can do immediately to improve #asthma #care in 2026: this action will reduce attacks, preventable deaths and clinicians workload. Please share this New Year’s resolution on behalf of people suffering from #uncontrolled asthma open.spotify.com/episode/2Jv…

Improve Asthma Care - Three simple tasks for Family doctors

Asthma Spotlight · Episode

open.spotify.com
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Please share this information particularly with GPs, practice nurses and paediatric doctors ( see Chapter 10 on diagnosis of asthma in preschool children. ) Www.ginasthma.org @rcgp @RCPCHtweets @theRCN @PCRSUK @asthmalunguk @rotherhamresp

Global Initiative for Asthma | Widely-used, evidence-based asthma medical guidelines

We work with health care professionals and public health officials around the globe to reduce asthma prevalence, morbidity, and mortality.

ginasthma.org
Global Initiative for Asthma (GINA)@ginasthma15 Nov 2025
Please share this with anyone caring for people with asthma. Evidence based #asthma guidance updated annually.
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Please share my podcast, about the new evidence for Anti-inflammatory Reliever Therapy (AIR) in children aged 5-15 with mild asthma.  Spotify: bit.ly/4gOUJr3 Apple : apple.co/485FLL2 Websites: bit.ly/48GsXLg and bit.ly/4mJv0Sf
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#ERSCongress2025 #ERSCongress Dr Alan Kaplan shares his experience & thoughts on managing asthma attacks in primary care. Please share. #GINA #Asthma Available at: ginasthma.org/gina-podcasts/ spoti.fi/43d5MUy apple.co/3GLUdMv
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#ERSCongress #ERSCongress2025 In children aged 5–15 years with mild asthma, budesonide–formoterol reliever monotherapy is superior to salbutamol for preventing asthma attacks, with a similar safety profile. thelancet.com/journals/lance…
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Lots of asthma resources on the GINA website - guidance updated every year on World Asthma Day ginasthma.org
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Please share our new Asthma With Experts podcast on Allergic Asthma for primary and secondary care clinicians: Spotify: bit.ly/4mv7uZ5 Apple: apple.co/46FgyVt GINA Website: bit.ly/46OSBvX
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Listening to @bigcatdoc talk about preventable asthma deaths. Such a helpful reminder because we can all apply his advice to practice and the patients we see. #AskAboutAsthma #NeverEvent #reducingtherisk
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#askaboutasthma really nice resource shared
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#askaboutasthma yet another sad case described of a preventable asthma death in a 10 year old. It’s time for clinicians to take #asthma seriously
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