@drnickmanni
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London ex-GP and Medical Osteopath. Opinions are my own.
Joined July 2013
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"If you had the hypothesis that the government was seeking to destroy the National Health Service...all the data that we're seeing are consistent with that hypothesis," said Professor Sir Michael Marmot (UCL Institute of Epidemiology & Health)
#NHS
ucl.ac.uk/news/headlines/202…
For those who do not understand why Danny Tommo wasn’t given bail: it's completely and utterly obvious for anyone who isn't totally braindead.
Tommo is a convicted criminal who served two years for attempted kidnapping. He was already on conditional bail following six criminal charges in April, with a hearing due in October, when he was filmed slashing a dinghy with a rescue worker still aboard. He refused to confirm his abode to the police.
A serious previous conviction, a new criminal allegation while already on bail from 6 other charges, no fixed abode: this is a slam dunk "no bail" scenario. Not a conspiracy.
Comparing him with the five men arrested near RAF Fairford is utterly disingenuous. It's obvious by now that these were petty criminals stealing fuel, not terrorists. They were fully identified, having given fixed abodes, and no one is a flight risk for a petty attempted crime. I also guarantee none of them were already on bail from previous charges.
So please, stop with the false outrage. No one genuinely believes these scenarios are comparable.
Nick Mann retweeted
Does Two-Clocks Cooper take on Streeting's demolition or Lansley's disaster... or both?
myemail.constantcontact.com/…
Nick Mann retweeted
Replying to @drnickmann @Mary_Tom11
Asked me to post links to an NHS Improvement FOI showing ANPs are mentioned 10x as often, relatively speaking, as (then) junior Drs in patient safety reports, then blocked me when I did 😂😂
Nick Mann retweeted
Replying to @drnickmann @Mary_Tom11
Dean demonstrates why these roles cannot be left to self-regulate. Zero insight coupled with an inability to accept highlighted concerns.
He then immediately blocks when he can’t mount a counter-argument passes even his very low bar of “reasonable”.
Glaring safety issue.
Nick Mann retweeted
You go to the hospital expecting doctors and medicine. Now not only might you not see a doctor, you might not even find the basic medicine you need.
Aspirin, co-codamol, and ramipril; these are not some exotic drugs.
Seriously, how did we get here?
theguardian.com/society/2026…
Nick Mann retweeted
Replying to @drnickmann @rheumipainmask
Until they stop reducing hospital bed numbers & actually increase them the ED issues will continue. Operating at over 95% occupancy isn’t good for patients or staff & is a patient safety issue. Gov has failed to fund improvements to social care to aid timely discharge.
Vaping in childhood has bigger health risks than we’d thought: Use of e-cigarettes makes it more likely that young people will experience mental-health disorders and take up smoking. Governments must act.
nature.com/articles/d41586-0… via @KeeleUniversity researchers
Nick Mann retweeted
It’s important that we don’t end up with a new care system that funnels billions of taxpayer money into private companies… 🚨
jujuliagrace.substack.com
Nick Mann retweeted
For those asking if this shocking new COVID testing guidance from N. Ireland can possibly be real…
…yes, I’m afraid it is real.
SYMPTOMATIC healthcare staff caring for IMMUNOCOMPROMISED patients are no longer recommended to test.
Here’s the link ⬇️
publichealth.hscni.net/covid…
Nick Mann retweeted
No one is hating PAs for existing.
We hate the bait-and-switch: a role created to support doctors slowly being used to fill doctors' shoes, without doctors' training.
Patient safety comes first. Know your limits. Period.
lbc.co.uk/article/nhs-staff-…
ps: Dean blocked me for this comment.
Replying to @DW8674
No Dean, it doesn't "prove" it, but it does demonstrate very clearly why Neena is correct. It's the prior knowledge and experience, not the task or algorithm tree itself, which sets medical education and training apart from a series of task-based proficiencies.
Nick Mann retweeted
50 years ago in England:
🛌 c360,000 beds
👥 46.7 million population
Today in England:
🛌 c130,000 beds
👥 58.8 million population
That’s a shift from 129.7 people per bed, to 452.3.
This is before you even look at how our population has changed in age and health complexity.
"The [National Audit Office] analysis concludes that the biggest barrier to the flow of emergency patients is “the availability of beds and inefficiencies in the treatment and discharge of patients”."
#NHS
hsj.co.uk/daily-insight/the-…
Complete a 2 year course in not-medicine and 9 months later become a 'clinical tutor and lecturer' to medical undergrads.
If he'd managed to be admitted to a Medical degree course, instead of PA studies, instead of teaching them in 2020 he'd only have been a 3rd year student
Nick Mann retweeted
ED & GP are treated so similarly
Do more! With less!
Yet often one is set-up to blame the other & who benefits in that scenario?
Look at the activity data across the *entire* system
Look at the inpatient flow
Follow the budget lines
Do the math
@TheBMA @RCEMpresident
"The [National Audit Office] analysis concludes that the biggest barrier to the flow of emergency patients is “the availability of beds and inefficiencies in the treatment and discharge of patients”."
#NHS
hsj.co.uk/daily-insight/the-…
Employers must stop their dangerous substitution of doctors by advanced practitioners.
Read our letter to the Government and @NHSEngland
"The [National Audit Office] analysis concludes that the biggest barrier to the flow of emergency patients is “the availability of beds and inefficiencies in the treatment and discharge of patients”."
#NHS
hsj.co.uk/daily-insight/the-…
Nick Mann retweeted
When Trump officials take steps to restrict COVID vaccines for children, it makes headlines…
…but here in the UK, kids haven’t been able to get a COVID booster for YEARS.
There is NO choice, not even privately for kids under 12.
theguardian.com/us-news/2026…
(H/t @karamballes)
Replying to @_CatintheHat
And now, here’s a reminder of just how heavily restricted the eligibility criteria for an NHS Covid booster are.
When you compare the eligibility criteria for an NHS COVID jab vs a FLU jab, the difference is staggering.
Many clinically vulnerable people are no longer eligible.
Nick Mann retweeted
WTAF is this from Palantir’s founder Peter Thiel?!
“If you’re evil, you’re at least competent. And if you’re evil you’re not bad. And therefore you’re actually kind of good, because you’re at least getting something done.”
THIS is who the government are selling our NHS data to!
Nick Mann retweeted
Their president just banned reporters from the White House because he doesn’t like what they’re saying. 😂
Nick Mann retweeted