Jane Mackrell ๐ retweeted
The perfect response: โAs a paramedic, ACP seemed sensible in our small team. I chose GEM instead. Now I see poor ACP assessments, referrals and needless tests daily. Even GEM year 2 exceeded their competence. Saving money? A costly, potentially harmful delay before seeing a GP.โ
There are so many non medically trained practitioners acting as Doctors it is wise to ask.
Unless you aren't bothered whether people looking after yourself and your family have medical qualifications.?
Jane Mackrell ๐ retweeted
Replying to @BriefcaseMike
I've had a locum nurse practitioner at my surgery be silent about their qualification, and I thought I'd seen a GP, told me I had septic arthritis (I didn't, it requires hospitalisation and IV antibiotics) and sent me off with a packet of antibiotics and no follow-up. Outrageous
Jane Mackrell ๐ retweeted
Replying to @BriefcaseMike @DrNeenaJha
You can work as a GP without actually being a doctor .
Jane Mackrell ๐ retweeted
What?!?
Arenโt you aware of all the Noctors/Quacks/Charlatans/Multiprofession workers (but qualified in only 1)?
Are you not aware of Nurse Consultants or Clinical consultants or Consultant Practitioners working as medical consultants?
Follow @medicalmodelbri for evidence
Jane Mackrell ๐ retweeted
Anyone working outside their competence based on their training - is a quack .
Well said @parthaskar
If I tried to work a shift as a nurse or an FY1 Dr , Iโd be a quack too.
Why do others think that itโs ok to work as a Dr substitute without MBBS & PG training & exams?
Replying to @Gerogrios
anyone working outside their competence based on their training- is a quack.
I would be one if I tried doing a session as a physiotherapist.
Or a GP.
Or a Podiatrist.
Hope that helps.
Be more worried about safety & death than my tweets.
Jane Mackrell ๐ retweeted
Replying to @DHSCgovuk
@DHSCgovuk wanting to regulate private aesthetic practitioners & clinics (not a bad idea) whilst NHS Trusts who they themselves are responsible for using medically unqualified & unregulated people practicing Medicine & Surgery in the name of advanced practice @karinsmyth
.@karinsmyth visited Dr Leah Clinics to see how cosmetic treatments being carried out the right way, by qualified professionals in a safe clinical setting.
Meanwhile, our crackdown intensifies on cosmetic cowboys - with new proposals to:
๐ฉบ restrict high-risk procedures to qualified health professionals
๐ซ ban cosmetic surgery and other treatments for under-18s
โ๏ธintroduce unlimited fines for rule-breakers
Jane Mackrell ๐ retweeted
The Duchy of Cornwall collected ยฃ503,711 rent from the King for Highgrove House.
Prince William is the Duke of Cornwall. Father pays rent to son. No money left the family but nice PR.
When King Charles was the Duke of Cornwall, he paid rent to himself.
leftfootforward.org/2026/10/โฆ
Jane Mackrell ๐ retweeted
Republicans control the House.
Republicans control the Senate.
Republicans control the White House.
Republicans control the Supreme Court.
Republicans control the DOJ.
This is what they did with two years in control:
trump gets:
- Gold all over the Oval Office
- BILLIONS in crypto for himself
- $400 million dollar Qatari bribe jet
- Millions in media and tech settlements
- Gold bars and diamond rings for tariff relief
- BILLIONS in Pentagon contracts for his sons
- $100,000 per month per person for insider info
- $600 million dollar ballroom at taxpayer expense
YOU GET:
- A war in Iran
- Higher gas prices
- Higher utility prices
- Higher grocery prices
- Higher housing prices
- Higher healthcare costs
- 21 dead American soldiers
- loss of trust from allies around the globe
- ICE thugs abusing our friends and neighbors
Now they want TWO MORE YEARS in office,
While they actively try to STEAL your vote.
WE ARE NOT POWERLESS.
Your vote can change this.
Jane Mackrell ๐ retweeted
Urgent care Psychiatry PAs - Trusts will do whatever they want
The result of your inaction
@rcpsych @subodhdave1
because youโve refused to set a scope for PAs in psychiatry - (despite Leng highlighting how important a scope is due to โ grey areasโ in psych )
Jane Mackrell ๐ retweeted
Thank goodness, Google search hasnโt gone totally to shit. I found the image and the story. Mama didnโt think so highly of you.๏ฟผ Damn did she nail it. ๐ฏ
Readers added context they thought people might want to know
No source shows Mary Anne Trump said this. The meme gives no source or date, and searches of news archives found no such statement. The quote has gone around online since at least 2019. factcheck.org/2019/12/dubiouโฆ fullfact.org/online/donald-โฆ
Jane Mackrell ๐ retweeted
A rabbi's response to our President calling Jews "lacking knowledge and disloyal" if they vote Democratic:
Rabbi Danny Maseng writes:
As a Jew
Since you called me out as a Jew, Mr. President, since you thought to call me disloyal or lacking knowledge by not voting for you, Iโd like to respond to you personally, even though I have no illusions you will read this.
As a Jew, Mr. President, I am commanded to love the stranger who dwells among us no less than thirty-six times in the Bible you claim to treasure. I am commanded to have one law for the stranger and the citizen. No exceptions.
As a Jew, Mr. President, I am commanded to pay my employees on time, including undocumented workers at casinos, construction sites, or golf courses.
As a Jew, I am commanded to repay bank loans and investors.
As a Jew, I am commanded to never bear false witness.
As a Jew, Mr. President, I am commanded to guard my tongue and speak no evil.
As a Jew, Mr. President, I am commanded to never embarrass my fellow human being in public, lest I be accused of spilling their blood โ including Ted Cruz or the late Senator and war hero, John McCain.
As a Jew, Mr. President, I take great offense in my president attacking Denmark, a country that gallantly saved its Jews from the Nazis, while most of Europe fell asleep.
As a Jew, Mr. President, I take umbrage in my Grandfather, the sainted Dr. Rabbi Harry S. Davidowitz, who inhaled poison gas in the trenches of WWI as a US Army chaplain, being called disloyal because he voted Democrat.
As a Jew, born and raised in Israel, I take offense at you calling me disloyal to America AND to Israel because I oppose your inept, ghoulish, uncouth, deceitful, inhumane farce of leadership. How many tours of duty have you performed for Israel during wartime? Or, for that sake, the USA?
As a Jew, Mr. President, I reserve the right to oppose Ilhan Omar and Rashida Tlaib (neither of whom called upon the help of a former KGB operative to help them in their election to office), while simultaneously condemning your divisive, racist rants and policies.
As a Jew who has proud Republican family members who I love and cherish, I am ashamed of what you have done to the Republican party; to conservative ideals โ even if I do not share all of those ideals.
As a Jew whose Christian uncle fought heroically at the Battle of the Bulge for our country and for the salvation of Europe โ I am ashamed by the mockery you visit upon his sacrifice.
As the son of a Christian pilot, later converted to Judaism, who led American pilots to glorious victory over Nazi Germany, I am outraged by your embrace of neo-Naziโs and racists in America (that same pilot, who became a squadron commander in the Israeli Air Force, and fought for Israelโs independence).
As a Jew, I am disgraced by your fawning adoration of the worst dictators of our century โ you violate Christian and Jewish values by doing so.
As a Jew; as a well-informed Jew who loves and cares deeply for Israel and for America, I condemn you and call you out for the divisive fool, the ogre, the ghoul that you are.
May my soul not enter your council, let me not join your assembly.
Jane Mackrell ๐ retweeted
People of #Barnsley
If your Grandad or Nan are sick at home , they could end up being assessed examined and diagnosed by an assistant instead of a qualified GP
@YvetteCooperMP would ask for a Dr for her family members though โฆ
Jane Mackrell ๐ retweeted
The West has a remarkable talent for manufacturing its own enemies. Mohammad Mossadegh was Iranโs democratically elected prime minister. His crime was not abolishing elections or erecting concentration camps. His crime was insisting that Iranian oil should primarily benefit Iranians rather than foreign corporations. So Britain and the United States helped overthrow him, replacing democracy with the Shahโs dictatorship. Every lecture about freedom delivered since then has had to compete with the memory of 1953.
The pattern never really changed. Democracy is applauded when it delivers governments aligned with Western interests. When voters choose the wrong people, democracy suddenly becomes optional. Coups, sanctions, dictators, invasions, then bewilderment when the puppet eventually falls and something far more hostile takes its place. Western hegemony has spent decades killing democracy abroad, only to discover that the regimes it installs are eventually overthrown as well. Few geopolitical strategies have been so spectacularly self-defeating.
Jane Mackrell ๐ retweeted
Now would be a good time to remind everyone of these Trump facts, because apparently some people still need the refresher.
Please meet the President of the United States:
Flew on Epsteinโs plane at least seven times. Just friends, I guess.
Pleaded the Fifth more than 400 times in a single deposition. Nothing says โinnocentโ like refusing to answer a single question about your own business.
34 felony convictions. A record most people would call disqualifying. And 91 criminal charges.
Accused of sexual misconduct or assault by at least 26 women. But sure, tell me again how heโs a great guy.
6 corporate bankruptcies. The self proclaimed greatest businessman alive somehow keeps running out of money.
5 draft deferments. Funny how the toughest guy in the room never actually showed up for duty.
4 criminal indictments. Not two. Not three. Four.
2 impeachments. A club of exactly one president.
2 of his own companies convicted of criminal tax fraud. Convicted. Not accused. Convicted.
1 fake university shut down. 1 fake charity shut down.
Even his charity was a grift.
Paid 25 million dollars to settle the Trump University fraud lawsuit because scamming people who believed in you costs money eventually.
Ordered to pay 5 million dollars in the first E Jean Carroll sexual abuse verdict, then hit with 83.3 million more in the second.
A jury said it twice so nobody could pretend it was a fluke.
Ordered to pay 2 million dollars for looting his own so called charity.
Stealing from a charity with his own name on it.
Found liable for business fraud and originally slapped with a penalty topping 450 million dollars, later thrown out on appeal while the fraud finding itself stuck to him anyway.
First president in modern history to increase the deficit every single year of a full term. Fiscal responsibility, apparently, was always just a talking point.
Kept the debt to GDP ratio above 100 percent for his entire first term.
Presided over the largest single day point drop in Dow Jones history at the time. So much for the guy who claimed to be a genius with money.
Set the record for the longest government shutdown in US history in his first term at 35 days, then couldnโt resist beating his own miserable record in his second term with a 43 day shutdown, followed by yet another shutdown just months later. Encore nobody asked for.
Added roughly 2.25 trillion dollars to the national debt in his first year back in office alone, pushing the debt past 39 trillion dollars.
Somebody remind me who the party of fiscal discipline is again.
Pushed through the largest defense budget increase since World War Two while the debt kept climbing anyway.
Purged more than 300,000 federal employees in his first year back.
Efficient, if your goal is chaos.
Pardoned nearly 1,600 January 6 Capitol rioters.
At least 40 of those pardoned rioters have already been rearrested, charged, or sentenced for new crimes since walking free. Shocking absolutely nobody.
His familyโs crypto ventures, including a meme coin and World Liberty Financial, pulled in more than 1.4 billion dollars in disclosed earnings while he sat in the Oval Office.
Draining the swamp was apparently code for filling his own pockets.
Sent the National Guard into American cities at a cost of nearly 500 million taxpayer dollars in 2025 alone.
His own tariffs are projected to cost the average American household more than 2,500 dollars this year.
Youโre paying for this. Not China. You.
No more foreign wars. Peace deal with Russia and Ukraine on Day One.
None of this is a conspiracy theory, a rumor, or something you saw in a group chat.
It is the actual, documented record, sitting in plain sight for anyone willing to look.
So the next time someone tells you to relax and give him a chance, ask them how many more indictments, judgments, and shutdown records he needs to rack up before that chance runs out.
Credit: Charles Curtis Rone
Jane Mackrell ๐ retweeted
Orchestrated tactics. Run down the service, people get fed up. Government then has perfect excuse to sell it off to private corporates.
Public support for the NHSโs founding principles is slipping, not because the vision failed, but because people are losing faith in a system pushed to breaking point.
Decades of underfunding, understaffing, and systemic neglect are taking their toll.
๐ theguardian.com/society/2026โฆ
Jane Mackrell ๐ retweeted
Holding down staff pay 'to protect the service' is no different from introducing a special NHS tax that's only paid by NHS employees.
We do not have a unique responsibility to fund the healthcare system. It falls on everyone, and SHOULD fall fairly.
Pay rise above 2.4% would hit elective targets, DHSC warns ift.tt/dbsLyV3
Jane Mackrell ๐ retweeted
El estado de los niรฑos palestinos en Gaza sigue siendo preocupante, en estado de inaniciรณn y rodeados de escombros, no tienen acceso ni siquiera a una alimentaciรณn bรกsica infantil que es bloqueada por "Israel".
Solo mira los muslos de esta bebรฉ, solo se le ve pellejo y hueso, me niego a pasar pรกgina y esconder debajo de la alfombra lo que estรก sufriendo el pueblo palestino como estรก haciendo la prensa occidental.
Jane Mackrell ๐ retweeted
Where to begin with this one ๐ฑ
Locum likely without any oversight from a GP ๐ฉ
Doesnโt introduce their role ๐ฉ
Wrong diagnosis ๐ฉ
Negligent management of supposed septic arthritis ๐ฉ
But @theRCN thinks this is all okay & @nmcnews & @gmcuk fail protect pts from quackery
Replying to @BriefcaseMike
I've had a locum nurse practitioner at my surgery be silent about their qualification, and I thought I'd seen a GP, told me I had septic arthritis (I didn't, it requires hospitalisation and IV antibiotics) and sent me off with a packet of antibiotics and no follow-up. Outrageous






































