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Talk by @statsepi for those interested in #PublicPolicy #HealthPolicy and the role of clinical trials:
youtube.com/watch?v=kISmPxhUEc

A key point is the importance of investigator-led trials, i.e. those that do not have immediate commercial payoffs, e.g., trials investigating head to head comparisons of 2 medicines on the market; de-escalation of treatment; or those investigating #healthservice practices.

Hi there #fediverse and #mastodon people, here I am doing my #introduction post!

Here I will post images, video, articles and accounts of how much the #NHS (the #UK #healthservice) has deteriorated in recent years and problems that are happening as a result.

I aim to be honest and objective as a former NHS worker myself. I love this service and am disappointed we couldnt do better for many, many people.

#Follow me if this is of interest to you. Thanks!!!

Q. why does the Govt. want the GMC to also regulate physician associates & anaesthesia associates?

The BMA thinks this will 'muddy the waters' on regulation of the #healthservice & will lead to #patient confusion about whether they have *actually* seen #doctors.

But, perhaps the key thing to ask is what are the #Tories trying to achieve?

As elsewhere they are trying to normalise the de-professionalisation of staff & dilute skills... in this case, to further damage the NHS's reputation!

The #NHScrisis has many elements, and of course interacts with other more general crises across the UK... so its not surprise that the lack of #investment in the #infrastructure of the #English #healthservice (including a lack of available funds for maintenance) is leading to further deterioration in the service to #patients.

That we're here us undeniable, that the answer is more involvement of the private sector, seems doubtful at best & dangerous at worst!

bbc.co.uk/news/uk-england-6821

BBC NewsPatient care hit by disrepair in NHS buildingsSewage leaks and floods among more than 1,000 incidents revealed in BBC investigation.

The #NHScrisis takes many forms... and #toxic management & staff relations is one (more).

In a defunded, stressed #healthservice, with staff burning out & over-worked (due to unfilled jobs), we can expect inter-personal relations to become strained (to say the least).

In this case, a #female #doctor was driven to take her own life, triggered by a delay in removing herself from a toxic work environment.

Whatever the local issues, behind this is (still) #tory wrecking!

bbc.co.uk/news/articles/cmjg41

BBC NewsDr Vaish Kumar: NHS apologises after doctor took own lifeThe head of medical training for NHS England says she is sorry over mistakes that were made.

So the Q. for #NHS patients as the #healthservice seeks to transform the possibility for health data analysis is:

Do you trust any of those involved with your private #health data?

And if enough of us don't & opt-out then the whole project will continue with the skewed data analysis that has become apparent in #healthcare.

But if do trust the those involved, recent experience suggest that #privacy often ends up being violated by external forces...

a conundrum?

theguardian.com/society/2023/n

The Guardian · Patients may shun new NHS data store over privacy fears, doctors warnBy Denis Campbell

> ... the #cholera epidemic of 2008-2009 in South Africa was a disease of race. People of colour.. the prime victims.. cholera in South Africa has had a strong association with #RaceAndClass, as .. in other countries.. Also relevant is.. that in #SouthAfrica only 20 per cent of the population have access to exclusive private medical health services, while the majority of the country’s residents have to rely on an overworked and underfunded public #HealthService.
scholar.ufs.ac.za/server/api/c

you'll be unsurprised to know that while the #BMA is willing to go to ACAS for mediated pay talks, #SteveBarclay (through 'friends') as said there's an offer on the table, take it or leave it...

One can only conclude that the #Health Secretary thinks by paying hard ball he can 'break' the #Doctors... even if in the short-term he may be proved right, in the longer term, this intransigence will have a major impact on Doctors' morale & recruitment.

One more #Tory wrecking the #healthservice!!

More evidence of the effect of the #Tories defunding of the #NHS:

we can agree that its hard to maintain a functioning #healthservice if the buildings & equipment are in bad repair or failing.

One way to measure that is the expected cost(s) of meeting current required repairs.

Those maintenance needs that expose the NHS to low risk have actually remained stable while those that offer higher risk of problems have expended.

It will take years & billions of £ to repair the wreckers' work