Discover and read the best of Twitter Threads about #PCN
Most recents (7)
💊PCN IIF vs DES SMR Priorities
🧐Some Unintended Consequences 🤔
(Sorry about the acronyms)
“
#SMR in #PCN should follow four high-level principles delivering:
▶️ Shared decision-making
▶️ Personalised Care
▶️ Safety
▶️ Effectiveness
“
🧵 Thread 1/12
🧐Some Unintended Consequences 🤔
(Sorry about the acronyms)
“
#SMR in #PCN should follow four high-level principles delivering:
▶️ Shared decision-making
▶️ Personalised Care
▶️ Safety
▶️ Effectiveness
“
🧵 Thread 1/12
#SMR should target 🎯 people with complex or problematic polypharmacy at greatest risk of med related harms, ergo those:
1️⃣ in care homes
2️⃣ with polypharmacy >=10 meds
3️⃣ on meds associated with errors
4️⃣ with severe frailty
5️⃣ on addictive pain meds
All agree so far?
🧵 2/12
1️⃣ in care homes
2️⃣ with polypharmacy >=10 meds
3️⃣ on meds associated with errors
4️⃣ with severe frailty
5️⃣ on addictive pain meds
All agree so far?
🧵 2/12
Naturally the devil is as always in the detail
For example, only GPs & nurses or pharmacists with IP & advanced Hx taking & Exam techniques can deliver #SMR
For pharmacists means enrolled on or completed @CPPEPCPEP (acronyms++)
-OR-
CPPE Certified equivalence to PCPEP
🧵3/12
For example, only GPs & nurses or pharmacists with IP & advanced Hx taking & Exam techniques can deliver #SMR
For pharmacists means enrolled on or completed @CPPEPCPEP (acronyms++)
-OR-
CPPE Certified equivalence to PCPEP
🧵3/12
🚨BMA BULLSH*T ALERT🚨
#NHS on brinking on US corporate capture in no small part due to complicity of @TheBMA
To avoid being too conspicuous & despite signing up to white paper in Feb 2021 here we have latest display of cynical, deceptive posturing.
#NHS on brinking on US corporate capture in no small part due to complicity of @TheBMA
To avoid being too conspicuous & despite signing up to white paper in Feb 2021 here we have latest display of cynical, deceptive posturing.
@TheBMA has delivered all government has asked of them in betraying profession & patients from capitulation over HSCA 2012, sabotage of junior doctors' strike 2016 to railroading GPs into #PCN contracts in 2019. Their statement needs exposing for its deadly consistency.
Instead of calling for a scrapping of the wasteful marketisation the BMA endorse the catastrophic status quo with over £10 BILLION p.a squandered on market bureaucracy and NOT on service provision
“Working collaboratively in an ICS: freeing up opportunities in community pharmacy”
- a thread highlighting the publication of the joint @NHSConfed @NPA1921 & @pcpa_org round table paper
#PCNNetwork #OneProfession #CommunityPharmacy #PCN #ICS
nhsconfed.org/sites/default/…
1/-
- a thread highlighting the publication of the joint @NHSConfed @NPA1921 & @pcpa_org round table paper
#PCNNetwork #OneProfession #CommunityPharmacy #PCN #ICS
nhsconfed.org/sites/default/…
1/-
Community pharmacy is an integral part of the NHS and has a vital role to play as a full partner within a primary care network (PCN).
2/-
2/-
Medicines’ safety and optimisation are widely recognised as part of its unique skill set but, increasingly, community pharmacy is collaborating with partners in primary care to deliver integrated clinical services in integrated care systems (ICSs).
3/-
3/-
Dangerous editorial by @jkaffash demonstrates selective blindness & historical amnesia.
Here's why. 1/13
pulsetoday.co.uk/views/editors-…
Here's why. 1/13
pulsetoday.co.uk/views/editors-…
Underplaying significance of American corporate raiders following recent annoucement of Centene's UK subsidiary takeover of GP practices ignores dominance of various US players now metastasised throughout NHS not least in @NHSEngland board 2/13
lowdownnhs.info/news/us-takeov…
lowdownnhs.info/news/us-takeov…
most notably #Mckinsey #UnitedHealth.
Business model of American privatised healthcare is built on fraud and denial of care. 3/13
economist.com/leaders/2014/0…
nytimes.com/2017/05/19/bus…
Business model of American privatised healthcare is built on fraud and denial of care. 3/13
economist.com/leaders/2014/0…
nytimes.com/2017/05/19/bus…
Despite rhetoric on #healthinequalities, the current UK #vaccination strategy discriminates against poorer people.
🧵 below on why.
Immediate action needs to be allowing vacc sites to move down cohorts (& providing supply to do so)
@CdsPcn @NikkiKF @CMO_England @Jeremy_Hunt
🧵 below on why.
Immediate action needs to be allowing vacc sites to move down cohorts (& providing supply to do so)
@CdsPcn @NikkiKF @CMO_England @Jeremy_Hunt
With the exception of HCWs, the top JCVI cohorts are based on biological age.
But poverty affects life expectancy. In poor areas people don't live so long.
But poverty affects life expectancy. In poor areas people don't live so long.
Our #PCN covers a highly deprived area. Most people don't live to be over 80. Or > 75 for that matter. Our first cohorts are tiny.
BUT we have huge numbers of patients in cohort 4 (over 70, and clinically extremely vulnerable). That's b/c we have LOADS of ppl w multimorbidity
BUT we have huge numbers of patients in cohort 4 (over 70, and clinically extremely vulnerable). That's b/c we have LOADS of ppl w multimorbidity
With the opportunity to engage and influence Draft #PCN guidance, I will do a full twitter thread on each aspect of the new Service Spec!
The aim is to be objective, so there will be no screaming etc!
Why on twitter
1. I would like it to be public
2. Easy to share images
The aim is to be objective, so there will be no screaming etc!
Why on twitter
1. I would like it to be public
2. Easy to share images
Spec ONE - Structured Medicine Reviews #PCN
As a concept SMRs are a positive initiative, polypharmacy should be addressed.
As a concept SMRs are a positive initiative, polypharmacy should be addressed.
The draft assumes that the SMRs will be delivered in principle by Clinical Pharmacists. Funding for the post is available via PCN monies therefore, should not impact GP workload.
Thread -
Calling all #PCN #Pharmacists – did you know the GHP Contingent Medical Malpractice Cover offers additional personal professional indemnity insurance above and beyond the state backed scheme for General Practice. (1/6)
Calling all #PCN #Pharmacists – did you know the GHP Contingent Medical Malpractice Cover offers additional personal professional indemnity insurance above and beyond the state backed scheme for General Practice. (1/6)
If your employer has primary cover in place (all NHS and most associated organisations like GP federations will have this) then you can get ‘top up’ cover for just £15/year. (2/6)
And the price stays the same when you become a prescriber and at all levels of your career.
It will also cover you for historic issues, regardless of who you were previously covered by, as long as you did not know about the issue when you changed provider. (3/6)
It will also cover you for historic issues, regardless of who you were previously covered by, as long as you did not know about the issue when you changed provider. (3/6)
