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Tim Cooksley

@acutemed2.bsky.social
364 followers 149 following 27 posts

Immediate Past President, Society for Acute Medicine (SAM)

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Reposted by Tim Cooksley
Velindre Library @vcclibrary.bsky.social · 31/07/2026
Febrile neutropenia in patients treated with chemotherapy/immune checkpoint inhibition: a MASCC consensus statement link.springer.com/article/10.1...
link.springer.com
Febrile neutropenia in patients treated with chemotherapy/immune checkpoint inhibition: a MASCC consensus statement - Supportive Care in Cancer
Chemotherapy/immune checkpoint inhibitor (ICI) therapy is increasingly standard of care for a range of cancers. Increasing numbers of emergency cancer presentations mean alternative pathways are requi...
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Reposted by Tim Cooksley
Dan Lasserson @danlasserson.bsky.social · 18/07/2025
Acute care pathways have changed since landmark #VTE #prophylaxis trials were done. What do results from recent observational studies in #SDEC mean for practice and research? #AcuteMedJournalClub recording t.co/0Hxuh9wfyD Don’t forget to have your say #QRcode for 3 questions at the end !
t.co
https://youtu.be/VLYlNqCvdxY
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Reposted by Tim Cooksley
Oliver Tavabie @otavabie.bsky.social · 16/04/2025
Fantastic to see the updated BSG/BASL decompensated cirrhosis admission bundle in print at FG - practical guidance to improve care in the first 24 hours as well as implementation strategy - congrats Stuart McPherson for driving this! #livertwitter fg.bmj.com/content/earl...
fg.bmj.com
Decompensated cirrhosis: an update of the BSG/BASL admission care bundle
Acute decompensated cirrhosis (DC) and acute-on-chronic liver failure are common reasons for hospital admission that have a high in-hospital mortality rate (10%–20%). Patients require a detailed asses...
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Reposted by Tim Cooksley
Shaun Lintern @shaunlintern.bsky.social · 09/02/2025
“It's been underinvested in, steadily, for years & years...across governments, across many years — and you have to see it to believe it" Outgoing @NHSEngland chair Richard Meddings talks to Sunday Times Oli Shah www.thetimes.com/uk/healthcar...
thetimes.com
I chaired the NHS and hardly believed it: sewage flows into sinks
The outgoing chairman of NHS England is full of praise for its staff but says the service is ‘sclerotic’ and relies too heavily on politicians
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Reposted by Tim Cooksley
The BMJ @bmj.com · 30/01/2025
In recent decades we’ve lost too many general and acute hospital beds in the UK, without creating sufficient alternative capacity outside hospital. This has resulted in entirely predictable risks and harms, writes @mancunianmedic.bsky.social www.bmj.com/content/388/...
Hospital corridor with gurneys
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Reposted by Tim Cooksley
Jon Lim, FRCP PhD @drjonlim.bsky.social · 21/01/2025
It’s official! Dr Jamie Weaver & I will now be co-leading #TheChristie International Fellowship Programme for Medical Oncology, supported by Jenny Espin. We are happy to have 40+ clinical fellows across various tumour groups, contributing to cancer care & research. Watch the space…more to come!
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Tim Cooksley @acutemed2.bsky.social · 19/01/2025
@cancercaremascc.bsky.social @maryamlustberg.bsky.social @drjonlim.bsky.social link.springer.com/article/10.1...
link.springer.com
Low-risk febrile neutropenia: does combined chemotherapy/immune checkpoint inhibitor necessitate a change in approach? - Supportive Care in Cancer
Purpose Management of patients with low-risk febrile neutropenia in an outpatient setting guided by the MASCC score is proven to be safe and effective. Most patients on ambulatory low-risk febrile neu...
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Reposted by Tim Cooksley
David Oliver @mancunianmedic.bsky.social · 19/01/2025
www.theguardian.com/commentisfre...
theguardian.com
Burnout, shame, heartbreak: nurses are being crushed by our broken NHS | Sonia Sodha
A shocking Royal College of Nursing report reveals the toll chronic underfunding has taken on staff, and rings alarm bells for the future
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Reposted by Tim Cooksley
Alan Drummond MD @dralandrummond.bsky.social · 19/01/2025
Patients who wait more than 12 hours in A&E 'twice as likely to die within a month', says ONS www.telegraph.co.uk/news/2025/01...
telegraph.co.uk
Patients who wait more than 12 hours in A&E ‘twice as likely to die within a month’
Britain’s most senior emergency doctor says figures ‘too compelling to ignore’ and calls for ‘urgent political action’ to tackle crisis
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Reposted by Tim Cooksley
The i Paper @theipaper.com · 07/01/2025
'As an urgent care doctor I see NHS at its worst - Starmer's plan is deeply flawed' Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform buff.ly/4j5qNYj
buff.ly
'As an urgent care doctor I see NHS at its worst - Starmer's plan is deeply flawed'
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
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Reposted by Tim Cooksley
Dr Jackie Turvey Tait @jaxtait.bsky.social · 09/01/2025
"The reality for patients and staff is corridors full of patients experiencing degrading care, being treated in the backs of ambulances because there is simply no space in hospital, & the immense physical & emotional harm that inevitably results" Dr Tim Cooksley on the appalling NHS winter crisis.
bbc.co.uk
Winter pressure causing strain as bad as pandemic, NHS bosses say - BBC News
More than 5,400 patients a day are in hospital with flu, as delays in A&E and for ambulances mount.
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Reposted by Tim Cooksley
Dr Rachel Clarke @drrachelclarke.com · 12/01/2025
If only this from the Sunday Times were new - the truth is even worse: that trusts have been advertising for “corridor nurses” for years. A horrendous illustration of how overwhelmed our hospitals are every year, all year. This isn’t “flu” - it’s flu + lack of beds + failure to address social care 🧵
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Susie Shapiro @susie-shapiro.bsky.social · 10/01/2025
We report 0.9% VTE within 90 days of hospital led acute ambulatory care attendance; similar to traditional medical inpatient care without thromprophylaxis. Further VTE research needed in this rapidly expanding area of medicine#VTE#SDEC @danlasserson.bsky.social www.sciencedirect.com/science/arti...
sciencedirect.com
Same-day emergency care: a retrospective observational study of the incidence and predictors of venous thromboembolism following hospital-based acute ambulatory medical care
Same-day emergency care (SDEC) is an expanding area of hospital acute medical care. It aims to minimize delays and manage medical emergency patients w…
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Reposted by Tim Cooksley
Royal College of Emergency Medicine @rcem.ac.uk · 09/01/2025
With patients at risk of harm due to spending days in Emergency Departments and health care professionals left in tears due to winter pressures, the Royal College of Emergency Medicine has asked ‘how has this been allowed to happen again?’ Read our response to new NHSE data 👇 tinyurl.com/2ujbhz7m
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Reposted by Tim Cooksley
Society for Acute Medicine @acutemedicine.bsky.social · 09/01/2025
"The reality for patients and staff is corridors full of patients experiencing degrading care The fundamental issue is that there is a continued lack of capacity throughout the year - a tough flu season must not be used as a political excuse for the current situation" www.bbc.co.uk/news/article...
bbc.co.uk
Alarm as skyrocketing flu cases add to NHS strains
More than 5,400 patients in hospital with flu as delays in A&E and for ambulances mount.
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Reposted by Tim Cooksley
Dr Rachel Clarke @drrachelclarke.com · 09/01/2025
“It’s so blindingly - excuse my language - bleedin’ obvious that in an intelligent, affluent, civilised society we get this done.” Sir Andrew Dilnot tearing strips off the government yesterday for deferring addressing the crisis in social care until 2028. (1/3) www.theguardian.com/society/2025...
theguardian.com
‘Get this done’: Andrew Dilnot attacks three-year plan for English social care
Architect of previous attempts at reform says government could announce what it wants to do by end of 2025
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Reposted by Tim Cooksley
Society for Acute Medicine @acutemedicine.bsky.social · 07/01/2025
"The media is full of pictures of patients in corridors; long queues of ambulances outside of emergency departments and stories of horrific patient experiences: this is seen and experienced by frontline staff every day. It is an appalling situation."
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Daniel Elkeles @danielelkeles.bsky.social · 05/01/2025
This is a really important piece. We have to find a way to significantly reduce hospital handover delays so that next winter is better for patients and better for our staff than this one @londonambulance.nhs.uk
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David Oliver @mancunianmedic.bsky.social · 04/01/2025
I wrote this just before the general election I was clearly not being negative enough. More "Streeting Duty" than "Sleeping Beauty" www.bmj.com/content/385/...
bmj.com
David Oliver: Will a Labour government rescue adult social care?
Social care is in crisis. It’s failing the people who need it, and their families. This failure has a secondary effect on NHS services. If Labour becomes the next party of government, it will assume r...
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Reposted by Tim Cooksley
Alan Drummond MD @dralandrummond.bsky.social · 04/01/2025
Another winter of discontent looms for NHS urgent and emergency care www.bmj.com/content/388/...
bmj.com
Another winter of discontent looms for NHS urgent and emergency care
With a sense of inevitability and clear predictability, urgent and emergency care in the UK is rapidly heading into another winter of discontent. We are seeing signs that we will experience another wi...
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Reposted by Tim Cooksley
Society for Acute Medicine @acutemedicine.bsky.social · 03/01/2025
"The innovative elements of the plan are welcome.. without emergency care recovery, this elective plan will inevitably and predictably fail. The concept of continuing to ringfence elective beds whilst patients are dying, receiving degrading corridor care is immoral" @acutemed2.bsky.social
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Tim Cooksley @acutemed2.bsky.social · 02/01/2025
Critical incidents in hospitals up and down country. All services under immense pressure with no light at end of tunnel. Just when we think it can't get worse: it somehow does. Appalling for patients and scandalous entirely predictable situation.
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Reposted by Tim Cooksley
CarolineJMolloy @carolinejmolloy.bsky.social · 31/12/2024
General Practice doesn’t fit a marketised model of care, so it’s being killed, & the effects are spilling into the 1 remaining bit of the NHS anyone can access. Cooksley is spot on. The patient-blaming angle (including from government’s NHS director) is idiotic. amp.theguardian.com/society/2024...
Dr Tim Cooksley, the immediate past president of the Society for Acute Medicine, said patients were losing confidence in their ability to access primary or community care.
"They will access any care they can in desperate times and have often sought alternatives before presenting."
Prof Julian Redhead, NHS England's clinical director for urgent and emergency care, said A&Es were experiencing "record levels of demand", and urged the public to "play their part" by only turning to them for serious injuries or life-threatening emergencies.
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Tim Cooksley @acutemed2.bsky.social · 01/01/2025
Current pressures are grim. Not sure this type of message helps. Vast majority of people value their health services and only utilise when in need. That vast minority who do ring 999 for a stubbed toe will continue to do so irrespective. Messaging risks influencing wrong group.
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Reposted by Tim Cooksley
Shaun Lintern @shaunlintern.bsky.social · 30/12/2024
🚨 Snapsot below from staff struggling tonight. You can see in the West Midlands there are over 180 ambulances stuck at hospitals...114 over an hour. Second image shows waits in York A&E...longest for a bed is over 40hrs
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Tim Cooksley @acutemed2.bsky.social · 30/12/2024
Normalised and not yet nadired. The most scary point of all.
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Reposted by Tim Cooksley
Shaun Lintern @shaunlintern.bsky.social · 30/12/2024
It's an awful experience for pts and staff...in fact some pts will die. It may now not be exceptional, but that just means we have normalised it and that is truly dreadful.
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Tim Cooksley @acutemed2.bsky.social · 16/12/2024
Fantastic talks @mskcancercenter.bsky.social emergency oncology conference this morning. 7 touchdowns at Metlife stadium in great Ravens performance. Fabulous @sixbroadway.bsky.social show tonight. #NewYork
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Tim Cooksley @acutemed2.bsky.social · 14/12/2024
Brilliant day @mskcancercenter.bsky.social emergency oncology conference. Great learning, fantastic opportunities for future work and collaboration. Real pleasure to present at such a fantastic conference.
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Reposted by Tim Cooksley
Society for Acute Medicine @acutemedicine.bsky.social · 12/12/2024
Many hospitals will undoubtedly fall into critical incidents and patient safety will be compromised the frustration is that this is not unexpected given the longstanding issues with workforce, capacity, community services & a crisis in social care @acutemed2.bsky.social inews.co.uk/news/health/...
inews.co.uk
Hospitals brace for critical incidents as 'festive flu' cases surge 70 per cent
Medics warns patient safety 'will be compromised' as NHS faces 'quad-demic' including Covid, norovirus, and RSV
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Reposted by Tim Cooksley
Royal College of Emergency Medicine @rcem.ac.uk · 12/12/2024
RCEM is 'deeply concerned' about the lack of political attention on the pressure facing UEC systems as winter hits. It comes as new NHSE data revealed a ‘tidal wave’ of infections leading to a 70% increase in hospital cases across just seven days. Read more here - tinyurl.com/3pecffkw
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Tim Cooksley @acutemed2.bsky.social · 12/12/2024
Fantastic to be at Memorial Sloan Kettering and to see their cancer urgent care pathways/processes. Many differences but also many identical challenges and issues. @drjonlim.bsky.social
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Tim Cooksley @acutemed2.bsky.social · 11/12/2024
It is a great shame that these "disused care homes" are not being renovated to provide high quality community care that could support and rehabilitate older people currently "stranded" in Acute hospitals. Would be significant step in mitigating winter crisis. www.theguardian.com/uk-news/2024....
theguardian.com
Asylum seekers to be housed in disused care homes and student digs
Home Office plans to find 800 new accommodation sites and cut bill that has risen to £8m a day
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David Oliver @mancunianmedic.bsky.social · 10/12/2024
just back from a long day in acute medical unit/emergency department and it is Flu/RSV/Covid - Central once again My own home ward is also full of it And no shortage of staff sickness either "Back to the future"
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Reposted by Tim Cooksley
Keep Our NHS Public @keepournhspublic.bsky.social · 09/12/2024
Ambulance handover and shorter A&E waits can only happen in combination with a functioning social care system. "Dr Tim Cooksley, of the Society for Acute Medicine, said it was "concerning" the Health Sec felt the need to spell out the priorities for frontline staff." www.bbc.co.uk/news/article...
bbc.co.uk
Prioritise safety not A&E target, NHS leaders told
Health Secretary Wes Streeting delivers message amid mounting concern about winter pressures.
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Reposted by Tim Cooksley
Society for Acute Medicine @acutemedicine.bsky.social · 09/12/2024
"The extra cases of winter viruses...mean many hospitals will fall into critical incidents and patient safety will be compromised – but not as a result of hard-working staff not putting patient safety first but because the hospitals simply cannot cope" @acutemed2.bsky.social @theguardian.com
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Reposted by Tim Cooksley
Society for Acute Medicine @acutemedicine.bsky.social · 09/12/2024
"The stark reality is not that hospitals and staff on the frontline are manipulating targets, but that they are simply unable to deliver safe care even when trying their utmost to do so given the impossible situations they are in" @acutemed2.bsky.social www.bbc.co.uk/news/article...
bbc.co.uk
Prioritise safety not A&E target, NHS leaders told
Health Secretary Wes Streeting delivers message amid mounting concern about winter pressures.
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Tim Cooksley @acutemed2.bsky.social · 08/12/2024
Each winter in the past decade has become slightly worse and that trend, which has not been reversed, has resulted in a dire situation that may not yet have reached its nadir. A continuum of often predictable perfect storms has caused a struggling system to reach collapse www.bmj.com/content/384/...
bmj.com
A continuum of perfect storms: the winter forecast for urgent care in the NHS remains bleak
The NHS remains under immense pressure.1 Each part of the system is experiencing demand beyond its capacity, which is continually increasing the problem. This is most vividly illustrated in urgent and...
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Tim Cooksley @acutemed2.bsky.social · 08/12/2024
These are desperate times and getting worse. "Review" is stalling nonsense. Solutions are known; but expensive and will take years to deliver recovery. Each year those tough choices are avoided and we have superficial policies and delay (and will ultimately remove) any hope of improvement.
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Society for Acute Medicine @acutemedicine.bsky.social · 06/12/2024
Pressures throughout the system are perfectly and bleakly illustrated in urgent and emergency care where patients experience appalling conditions Extra cases of winter viruses mean many hospitals will fall into critical incidents @acutemed2.bsky.social tells @inews.co.uk inews.co.uk/news/health/...
inews.co.uk
Winter A&E crisis will worsen under NHS waiting list target, say medics
The NHS is in the grip of a 'quad-demic' of rising flu, Covid, norovirus and RSV cases, with hospitals 'busier than ever' for the time of year
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Reposted by Tim Cooksley
Society for Acute Medicine @acutemedicine.bsky.social · 06/12/2024
"It's an ongoing crisis which remains far from being resolved effectively. The extra cases of winter viruses mean many hospitals will fall into critical incidents given the relentless challenges we have faced all year round @acutemed2.bsky.social says. @rcem.bsky.social www.bbc.co.uk/news/article...
bbc.co.uk
Flu cases make NHS busier than ever with 95% of beds full
NHS England medical director warns hospitals under strain after sharp rise in flu cases.
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Tim Cooksley @acutemed2.bsky.social · 03/12/2024
If it is only "bumpy" we would all be delighted.
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Tim Cooksley @acutemed2.bsky.social · 01/12/2024
“Sadly many patients who would prefer to die at home end up being admitted acutely at the end of life due to poorly controlled symptoms. This is largely due to insufficient and inadequate community services and this is where initial investment needs to be focused" @doctoroxford.bsky.social
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Tim Cooksley @acutemed2.bsky.social · 24/11/2024
@bmj.com Management of AF in older patients is of great importance but it seems to be the illustration for every BMJ article on Bluesky!
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Kamran Abbasi @kamranabbasi.bsky.social · 23/11/2024
Lower turnover rates for nurses and senior doctors at hospital level are associated with better health outcomes for patients with emergency hospital admissions @bmj.com.bsky.social www.bmj.com/content/387/...
bmj.com
Nurse and doctor turnover and patient outcomes in NHS acute trusts in England: retrospective longitudinal study
Objective To investigate the association between monthly turnover rates of hospital nurses and senior doctors and patient health outcomes (mortality and unplanned hospital readmissions). Design Retro...
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Royal College of Emergency Medicine @rcem.ac.uk · 18/11/2024
(1st Bluesky post) Our members are seriously worried about being able to keep patients safe this winter. RCEM President: “We speak of percentages and numbers but let’s remember we are talking about people, and a workforce running on fumes trying to do their best..." tinyurl.com/bssSnapSurvey
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Tim Cooksley @acutemed2.bsky.social · 16/11/2024
Outside a large ED at end of October. No queues. Similar scenes in ED and Acute units inside.
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Tim Cooksley @acutemed2.bsky.social · 20/10/2024
At the heart of this appalling new normal is a system where demand continues to exceed capacity. No hospital can ‘play ball’ whilst functioning at 100% capacity. We are hurtling into months of chaos as this winter will be a new terrifying nadir. inews.co.uk/news/health/...
inews.co.uk
Penalising struggling hospitals 'will increase waiting times', doctors warn Streeting
Health Secretary has suggested NHS hospitals will have to make improvements to productivity to benefit from additional funding, as the Government prepares to call on the entire nation to shape its pla...
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Tim Cooksley @acutemed2.bsky.social · 12/09/2024
Absolutely this. I also wonder how much of this report had been drafted pre-election? An "oven ready NHS review".
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Tim Cooksley @acutemed2.bsky.social · 12/09/2024
If the plumbing is simply digitalisation, more comm care and prevention then few will argue. Each of those needs investment. Short term support essential whilst those implemented. It has to be said - cold pensioners this winter struggling to pay bills is an appalling start to prevention strategy
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