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Rebecca Payne

@oohgpwales.bsky.social
2.2K followers 2.3K following 793 posts

Rotational island GP NHS Orkney (Hoy). Clinical Senior Lecturer Bangor University. Reuben-Clarendon Scholar, Oxford University, working on tele-consultations and what comes next...

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Rebecca Payne @oohgpwales.bsky.social · 18/09/2026
What Rebecca learnt in Australia and Alaska… churchillfellowship.org/search/?term...
churchillfellowship.org
Search - The Churchill Fellowship
We are a community of changemakers championing global solutions for today's crucial challenges. We were founded in 1965 in memory of Sir Winston Churchill. We offer ideas to inspire your vision for ch...
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Rebecca Payne @oohgpwales.bsky.social · 12/09/2026
For anyone wondering what happened to my robot… link.springer.com/article/10.1...
link.springer.com
A feasibility study to explore the introduction of a remotely controlled medication issuing machine during the out-of-hours period in rural and under-served areas of Wales: the REmote MEdication maDe ...
Background Patients have difficulties accessing medications promptly following out-of-hours remote consultations when local pharmacies are closed. Delaying initiation of medications may turn a minor c...
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Rebecca Payne @oohgpwales.bsky.social · 20/08/2026
Island doctors get the best presents… that’s dinner sorted for the best part of a week!
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Rebecca Payne @oohgpwales.bsky.social · 14/08/2026
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Rebecca Payne @oohgpwales.bsky.social · 07/08/2026
In my favourite hotel. Annandale Water Days Inn - with balcony and lake you feel like you’ve got a top class chalet at centre parks but at a fraction of the price!
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Rebecca Payne @oohgpwales.bsky.social · 25/06/2026
Delivering primary care through a plethora of different modalities - phone, text, app and in person needs every person in the practice trained and confident. We developed a FREE and evidence based whole-team training package - see new paper and linked below qualitysafety.bmj.com/content/qhc/...
qualitysafety.bmj.com
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Rebecca Payne @oohgpwales.bsky.social · 22/06/2026
A moment of calm on a busy day as I wait to pick up a nurse from the ferry
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Rebecca Payne @oohgpwales.bsky.social · 18/06/2026
Fun evening at lifeboat training with the team practising firing rockets with a rope on the end…
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Rebecca Payne @oohgpwales.bsky.social · 16/06/2026
The practice IT is on the blink. Trying to choose calm despite the chaos.. Views like this help
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Rebecca Payne @oohgpwales.bsky.social · 15/06/2026
Back on Hoy island doctoring… summer in the Orkney islands is the loveliest time of year with long days, Oyster catchers in the fields and lupins by the roadside
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Rebecca Payne @oohgpwales.bsky.social · 08/05/2026
Help us fix this problem by answering a one question anonymous survey forms.office.com/pages/respon...
forms.office.com
Microsoft Forms
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Reposted by Rebecca Payne
BJGP @bjgp.org · 07/05/2026
What counts as #UrgentCare differs across healthcare settings. A UK-wide, single, shared definition will support safer triage, better workforce models & meaningful national monitoring; enabling patients to access care in the right place, right time doi.org/10.3399/BJGP... @oohgpwales.bsky.social
doi.org
What do we mean by urgent care? Definitional confusion and its consequences | British Journal of General Practice
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Reposted by Rebecca Payne
Trish Greenhalgh @trishgreenhalgh.bsky.social · 31/03/2026
New from academic GP @oohgpwales.bsky.social Why I can't be replaced by a bot theconversation.com/why-ai-healt...
theconversation.com
Why AI health chatbots won’t make you better at diagnosing yourself – new research
A chatbot might know what’s wrong with you, but when people try to use them to understand symptoms, they may end up no closer to the answer.
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Rebecca Payne @oohgpwales.bsky.social · 26/03/2026
New in BMJ: Remote consultations now make up 38.5% of GP appointments in England (Dec 2025). But a new shift is emerging 👇 GPs delivering care from overseas. What does this mean for safety, continuity, and equity
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Rebecca Payne @oohgpwales.bsky.social · 20/03/2026
GPs, AI isn’t about to take your job… but it might be after your secretary’s…. bjgplife.com/ai-in-primar...
bjgplife.com
AI in primary care: Secretary, not physician – BJGP Life
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Reposted by Rebecca Payne
Trish Greenhalgh @trishgreenhalgh.bsky.social · 10/03/2026
Time to start giving your kids their medication as tablets instead of liquids? Link to academic paper in article. By @oohgpwales.bsky.social theconversation.com/kids-can-tak...
theconversation.com
Kids can take tablets, so why are we still giving liquid medicines?
Liquid medicines are often messy, expensive and hard to give so why do they remain the default?
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Rebecca Payne @oohgpwales.bsky.social · 25/02/2026
New paper alert… thread below www.thelancet.com/journals/lan...
thelancet.com
How a lack of visual fidelity in patient-generated images risks compromising care
Internationally, contemporary primary care is reliant on digital visual information, often generated by the patient through the use of their smartphone. Primary care physicians and their teams routine...
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Rebecca Payne @oohgpwales.bsky.social · 22/02/2026
Cannon mounted… Hoy is ready for Napoleon.
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Rebecca Payne @oohgpwales.bsky.social · 19/02/2026
The Hoy Head steaming in to pick us up
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Rebecca Payne @oohgpwales.bsky.social · 19/02/2026
At the bus stop bright and early for the next stage of the journey / bus and then ferry over to Hoy. It’s windy and cold and I’m grateful for the padded waterproof onesie purchased in the Falklands (yes I did brush my hair this morning, but no amount of brushing can compensate for Orkney wind!)
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Rebecca Payne @oohgpwales.bsky.social · 18/02/2026
Made it to Kirkwall. In a rare feat of organisation I’ve bought biscuits IN ADVANCE as thankyous for all the people who always end up going above and beyond to help me as island doctor - volunteer ambulance crew and ferry crew in particular… impressed by this unusual level of personal organisation 😂
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Rebecca Payne @oohgpwales.bsky.social · 18/02/2026
Switching back from academic to island GP… by 10am tomorrow the metamorphosis will be complete. Looking forward to wielding a stethoscope rather than a keyboard and to wearing my many-pocketed-trousers again. (Back in Bangor 9th March, not leaving for good!)
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Reposted by Rebecca Payne
Luc Rocher @rocher.lc · 09/02/2026
⚠️ Despite all the hype, chatbots still make terrible doctors. Out today is the largest user study of language models for medical self-diagnosis. We found that chatbots provide inaccurate and inconsistent answers, and that people are better off using online searches or their own judgment.
Banner image with screenshot of scientific article from nature Medicine, as well as two panels from the study method and results
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Rebecca Payne @oohgpwales.bsky.social · 09/02/2026
Plenty of press coverage tonight for one of the most important papers I’ve been involved with… www.bbc.co.uk/news/article...
bbc.co.uk
AI chatbots give inaccurate medical advice says Oxford Uni study
It found people using AI for health reasons found it hard to identify what advice they should trust.
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Rebecca Payne @oohgpwales.bsky.social · 06/02/2026
New paper alert! innovations.bmj.com/content/earl... Lead author and medical student Aleks Tanaka did a brilliant job on this paper looking at whether drones in healthcare are ready to fly (read it to find out!)
innovations.bmj.com
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Reposted by Rebecca Payne
BJGP @bjgp.org · 23/01/2026
No. 4 #BJGPTop10 Hybrid general practice: Risks of hybrid general practice and its challenges to quality care doi.org/10.3399/BJGP... @trishgreenhalgh.bsky.social @oohgpwales.bsky.social #HybridCare #DigitalHealth #HealthcareInnovation #HealthPolicy #HealthTech #PrimaryCare #BJGP #research
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Reposted by Rebecca Payne
Rebecca Payne @oohgpwales.bsky.social · 02/01/2026
Happy new year! If your eyes glaze over when people start talking philosophy in research, then read this! Proud to have been a co-author on this paper explaining why the assumptions we make about the world matter for our research bjgp.org/content/76/7...
bjgp.org
‘You can mix your methods, but you can’t mix your paradigms’: a guide to ontology and epistemology for the confused researcher
Research is an attempt to find out something useful about the world. Whether we like it or not, how we choose our methods, conduct data analysis, and draw conclusions flow from our underpinning assump...
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Rebecca Payne @oohgpwales.bsky.social · 02/01/2026
Happy new year! If your eyes glaze over when people start talking philosophy in research, then read this! Proud to have been a co-author on this paper explaining why the assumptions we make about the world matter for our research bjgp.org/content/76/7...
bjgp.org
‘You can mix your methods, but you can’t mix your paradigms’: a guide to ontology and epistemology for the confused researcher
Research is an attempt to find out something useful about the world. Whether we like it or not, how we choose our methods, conduct data analysis, and draw conclusions flow from our underpinning assump...
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Rebecca Payne @oohgpwales.bsky.social · 05/12/2025
@bjgp.bsky.social any chance of putting qr codes on your research pages to link to the full research paper?
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Rebecca Payne @oohgpwales.bsky.social · 18/11/2025
www.theguardian.com/uk-news/2025... the bishop speaks for me… the bible is crystal clear on the need to care for the vulnerable and to welcome foreigners. Government policy is out of line here.
theguardian.com
Anglican bishop shaken ‘to the core’ by home secretary’s asylum seeker comments
Bishop of Edmonton says people coming to UK are being ‘scapegoated’ for years of policy failures
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Rebecca Payne @oohgpwales.bsky.social · 12/11/2025
“This is a call to ensure that the future of health is not defined solely by those with the most data, the most money, or the most influence, but by those who centre equity, prevention, and the well-being of populations…” read more here www.sciencedirect.com/science/arti...
sciencedirect.com
Mind the (widening) gap: why public health must engage with AI now
This commentary aims to highlight the opportunities and challenges that Artificial Intelligence (AI) presents for public health.Narrative commentary a…
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Rebecca Payne @oohgpwales.bsky.social · 08/11/2025
Very proud of son who has passed his driving test, and absolutely horrified at the cost of car insurance for young drivers (and that’s for a 7 year old corsa!). Any tips?
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Rebecca Payne @oohgpwales.bsky.social · 19/10/2025
Guess where I am
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Rebecca Payne @oohgpwales.bsky.social · 17/10/2025
Out of office on… another adventure awaits. Guess where I’m going and why? (Wrong answers only!)
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Reposted by Rebecca Payne
Reuben College, University of Oxford @reubencollege.bsky.social · 17/10/2025
Congratulations to our student Rebecca Payne (@oohgpwales.bsky.social, DPhil in Translational Health Sciences), who has won the Royal College of General Practitioners Health Services Research Paper of the Year! #ReubenPeople #Reubenite
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Rebecca Payne @oohgpwales.bsky.social · 17/10/2025
Delighted to be an author on both these papers - I led the paper which examined quality in contemporary remote and hybrid general practice and supported Trish on the education paper. Thanks to the amazing RBD2 team too, was such a privilege working on the study
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Rebecca Payne @oohgpwales.bsky.social · 09/10/2025
Delighted to receive the RCGP health services research paper of the year award today! Massive thanks to the whole RBD2 team and particularly all those who worked on this paper
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Rebecca Payne @oohgpwales.bsky.social · 03/10/2025
Calm before the rather windy storm . Off to buy matches #Orkney
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Rebecca Payne @oohgpwales.bsky.social · 01/10/2025
I finally, unequivocally saw the Northern lights, not just with the camera but with my own eyes too. #lifegoal
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Rebecca Payne @oohgpwales.bsky.social · 30/09/2025
Thinking about online hospitals? Read the at a glance summaries from the RBD2 project - many of the findings will also apply to remote hospital care www.phc.ox.ac.uk/research/gro...
phc.ox.ac.uk
Remote by Default 2 project resources
Peer-reviewed papers from the Remote by Default 2 study
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Rebecca Payne @oohgpwales.bsky.social · 12/09/2025
Uh oh…
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Rebecca Payne @oohgpwales.bsky.social · 05/09/2025
End of an era with the last publication from the Remote by Default 2 study out www.journalslibrary.nihr.ac.uk/hsdr/publish...
journalslibrary.nihr.ac.uk
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Rebecca Payne @oohgpwales.bsky.social · 01/09/2025
www.bbc.co.uk/news/article... So sad to hear that Tina has passed away. One of the most inspirational leaders I’ve ever met, she was supportive and kind… (as well as ever so slightly terrifying when the occasion demanded it!)
bbc.co.uk
Ex-nursing chief leaves 'legacy of courage and compassion'
Tina Donnelly was
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Reposted by Rebecca Payne
Rebecca Payne @oohgpwales.bsky.social · 29/08/2025
bjgp.org/content/75/7... ‘For every complex problem, there is an answer that is clear, simple and wrong‘ Tool or trap? Which category does CRP testing in GP OOH belong in?! New editorial out today in @bjgp.bsky.social
bjgp.org
Point-of-care C-reactive protein testing in general practice out-of-hours services: tool or trap?
Addressing the overuse of antibiotics is an international priority. Antibiotic use is a key driver of antimicrobial resistance (AMR), estimated to account for 4.95 million deaths per year globally.1 M...
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Rebecca Payne @oohgpwales.bsky.social · 29/08/2025
bjgp.org/content/75/7... ‘For every complex problem, there is an answer that is clear, simple and wrong‘ Tool or trap? Which category does CRP testing in GP OOH belong in?! New editorial out today in @bjgp.bsky.social
bjgp.org
Point-of-care C-reactive protein testing in general practice out-of-hours services: tool or trap?
Addressing the overuse of antibiotics is an international priority. Antibiotic use is a key driver of antimicrobial resistance (AMR), estimated to account for 4.95 million deaths per year globally.1 M...
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Rebecca Payne @oohgpwales.bsky.social · 20/08/2025
I’ve even quiet on this platform for a while as have been travelling around remote parts of Alaska on a Churchill Fellowship learning about how they deliver rural healthcare. Will share insights from the trip over coming weeks, but spending my last evening here at a CRAFT NIGHT at the local cinema!
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Rebecca Payne @oohgpwales.bsky.social · 05/08/2025
Lots of media coverage about the NICE quality standards for obesity and overweight, especially around the need for post-treatment support. You can read the standards here www.nice.org.uk/guidance/qs212
nice.org.uk
Overview | Overweight and obesity management | Quality standards | NICE
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Rebecca Payne @oohgpwales.bsky.social · 20/07/2025
This was the absolute highlight of my recent set of shifts… especially when porpoises appeared! rnli.org/news-and-med...
rnli.org
Longhope RNLI carries out joint exercise with NHS | RNLI
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Rebecca Payne @oohgpwales.bsky.social · 18/07/2025
Come and be my new GP colleague on the beautiful island of Hoy. Stunning setting and a lovely community apply.jobs.scot.nhs.uk/Job/JobDetai...
apply.jobs.scot.nhs.uk
Remote and Rural GP:Hoy & Walls Health Centre
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Rebecca Payne @oohgpwales.bsky.social · 18/07/2025
My mobile office! Love the portable second screen, one of the best investments I’ve ever made - has dramatically increased my productivity
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