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Rhian Last RN - Author, Editor and Educator

@rhianlast.bsky.social
552 followers 827 following 85 posts

Winner 2021 FPM Medical Writing in Social Media Award for Europe Books: Reflective Leadership in Healthcare: a practical guide-Rhian Last & Sue Lillyman 2023 A Nurse’s Survival Guide to General Practice Nursing-Karen Storey & Rhian Last 2021

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Reposted by Rhian Last RN - Author, Editor and Educator
Self-Care Forum @selfcareforum.bsky.social · 23/09/2026
Our Sept blog highlights the power of public health campaigns to change behaviour and improve population health. It points to the 1980s "Aids - don't die of ignorance" as a template for modern multi-media campaigns. bit.ly/4hmq3y7 @adewilliams.bsky.social @rhianlast.bsky.social @pharmrj.pharmsky.app
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Reposted by Rhian Last RN - Author, Editor and Educator
Self-Care Forum @selfcareforum.bsky.social · 17/09/2026
Have you planned for #SelfCareWeek? It's 8 weeks away but there's still time to get organised. See our website for tips and resources to help you help people take better care of their own health. bit.ly/37tIQXP @cent1pcn.bsky.social @wellbeingacademy.bsky.social @rhianlast.bsky.social
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Reposted by Rhian Last RN - Author, Editor and Educator
Nursing Times @nursingtimes.bsky.social · 08/07/2026
‘Supporting and nurturing student nurses is not a luxury but an investment for the future’ Sian Rodger on the importance of helping student nurses build confidence through support, guidance and encouragement. #nursing #students #nurses #education #studentnurses www.nursingtimes.net/workforce/su...
nursingtimes.net
'Supporting and nurturing student nurses is not a luxury but an investment for the future'
Sian Rodger on the importance of helping student nurses build confidence through support, guidance and encouragement.
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Reposted by Rhian Last RN - Author, Editor and Educator
Peter Stefanovic @peterstefanovic.bsky.social · 02/07/2026
Andy Burnham is set to ban Palantir from the NHS if he becomes Prime Minister 👏 www.telegraph.co.uk/politics/202...
telegraph.co.uk
Burnham set to ditch Palantir from NHS
Left-wing critics have called for deal to be axed over US tech giant’s work with Israeli Defense Forces and US immigration
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Reposted by Rhian Last RN - Author, Editor and Educator
Self-Care Forum @selfcareforum.bsky.social · 29/06/2026
Based on our paper in @bmj.com read our president's insights into why "self-care should be a routine part of primary care" and the gap between HCPs views and those of their patients in Healthcare Leader here bit.ly/4gc8ORk @rhianlast.bsky.social @helendon-rn.bsky.social @pharmrj.pharmsky.app
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Reposted by Rhian Last RN - Author, Editor and Educator
Self-Care Forum @selfcareforum.bsky.social · 25/06/2026
Our @bmj.com paper is now out, showing that #selfcare confidence is high even though health professionals believe a lack of patient engagement is an obstacle to #selfcare practise. More here: bit.ly/4eFuqTx or read our President's blog on the website. @pifonline.bsky.social @pharmrj.pharmsky.app
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Reposted by Rhian Last RN - Author, Editor and Educator
The BMJ @bmj.com · 25/06/2026
Little evidence that Australia’s under-16 social media restrictions have curbed use among adolescents, finds new BMJ Research. Longer term evaluation needed, but current age verification checks are “suboptimal” and being bypassed, warn researchers bit.ly/4agUnHL
bmj.com
Assessing early effects of Australia’s Social Media Minimum Age Act on adolescents’ social media use
BMJ Research
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Reposted by Rhian Last RN - Author, Editor and Educator
BJGP @bjgp.org · 22/06/2026
BJGPLife: Making sense together after algorithms bjgplife.com/making-... #GeneralPractice #PrimaryCare #FamilyMedicine
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Reposted by Rhian Last RN - Author, Editor and Educator
🇨🇦JOY 🇨🇦 @joycomes.bsky.social · 22/06/2026
This video shows the new born octopus hatching from the egg. They are independent, the size of a pea. To learn more about the entire process go here: octonation.com/how-do-octop...
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Reposted by Rhian Last RN - Author, Editor and Educator
Good Law Project @goodlawproject.org · 16/06/2026
"Almost a third of the hospitals using Palantir's platform report a decline in the number of operations performed." So much for speeding up the NHS...🙄 www.ft.com/content/a3e94197-87a8-4b…
ft.com
Palantir NHS claims rely on just a few hospitals
Data shows some trusts have delivered fewer operations since adopting the US company’s technology
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Rhian Last RN - Author, Editor and Educator @rhianlast.bsky.social · 08/06/2026
www.theguardian.com/society/2026...
theguardian.com
More than 1,300 deaths a month in England due to long A&E waits, figures suggest
Senior medical staff call for solutions to tackle root causes of excess deaths amid tenfold increase in a decade
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Rhian Last RN - Author, Editor and Educator @rhianlast.bsky.social · 08/06/2026
www.theguardian.com/society/2026...
theguardian.com
Record number of people waiting for NHS diagnostic tests in England
One in five of the 1.92m patients on list wait longer than six weeks for tests such as CT and MRI scans, analysis shows
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Reposted by Rhian Last RN - Author, Editor and Educator
Trish Greenhalgh @trishgreenhalgh.bsky.social · 23/05/2026
Every summer I repost this article on how to spot drowning. Please read it and pass on. In the last few years I’ve had SIX messages from people who saved a kid’s life after clicking on the link from my feed. slate.com/technology/2...
slate.com
Drowning Doesn’t Look Like Drowning
Drowning is not the violent, splashing call for help that most people expect.
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Reposted by Rhian Last RN - Author, Editor and Educator
Trish Greenhalgh @trishgreenhalgh.bsky.social · 23/05/2026
Dear Slate
I have a big social media following. Every year I repost this article: https://slate.com/technology/2013/06/rescuing-drowning-children-how-to-know-when-someone-is-in-trouble-in-the-water.html

In the past few years I've had six messages from people who saved a child's life after following my link to the article.

Would you please consider removing the paywall? 

Prof Trish Greenhalgh
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Reposted by Rhian Last RN - Author, Editor and Educator
The BMJ @bmj.com · 22/05/2026
"When healthcare systems invest in joy, kindness, compassionate leadership, and asking four simple words 'what matters to you?' patients do better and staff thrive." Healthcare faces a moral emergency but restoring kindness can help bit.ly/3PSuA1t
bmj.com
Healthcare's moral emergency: reconnecting healthcare with its mission and purpose
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Rhian Last RN - Author, Editor and Educator @rhianlast.bsky.social · 20/05/2026
I am actually lost for words! 😡 Wes Streeting supportive on X - he thinks it’s 🔥 apparently ….. really??? www.independent.co.uk/news/uk/home...
independent.co.uk
Gemma Collins features in Department for Education social media teaser video
The former The Only Way Is Essex star, 45, met Bridget Phillipson to discuss education reforms.
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Reposted by Rhian Last RN - Author, Editor and Educator
Trish Greenhalgh @trishgreenhalgh.bsky.social · 12/05/2026
Have some manta ray chill to start the day. From my marine biologist son Rob in Fiji. He lives on an island called Barefoot Manta, helping to protect these guys. youtu.be/TBWMOIXQCoM?...
youtu.be
Manta highlights
YouTube video by Drawaqa Marine Conservation Trust
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Reposted by Rhian Last RN - Author, Editor and Educator
Good Law Project @goodlawproject.org · 11/05/2026
“Once again: Palantir fails the trust test. The government should cut Palantir out of our NHS once and for all.” www.theguardian.com/society/2026/ma…
theguardian.com
Palantir’s access to identifiable NHS England patient data is ‘dangerous’, MPs say
Decision made to grant US tech firm ‘unlimited access’ to data in project to build integrated platform, according to reports
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Reposted by Rhian Last RN - Author, Editor and Educator
David Oliver @mancunianmedic.bsky.social · 25/04/2026
www.theguardian.com/society/2026...
theguardian.com
Safety fears as UK hospitals use nurses to cover for doctors due to shortage of medics
Exclusive: Advanced practitioners are being deployed to cover doctor rota gaps across the NHS, figures show
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Reposted by Rhian Last RN - Author, Editor and Educator
Dr Steve Taylor @drstevetaylor.bsky.social · 22/04/2026
GPs have won a major protection for patients in their negotiations with NHSE & Govt Guarantee of referral, no target for rejections, clear documentation of Advice and Guidance with Consultant name & GMC number Patient safety is always the priority Govt needs to listen to GPs
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Reposted by Rhian Last RN - Author, Editor and Educator
Nursing in Practice @nursinginpractice.bsky.social · 19/04/2026
It is ‘unacceptable’ that thousands of general practice nurses (GPNs) have been ‘left waiting’ for pay increases in recent years, the president of the Royal College of Nursing (RCN) has said. #RCN #GPNs #Nursing #Nurses
buff.ly
‘Unacceptable’ that thousands of practice nurses are ‘left waiting’ for pay rise
It is ‘unacceptable’ that thousands of general practice nurses have been ‘left waiting’ for pay increases, the president of the RCN has said
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Reposted by Rhian Last RN - Author, Editor and Educator
Trisha Elliott @trishaelliott.bsky.social · 15/04/2026
Turning plastic waste into useful medicines? It sounds far fetched but here it is… in the @bmj.com, reported by Jacqui Wise. Link: www.bmj.com/content/392/... #Recycling #PharmacySky #MedSky
Article on plastic waste. Excerpt here;

YAWN, NOT MORE ON RECYCLING?
Not this time. This is how plastic bottle waste has been used to make levodopa, a main treatment for Parkinson's disease.
Scientists at Edinburgh University genetically engineered E coli bacteria to help transform polyethylene terephthalate
(PET) into the drug.
WASTE NOT, WANT NOT
Quite. PET, which is used widely in food and drink packaging, is first broken down into building blocks of terephthalic acid The bacteria transform these into levodopa through a series of biological reactions.
SOUNDS LIKE A WIN-WIN?
The charity Parkinson's UK says that around 166 000 people have the disease.
Those with the condition don't produce enough dopamine because some nerve cells have stopped working. There is no cure, but levodopa can top up dopamine levels, which can improve movement.
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Reposted by Rhian Last RN - Author, Editor and Educator
Dr Steve Taylor @drstevetaylor.bsky.social · 14/04/2026
The number of GP practices in England fell from 7,686 in 2015 to 6,359 in 2025, while the number of homes rose by around 2m over the same period. As a result, the number of homes served per average GP practice rose from 3,066 in 2015 to 3,976 in 2025. www.gponline.com/one-gp-pract...
gponline.com
One GP practice a week closing under Labour, say Lib Dems
The NHS has lost a GP practice a week since the Labour government took office in summer 2024, the Liberal Democrats have warned - as the party promised to guarantee new housing developments come with ...
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Reposted by Rhian Last RN - Author, Editor and Educator
Alf Collins @alfcollins.bsky.social · 14/04/2026
Just seen the ad for the new director of patient experience at DHSC. Interesting JD. And….although there’s *much* the NHS can learn from customer service industries, patients are not customers- they are co-producers of health. A vital distinction imho.
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Reposted by Rhian Last RN - Author, Editor and Educator
Dr Dave Triska @davetriska.bsky.social · 13/04/2026
11:39. Just really tired. External services emailing problems across that they could solve themselves because we're the path of least resistance. 629 tasks. 24 staff. 249 minutes. One practice. One Monday morning. This is general practice. This is what we do. Every single day.
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Reposted by Rhian Last RN - Author, Editor and Educator
Dr Dave Triska @davetriska.bsky.social · 13/04/2026
By 08:01 - one minute after we opened - we were at 154 tasks. The number that appears in NHS workload reports, the one practices get compared on, is the request count. The difference is the unrecorded workload nobody talks about.
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Reposted by Rhian Last RN - Author, Editor and Educator
Dr Dave Triska @davetriska.bsky.social · 13/04/2026
🧵A Monday morning in general practice. One small rural GP surgery in Surrey. Real numbers from a real working day. Here's what happened between 07:30 and noon.
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Reposted by Rhian Last RN - Author, Editor and Educator
Dr Dave Triska @davetriska.bsky.social · 11/04/2026
How odd, maybe a Bluesky thing? open.substack.com/pub/davetris... Might be worth pasting into a browser
open.substack.com
What you can’t measure
He’s fifteen minutes into a routine appointment and he says it like he’s ordering a coffee.
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Reposted by Rhian Last RN - Author, Editor and Educator
Dr Jo Maher NHS GP @drjomaher.bsky.social · 11/04/2026
….’That’s what continuity is. Not a policy word. Not a contractual metric. Not a slide on a presentation about neighbourhood health. It’s the thing that lets you see the whole cloth when everyone else is looking at individual threads.’ Brilliant writing by @davetriska.bsky.social thank you 🙏🏽
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Reposted by Rhian Last RN - Author, Editor and Educator
Nuffield Trust @nuffieldtrust.org.uk · 11/04/2026
In 2025, non-medical clinicians made up a quarter of the UK's qualified prescribers. We’ve identified gaps in supervision, training and planning that need to be addressed if the NHS is to make full use of this growing workforce 🧑‍⚕️ Read this week’s report to learn more: buff.ly/to2szx8
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Reposted by Rhian Last RN - Author, Editor and Educator
Trish Greenhalgh @trishgreenhalgh.bsky.social · 10/04/2026
AI scribes. Greta blog by @benngooch.bsky.social substack.com/home/post/p-...
substack.com
I Was an Enthusiastic Early Adopter of AI Scribes. Here’s Why I Stopped
A GP reflects on what eighteen months of ambient scribing taught them about the consultation they thought they already understood.
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Prospect Magazine @prospectmagazine.co.uk · 09/04/2026
“I have always been quite glad when winter is over, but now I am thrilled that I am still here for one more reunion with the snowdrops," writes Sheila Hancock
prospectmagazine.co.uk
Sheila Hancock: I am thrilled to have survived for my 93rd spring
This reunion with the snowdrops and daffodils feels precious
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Reposted by Rhian Last RN - Author, Editor and Educator
Nuffield Trust @nuffieldtrust.org.uk · 09/04/2026
NEW analysis finds the expansion of independent prescribers must overcome worrying barriers. Health professionals such as nurses and pharmacists who can prescribe medicines face gaps in supervision, training and workforce planning. Read the report funded by @abpi.bsky.social 👇
nuffieldtrust.org.uk
Independent prescribing in the UK: Workforce ambitions and implementation challenges
Health professionals such as nurses, pharmacists and AHPs who can prescribe medicines, known as independent prescribers, are a critical and growing part of the NHS workforce and key to shifting care into the community. However, our report finds current arrangements fall short, with limited planning, inconsistent access to training and supervision, and gaps in regulation, oversight and data.
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Reposted by Rhian Last RN - Author, Editor and Educator
Nursing Times @nursingtimes.bsky.social · 07/04/2026
Early careers nurse pens book to help support nursing students A nurse from the Midlands has written a book designed to provide practical advice for anyone considering a career in nursing or making their first steps in the profession. #nurse #nursing #students www.nursingtimes.net/newly-regist...
nursingtimes.net
Early careers nurse pens book to help support nursing students
A new nurse has written a book of practical advice for anyone considering a career in nursing or making their first steps in the profession.
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Reposted by Rhian Last RN - Author, Editor and Educator
Trish Greenhalgh @trishgreenhalgh.bsky.social · 07/04/2026
Let’s make a thread. Post the antithesis of mutually assured destruction. Sending love and peace to all. We are better than this man, this war.
Buttercups close up in field. Clouds in blue sky. Looks nice.
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Dr Tom Riddington @drtomriddington.bsky.social · 03/04/2026
Well said Steve, this is rose-tinted nostalgic nonsense of the highest order
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Dr Steve Taylor @drstevetaylor.bsky.social · 04/04/2026
GP Partners are receiving emails from Operose Inviting them to look at succession planning with Operose taking over their practices Plan: 1. Starve NHS GPs of £ 2. Continuous poor contracts 3. Appoint former CEO in DHSC 4. Use NHSE data base to contact partners 5. Takeover Is this the grand plan?
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Royal College of Nursing @rcn.org.uk · 03/04/2026
In his latest blog, RCN President Bejoy Sebastian reflects on the huge contribution made by internationally educated nursing staff, our commitment to anti-racism, and the importance of celebrating nursing excellence. Read now: bit.ly/4tpqMD6
rcn.org.uk
The courage and dignity of the nursing profession | Royal College of Nursing
RCN President, Bejoy Sebastian reflects on recent moments of solidarity, pride and inspiration from nursing staff at in the UK and internationally.
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Dr Steve Taylor @drstevetaylor.bsky.social · 03/04/2026
Private sector, see a Dr. In the NHS, the plan is for you to see anyone but a Dr. That is a political choice, & it is putting lives at risk UK already has fewer Drs per head than 🇪🇺 No other nation is responding to that gap by designing Drs out of patient care Training more! dauk.org/dauk-respond...
dauk.org
DAUK responds to NHS England chief executive’s threat to reduce reliance on doctors
Doctors’ Association UK (DAUK) has responded to reports that NHS England chief executive Sir Jim Mackey intends to accelerate work on clinical models less reliant on doctors in response to...
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Paula McGowan OBE @oliverscampaign.bsky.social · 02/04/2026
#Oliverscampaign Some people make our world a little brighter. Lollipop man, 91, on final patrol after 28 years www.bbc.com/news/article...
bbc.com
Manchester lollipop man, 91, completes last shift after 28 years
Reg Bown, 91, is retiring from crossing duties after almost three decades of service as a lollipop man.
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David Oliver @mancunianmedic.bsky.social · 02/04/2026
www.nuffieldtrust.org.uk/news-item/ho...
nuffieldtrust.org.uk
How staff joined the NHS under the 50,000 nurses programme – and why they left
In 2019, the last government pledged to add 50,000 more registered nurses to the NHS in England by 2024/25 – a target that was met in 2023. But it’s been unclear how this was achieved and the lessons ...
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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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European Medicines Agency @ema.europa.eu · 27/03/2026
📢 We just recommended 5 new medicines for approval, including a medicine for extensive-stage small cell lung cancer, with currently has very limited treatment options Find out more in our highlights🔗 www.ema.europa.eu/en/news/meet... #PublicHealth #medsky 🧪
ema.europa.eu
Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 23-26 March 2026 | European Medicines Agency (EMA)
Five new medicines recommended for approval; another 13 medicines recommended for extension of their therapeutic indications
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Dr Steve Taylor @drstevetaylor.bsky.social · 30/03/2026
Compulsory Advice & Guidance for all GP referrals This will mean more waits in the community, reduced patient choice, more work for your GP practice with no funding As a choice A&G is valuable but with aims to divert (reject) 25% of all referrals it’s top down manipulation
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Ben Canham @bencanham.bsky.social · 28/03/2026
I just want to clear something up I’ve noticed that when I share a lot of autism awareness content, some people assume I’m struggling or going through a hard time. I understand why it might come across that way, but that’s not the case.
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Action for Happiness @actionhappiness.bsky.social · 29/03/2026
Find some balance. Doing + Being. Motivation + Rest. Self + Others Image: www.instagram.com/vicky_barone
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Nursing Times @nursingtimes.bsky.social · 27/03/2026
Two major new cancer screening initiatives launched for Scotland An NHS cervical cancer self-sampling programme has been launched for women in Scotland, while 25,000 men in the country are being encouraged to participate in a new prostate cancer project. www.nursingtimes.net/cancer/two-m...
nursingtimes.net
Two major new cancer screening initiatives launched for Scotland
A new cervical cancer self-sampling programme and a prostate cancer project have both been launched this week for women and men in Scotland.
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BJGP @bjgp.org · 26/03/2026
BJGPLife: Listening under pressure: A proposed rethinking the short GP appointment bjgplife.com/listeni... #GeneralPractice #PrimaryCare #FamilyMedicine
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Dr Geraint Preest @drgeraintpreest.bsky.social · 22/03/2026
I’ll never tire of this building, in all lights at all times of the year
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Professor Calvin Moorley @calvinmoorley.bsky.social · 22/03/2026
Read our latest paper in @jadvnursing.bsky.social onlinelibrary.wiley.com/doi/10.1111/... @debrae.bsky.social
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