Phil Williams @scottishphil83.bsky.social · 02/08/2025Bizarrely the US with separation of church and state has its politics entirely dictated by religion. Whereas UK which is a theocracy actually has minimal real control over its legislatures by religion, despite bishops sitting in the HoL. 110
Reposted by Phil WilliamsEliot Higgins @eliothiggins.bsky.social · 21/07/2025Maybe the real question we should be asking ourselves is what is anyone doing to unite them? - Labour says Reform UK ‘trying to divide communities’ ahead of Farage speech on crime - UK politics live www.theguardian.com/politics/liv...theguardian.comLabour says Reform UK ‘trying to divide communities’ ahead of Farage speech on crime - UK politics liveReform UK leader is to lay out his plans for the criminal justice system if he were to become PM in a speech later this morning 1015439
Phil Williams @scottishphil83.bsky.social · 19/07/2025We need more useful RCTs. Eg comparing ibuprofen and naproxen for gout… so many patients come to me having nearly fixed themselves with simple ibuprofen. 000
Phil Williams @scottishphil83.bsky.social · 19/07/2025That’s very exciting! We watch it each year on the bbc as the 8yo is obsessed! Been once with her - was one of the most magical moments of our lives 🥰🥰🥰 110
Phil Williams @scottishphil83.bsky.social · 18/07/2025We accept certificates from other platforms. Fire training is fire training… brand doesn’t matter. Of course some are country specific… 200
Reposted by Phil WilliamsOdd This Day @oddthisday.bsky.social · 17/07/2025Praise be! It’s the 112th anniversary of the first custard pie thrown in someone’s face in a motion picture 9444147
Phil Williams @scottishphil83.bsky.social · 17/07/2025You have to suspend MPs who break the three line whip. There’s really no choice. They still voted against it despite the concessions. 140
Phil Williams @scottishphil83.bsky.social · 16/07/2025Because they want to rely on Russia and the Middle East?! 020
Reposted by Phil Williamschurchtimes.bsky.social @churchtimes.bsky.social · 15/07/2025“This is a line our nation must not cross,” was the message from the General Synod, after it voted, by a significant majority, to condemn a Bill to legalise assisted dying currently working its way through Parliament. #assisteddying #churchofengland #synodchurchtimes.co.ukSynod urges Government to scrap assisted-dying Bill and fund ‘desperately needed palliative care’‘A Church whose hands are consecrated to bring life cannot support the prescription of life-ending drugs’ Bishop of London warns 012
Phil Williams @scottishphil83.bsky.social · 16/07/2025There’s something beautiful about “Mr Sam Wilson” - no other prefix or suffix or title. #laity 010
Phil Williams @scottishphil83.bsky.social · 06/07/2025The first question should be “do you want the job?” If they say yes, they’re clearly unfit… They hopefully feel called to the job, but that’s completely different 010
Reposted by Phil WilliamsCraig Nikolic @craig.nikolic.co.uk · 04/07/202510 YEAR PLAN - Neighbourhoods DOI: We aim to fit into the new multiple neighbourhood provider (MNP) model, and our member practices and PCNs have major stakes in the single neighbourhood provider (SNP) model The Plan is a mixed bag of good stuff and areas that need tightening for delivery. 1/17 1116
Reposted by Phil WilliamsProf Nisreen Alwan @nisreenalwan.bsky.social · 04/07/2025Behaviour change is often overrated as the ultimate solution to improve health because without social, economic & structural environments that facilitate rather than obstruct healthy choices, behaviour change remains a privilege reserved for those who have the resources to remove the obstructions. 415050
Reposted by Phil WilliamsDr Gareth Kelly @gazk.bsky.social · 04/07/2025You missed out bags and bags of cash from "sponsors" 021
Phil Williams @scottishphil83.bsky.social · 04/07/2025I think we’re making the mistake of bringing evidence and science into this discussion whereas it’s really about desperation, lack of imagination, power of the gimmick, political soundbites, and listening to the wrong people 140
Reposted by Phil WilliamsDr Gareth Kelly @gazk.bsky.social · 04/07/2025UK governments seem hell bent on avoiding directly funding General Practices directly . 071
Reposted by Phil WilliamsKyle Roys @drkroys.bsky.social · 04/07/2025The system uses primary care as a cheap offload for what the state doesn’t want to pay for. It’s too easy. GPs across the country aren’t perfect, be we are generally very good at absorbing patients care needs for cheap. But it’s our staff getting screamed out when the wider service doesn’t work 111
Reposted by Phil WilliamsKyle Roys @drkroys.bsky.social · 04/07/2025I think we are closer to this than ever before. Let’s face it, patients value their GP, but governments do not. They see medicine as something practiced in hospitals. Our secondary care colleagues are sadly part of this, everything seeming to have to go to a specialists (I found AF pls ref to cardio 121
Reposted by Phil WilliamsCarolineJMolloy @carolinejmolloy.bsky.social · 03/07/2025I’m sorry, but whoever wrote the sentence that NHS “care should… [be delivered] digitally by default” needs to be nowhere near healthcare, ever. 77017
Reposted by Phil WilliamsDr Gareth Kelly @gazk.bsky.social · 04/07/2025The strength of GP is continuity of care and "being the expert in knowing your patients", compared to being an increasingly siloed specialist. Losing that continuity has led to ACPs doing more of the role of GP. Continuity of care is overwhelmingly popular with patients and GPs. 141
Reposted by Phil WilliamsDr Gareth Kelly @gazk.bsky.social · 04/07/2025And continuity is also overwhelmingly associated with far better outcomes for patients. I remain to be convinced by any claims that AI will revolutionise medicine. It smacks of the Emperor's new clothes. 271
Reposted by Phil WilliamsKyle Roys @drkroys.bsky.social · 03/07/2025Exactly. Without the GPs in high numbers it will just spread us further than we are. Then lengths they will go to in order to not give GP surgeries funding is incredible 132
Phil Williams @scottishphil83.bsky.social · 03/07/2025Eg one or two neurologists in Lincs. Do we want them driving hours between Skegness, Boston, and Lincoln, (not seeing patients) or using that time to see more patients. It’s a tough balance. 242
Phil Williams @scottishphil83.bsky.social · 03/07/2025Neighbourhood centres will likely increase costs and could fragment care. There’s a reason why Darzi centres never materialised… until now 161
Phil Williams @scottishphil83.bsky.social · 03/07/2025Ironically this feels like it kills off continuity of care for “your GP” which is the opposite of the rhetoric. Addiction to AI same week as Lincs ICB told all GPs to stop using AI scribe software. Make it make sense! Unified health record has possibilities. 294
Phil Williams @scottishphil83.bsky.social · 03/07/2025Mental health A&G is a huge no no. We only need specialist help if we’ve tried and failed several strategies already. Often recommended complicated multi drug regimens. Need specialist follow up and assessment of effect. Antipsychotics IMO should never be initiated in general practice. 010
Phil Williams @scottishphil83.bsky.social · 03/07/2025Gov addicted to AI in the week GPs in Lincs were told to stop using all AI scribe software. 🤦♂️ it’s great but it’s not going to save the NHS. And trusts / practices need extra funding for these eye wateringly expensive licenses - higher than equivalent staff costs. 010
Phil Williams @scottishphil83.bsky.social · 03/07/2025I’m just sad. ICBs don’t have a good track record for listening to patients. The plan talks about enlarging GP areas - risking continuity which we know saves lives. Even having acute trusts run general practice when they struggle to run themselves. 110
Phil Williams @scottishphil83.bsky.social · 01/07/2025That’s my number one irritation with the annual hysteria regarding the cost of the monarchy. How much do you reckon Trump costs the USA including the elections plus legal challenges? 000
Phil Williams @scottishphil83.bsky.social · 01/07/2025The bbc report says they’ll still travel by train 000
Reposted by Phil WilliamsCarolineJMolloy @carolinejmolloy.bsky.social · 29/06/2025Children in particular are being killed by the political unwillingness to stand up to the car lobby. Clean air zones save lives. But politicians would rather babble on about “AI”. 42711
Phil Williams @scottishphil83.bsky.social · 12/05/2025Similarly we’re having to contact women on privately prescribed weight loss jabs to explain risks re:contraception. This just shouldn’t be our job (at least without extra resource). 000
Phil Williams @scottishphil83.bsky.social · 12/05/2025Huge issues with extra liability being dumped on GPs though. DH and CQC expect us to action any issues on data even not owned by us. Eg pt goes to UTC and BP is high (likely stress). Day before BP at GP is perfect. We have to repeat BP otherwise affects our quality. 100
Phil Williams @scottishphil83.bsky.social · 09/05/2025True market choice with food is a myth for most people 2171
Reposted by Phil WilliamsTony Yates @t0nyyates.bsky.social · 03/05/2025It was almost worth her getting elected to generate this story. 816433
Reposted by Phil WilliamsDr Richard Ma PhD 🏳️🌈🏳️⚧️🍉🕺⚕️🩺🎓 @richard-ma.bsky.social · 01/05/2025Are you a healthcare professional in the UK caring for people living with HIV aged over 50? What are the important issues for you & your patients? We are creating a bank of research questions to bring to a workshop to prioritise research in this area. app.onlinesurveys.jisc.ac.uk/s/socs/have-... 23859
Reposted by Phil Williams😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 16/04/2025“what do you understand about your condition?” “only what they’ve told me” “what have they told you?” “it’s in my chart” “can you summarize it for me?” “doc, i’ve been a patient since before you were born. i know how to evade any question to conceal my cognitive decline. i can do this all day” 1146941
Phil Williams @scottishphil83.bsky.social · 14/04/2025I suspect there’s an algorithm for “within section” ordering, but editors choose in which section they appear eg I suspect the top headline is always manually chosen. 000
Reposted by Phil WilliamsArchbishop of York @www.archbishopofyork.org · 13/04/2025A statement on the missile attack on the Anglican-run Ahli Hospital in Gaza 02515
Phil Williams @scottishphil83.bsky.social · 13/04/2025It’s just a classic example of other-ing Other people shouldn’t have benefits you’ve had in life. So vote for us! 000