Skip to content
By using Twitter’s services you agree to our Cookies Use. We and our partners operate globally and use cookies, including for analytics, personalisation, and ads.
  • Home Home Home, current page.
  • Moments Moments Moments, current page.

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @
  • Language: English
    • Bahasa Indonesia
    • Bahasa Melayu
    • Català
    • Čeština
    • Dansk
    • Deutsch
    • English UK
    • Español
    • Filipino
    • Français
    • Hrvatski
    • Italiano
    • Magyar
    • Nederlands
    • Norsk
    • Polski
    • Português
    • Română
    • Slovenčina
    • Suomi
    • Svenska
    • Tiếng Việt
    • Türkçe
    • Ελληνικά
    • Български език
    • Русский
    • Српски
    • Українська мова
    • עִבְרִית
    • العربية
    • فارسی
    • मराठी
    • हिन्दी
    • বাংলা
    • ગુજરાતી
    • தமிழ்
    • ಕನ್ನಡ
    • ภาษาไทย
    • 한국어
    • 日本語
    • 简体中文
    • 繁體中文
  • Have an account? Log in
    Have an account?
    · Forgot password?

    New to Twitter?
    Sign up
C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

Tweets

John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

Tweets

  • © 2018 Twitter
  • About
  • Help Center
  • Terms
  • Privacy policy
  • Cookies
  • Ads info
Dismiss
Previous
Next

Go to a person's profile

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @

Promote this Tweet

Block

  • Tweet with a location

    You can add location information to your Tweets, such as your city or precise location, from the web and via third-party applications. You always have the option to delete your Tweet location history. Learn more

    Your lists

    Create a new list


    Under 100 characters, optional

    Privacy

    Copy link to Tweet

    Embed this Tweet

    Embed this Video

    Add this Tweet to your website by copying the code below. Learn more

    Add this video to your website by copying the code below. Learn more

    Hmm, there was a problem reaching the server.

    By embedding Twitter content in your website or app, you are agreeing to the Twitter Developer Agreement and Developer Policy.

    Preview

    Why you're seeing this ad

    Log in to Twitter

    · Forgot password?
    Don't have an account? Sign up »

    Sign up for Twitter

    Not on Twitter? Sign up, tune into the things you care about, and get updates as they happen.

    Sign up
    Have an account? Log in »

    Two-way (sending and receiving) short codes:

    Country Code For customers of
    United States 40404 (any)
    Canada 21212 (any)
    United Kingdom 86444 Vodafone, Orange, 3, O2
    Brazil 40404 Nextel, TIM
    Haiti 40404 Digicel, Voila
    Ireland 51210 Vodafone, O2
    India 53000 Bharti Airtel, Videocon, Reliance
    Indonesia 89887 AXIS, 3, Telkomsel, Indosat, XL Axiata
    Italy 4880804 Wind
    3424486444 Vodafone
    » See SMS short codes for other countries

    Confirmation

     

    Welcome home!

    This timeline is where you’ll spend most of your time, getting instant updates about what matters to you.

    Tweets not working for you?

    Hover over the profile pic and click the Following button to unfollow any account.

    Say a lot with a little

    When you see a Tweet you love, tap the heart — it lets the person who wrote it know you shared the love.

    Spread the word

    The fastest way to share someone else’s Tweet with your followers is with a Retweet. Tap the icon to send it instantly.

    Join the conversation

    Add your thoughts about any Tweet with a Reply. Find a topic you’re passionate about, and jump right in.

    Learn the latest

    Get instant insight into what people are talking about now.

    Get more of what you love

    Follow more accounts to get instant updates about topics you care about.

    Find what's happening

    See the latest conversations about any topic instantly.

    Never miss a Moment

    Catch up instantly on the best stories happening as they unfold.

    1. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @DrUmeshPrabhu @doctorcaldwell and

      Challenge them to do what? Recruit more staff Find better leaders Find better managers Find the magic money tree Creat a national procurement system 'Change the culture' Change the training schemes Find more time for staff to talk with patients & carers

      3 replies 2 retweets 1 like
    2. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @bill_russell3 @DrUmeshPrabhu and

      #CutTheCrap so we can do Diagnosis and Treatment both more safely and more swiftlyhttps://www.dropbox.com/s/3ddiw1lww13x3iq/Clinically%20Lean.pdf?dl=0 …

      1 reply 7 retweets 4 likes
    3. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @doctorcaldwell @DrUmeshPrabhu and

      But so many of the public want 'the crap'..... they want extended GP hours they want antibiotics they want to go to A&E for a cut finger they want a pill to solve life's problem AND we want good quality care when we and our loved ones are really ill and in need of care.

      2 replies 4 retweets 5 likes
    4. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @bill_russell3 @DrUmeshPrabhu and

      I believe most patients want to see a doctor well briefed on their known medical conditions, treatments and results and get a thorough consultation and then timely professional advice

      3 replies 4 retweets 8 likes
    5. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @doctorcaldwell @DrUmeshPrabhu and

      right treatment right time right place That slogan is, what, 20 years old? #wepatients are still waiting. Go into any AMU to see the reality of that

      1 reply 2 retweets 3 likes
    6. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @bill_russell3 @DrUmeshPrabhu and

      https://www.dropbox.com/s/skav1aiql2ureos/Quality%20and%20Safety.pdf?dl=0 …pic.twitter.com/TPllRJQVUr

      2 replies 2 retweets 2 likes
    7. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @doctorcaldwell @DrUmeshPrabhu and

      can we add in ' the patients achieves their desired outcome'

      1 reply 1 retweet 1 like
    8. Dr Gordon Caldwell‏ @doctorcaldwell Oct 7
      Replying to @bill_russell3 @DrUmeshPrabhu and

      What if the patient’s desire is unachievable or unrealistic or both?

      3 replies 1 retweet 3 likes
    9. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @doctorcaldwell @DrUmeshPrabhu and

      that is why a consultation should include that debate.... education education education But do you, as a consultant,know what the desired outcome is for your patients? I assume you do ask that question.

      1 reply 0 retweets 1 like
    10. Bill Russell‏ @bill_russell3 Oct 7
      Replying to @bill_russell3 @doctorcaldwell and

      there is evidence (I can't source it) that the managers, the clinician & the patient will all have different ideas about the desired outcome of treatment.

      1 reply 0 retweets 0 likes
      John Clarke‏ @C7RKY Oct 7
      Replying to @bill_russell3 @doctorcaldwell and

      As long as all desired outcomes are of overall clinical benefit, then there's only 1 opinion that counts in that case - the patient's. I think the Montgomery ruling has helped clarify that somewhat, no?

      3:19 AM - 7 Oct 2018
      • 1 Retweet
      • 3 Likes
      • stendec #FBPE 54% Katherine Dr Umesh Prabhu
      2 replies 1 retweet 3 likes
        1. New conversation
        2. Bill Russell‏ @bill_russell3 Oct 7
          Replying to @C7RKY @doctorcaldwell and

          YES! But how do we balance the reality of austerity, population based decision making, evidence based healthcare and a person's desires. It is the stuff of a philosopher's career.

          1 reply 0 retweets 1 like
        3. John Clarke‏ @C7RKY Oct 7
          Replying to @bill_russell3 @doctorcaldwell and

          That's a lot of variables! The only one which might remotely interfere with the patient's autonomy for me though would be austerity. I accept that finances have to have limits and that some treatments may be unaffordable/poor value. Heartbreaking though that is.

          1 reply 0 retweets 0 likes
        4. Bill Russell‏ @bill_russell3 Oct 7
          Replying to @C7RKY @doctorcaldwell and

          The CCGs are making those decisions on a daily basis: - who to fund, who not to fund? Who do we want to make those decisions? The government, local politicians, the CCG board, the ICS leaders?

          2 replies 2 retweets 1 like
        5. John Clarke‏ @C7RKY Oct 7
          Replying to @bill_russell3 @doctorcaldwell and

          I'd love to pretend to know something about that, but I'm afraid I don't Bill. It's not an area I've had time to research. Doesn't sound like an ideal scenario, but not sure of the right alternative. Something that includes patients/clinicians ideally.

          1 reply 0 retweets 0 likes
        6. Bill Russell‏ @bill_russell3 Oct 7
          Replying to @C7RKY @doctorcaldwell and

          Hey, we cant expect you to know everything. It is amazing what you do comment on. The trouble is it is at the heart of what we are talking about. In reality they are not just decision on who gets treatment but also about the quality of care we receive.

          1 reply 1 retweet 1 like
        7. John Clarke‏ @C7RKY Oct 7
          Replying to @bill_russell3 @doctorcaldwell and

          Haha! Guess I'm not shy in poking my nose in, am I?! Fair enough. This one's beyond my understanding at this stage I'm afraid, but interesting to hear that. Thanks for the heads up. :)

          1 reply 0 retweets 0 likes
        8. Bill Russell‏ @bill_russell3 Oct 7
          Replying to @C7RKY @doctorcaldwell and

          always 'follow the money' 😀

          1 reply 2 retweets 2 likes
        9. John Clarke‏ @C7RKY Oct 7
          Replying to @bill_russell3 @doctorcaldwell and

          Finally, something I DO know something about without having to research it first. :)

          1 reply 1 retweet 1 like
        10. 4 more replies
        1. New conversation
        2. stendec #FBPE 54%‏ @stendec6 Oct 7
          Replying to @C7RKY @bill_russell3 and

          I've been wondering how Montgomery sits with the Access to Health Records Act 1990 (& GDPR, which I'm told is the same). It seems to me that the law is now contradicting itself. GDPR: Doctor decides what info the patient is given. Montgomery: Patient decides.

          2 replies 1 retweet 1 like
        3. John Clarke‏ @C7RKY Oct 7
          Replying to @stendec6 @bill_russell3 and

          I'm no expert, but I think the two things operate at different ends of the process? Montgomery determines what risks must be disclosed (and recorded in medical records as such) at consultation, whereas GDPR governs what info is shared when requesting medical records. Any help?

          1 reply 0 retweets 0 likes
        4. stendec #FBPE 54%‏ @stendec6 Oct 7
          Replying to @C7RKY @bill_russell3 and

          Yes, I was thinking about that, but it seems that's playing with the letter of the law rather than the spirit. What's good for one should be good for the other, and besides records from the past my inform the risks for the future.

          1 reply 1 retweet 0 likes
        5. John Clarke‏ @C7RKY Oct 8
          Replying to @stendec6 @bill_russell3 and

          That's an interesting take. I think the other aspect here is that Montgomery is limited to info that is relevant for securing consent only, whereas GDPR relates to all patient data. Truth is, we know they weed/seed medical records. Not sure GDPR will likely change that much, tbh.

          2 replies 0 retweets 1 like
        6. stendec #FBPE 54%‏ @stendec6 Oct 8
          Replying to @C7RKY @bill_russell3 and

          Particularly relevant in my case. In the absence of any alternative explanations, they appear to have been deliberately malicious, and that bears directly on the risk of all future treatment.

          1 reply 1 retweet 1 like
        7. stendec #FBPE 54%‏ @stendec6 Oct 8
          Replying to @stendec6 @C7RKY and

          I'm told that GDPR isn't any different to the old 1990 Act in that records can be withheld on the grounds that it's against the patient's interest to see them.

          2 replies 1 retweet 0 likes
        8. John Clarke‏ @C7RKY Oct 8
          Replying to @stendec6 @bill_russell3 and

          Exactly. And once you allow that ability to exclude, it begs for cover up. Health service - the only place I know of where you have to convince the accused to hand you the evidence with which to prosecute them. And they get to decide what you see. But I'm sure it's fine...

          2 replies 2 retweets 3 likes
        9. stendec #FBPE 54%‏ @stendec6 Oct 9
          Replying to @C7RKY @bill_russell3 and

          The 1990 act allows for applying to the court for records, but if you can't see and then challenge the reasons NHS give the judge it's just a waste of legal fees.

          1 reply 3 retweets 1 like
        10. 2 more replies

      Loading seems to be taking a while.

      Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.

        Promoted Tweet

        false

        • © 2018 Twitter
        • About
        • Help Center
        • Terms
        • Privacy policy
        • Cookies
        • Ads info