@DocInsanity @bendean1979 @PaedNeurosurg Scharr produced some first rate stuff about distance and trauma services
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Als antwoord op @SocialistHealth
@SocialistHealth@DocInsanity@bendean1979@PaedNeurosurg A peads neurosurgical perspective not really applicable to most IP specialities :D3 antwoorden 1 retweet 1 vind-ik-leuk -
Als antwoord op @JonMarcStanley
@JonMarcStanley@bendean1979 not talking about my subspec. eg how does DGH provide 7 day endocrinol cover if only 2 cons in that specialty1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @PaedNeurosurg
@PaedNeurosurg@bendean1979 Better to have a chamber of specialists that cover multiple sites; much can be done by onsite cons with guidance1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@bendean1979 offsite doesn't work well, I've direct experience. Reluctance to visit/lack of engagement/ownership of patient1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @PaedNeurosurg
@PaedNeurosurg@bendean1979 But this needn't be the case with con2 con referrals. Tends to be worse with oncall juniors not taking ownership1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@bendean1979 not if in another Trust in another town. Would require cultural change1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @PaedNeurosurg
@PaedNeurosurg@bendean1979 Change in how consultants relate to trusts. This is really what the royal colleges should be working on imho1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @JonMarcStanley
@JonMarcStanley@bendean1979 we'll be peripatetic. Opportunity 4 govt 2 take us off payroll altogether & contract in services.Too dystopian?1 antwoord 0 retweets 0 vind-ik-leuks -
Als antwoord op @PaedNeurosurg
@PaedNeurosurg@bendean1979 Liberating! Chambers are suited to healthcare in such a digital world and should improve advocacy for patients1 antwoord 0 retweets 0 vind-ik-leuks
@PaedNeurosurg @bendean1979 I'd rather be trained by a chamber of generalists and then specialists, like barristers are. Scrap deaneries
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