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pmdfoster's profile
Peter Foster
Peter Foster
Peter Foster
Verified account
@pmdfoster

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Peter FosterVerified account

@pmdfoster

Public Policy Editor at the Financial Times. Formerly Washington DC, Beijing and New Delhi for the Telegraph. Opinions my own.

London, England
ft.com
Joined March 2009

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    1. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      But when the regulator publishes the first formal 'spec' for the new ventilators it is need super-simple. The 'intended purpose' is that these vents should work for a 'few hours' and 'in extremis' 24 /10pic.twitter.com/QB8xxjHIs3

      11 replies 214 retweets 778 likes
      Show this thread
    2. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      The basic ventilator spec also does not contain really important features including “spontaneous breathing modes” — the ability of ventilators to synchronise with a patient’s breathing as a key part of “weaning” patients off respiratory support. /11

      11 replies 226 retweets 908 likes
      Show this thread
    3. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      Now. The government insists that this was all done with the advice of both top doctors AND the regulators. That's what it says. /12 https://www.gov.uk/government/publications/specification-for-ventilators-to-be-used-in-uk-hospitals-during-the-coronavirus-covid-19-outbreak …pic.twitter.com/YBUZOKIrDe

      18 replies 223 retweets 785 likes
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    4. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      Peter Foster Retweeted Peter Foster

      But is that true? When I showed that spec to @AlisonPittard last week, she was amazed. Yes docs were prepared to have less-than Rolls-Royce features, they could live with a Ford, not a Ferrari. But this is a spec, basically, for a Trabant /13https://twitter.com/pmdfoster/status/1250316319481671681 …

      Peter Foster added,

      Peter FosterVerified account @pmdfoster
      NEW: Where top ITU doc @AlisonPittard tells me that the MINIMUM standard ventilator specced in govt's 'ventilator challenge' would be no use in treating COVID patient in ICU - so question? Why did UK govt aim so low? 1/Thread https://www.ft.com/content/365529f8-bff3-41d2-949f-d0eedff0cfbb … pic.twitter.com/6DaTNEqIap
      Show this thread
      17 replies 433 retweets 1,175 likes
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    5. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      What about the Regulators - the MHRA - they what did they think? As we report, insiders, say that quite quickly there was push-back about the utility of these basic vents, the damage they would cause, and their utility in weaning patients back to health. /14pic.twitter.com/TIkYkYvm9h

      6 replies 258 retweets 883 likes
      Show this thread
    6. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      Initially when those concerns were pushed up the chain, the reply came back "that's what the customer wants". Which begs a question. WHO was the customer? Not the docs. Not the regulator. Not the patients. The only answer that fits, is the Government. The politicians. EESH/15

      19 replies 430 retweets 1,444 likes
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    7. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      It takes time for the penny to drop in Whitehall and the Cabinet Office - but by April 10, check out the 'amended' spec that says “the greater proportion of devices” for treating coronavirus would need to be capable of supporting “spontaneous breathing modes”/16

      9 replies 219 retweets 901 likes
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    8. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      The result is that the Bluesky consortium - which HAD BUILT to spec is canned on April 11. And others like the 'Oxvent' scheme (another low-spec effort) is paused. Insiders tell us that quite possibly none of these 'hackathon' designs will get approval /17

      10 replies 235 retweets 881 likes
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    9. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      Why does this matter? The government did change tack in the face of medical and scientific pressure and (mercifully) it was spared its blushes because ventilator capacity held up, clinicians used more (non-invasive) CPAP and (probably) more deaths happened in community. /18

      17 replies 249 retweets 961 likes
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    10. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      So no harm done? No. Not really. What this speaks to is the deeply worrying tendency of this crop of politicians to think they know best. The 'cut-the-crap' 'how-hard-can-it-be?' attitudes that leads to headless decision making. It's embarrassing. /19

      60 replies 1,069 retweets 3,496 likes
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      Peter Foster‏Verified account @pmdfoster 18 Apr 2020

      Over the last week I've had SO many conversations with docs and experts that remind of the conversations I had with logisticians, port operators, customs clearers over #Brexit. Expert people TEARING their hair out at the willful numbskullery of the people at the top. /20

      2:39 AM - 18 Apr 2020
      • 1,263 Retweets
      • 3,306 Likes
      • Steph Linda Sally Sunkel Andrew👨🏼‍💻Jackman Dr. Julii Brainard ⚫️ Brexit Inquisitor #FollowBackProEurope RoanaBennett Peter Lipman Julie Donnell
      21 replies 1,263 retweets 3,306 likes
        1. New conversation
        2. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

          As a side note, this kind of treatment PISSSES PEOPLE OFF. My inbox is full of people who daren't speak on record but are SEETHING at the way they were treated. People who worked 20-hour days for weeks; gave freely of their time, energy and spirit for nothing. /21

          30 replies 480 retweets 2,083 likes
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        3. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

          The government may look to try and find an outlet for these ventilators in other places - but you have to ask, if they're not fit for UK patients (and we'll see if any can get clearance) why would they work for poorer countries? I'll be watching. /22

          16 replies 271 retweets 1,292 likes
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        4. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

          Because guess, a device that keeps you alive, that breathes for you IS flipping complicated. How hard can it be? Damn hard. It's parts mustn't catch fire in a high-oxygen environment. It's software must anticipate a patients breathing. If it freezes, you may die. /23

          14 replies 303 retweets 1,427 likes
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        5. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

          This was OBVIOUS AT THE OUTSET. The government said 'the clinical understanding of the disease changed' but that is a RED HERRING. It did, but the science was NEVER in a place where it wanted 'bag-in-a-box' ventilators. /24

          23 replies 399 retweets 1,702 likes
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        6. Peter Foster‏Verified account @pmdfoster 18 Apr 2020

          What worries me is if this 'how hard can it be?' principle is applied to testing, to PPE procurement etc. The government needs to show some HUMILITY. It needs to LISTEN TO PEOPLE WHO KNOW STUFF. I think this is a clear example of where it did not. ENDS Good weekend all.

          380 replies 1,467 retweets 5,942 likes
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        7. End of conversation
        1. Bernd Porr‏ @BerndPorr 18 Apr 2020
          Replying to @pmdfoster

          This is such a great writeup. Indeed. The parallels to brexit are striking. Last year it was amusing when #brexiteers called for all patriots to grow potatoes on their allotments to feed the nation. Now the same jingoists called to make ventilators in garden sheds. That's lethal.

          0 replies 1 retweet 14 likes
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        2. Stuart Hayward‏ @stuartteachphys 18 Apr 2020
          Replying to @pmdfoster

          And anyone who remembers the Gove at Education years will recognise the same "How hard can it be to..." mindset, with similar results.

          1 reply 4 retweets 21 likes
        3. Paolo Vicini‏ @PaoloVicini1 18 Apr 2020
          Replying to @stuartteachphys @pmdfoster

          Who needs experts? They’re so elitist.https://youtu.be/GGgiGtJk7MA 

          1 reply 1 retweet 3 likes
        4. Show replies
        1. Dr Sparkes 3.5% 🇪🇺  💙 💚#climate emergency #FBPE 🖖‏ @dr_sparkes 18 Apr 2020
          Replying to @pmdfoster

          Wilful numbskullery... Perfect description

          0 replies 3 retweets 6 likes
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        2. Paul O'Connor  🇮🇪  🇬🇧  🇪🇺  💙‏ @BrixDez 18 Apr 2020
          Replying to @pmdfoster

          I challenge anyone to read this and still say they have confidence in this Government. Ego and poor leadership are costing lives.

          3 replies 8 retweets 39 likes
        3. Mark  🇮🇪  🇪🇺  🇫🇷‏ @Mgt_998 18 Apr 2020
          Replying to @BrixDez @vivamjm @pmdfoster

          And getting away with it. Truly they are Trump’s disciples.

          1 reply 0 retweets 10 likes
        4. End of conversation

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