Consultant Diabetes, @PHU_NHS GIRFT Clinical co-lead, Diabetes @NHSEngland IMG- From Kolkata 🇮🇳 Bengali Rest? Click link!! Motto? He who is brave? Is Free
Portsmouth
Joined December 2009
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Response to @RCPhysicians ask re @lengreview clinical protocol done- as a Fellow of RCP.
I believe in transparency- so here are my views on some of the key questions.
In summary?
Needs a rejection on key areas of PAs seeing undifferentiated patients.
And certainly not lean on Gen Next to be liability sponge.
And let @rcgp make their own decisions regards primary care- no need to interfere.
NB:
Don't like it, give a counter view.
Don't abuse or be snarky. It's a democracy- it's my view. You are welcome to give yours.
@mmamas1973 @djnicholl @Mumtaz_Patel_1 @OGMustafa @BDChadwick
Link:
nhssugardoc.blogspot.com/202…
"It seems to me that a decision has been made to replace doctors and to remove distinctions between doctors and other professions.
It's no coincidence that the NHS continues to struggle with efficiency, productivity, and safety problems while we progress further towards a blended workforce without the necessary training supervision or regulation."
Via @bmj_latest
bmj.com/content/393/bmj-2026…
SGLT2i became part of “standard” #T2Diabetes care when the class of medication became generic
GLP-1 use as “standard” #obesity care will happen when it goes generic
The money for any else regards strategy?
Isn’t there.
Everyone knows it
But won’t say it openly.
Fact.
Friday evening.
A haunting silence..
The air laced with grief..sadness...melancholy.
Weekends...are different nowadays.
Huh.
We make -progress
2 apologies from 2 organisations received
2 more to go.
You either apologise - or we take it through channels as needed.
And we use everything the system can provide to help- whether it be FTSU, SAR or FOI.
Gaslighting individuals when raising safety concerns needs to stop.
Especially now when every single bit of concern raised- increased referrals, worse support for primary care, patients having lesser care- has now come to pass.
If you want to make allegations- and can't back it up with proof- it's also known as 'Libel'
And we take things forward- as long as it takes.
As I said?
I am grieving but I am still...Partha Kar.
Ask @NHSEngland or @NHSE_WTE
And then?
We stopped pontificating
And improved outcomes across a population #T1Diabetes
Laggard to Leader.
As a country.
Technology as a tool to aid self management
Time for #T2Diabetes -beyond those using #Insulin? @NICEComms
@kamleshkhunti @scelee1 @pcdosociety
#gbdoc
@BT1DUK @DiabetesUK @DHSCgovuk @NHSDiabetesProg @NHSEngland @NHSGIRFT
I am not sure how to take this gentleman seriously.
After his absolute act of unfettered carnage he has wrought across the #NHS
It's a low bar- but wow he was a diabolically poor Health Secretary.
@RoyLilley @HSJEditor @JanetEastham
UK needs to be ready for emergencies and hostile acts, warns Streeting bbc.in/4ib3EEj
In a local brochure #Durgapuja 🥹
Incredibly grateful to many who keep the memory alive
About how many lives were touched.
The love I have for many who have found kindness in their hearts?
Is boundless
Thank you ❤️
“The pillowcase on my bed probably will tell you many stories.
Of tears, silent in nature, so they do not awaken anybody else.
And the dogs, if they could, would speak much more of the cuddles and licks they have had to give…”
nhssugardoc.blogspot.com/202…
A reminder to @RCPhysicians about what Fellows voted for in an EGM IN 2024
And how data was presented- with it's subsequent fall out due to data manipulation- resulting in resignations
Lessons from the past:
1. Don't manipulate responses to suit a narrative.
2. Don't ignore Fellows and their views by use of 'process'
Yes- standing by that narrative cost me- yet I haven't budged an inch from that philosophy.
Less Chicanery, More Leadership.
I repeat:
The @lengreview clinical protocols for PAs should be rejected -if nothing else- on grounds of presumed COI by contributors.
Also- PAs should NOT be seeing undifferentiated patients.
Full stop.
@Mumtaz_Patel_1 @OGMustafa @HilaryWMedic
Basically...what the powers that be are saying is this.
'We can't afford the NHS. And to sustain it, you, staff, need to take a below inflation pay-rise aka a cut.'
Now- to improve work productivity, you need a couple of other things- beyond pay.
Good working conditions, less discrimination
The NHS can't offer any of the above.
And wonders why the NHS isn't productive.
Workforce planning is an ethereal thing in the UK health care system.
So we are where we are.
You have to love the fact that it's been 18 months since this started @NHSE_WTE
And there are still focus groups running on this...
While we await a report which will confirm that the Pope is indeed Catholic.
And lots of things will be said, asked and pontificated over.
But without any funding- thus based on love, vibes and prayers.
Incoming...soon.
Then again, it comes from the stable of those who categorically stood against Motion 5 of the @RCPhysicians EGM passing.
Evans, Powis, McLeod, Dacre, Whitty et al.
Reminder of that motion 5:
"Demand of a formal pause or slow-down in the deployment and recruitment of PAs until wider medico-legal issues, regulation standards, and exact scopes of practice are legally resolved"
History is such a lovely thing.
@djnicholl @mmamas1973 @Shr_Nottingham @dieracg @Dr_Done_ @PhilSmithIsBack @G_D_Phillips1
Today we have started a review of postgraduate medical training led by @NHSEnglandNMD and @CMO_England
Listen to @NavinaEvans explaining more.
Find out more at england.nhs.uk/postgraduate-…
**Updated data from @NPDA_RCPCH **
As of end September 2026:
Ages 0-18 with #T1Diabetes @NHSEngland
🔵 #ContinuousGlucoseMonitor uptake: 93.5%
🔵 #HybridClosedLoop uptake: 74.1%
🔵 Median Hba1c: 55 mmol/mol
🔵 Minimal to no gaps based on ethnicity & deprivation
Median HbA1c in 2017/18 just before the tech roll out began: 64 mmol/mol
Implementation of @NICEComms NG 18 and TA 943- with funds and a plan
The power of technology in self management- across a population.
And reduction of complications for a generation.
Once you accept less than the best?
You allow mediocrity.
And in what I do- there is no space for that.
@BT1DUK @DiabetesUK @NHSGIRFT
#gbdoc
Pray for Suella & Zia.
The outright racism some now indulge in public?
Is a test for the British population
How ‘racist’ is ‘too much’
🚨BREAKING: THIS IS A GAME CHANGER
Restore Britain have just announced they are willing to deport SECOND GENERATION MIGRANTS
Yes - That is the children of migrants born in Britain and therefore have British passports
If they commit serious criminal acts, bilateral agreements will be set up with third countries to DEPORT THEM
This is the first time in modern history a mainstream political party has agreed to do this
This is HUGE, it cannot be understated the magnitude of this announcement
Your British passport means nothing
You will not be protected by a Restore Britain Government
You will be deported from our country
The overton window shifts once again
Restore Britain are not messing around
Time to sign up patriots
This is our chance to get our country back
