Co-Chair @theda_uk · EM @NCAlliance_NHS · MA Law student @UniversityofLaw
Manchester, UK
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- Followers 8,314
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1/ Now the embargo has lifted, I’ve had time to read the @lengreview in full. While some celebrate minor cosmetic wins, I see the formal entrenchment of a parallel, underqualified medical workforce — built without medical training.
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If they say this stuff out loud, can you imagine the atrocities they have planned in secret?
When we win, we are going to utterly crush these people.
“The Left” as it currently exists simply will not exist anymore. There will be no Stand Up To Racism, there will be no Hope Not Hate, there will be no Antifa.
I am not interested in their “right to protest” or whatever else. They hate us, they are enemies of European civilisation, they will be destroyed.
We’re not doing this anymore.
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Dr Matt Kneale (🦋drmk.link) retweeted
Could you guys all do me a small favour? Can you sign this petition to secure the perimeter of the pond where Noah was found. No one else should ever have to go through this. Thank you ❤️ c.org/cr7PnqBHjs
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Dr Matt Kneale (🦋drmk.link) retweeted
🗣️ | “So many colleagues are reaching out saying they are burning out and are sad and scared of all the pressures on them and of getting things wrong. It’s an epidemic, really, and something has to be done about it.”
@DrSpanielPaws contributed to this article in @bmj_latest
An online memorial wall for health and care workers who have died by suicide has been launched by NHS Practitioner Health.
Since 2011 more than 2500 healthcare workers in the UK have died by suicide, an average of four a week
bmj.com/content/394/bmj-2026…
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Not only do I endorse this, I think you should be able to sleep on your paid breaks too – providing you’ve safely handed over issues and have someone covering your bleep.
I’d be interested to hear people’s views on staff sleeping during their official unpaid breaks. Personally, I’m against the practice, but that’s just one person’s opinion. What’s your take on the subject?
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Dr Matt Kneale (🦋drmk.link) retweeted
Doctors spend their careers looking after other people. But who notices when the doctor is struggling?
For National Suicide Memorial Day for Health and Care Workers, Dr Sarah Jacques writes about her experience
dauk.substack.com/p/survivin…
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Dr Matt Kneale (🦋drmk.link) retweeted
“The Government must fund pharmacies and GP practices to genuinely improve access whilst not compromising safe care.”
Read our response to the Government’s decision to expand Pharmacy First dauk.org/pharmacy-first-expa…
PHARMACY FIRST
Do Pharmacists or their staff need to demonstrate training or competence?
Honestly I trust Pharmacists, they are brilliant with medicines, trained experts, rely on them daily
They are not trained & assessed diagnosticians, it’s complicated
cpe.org.uk/national-pharmacy…
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Dr Matt Kneale (🦋drmk.link) retweeted
I wonder if @Cambridge_Uni will be investigating a dodgy academic on their staff.
I look forward to the reporting in @thetimes @spectator @Telegraph @GBNEWS 🤣🤣🤣🤣
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Dr Matt Kneale (🦋drmk.link) retweeted
Oh no, ‘the establishment’ (known to the rest of us as ‘journalists’) are coming for poor Nige again, I’m sure it will all look squeaky clean as ever.
Coming tonight: Channel 4 News and @Verbatim_Media reveal an undercover investigation inside Reform UK.
Watch at 7pm on Channel 4 or YouTube.
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Dr Matt Kneale (🦋drmk.link) retweeted
The Single Justice Procedure (SJP) has been back in the spotlight this week.
The SJP was introduced in 2015 to spare thousands of people the need to attend court for minor offences, while allowing valuable court time to be focused on more serious cases. However, in recent years the Magistrates' Association has found that many of our members are uncomfortable with the SJP process as it currently works, and a significant proportion feel they do not always get as much time as they need to properly consider each case.
In 2024, we called for reform of the SJP and published 12 recommendations, including:
🔹 Reviewing and improving the training that magistrates receive before they can sit on SJP cases
🔹 The government should make provision for SJP sittings to be observable by accredited journalists
🔹 Boosting transparency by publishing more data on the SJP
🔹 Safeguarding the SJP process so that neither magistrates nor their legal advisors feel any pressure to process cases more quickly than they want to.
standard.co.uk/news/crime/ma…
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Dr Matt Kneale (🦋drmk.link) retweeted
A med reg wrote to the medical directors Dr Rachel Rouse , Dr James Calvert and neuro consultants at @AneurinBevanUHB Easter 2024 raising concerns that the dodgy lumbar puncture PA was signing doctors off as independent who couldn’t actually do LPs …
@ABUHB_MedicalEd
Patient in severe pain and struggling to walk since lumbar puncture two years ago at the Royal Gwent.
She is the second patient to come forward over traumatic lumbar punctures at the hospital.
walesonline.co.uk/news/wales…
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Dr Matt Kneale (🦋drmk.link) retweeted
Book your place for our joint conference with Doctors For The NHS.
Taking place on Saturday 10 October at Bedern Hall in York, it brings together doctors, campaigners, and healthcare leaders to discuss key issues facing the medical profession.
dauk.org/dauk-conference-boo…
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Dr Matt Kneale (🦋drmk.link) retweeted
During Covid my colleagues & I had our lives upended not only having to watch all ages die but also instantly change our schedules to 12hr day, 12 hr night, day off on repeat for months. Many of us with young families.
A lot of people need to grow up or HCP’s need more respect!
Some words on my return to Parliament this week, including a huge thanks to my constituents for their understanding & compassion while I've been working on my recovery from burnout. I've been blown away by your kindness 🫶
Looking forward to getting back into things. Onwards 💚
ALT Zack Polanski and Carla Denyer hugging
ALT Zack Polanski and Carla Denyer up Cabot Tower in Bristol, looking at the view
ALT I want to say a huge thank you to all my constituents for their understanding and compassion while I have been working on my recovery from burnout. Thank you especially to those who sent me supportive messages during my time away, sharing your own stories of burnout and recovery, and words of advice. I have been blown away by your kindness. I recognise that I have been enormously fortunate to have been able to take this time, and that many people faced with the same situation would not be so lucky. No one should be penalised for being too unwell to work, and no one should have to jeopardise recovery because of job insecurity. This is something I am determined to change. As anyone who’s ever had serious health issues can tell you, recovery isn’t linear, but I am making good progress, so I will be heading back to Parliament this week on a phased return.
ALT I’m really looking forward to getting back into things and working alongside my amazing colleagues and inspiring constituents to make a positive impact together. And so it was great timing that Zack visited Bristol again this weekend (appearing at Forwards Festival yesterday), and we were able to catch up over coffee this morning. In a world where the UK government’s response to wildfires and droughts ravaging our communities is to temporarily ban disposable BBQs (whilst still considering expanding oil and gas production in the North Sea 🤯), the need for us Green politicians has never been clearer. There is much to do. Onwards and upwards 💚 Carla Denyer
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Dr Matt Kneale (🦋drmk.link) retweeted
The problem isn’t really the interpretation of the ECG alone. It’s the failure to think about and reason through all the possible causes of breathlessness in this situation. Assuming the case was presented correctly, the consultant should have reasoned in the manner I’ve just outlined and not focused just on an ECG. So too the NP. This may be an example of cognitive bias and how the problem was framed. I don’t know how well NPs are trained in diagnostic reasoning. And I don’t know how the case was presented to the doctor. But it exemplifies the risks of making clinical decisions without actually seeing the patient yourself.
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Dr Matt Kneale (🦋drmk.link) retweeted
"The @gmcuk should be more transparent and publish an analysis of the complaints received, and should seek to identify whether doctors who are involved in public debates are being targeted.
The GMC should also actively discourage, if not take action against, people who repeatedly make vexatious or malicious complaints"
To the example of @DrLKVaughan and use of the word 'Noctor'?
Add my example for posting a picture of a pancake- deigned to mock those who say 'Low Carbs are the only cure in town for #Diabetes'.
Didn't go anywhere- yet...designed to weaponise a system -to protect hubris of a few.
In addition?
What term should we use to describe a professional doing a doctors job on a doctors rota- without the training of a doctor - or regulation?
I am happy with the consensus to be used- but let me know what the term is-if not a 'Noctor'
And should I worry more about feelings of those who work beyond their competence
Or the safety of the people we serve
Let’s agree a term and use that.
Rather than this “my feelings got hurt” when larger safety issues are at stake.
@NHSEngland @DHSCgovuk
Via @bmj_latest
bmj.com/content/394/bmj-2026…
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Dr Matt Kneale (🦋drmk.link) retweeted
A doctor needs 5500hrs of dedicated medical education to merely qualify at F1 level.
Having looked at Nursing and AHP courses, they don’t come close to matching this.
ACP courses have ~300hrs of (mostly self-directed) “clinical”, non-medical learning.
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2/7 Advanced practice isn’t outside the physiotherapy scope, it is physiotherapy, evolved. Scope of practice is dynamic, defined by evidence, professional judgement, and regulation. It grows as practice develops and as new clinical needs emerge, that’s how healthcare progresses
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Dr Matt Kneale (🦋drmk.link) retweeted
I have a lot of respect for AHPs, nurses and pharmacists who work within the scope of their profession.
I don’t have respect for nurses, AHPs and pharmacists who claim to be ST3 level and work on Drs rotas or in GP roles without a thought for patient safety .
I have opinions on advanced practice for nursing . I don’t try and weave it into every discussion on social media .
You don’t seem to have much respect for other professionals s other than medicine so surprised to hear you an AHP. Guess every day is a school day .
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Why did a previously well patient with persistent systemic illness and new breathlessness pass through repeated primary care contacts without a medical assessment by a doctor?
Another pt dead due to seeing noctors who can’t read ECGs instead of a GP
‘A was seen by an ANP and referred for an electrocardiogram (ECG) as an outpatient a few days later. A attended for these tests, but was not seen by a doctor, and returned home. ‘
spso.org.uk/decision-reports…
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Dr Matt Kneale (🦋drmk.link) retweeted
The @gmcuk is being used as a way to silence online debate.
I was reported for using the word 'noctor', in a clear move to shut down my views on workforce substitution.
Others have had the similar experiences.
@parthaskar and I in @bmj_latest
bmj.com/content/394/bmj-2026…
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Dr Matt Kneale (🦋drmk.link) retweeted
"The GMC is aware that referrals to us are sometimes used to intimidate.”
Thanks to @Telegraph for an important piece of investigative journalism.
They now need to do the NMC and the HCPC.
@gmcuk chair Carrie MacEwen has now admitted the fitness to practise system is being weaponised against whistleblowers.
@Telegraph found 22 whistleblowing doctors referred to the GMC a combined 30 times.
Only 2 of those referrals led to a hearing, and neither was upheld. One surgeon, Peter Duffy, was referred anonymously 7 times and cleared every time.
14 of the doctors say the managers who reported them left out the fact they had raised patient safety concerns in the first place.
Same playbook I keep finding in insurance and financial regulation. The process gets used as a weapon, and the regulator only admits it once a newspaper forces the point.
telegraph.co.uk/news/2024/05…
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