Dr Dominic Pimenta MD Profile picture
Jun 5, 2018 36 tweets 10 min read Twitter logo Read on Twitter
Words not deeds. Commemorating @Jeremy Hunt: the UKs longest running health secretary. A thread by an #NHS doctor. /1
google.com/amp/s/www.bbc.…
Let’s start with his boss.
Words: “There will be no more pointless NHS reorganisations.” /2
Deeds: Biggest reorganisation of the NHS in history. At an estimated cost of at least £3billion. google.com/url?sa=i&sourc… /3
And the Tories themselves admitted it was a disaster. google.com/amp/s/www.inde… /4
And only 5 years later, Hunt is reorganising again.
m.huffingtonpost.co.uk/justin-madders…
/5
Even Stephen Hawking thought this was a terrible idea, and took Hunt to court. The court case is still going. google.com/amp/s/www.inde… /6
Words: “The NHS is not being privatised.” /7
Deeds: Private contracts up 500% since 2012
opendemocracy.net/ournhs/paul-ev… /8
Even while whole hospitals are taken over by private companies. And then dumped again when they didn’t make any money.
google.com/amp/s/amp.theg… /9
And whole regional services.
google.com/amp/s/amp.theg… /10
And future fears whole regions will be run by private companies.
google.com/amp/s/www.inde… /11
Even Stephen Hawking disagreed.
google.com/amp/s/www.bbc.… /12
Words: “We are funding the NHS properly, according to its own plan.” /13
Deeds: The Five Year Forward plan projected an funding gap of £30b by 2020- so far it’s received only £4b. /14
england.nhs.uk/wp-content/upl…
Simon Stevens was reportedly laughed out of Cameron’s office when he asked for the MINIMUM in the plan, a plan which required 2-3% cuts every year to maintain service. telegraph.co.uk/news/health/ne… /15
Meanwhile the NHS deficit is at -£4b. It was running a surplus in 2009. (Despite cutting staff pay by 15-25% relative to inflation.)
kingsfund.org.uk/publications/a… /16
Every government for 70 years has “put more” on average into the NHS. This is health inflation and affects every developed nation with an ageing population. /17
The average rise for the last six decades? 3-4%.
The average rise under the Tories and Hunt? 0.5-0.9%. /18
In healthcare funding cuts cost lives.
ox.ac.uk/news/2017-02-2… /19
Words: “I value NHS STAFF.” /20
Deeds: Nurses bursaries cut. Some nurses even relying on food banks. /21
google.com/amp/s/amp.theg…
Words: “5000 more GPs by 2020.” Election promise, 2015.
nhsconfed.org/supporting-mem… /22
Deeds: in 2018, GP numbers actually falling.
pulsetoday.co.uk/news/gp-topics… /23
Words: “Mental health is a top priority”
google.com/amp/s/www.york… /24
Deeds: 6000 mental health nurses cut. Mental health patients in crisis shipped all over the country for a bed.
google.com/amp/s/amp.theg…
google.com/amp/s/www.bbc.… /25
Words: “I want to make the NHS the safest healthcare system in the world.”
bbc.co.uk/news/uk-englan… /26
Deeds: Hunt took safety whistleblowers to court.
google.com/amp/s/www.mirr… /27
Prevailed over the “worst winter in the NHS”, EVERY year for the last FOUR. Each worse than the last. /28
Ambulances stopped coming in time.
itv.com/news/2018-01-0… /29
People dying on trolleys.
independent.co.uk/life-style/hea… /30
Dropped waiting time targets for A&E and urgent surgery.
google.com/amp/s/amp.theg… /31
100,000 staff short. 10,000 doctors short.
google.com/amp/s/www.bbc.…
/32
40,000 nurses short.
google.com/amp/s/inews.co… /33
I have worked in the NHS full time for 6 years. This is the least safe I have ever seen it. /34
: A Health secretary defined by political spin, by words not deeds. Leaving us having to explain to families why we couldn’t do more. /35
So Jeremy Hunt is the longest-running Health Secretary in NHS history.
Based on his record thus far, I wouldn’t be surprised if he’s the last as well. /end

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More from @DrDomPimenta

Sep 13, 2018
I am a doctor in the #NHS.
Every scrap of evidence I’ve seen points to total disaster if #NoDealBrexit comes to pass. We must #StopBrexit - here is why. /thread
Thus far I’ve tried to focus solely on the facts, and the facts alone. Informed consent is the bedrock of medicine- I don’t believe anyone knew the consequences of leaving EURATOM or the EMA for example when they voted. Feel free to prove otherwise. /1
It’s not my job to tell people what to do. And I am not. If you still think Leaving with No Deal will be good for the NHS after absorbing all of the above, then that is your decision. You are wrong, but it’s your right to be wrong. /2
Read 18 tweets
Sep 6, 2018
Another tragic and unnecessary death. I think every junior doctor in today’s NHS can empathise. We’ve all been there, to some degree. Myself included. This is what it’s like. /thread

birminghammail.co.uk/news/midlands-…
I’m a “junior” doctor. I’ve been a doctor for six years, in training for twelve years. There are four levels, from newest to most senior: F1 (first year). Senior House officer (1-3 years), Registrar (1-5 years). I am a Registrar. /1
The hardest parts of our jobs are not usually the textbook bits: it’s all of the other bits that keep me up at night. /2
Read 28 tweets
Aug 27, 2018
#Jacksonville happens and it’s time to re-hash the same gun facts to counter the same arguments and expect the same absence of action. Here they are anyway. /thread
“Criminals don’t pay attention to gun laws”. Except where do they get guns from in the first place? >300,000 guns are stolen every year. Reducing the availability of guns, especially assault rifles, protects everyone. /2
“We need guns for self-protection”.
You are far more likely as a gun owner to be killed by your own gun than to kill an attacker in self-defence.
Every year >1000 children are injured accidentally by guns, many fatally. /3
Read 10 tweets
Aug 18, 2018
Nigel Farage is “back” with this piece in the Telegraph. He’s taken the time to really hone his art of total twaddle to a whole new level. /1
“The political class in Westminster.” ...is literally you - you’ve been in frontline politics for 25 years and an MEP for 19 yrs, with one of the worst voting records in the European Parliament.
google.com/amp/s/www.dail…
“Their media allies”- this is you. You do more media than politics, even though you’re supposed to be an MEP. you have your own @LBC radio show, Fox News, Question Time (!). Not to mention Bannon, Breitbart, Fox News. You’re writing IN the Telegraph. google.com/amp/s/uk.news.…
Read 12 tweets
Aug 17, 2018
Now we are down to name-calling, and still no safe or sensible plan. Is it a #disgrace NHS doctors like me are terrified of the impact of a No Deal #Brexit on our patients? 🤔 /thread
Is it a disgrace a No Deal Brexit means we will, even temporarily, be unable to import vital medicine? Like insulin? google.com/amp/s/amp.theg…
Perhaps it’s a disgrace that we only make enough insulin in the U.K. for 1-2000 patients, when 400,000 patients need it every year. Is it a disgrace we are having to stockpile medicine like this? channel4.com/news/factcheck…
Read 16 tweets
Aug 15, 2018
This is hard watching, but this honestly could’ve been any of us. #IAmHadiza

bbc.co.uk/iplayer/episod…
Watching this I remember a nearly identical case I was peripherally involved in. A young boy, misdiagnosis, Group A streptococcus sepsis, which lead to his death.
The hospital was overrun, in special measures, with multiple failures in communication. Just like Leicester.
Read 10 tweets

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