Dr Dominic Pimenta MD Profile picture
Jul 11, 2018 23 tweets 10 min read Twitter logo Read on Twitter
The legacy of @Jeremy_Hunt, UK Secretary of State for Health, 2012-2018.

Just the numbers. /thread
£577m was the NHS surplus in 2012.
-£6 billion is the projected NHS deficit for 2018. /1
nuffieldtrust.org.uk/research/the-b…
2015 was the year Jeremy Hunt suppressed NICE guidance on minimum nurse ratios. /2
google.com/amp/s/www.inde…
£4000 is the projected amount of pay lost by NHS nurses since the start of the pay freeze in 2010. /3 google.com/amp/s/www.mirr…
96% is the drop in the number of applications from EU nurses since 2016. /4
google.com/amp/s/www.bbc.…
At least 40,000 nurses are currently missing in 2018. Statistically nurse:patient ratios have the greatest impact on mortality. /5 fullfact.org/health/are-we-…
7000 is the number of mental health nurses cut from the service since 2010. fullfact.org/health/mental-… /6
5000 is the number of mental health beds cut since 2010. fullfact.org/health/were-no… /7
70% is the percentage of children with mental health issues being admitted far away from home, sometimes hundreds of miles /8 google.com/amp/s/www.tele…
24th is our mental health beds/population ranking amongst 28 European countries. This actually dropped between 2010-2015. /9
2.8 per 1000 is the number of doctors in the U.K., the lowest in the EU excepting Romania and Poland. /10
10,000 is the number of doctors missing from the NHS. The NHS is short of
100,000 staff overall. /11 google.com/amp/s/www.bbc.…
5000 extra GPs were promised by Jeremy Hunt in 2015. In 2018 the number of GPs actually fell by >1000. /12 thetimes.co.uk/article/1-000-…
25% of junior Doctors and 20% of senior doctors self-reported as “burnt out in 2018. /13
95% is the number of patients supposed to be seen and assessed within 4 hours in A&E. It has been 3 years since this was last met.
fullfact.org/health/when-wa… /14
Current A&E waiting times are the worst since records began. Dozens of EDs have been closed or downgraded since 2010. 24 more planned. /15 google.com/amp/s/metro.co…
18 weeks was supposed to be the maximum wait for routine surgery. Jeremy scrapped this in 2017. /16 google.com/amp/s/amp.theg…
2 months is supposed to be the maximum wait between GP referral for suspected cancer and starting treatment. We haven’t been above this target since 2014. /17
3.7% has been the average annual NHS funding increase since 1948.
0.9% has been the average NHS funding increase this decade.
2.9% is the average projected rise if £20b is given as promised by 2020. health.org.uk/sites/health/f… /18
£30b was the amount required to “stand still” by 2020. So far the NHS has actually received £4b. google.com/amp/s/amp.theg…
fullfact.org/health/10-bill… /19
120,000 is the number of people who have likely died due to healthcare and social cuts since 2010 who otherwise would not have. A finding repeatedly demonstrated elsewhere. google.com/amp/s/www.inde… /20

rsm.ac.uk/about-us/media… /20
Jeremy Hunt leaves the NHS far worse off than he found it; understaffed, underfunded, demoralised and far less safe. /21
1.2m is the number of #NHS England staff bidding @Jeremy_Hunt adieu with a goodbye message:

Don’t let the door hit you on the way out.

/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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