This is a disgusting position for any moral person, let alone regulator, to take.
At a recent Court of Appeal hearing, the GMC continued to argue that it doesn't have a duty of care to doctors. This comes after an NHS doctor tragically took his own life within hours of receiving a letter from the regulator.
Join our campaign to reform the GMC: bma.org.uk/GMCreform
ALT Graphic with the headline: “The GMC says it has no duty of care to doctors”. A quote attributed to a Court of Appeal judge asks whether the GMC’s position is that it has effective impunity, can make mistakes in its communications, cause harm to registrants, and then say it has no duty of care so cannot be sued. A response attributed to counsel for the GMC reads: “Yes... I think that has to be our position.” BMA logo at the bottom.
Giles retweeted
My reaction to this puerile mix of petulance and arrogance is:
Who do you think you are? You are in a publicly funded post, in an orgn whose sole reason to exist is to serve the public - at what point have you (or anyone else) asked the public if this is what they want?
Mackey: We’ll reduce our reliance on doctors in response to strikes ift.tt/mTSjKP4
Procalcitonin 2+ warranting urgent senior review regardless of NEWS2 reduces overall mortality a bit.
What’s more worthwhile here: procalcitonin, or senior delivered care?
Were there any knock on effects to other patient cohorts who would otherwise have had senior reviews?
Procalcitonin testing combined with NEWS2 evaluation compared with usual care based on NEWS2 for identification of sepsis and antibiotic initiation in the emergency department (PRONTO): a multicentre, open-label, phase 3 RCT
CCR Journal Watch
criticalcarereviews.com/late…
Giles retweeted
How can we get to the bottom of this seeming paradox? We need to go deep into the supplement!
The key is understanding how clinicians deal with discrepant information.
The reduction in mortality was driven by the subset with a high NEWS score and a low procalcitonin. These are the patients that without procalcitonin clinicians could erroneously mistakenly conclude “just have sepsis.” With the extra PCT data point, they were encouraged to reevaluate. This reduced mortality in the patients who ultimately did not have infection.
Conclusion: An additional test can help avoid premature closure and get you to reassess! If the data doesn’t fit reconsider!
(Sidebar: it’s pretty embarrassing that @TheLancet misspelled “Medium”)
Giles retweeted
Procalcitonin testing combined with NEWS2 evaluation compared with usual care based on NEWS2 for identification of sepsis and antibiotic initiation in the emergency department (PRONTO): a multicentre, open-label, phase 3 RCT
CCR Journal Watch
criticalcarereviews.com/late…
Giles retweeted
Peripheral vasopressor administration in critically ill adults was associated with a low incidence of adverse events—major events were rare using short peripheral intravenous catheters, and use avoided central venous catheter placement in 60% of cases.
ja.ma/4btNGSr
ALT JAMA Network Open article titled, \"Incidence of Adverse Events in Peripheral Intravenous Vasopressor Use: A Systematic Review and Meta-Analysis\" by Shang-Jun Zhang Jian, MD, and others. Published March 16, 2026.
Giles retweeted
Well done to the Scottish government and SRDC getting this over the line - without a single day of industrial action & making a significant dent to prior pay erosion of resident doctors
#PayRestoration
Resident doctors in Scotland have voted overwhelmingly to accept the latest pay offer. Increasing pay by 10% this year and 9.4% next year.
This is an important step forward, but years of pay erosion mean the journey isn’t over. The BMA in Scotland will keep pushing for full pay restoration to protect Scotland’s NHS and the patients who rely on it.
bma.org.uk/news-and-opinion/…
Giles retweeted
Breaking: America threatens sanctions on the UK if we keep complaining about child porn.
Giles retweeted
As @fletchjack says, doctors want a reasonable deal over a number of years aka a “journey”
For the record re: 28.9% doctors have received
- it’s over 3 years
- @wesstreeting unequivocally did NOT award us it himself
- inflation still occurred in that time so real terms was less
Thousands of resident doctors, formerly known as junior doctors, are set to strike from tomorrow for five days, despite receiving a nearly 29% pay rise over the past three years.
@susannareid100 questions @fletchjack, the Chairman of the BMA’s Resident Doctors Committee.
A few questions:
- are the 4,000 extra jobs permanent (ie not just a few extra jobs for a few years)?
- are they core training posts I.e. with an impending HST bottleneck?
- what is stopping lots of senior registrars being stuck in 5-8 years time with no consultant posts?
I graduated in 2018, and successfully interviewed for ACCS-AM in FY2.
My portfolio was alright, but not this good.
The advice I received from CMTs as they were around that time was, “so long as you don’t stroll in and take a dump on the floor, you’ll leave with a job”.
Giles retweeted
5️⃣ The UK Squeezes Doctors While Having Fewer of Them
Compared with its peers, the UK has:
•fewer doctors per capita
•fewer hospital beds
•fewer training spots
•higher attrition
It is one of the few systems that simultaneously undersupplies clinicians and underpays them.
Giles retweeted
Most people have no idea how bad the UK doctor training system really is.
It demands double the training time of other countries, pays doctors less at every stage, and then often keeps them “junior” even after they finish all their training.
Look at the numbers.
🧵⬇️
Giles retweeted
I actually live in a small English village. It’s total codswallop what @elonmusk is saying.
We’re not “hobbits under siege” we’re ordinary people - how rude to patronise us like this.
It’s fear-mongering dressed up as folklore.