Nicola Cooper
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profnicolacooper.bsky.social
Nicola Cooper
@profnicolacooper.bsky.social

Professor of #MedEd at the University of Nottingham, Physician (Acute Internal Medicine), and Chair of the UK Clinical Reasoning in Medical Education group @ukcreme.bsky.social

Mathematics 37%
Economics 33%
Pinned
Diagnostic error is the most costly, most common, and most dangerous of medical mistakes. Which is why teaching clinical reasoning is so important. Check out www.creme.org.uk and 👇

Finally!
🚨 INVESTIGATION: Britain's maternity crisis has deeper roots, extending into the universities trusted to train the next generation of midwives. A majority are still promoting a normal birth ideology while women are more complex than ever:

READ: www.thetimes.com/article/b4fe...
Stop promoting natural birth ideology, midwife courses told
Despite a litany of scandals, universities are still pushing ‘normal birth’ over medical interventions. Now our investigation has prompted the regulator to act
www.thetimes.com

Reposted by Nicola J. Cooper

On this day we remember them.

We will never forget.

#RemembranceSunday
🚨 INVESTIGATION: Britain's maternity crisis has deeper roots, extending into the universities trusted to train the next generation of midwives. A majority are still promoting a normal birth ideology while women are more complex than ever:

READ: www.thetimes.com/article/b4fe...
Stop promoting natural birth ideology, midwife courses told
Despite a litany of scandals, universities are still pushing ‘normal birth’ over medical interventions. Now our investigation has prompted the regulator to act
www.thetimes.com

Reposted by Nicola J. Cooper

This report was published 20 October 2022

This was the day Liz Truss announced her resignation

Also the day General Practice was ignored & lost potentially forever

publications.parliament.uk/pa/cm5803/cm...

Reposted by Nicola J. Cooper

GPs - ‘Lazy, laggards’

1.3million appts take place in General Practice each day

20 x more than A&E
3.5 x more than hospital out-patients

5million more appts each month than 2019

Wes Streeting has decided he doesn’t need GPs

Let’s see if people agree

www.kingsfund.org.uk/insight-and-...

Reposted by Nicola J. Cooper

‘Professional protectionism’ = patient protection

It’s really important people understand why knowledge is needed in patient care

Protecting a role eg Nurse/Dr is about protecting patients from harm

You don’t know what you don’t know or understand what you have never been taught

Reposted by Nicola J. Cooper

You might have seen me using the #OneHealth hashtag often: this is why...

A World Health Organization poster for today, November 3, One Health Day

Reposted by Nicola J. Cooper

GP Crisis is due to Top-Down management

~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS

More costly services being promoted by Govt/NHSE at the cost of patient care

Reposted by Nicola J. Cooper

Racist incidents against UK nurses surge by 55%

Royal College of Nursing calls on government to stop using anti-migrant rhetoric, which it says emboldens racist behaviour

www.theguardian.com/society/2025...
Racist incidents against UK nurses surge by 55%
Royal College of Nursing calls on government to stop using anti-migrant rhetoric, which it says emboldens racist behaviour
www.theguardian.com
As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep

Govt banned them in case I was influenced to prescribe medications

This should also be banned

Influence being bought in Govt

Patients should influence not the healthy & wealthy

Reposted by Nicola J. Cooper

Physican Assistant - Associate - Assistant

Started as a good idea but was soon a very bad idea for patients when pushed by those who had no idea about safe medicine

It’s time to make sure the Leng Review recommendations are implemented

substack.com/@drstevetayl...
Dr Steve Taylor (@drstevetaylor)
Physician Assistants were first muted as an idea an concept in the early 2010s as a way of alleviating the workforce shortage in General Practice, helping GPs deal with some of the more simple and mun...
substack.com

Reposted by Nicola J. Cooper

The ‘manager’ is blaming the players, #NHS is ‘broken’ according to Wes Streeting

But he has spent a year ‘breaking’ the teams who provide care for patients

Waiting lists⬆️, A&E waits⬆️, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause

Reposted by Nicola J. Cooper

This is madness - how can they justify yearly flu vaccination for all staff (and seriously encourage staff to have it with various deals) but then ignore the other infection that is hitting staff on regular basis?

I hoped this madness would change with new government - sadly it has not.
Covid-19: Excluding doctors from vaccination programme puts patients at risk, clinicians warn
Doctors have warned that the government’s decision to exclude health and social care workers from its covid vaccination programme is putting patients at risk and will have a major impact on an overstr...
www.bmj.com

Reposted by Nicola J. Cooper

Reposted by Nicola J. Cooper

‘Doctors have warned that the government’s decision to exclude health and social care workers from its covid vaccination programme is putting patients at risk and will have a major impact on an overstretched NHS.’

🤦 Unbelievably shortsighted, based on what exactly!

www.bmj.com/content/391/...
Covid-19: Excluding doctors from vaccination programme puts patients at risk, clinicians warn
Doctors have warned that the government’s decision to exclude health and social care workers from its covid vaccination programme is putting patients at risk and will have a major impact on an overstr...
www.bmj.com

Reposted by Nicola J. Cooper

If you're a physician working in England, share your insights to shape our submission to the government’s call for evidence on the 10 Year Workforce Plan.

Have your say: ow.ly/g23550XatiH

Submit your responses by 9am on Monday 20 October 2025.

Reposted by Nicola J. Cooper

WMA has adopted a landmark Statement on Artificial and Augmented Intelligence in Medical Care, outlining global ethical principles to guide the safe and responsible use of artificial intelligence in healthcare.

Press Release: www.wma.net/news-post/wo...

#MedicalEthics

Reposted by Nicola J. Cooper

Write to your MP: Save the future of general practice

We have been increasingly concerned about the messages aimed at GPs from Wes Streeting, Stephen Kinnock & Department of Health

They have said this is just a few BMA leaders

It’s not pleas write here👇🏼 and share
dauk.org/write-to-you...
Write to your MP: Save the future of general practice | DAUK
DAUK has launched a letter-writing campaign to highlight the critical state of general practice with MPs and policy makers
dauk.org

Reposted by Nicola J. Cooper

I do hope BBC Panorama is working on this, with a proper deep dive into the associations+funding of Reform There’s so much talk of spying. Nathan Gill, close to leaders of a party that aspires to govern the country, has *admitted* working for Russian interests. What are the links btwn Russia+Reform?
Reform UK's ex-Wales leader Nathan Gill admits pro-Russia bribery
Nathan Gill admits eight charges of bribery while being a Member of the European Parliament.
www.bbc.co.uk
Well done Shafaq Aftab. When a reviewer stole her work and published it under his own name, she fought for a YEAR to get the journal to retract the paper. Just wondering why it took Wiley a YEAR to do this. 🧪 #academicsky

retractionwatch.com/2025/10/03/w...
Wiley retracts study stolen by reviewer, following Retraction Watch coverage
A Wiley journal has retracted a paper more than a year after a researcher reported the work was hers and had been stolen by a reviewer for another journal. As we reported in July, Shafaq Aftab, now…
retractionwatch.com
After a long pause, I've just done another England Covid & NHS update as we head into the autumn/winter season.

TLDR: we're in a significant Covid wave now, the NHS is stretched, get boosted if you're eligible.

christinapagel.substack.com/p/england-is...
England is now experiencing a significant Covid wave, after 10 months of relative quiet
The latest Covid situation in England and a look at where NHS services are as we head into winter
christinapagel.substack.com

Reposted by Nicola J. Cooper

Helpful to explain what £169/patient/year pays for (this is £40 less than 2015 in real terms funding & only £123 is patient care)

380million appts in GP practices - half with GPs

But there is more to General Practice than just appts

@rthonwesstreeting.bsky.social

Reposted by Nicola J. Cooper

July 24, 2024

Reposted by Nicola J. Cooper

Truly, these are the end times

Reposted by Nicola J. Cooper

Asking my hairdresser to provide unlimited haircuts for less than £3 a week, including online booking & an immediate response to emergency shave at 1min before closing

That’s a NO😂😂

Meanwhile the GP practice - Wes says you must do all that & more

Reposted by Nicola J. Cooper

Pediatrician here. Please, please talk to your healthcare provider to get accurate info. Sadly, every single sentence in this statement is inaccurate & harmful. #medsky

Reposted by Nicola J. Cooper

The BMJ @bmj.com · Sep 22
Surveys show a mismatch between what tier most physician assistants think they can work at and what tier most doctors think they can work at.

There is a mismatch between physician assistants and doctors in confidence and competence
www.bmj.com/content/390/...

The mismatch between physician assistants and doctors in confidence and competence👇
www.bmj.com/content/390/bmj.r1958
www.bm

Reposted by Nicola J. Cooper

If a bus arrives at a stop already full & there is a queue of people what should the driver do ? To me it seems like the answer in GP land is to create more queues & ask the driver to open the door. And if that doesn’t work it’s the driver at fault?
Misunderstood? @rthonwesstreeting.bsky.social