Tim Cooksley
@acutemed2.bsky.social
Immediate Past President, Society for Acute Medicine (SAM)
Reposted by Tim Cooksley
Acute care pathways have changed since landmark #VTE #prophylaxis trials were done.
What do results from recent observational studies in #SDEC mean for practice and research?
#AcuteMedJournalClub recording t.co/0Hxuh9wfyD
Don’t forget to have your say #QRcode for 3 questions at the end !
What do results from recent observational studies in #SDEC mean for practice and research?
#AcuteMedJournalClub recording t.co/0Hxuh9wfyD
Don’t forget to have your say #QRcode for 3 questions at the end !
July 18, 2025 at 12:07 PM
Acute care pathways have changed since landmark #VTE #prophylaxis trials were done.
What do results from recent observational studies in #SDEC mean for practice and research?
#AcuteMedJournalClub recording t.co/0Hxuh9wfyD
Don’t forget to have your say #QRcode for 3 questions at the end !
What do results from recent observational studies in #SDEC mean for practice and research?
#AcuteMedJournalClub recording t.co/0Hxuh9wfyD
Don’t forget to have your say #QRcode for 3 questions at the end !
Reposted by Tim Cooksley
Fantastic to see the updated BSG/BASL decompensated cirrhosis admission bundle in print at FG
- practical guidance to improve care in the first 24 hours as well as implementation strategy - congrats Stuart McPherson for driving this! #livertwitter
fg.bmj.com/content/earl...
- practical guidance to improve care in the first 24 hours as well as implementation strategy - congrats Stuart McPherson for driving this! #livertwitter
fg.bmj.com/content/earl...
Decompensated cirrhosis: an update of the BSG/BASL admission care bundle
Acute decompensated cirrhosis (DC) and acute-on-chronic liver failure are common reasons for hospital admission that have a high in-hospital mortality rate (10%–20%). Patients require a detailed asses...
fg.bmj.com
April 16, 2025 at 6:54 PM
Fantastic to see the updated BSG/BASL decompensated cirrhosis admission bundle in print at FG
- practical guidance to improve care in the first 24 hours as well as implementation strategy - congrats Stuart McPherson for driving this! #livertwitter
fg.bmj.com/content/earl...
- practical guidance to improve care in the first 24 hours as well as implementation strategy - congrats Stuart McPherson for driving this! #livertwitter
fg.bmj.com/content/earl...
Reposted by Tim Cooksley
“It's been underinvested in, steadily, for years & years...across governments, across many years — and you have to see it to believe it"
Outgoing @NHSEngland chair Richard Meddings talks to Sunday Times Oli Shah www.thetimes.com/uk/healthcar...
Outgoing @NHSEngland chair Richard Meddings talks to Sunday Times Oli Shah www.thetimes.com/uk/healthcar...
I chaired the NHS and hardly believed it: sewage flows into sinks
The outgoing chairman of NHS England is full of praise for its staff but says the service is ‘sclerotic’ and relies too heavily on politicians
www.thetimes.com
February 9, 2025 at 8:07 PM
“It's been underinvested in, steadily, for years & years...across governments, across many years — and you have to see it to believe it"
Outgoing @NHSEngland chair Richard Meddings talks to Sunday Times Oli Shah www.thetimes.com/uk/healthcar...
Outgoing @NHSEngland chair Richard Meddings talks to Sunday Times Oli Shah www.thetimes.com/uk/healthcar...
Reposted by Tim Cooksley
In recent decades we’ve lost too many general and acute hospital beds in the UK, without creating sufficient alternative capacity outside hospital.
This has resulted in entirely predictable risks and harms, writes @mancunianmedic.bsky.social
www.bmj.com/content/388/...
This has resulted in entirely predictable risks and harms, writes @mancunianmedic.bsky.social
www.bmj.com/content/388/...
January 30, 2025 at 3:19 PM
In recent decades we’ve lost too many general and acute hospital beds in the UK, without creating sufficient alternative capacity outside hospital.
This has resulted in entirely predictable risks and harms, writes @mancunianmedic.bsky.social
www.bmj.com/content/388/...
This has resulted in entirely predictable risks and harms, writes @mancunianmedic.bsky.social
www.bmj.com/content/388/...
Reposted by Tim Cooksley
It’s official! Dr Jamie Weaver & I will now be co-leading #TheChristie International Fellowship Programme for Medical Oncology, supported by Jenny Espin.
We are happy to have 40+ clinical fellows across various tumour groups, contributing to cancer care & research.
Watch the space…more to come!
We are happy to have 40+ clinical fellows across various tumour groups, contributing to cancer care & research.
Watch the space…more to come!
January 21, 2025 at 6:37 PM
It’s official! Dr Jamie Weaver & I will now be co-leading #TheChristie International Fellowship Programme for Medical Oncology, supported by Jenny Espin.
We are happy to have 40+ clinical fellows across various tumour groups, contributing to cancer care & research.
Watch the space…more to come!
We are happy to have 40+ clinical fellows across various tumour groups, contributing to cancer care & research.
Watch the space…more to come!
@cancercaremascc.bsky.social @maryamlustberg.bsky.social
@drjonlim.bsky.social
link.springer.com/article/10.1...
@drjonlim.bsky.social
link.springer.com/article/10.1...
Low-risk febrile neutropenia: does combined chemotherapy/immune checkpoint inhibitor necessitate a change in approach? - Supportive Care in Cancer
Purpose Management of patients with low-risk febrile neutropenia in an outpatient setting guided by the MASCC score is proven to be safe and effective. Most patients on ambulatory low-risk febrile neu...
link.springer.com
January 19, 2025 at 9:55 PM
Reposted by Tim Cooksley
Patients who wait more than 12 hours in A&E 'twice as likely to die within a month', says ONS www.telegraph.co.uk/news/2025/01...
Patients who wait more than 12 hours in A&E ‘twice as likely to die within a month’
Britain’s most senior emergency doctor says figures ‘too compelling to ignore’ and calls for ‘urgent political action’ to tackle crisis
www.telegraph.co.uk
January 19, 2025 at 3:11 PM
Patients who wait more than 12 hours in A&E 'twice as likely to die within a month', says ONS www.telegraph.co.uk/news/2025/01...
Reposted by Tim Cooksley
'As an urgent care doctor I see NHS at its worst - Starmer's plan is deeply flawed'
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
https://buff.ly/4j5qNYj
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
https://buff.ly/4j5qNYj
'As an urgent care doctor I see NHS at its worst - Starmer's plan is deeply flawed'
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
buff.ly
January 7, 2025 at 11:01 AM
'As an urgent care doctor I see NHS at its worst - Starmer's plan is deeply flawed'
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
https://buff.ly/4j5qNYj
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
https://buff.ly/4j5qNYj
Reposted by Tim Cooksley
"The reality for patients and staff is corridors full of patients experiencing degrading care, being treated in the backs of ambulances because there is simply no space in hospital, & the immense physical & emotional harm that inevitably results"
Dr Tim Cooksley on the appalling NHS winter crisis.
Dr Tim Cooksley on the appalling NHS winter crisis.
Winter pressure causing strain as bad as pandemic, NHS bosses say - BBC News
More than 5,400 patients a day are in hospital with flu, as delays in A&E and for ambulances mount.
www.bbc.co.uk
January 9, 2025 at 6:32 PM
"The reality for patients and staff is corridors full of patients experiencing degrading care, being treated in the backs of ambulances because there is simply no space in hospital, & the immense physical & emotional harm that inevitably results"
Dr Tim Cooksley on the appalling NHS winter crisis.
Dr Tim Cooksley on the appalling NHS winter crisis.
Reposted by Tim Cooksley
If only this from the Sunday Times were new - the truth is even worse: that trusts have been advertising for “corridor nurses” for years. A horrendous illustration of how overwhelmed our hospitals are every year, all year. This isn’t “flu” - it’s flu + lack of beds + failure to address social care 🧵
January 12, 2025 at 9:41 AM
If only this from the Sunday Times were new - the truth is even worse: that trusts have been advertising for “corridor nurses” for years. A horrendous illustration of how overwhelmed our hospitals are every year, all year. This isn’t “flu” - it’s flu + lack of beds + failure to address social care 🧵
Reposted by Tim Cooksley
We report 0.9% VTE within 90 days of hospital led acute ambulatory care attendance; similar to traditional medical inpatient care without thromprophylaxis. Further VTE research needed in this rapidly expanding area of medicine#VTE#SDEC @danlasserson.bsky.social
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Same-day emergency care: a retrospective observational study of the incidence and predictors of venous thromboembolism following hospital-based acute ambulatory medical care
Same-day emergency care (SDEC) is an expanding area of hospital acute medical care. It aims to minimize delays and manage medical emergency patients w…
www.sciencedirect.com
January 10, 2025 at 10:01 AM
We report 0.9% VTE within 90 days of hospital led acute ambulatory care attendance; similar to traditional medical inpatient care without thromprophylaxis. Further VTE research needed in this rapidly expanding area of medicine#VTE#SDEC @danlasserson.bsky.social
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Reposted by Tim Cooksley
With patients at risk of harm due to spending days in Emergency Departments and health care professionals left in tears due to winter pressures, the Royal College of Emergency Medicine has asked ‘how has this been allowed to happen again?’
Read our response to new NHSE data 👇 tinyurl.com/2ujbhz7m
Read our response to new NHSE data 👇 tinyurl.com/2ujbhz7m
January 9, 2025 at 2:51 PM
With patients at risk of harm due to spending days in Emergency Departments and health care professionals left in tears due to winter pressures, the Royal College of Emergency Medicine has asked ‘how has this been allowed to happen again?’
Read our response to new NHSE data 👇 tinyurl.com/2ujbhz7m
Read our response to new NHSE data 👇 tinyurl.com/2ujbhz7m
Reposted by Tim Cooksley
"The reality for patients and staff is corridors full of patients experiencing degrading care
The fundamental issue is that there is a continued lack of capacity throughout the year - a tough flu season must not be used as a political excuse for the current situation"
www.bbc.co.uk/news/article...
The fundamental issue is that there is a continued lack of capacity throughout the year - a tough flu season must not be used as a political excuse for the current situation"
www.bbc.co.uk/news/article...
Alarm as skyrocketing flu cases add to NHS strains
More than 5,400 patients in hospital with flu as delays in A&E and for ambulances mount.
www.bbc.co.uk
January 9, 2025 at 2:02 PM
"The reality for patients and staff is corridors full of patients experiencing degrading care
The fundamental issue is that there is a continued lack of capacity throughout the year - a tough flu season must not be used as a political excuse for the current situation"
www.bbc.co.uk/news/article...
The fundamental issue is that there is a continued lack of capacity throughout the year - a tough flu season must not be used as a political excuse for the current situation"
www.bbc.co.uk/news/article...
Reposted by Tim Cooksley
“It’s so blindingly - excuse my language - bleedin’ obvious that in an intelligent, affluent, civilised society we get this done.”
Sir Andrew Dilnot tearing strips off the government yesterday for deferring addressing the crisis in social care until 2028. (1/3)
www.theguardian.com/society/2025...
Sir Andrew Dilnot tearing strips off the government yesterday for deferring addressing the crisis in social care until 2028. (1/3)
www.theguardian.com/society/2025...
‘Get this done’: Andrew Dilnot attacks three-year plan for English social care
Architect of previous attempts at reform says government could announce what it wants to do by end of 2025
www.theguardian.com
January 9, 2025 at 7:33 AM
“It’s so blindingly - excuse my language - bleedin’ obvious that in an intelligent, affluent, civilised society we get this done.”
Sir Andrew Dilnot tearing strips off the government yesterday for deferring addressing the crisis in social care until 2028. (1/3)
www.theguardian.com/society/2025...
Sir Andrew Dilnot tearing strips off the government yesterday for deferring addressing the crisis in social care until 2028. (1/3)
www.theguardian.com/society/2025...
Reposted by Tim Cooksley
"The media is full of pictures of patients in corridors; long queues of ambulances outside of emergency departments and stories of horrific patient experiences: this is seen and experienced by frontline staff every day. It is an appalling situation."
'As an urgent care doctor I see NHS at its worst - Starmer's plan is deeply flawed'
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
https://buff.ly/4j5qNYj
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
https://buff.ly/4j5qNYj
'As an urgent care doctor I see NHS at its worst - Starmer's plan is deeply flawed'
Dr Tim Cooksley, a consultant in acute medicine, says the Prime Minister risks an 'eternal crisis' in the NHS without urgent social care and workforce reform
buff.ly
January 7, 2025 at 4:38 PM
"The media is full of pictures of patients in corridors; long queues of ambulances outside of emergency departments and stories of horrific patient experiences: this is seen and experienced by frontline staff every day. It is an appalling situation."
Reposted by Tim Cooksley
This is a really important piece. We have to find a way to significantly reduce hospital handover delays so that next winter is better for patients and better for our staff than this one @londonambulance.nhs.uk
Ambulance handover delays in England may harm 1,000 patients a day
Ambulance handover delays in England may harm 1,000 patients a day
Exclusive: 414,137 people believed to have experienced some level of harm in last year, Guardian analysis finds
More than 1,000 patients a day in England are suffering “potential harm” because of ambulance handover delays, the Guardian can reveal.
In…
www.theguardian.com
January 5, 2025 at 8:30 PM
This is a really important piece. We have to find a way to significantly reduce hospital handover delays so that next winter is better for patients and better for our staff than this one @londonambulance.nhs.uk
Reposted by Tim Cooksley
I wrote this just before the general election
I was clearly not being negative enough.
More "Streeting Duty" than "Sleeping Beauty"
www.bmj.com/content/385/...
I was clearly not being negative enough.
More "Streeting Duty" than "Sleeping Beauty"
www.bmj.com/content/385/...
David Oliver: Will a Labour government rescue adult social care?
Social care is in crisis. It’s failing the people who need it, and their families. This failure has a secondary effect on NHS services. If Labour becomes the next party of government, it will assume r...
www.bmj.com
January 4, 2025 at 6:19 AM
I wrote this just before the general election
I was clearly not being negative enough.
More "Streeting Duty" than "Sleeping Beauty"
www.bmj.com/content/385/...
I was clearly not being negative enough.
More "Streeting Duty" than "Sleeping Beauty"
www.bmj.com/content/385/...
Reposted by Tim Cooksley
Another winter of discontent looms for NHS urgent and emergency care www.bmj.com/content/388/...
Another winter of discontent looms for NHS urgent and emergency care
With a sense of inevitability and clear predictability, urgent and emergency care in the UK is rapidly heading into another winter of discontent. We are seeing signs that we will experience another wi...
www.bmj.com
January 4, 2025 at 4:57 PM
Another winter of discontent looms for NHS urgent and emergency care www.bmj.com/content/388/...
Reposted by Tim Cooksley
"The innovative elements of the plan are welcome.. without emergency care recovery, this elective plan will inevitably and predictably fail. The concept of continuing to ringfence elective beds whilst patients are dying, receiving degrading corridor care is immoral" @acutemed2.bsky.social
Keir Starmer to unveil radical NHS changes to cut waiting times
Keir Starmer to unveil radical NHS changes to cut waiting times
Exclusive: Patients will get direct referrals for tests without seeing a consultant, but critics say the plan is ‘deluded’
* Starmer’s team hope policy blitz will prove that Labour can deliver change
Keir Starmer will attempt to reset his…
www.theguardian.com
January 3, 2025 at 6:28 PM
"The innovative elements of the plan are welcome.. without emergency care recovery, this elective plan will inevitably and predictably fail. The concept of continuing to ringfence elective beds whilst patients are dying, receiving degrading corridor care is immoral" @acutemed2.bsky.social
Critical incidents in hospitals up and down country.
All services under immense pressure with no light at end of tunnel.
Just when we think it can't get worse: it somehow does.
Appalling for patients and scandalous entirely predictable situation.
All services under immense pressure with no light at end of tunnel.
Just when we think it can't get worse: it somehow does.
Appalling for patients and scandalous entirely predictable situation.
January 2, 2025 at 8:56 PM
Critical incidents in hospitals up and down country.
All services under immense pressure with no light at end of tunnel.
Just when we think it can't get worse: it somehow does.
Appalling for patients and scandalous entirely predictable situation.
All services under immense pressure with no light at end of tunnel.
Just when we think it can't get worse: it somehow does.
Appalling for patients and scandalous entirely predictable situation.
Reposted by Tim Cooksley
General Practice doesn’t fit a marketised model of care, so it’s being killed, & the effects are spilling into the 1 remaining bit of the NHS anyone can access. Cooksley is spot on. The patient-blaming angle (including from government’s NHS director) is idiotic. amp.theguardian.com/society/2024...
December 31, 2024 at 10:51 AM
General Practice doesn’t fit a marketised model of care, so it’s being killed, & the effects are spilling into the 1 remaining bit of the NHS anyone can access. Cooksley is spot on. The patient-blaming angle (including from government’s NHS director) is idiotic. amp.theguardian.com/society/2024...
Current pressures are grim.
Not sure this type of message helps. Vast majority of people value their health services and only utilise when in need.
That vast minority who do ring 999 for a stubbed toe will continue to do so irrespective.
Messaging risks influencing wrong group.
Not sure this type of message helps. Vast majority of people value their health services and only utilise when in need.
That vast minority who do ring 999 for a stubbed toe will continue to do so irrespective.
Messaging risks influencing wrong group.
Only call 999 in emergencies to help ‘severe pressure’, ambulance chiefs urge www.independent.co.uk/news/uk/lond...
Only call 999 in emergencies to help ‘severe pressure’, ambulance chiefs urge
The London Ambulance Service said that, between 2am and 3am on New Year’s Day 2024, a 999 call was received every 11 seconds.
www.independent.co.uk
January 1, 2025 at 11:19 AM
Current pressures are grim.
Not sure this type of message helps. Vast majority of people value their health services and only utilise when in need.
That vast minority who do ring 999 for a stubbed toe will continue to do so irrespective.
Messaging risks influencing wrong group.
Not sure this type of message helps. Vast majority of people value their health services and only utilise when in need.
That vast minority who do ring 999 for a stubbed toe will continue to do so irrespective.
Messaging risks influencing wrong group.
Reposted by Tim Cooksley
🚨 Snapsot below from staff struggling tonight. You can see in the West Midlands there are over 180 ambulances stuck at hospitals...114 over an hour. Second image shows waits in York A&E...longest for a bed is over 40hrs
December 30, 2024 at 10:06 PM
🚨 Snapsot below from staff struggling tonight. You can see in the West Midlands there are over 180 ambulances stuck at hospitals...114 over an hour. Second image shows waits in York A&E...longest for a bed is over 40hrs
Normalised and not yet nadired. The most scary point of all.
It's an awful experience for pts and staff...in fact some pts will die. It may now not be exceptional, but that just means we have normalised it and that is truly dreadful.
December 30, 2024 at 8:36 PM
Normalised and not yet nadired. The most scary point of all.