Dr Louella Vaughan
@drlkvaughan.bsky.social
Consultant Acute Physician, The Royal London. Health policy nerd. Former Harveian Librarian, RCP. Antipodean. Views own.
Pinned
Throwing my hat in the ring for RCP Clinical Vice President!
Great to see so many excellent people putting themselves forward.
Fellows, don't forget to get out and VOTE!
Great to see so many excellent people putting themselves forward.
Fellows, don't forget to get out and VOTE!
Reposted by Dr Louella Vaughan
🧵 1/ NHS England’s Fit for the Future 10-Year Plan is set to transform postgraduate medical education. Flexibility, digital platforms & modular learning sound great, but what’s at stake? @drlkvaughan.bsky.social & I ask some important questions in a new paper in J Roy Soc Med
December 2, 2025 at 6:10 PM
🧵 1/ NHS England’s Fit for the Future 10-Year Plan is set to transform postgraduate medical education. Flexibility, digital platforms & modular learning sound great, but what’s at stake? @drlkvaughan.bsky.social & I ask some important questions in a new paper in J Roy Soc Med
What's the future for Undergraduate Medical Education in England?
@martinmckee.bsky.social and I look at what's in the 10 Year Plan and the implications.
We think there is significant risk of the proposals devaluing degrees and the Profession.
journals.sagepub.com/doi/10.1177/...
@martinmckee.bsky.social and I look at what's in the 10 Year Plan and the implications.
We think there is significant risk of the proposals devaluing degrees and the Profession.
journals.sagepub.com/doi/10.1177/...
Medical education at the crossroads. Part I: undergraduate education and the erosion of professional identity - Louella Vaughan, Martin McKee, 2025
journals.sagepub.com
November 26, 2025 at 11:21 AM
What's the future for Undergraduate Medical Education in England?
@martinmckee.bsky.social and I look at what's in the 10 Year Plan and the implications.
We think there is significant risk of the proposals devaluing degrees and the Profession.
journals.sagepub.com/doi/10.1177/...
@martinmckee.bsky.social and I look at what's in the 10 Year Plan and the implications.
We think there is significant risk of the proposals devaluing degrees and the Profession.
journals.sagepub.com/doi/10.1177/...
Reposted by Dr Louella Vaughan
👇… Not right time for vote / when done - do properly! ….
The RCP is asking Fellows to vote on key constitutional reforms, including extending the franchise.
A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly.
Not enough information. Too many questions.
Our views here:
tinyurl.com/ye5k2fa2
A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly.
Not enough information. Too many questions.
Our views here:
tinyurl.com/ye5k2fa2
RCP Constitutional Reforms - The Case for No (Not Yet)
The Royal College of Physicians (RCP) is currently asking Fellows to vote on constitutional reforms. The reforms seem relatively straightforward – widening the franchise to allow Collegiate members to...
tinyurl.com
September 28, 2025 at 5:33 PM
👇… Not right time for vote / when done - do properly! ….
The RCP is asking Fellows to vote on key constitutional reforms, including extending the franchise.
A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly.
Not enough information. Too many questions.
Our views here:
tinyurl.com/ye5k2fa2
A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly.
Not enough information. Too many questions.
Our views here:
tinyurl.com/ye5k2fa2
RCP Constitutional Reforms - The Case for No (Not Yet)
The Royal College of Physicians (RCP) is currently asking Fellows to vote on constitutional reforms. The reforms seem relatively straightforward – widening the franchise to allow Collegiate members to...
tinyurl.com
September 28, 2025 at 5:19 PM
The RCP is asking Fellows to vote on key constitutional reforms, including extending the franchise.
A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly.
Not enough information. Too many questions.
Our views here:
tinyurl.com/ye5k2fa2
A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly.
Not enough information. Too many questions.
Our views here:
tinyurl.com/ye5k2fa2
Interesting piece Helen!
August 21, 2025 at 4:30 PM
Interesting piece Helen!
Sadly, you are probably right.
To be subdivided and flogged for apartment blocks.
To be subdivided and flogged for apartment blocks.
August 1, 2025 at 1:24 PM
Sadly, you are probably right.
To be subdivided and flogged for apartment blocks.
To be subdivided and flogged for apartment blocks.
Lovely! Lucky you.
August 1, 2025 at 1:19 PM
Lovely! Lucky you.
Buffy the Vampire Slayer.
a woman with red hair is asking " who asked you " what are you talking about
ALT: a woman with red hair is asking " who asked you " what are you talking about
media.tenor.com
August 1, 2025 at 1:19 PM
Buffy the Vampire Slayer.
Australian 3/4 acre block outer suburbs...
August 1, 2025 at 1:17 PM
Australian 3/4 acre block outer suburbs...
Andy, this topic is MUCH more fun over on Twitter.
Everyone on Bluesky is too polite.
Everyone on Bluesky is too polite.
July 10, 2025 at 10:53 AM
Andy, this topic is MUCH more fun over on Twitter.
Everyone on Bluesky is too polite.
Everyone on Bluesky is too polite.
Me after reading the 10YP.
a baby girl is sitting on a couch with her eyes closed and making a funny face .
ALT: a baby girl is sitting on a couch with her eyes closed and making a funny face .
media.tenor.com
July 10, 2025 at 10:48 AM
Me after reading the 10YP.
I am so very sorry Trisha.
She was a very lovely one.
She was a very lovely one.
April 19, 2025 at 1:26 PM
I am so very sorry Trisha.
She was a very lovely one.
She was a very lovely one.
Time is running out!
Less than 3 days left to vote in the @rcphysicians.bsky.social elections.
Links to voting in email from Civica.
Vote @drlkvaughan.bsky.social for Vice President!
Less than 3 days left to vote in the @rcphysicians.bsky.social elections.
Links to voting in email from Civica.
Vote @drlkvaughan.bsky.social for Vice President!
April 11, 2025 at 1:43 PM
Time is running out!
Less than 3 days left to vote in the @rcphysicians.bsky.social elections.
Links to voting in email from Civica.
Vote @drlkvaughan.bsky.social for Vice President!
Less than 3 days left to vote in the @rcphysicians.bsky.social elections.
Links to voting in email from Civica.
Vote @drlkvaughan.bsky.social for Vice President!
Reposted by Dr Louella Vaughan
Please encourage your FRCP colleagues to vote before Monday 14th April
Vote Asif Qasim for President
@drlkvaughan.bsky.social for VP
@respirologist.bsky.social Dr Philip Pearson for Council
@copddoc.bsky.social Prof Nick Hopkinson for Council
#TimeForChange
Vote Asif Qasim for President
@drlkvaughan.bsky.social for VP
@respirologist.bsky.social Dr Philip Pearson for Council
@copddoc.bsky.social Prof Nick Hopkinson for Council
#TimeForChange
It’s an honour to be standing for election as president of the RCP
Thanks my proposers:
Prof Sir Richard Thompson
Dr Taryn Youngstein
Prof Sir Shakeel Qureshi
Details on the election website soon and more at asifqasim.co.uk
My vision is to restore the @RCPhysicians as the #VoiceofPhysicians
Thanks my proposers:
Prof Sir Richard Thompson
Dr Taryn Youngstein
Prof Sir Shakeel Qureshi
Details on the election website soon and more at asifqasim.co.uk
My vision is to restore the @RCPhysicians as the #VoiceofPhysicians
Dr Asif Qasim, MA PhD FRCP
Dr Asif Qasim MA PhD FRCP is a London-based Consultant Interventional Cardiologist and former NHS Clinical Director with a PhD in Cardiovascular Medicine. Dedicated to healthcare innovation, medical e...
asifqasim.co.uk
April 10, 2025 at 5:15 PM
Please encourage your FRCP colleagues to vote before Monday 14th April
Vote Asif Qasim for President
@drlkvaughan.bsky.social for VP
@respirologist.bsky.social Dr Philip Pearson for Council
@copddoc.bsky.social Prof Nick Hopkinson for Council
#TimeForChange
Vote Asif Qasim for President
@drlkvaughan.bsky.social for VP
@respirologist.bsky.social Dr Philip Pearson for Council
@copddoc.bsky.social Prof Nick Hopkinson for Council
#TimeForChange
Thanks both!
Claudia and I found it a very difficult piece of work to do. But was important to document experiences and analyze impact soon after events.
Organisations have VERY short memories.
Claudia and I found it a very difficult piece of work to do. But was important to document experiences and analyze impact soon after events.
Organisations have VERY short memories.
April 8, 2025 at 10:30 AM
Thanks both!
Claudia and I found it a very difficult piece of work to do. But was important to document experiences and analyze impact soon after events.
Organisations have VERY short memories.
Claudia and I found it a very difficult piece of work to do. But was important to document experiences and analyze impact soon after events.
Organisations have VERY short memories.
Reposted by Dr Louella Vaughan
I've talked to hundreds of Members and Fellows and their views are clear: we need to revitalise the RCP and restore the #VoiceOfPhysicians
Vote Asif Qasim before Monday 14th April
It's time to act: let's make the RCP something we can be proud of
Vote Asif Qasim before Monday 14th April
It's time to act: let's make the RCP something we can be proud of
April 2, 2025 at 1:14 PM
I've talked to hundreds of Members and Fellows and their views are clear: we need to revitalise the RCP and restore the #VoiceOfPhysicians
Vote Asif Qasim before Monday 14th April
It's time to act: let's make the RCP something we can be proud of
Vote Asif Qasim before Monday 14th April
It's time to act: let's make the RCP something we can be proud of
Thanks Fiona!
The algorithm threw you up in my timeline on pretty much my first day on Twitter.
I thought: Oh Cool. Interesting stuff. And followed you.
Here we are, a decade later...
The algorithm threw you up in my timeline on pretty much my first day on Twitter.
I thought: Oh Cool. Interesting stuff. And followed you.
Here we are, a decade later...
April 2, 2025 at 9:19 AM
Thanks Fiona!
The algorithm threw you up in my timeline on pretty much my first day on Twitter.
I thought: Oh Cool. Interesting stuff. And followed you.
Here we are, a decade later...
The algorithm threw you up in my timeline on pretty much my first day on Twitter.
I thought: Oh Cool. Interesting stuff. And followed you.
Here we are, a decade later...
Governments around the world need to face up to the issue that the cost of providing healthcare over the next 2 decades is going to be wildly expensive.
Making the workforce less skilled and less efficient for marginal cost savings isn't the solution.
Fin
Making the workforce less skilled and less efficient for marginal cost savings isn't the solution.
Fin
April 1, 2025 at 1:45 PM
Governments around the world need to face up to the issue that the cost of providing healthcare over the next 2 decades is going to be wildly expensive.
Making the workforce less skilled and less efficient for marginal cost savings isn't the solution.
Fin
Making the workforce less skilled and less efficient for marginal cost savings isn't the solution.
Fin
half a century. Fully trained doctors provide the best care. It just isn't possible to chunk up the job and outsource it.
Not is it just not efficient in the long run, but it creates other problems. And patients suffer as a consequence.
5/
Not is it just not efficient in the long run, but it creates other problems. And patients suffer as a consequence.
5/
April 1, 2025 at 1:45 PM
half a century. Fully trained doctors provide the best care. It just isn't possible to chunk up the job and outsource it.
Not is it just not efficient in the long run, but it creates other problems. And patients suffer as a consequence.
5/
Not is it just not efficient in the long run, but it creates other problems. And patients suffer as a consequence.
5/
How do you make one?
How do you ensure safety and accountability?
Especially problematic given that what doctors do (mostly) is to THINK about things and make DECISIONS. The skill stuff is an added extra.
The grand experiment with workforce subs has been going on for over
4/
How do you ensure safety and accountability?
Especially problematic given that what doctors do (mostly) is to THINK about things and make DECISIONS. The skill stuff is an added extra.
The grand experiment with workforce subs has been going on for over
4/
April 1, 2025 at 1:45 PM
How do you make one?
How do you ensure safety and accountability?
Especially problematic given that what doctors do (mostly) is to THINK about things and make DECISIONS. The skill stuff is an added extra.
The grand experiment with workforce subs has been going on for over
4/
How do you ensure safety and accountability?
Especially problematic given that what doctors do (mostly) is to THINK about things and make DECISIONS. The skill stuff is an added extra.
The grand experiment with workforce subs has been going on for over
4/