Paul Green - Dir of Primary Care
@greenpaul.bsky.social
Busy NHS Director of Primary Care in Devon. Occasional health and care commentator. Enthusiastic smallholder. Keen angler.
I can see no risks whatsoever with GP fit notes being replaced by non clinical review funded by ones employer.
No risks whatsoever.
None.
🤯
#mayfieldreview
No risks whatsoever.
None.
🤯
#mayfieldreview
November 5, 2025 at 7:52 AM
I can see no risks whatsoever with GP fit notes being replaced by non clinical review funded by ones employer.
No risks whatsoever.
None.
🤯
#mayfieldreview
No risks whatsoever.
None.
🤯
#mayfieldreview
Its hard not to conclude the handling of the #NHSE #ICB changes shows many of the traits of a #peoplelast belief system
October 23, 2025 at 11:44 AM
Its hard not to conclude the handling of the #NHSE #ICB changes shows many of the traits of a #peoplelast belief system
Good to see #PMQs feature questions about #pharmacy and #dentistry
The #NHS is SO much more than acute hospitals.
The #NHS is SO much more than acute hospitals.
October 22, 2025 at 11:44 AM
Good to see #PMQs feature questions about #pharmacy and #dentistry
The #NHS is SO much more than acute hospitals.
The #NHS is SO much more than acute hospitals.
When 5 UK political parties are polling between 15% and 26% you know FPTP has to end.
October 22, 2025 at 7:18 AM
When 5 UK political parties are polling between 15% and 26% you know FPTP has to end.
I guess all the folk saying 'yeah but in the UK #Giuffre was above the age of consent' support the grooming gang defence that 'in Pakistan they'd have been above the age of consent'?
October 21, 2025 at 6:02 PM
I guess all the folk saying 'yeah but in the UK #Giuffre was above the age of consent' support the grooming gang defence that 'in Pakistan they'd have been above the age of consent'?
I've commissioned General Practice in Devon for 33 years. I've moved organisation once, and been TUPE'd 9 times due to reorganisation
10th TUPE pending
Thats a lot of time, effort, cost, opportunity cost
10th TUPE pending
Thats a lot of time, effort, cost, opportunity cost
October 21, 2025 at 12:34 PM
I've commissioned General Practice in Devon for 33 years. I've moved organisation once, and been TUPE'd 9 times due to reorganisation
10th TUPE pending
Thats a lot of time, effort, cost, opportunity cost
10th TUPE pending
Thats a lot of time, effort, cost, opportunity cost
I wonder if @rthonwesstreeting.bsky.social has evidence for saying 'most NHS staff support NHS league tables'?
September 9, 2025 at 6:24 AM
I wonder if @rthonwesstreeting.bsky.social has evidence for saying 'most NHS staff support NHS league tables'?
In the #SWW area a combination of ludicrous unit cost rise, unjustifiable standing charge rise, and removal of #labour govt support cos the old (lower) charges were too high means a lot of households are seeing bills rise by >50%
Will winter 25/6 be the year people can't afford to eat, heat, wash?
Will winter 25/6 be the year people can't afford to eat, heat, wash?
August 22, 2025 at 3:36 PM
Looking at NHS ICB staff 'pulse' survey results.
I wouldn't say all ICBs are in an irreparable state. - but I think some might be.
😔
I wouldn't say all ICBs are in an irreparable state. - but I think some might be.
😔
August 19, 2025 at 7:20 PM
Looking at NHS ICB staff 'pulse' survey results.
I wouldn't say all ICBs are in an irreparable state. - but I think some might be.
😔
I wouldn't say all ICBs are in an irreparable state. - but I think some might be.
😔
NHS annual survey suggests unpaid overtime equates to circa 54,000 wte.
No one should call that 'productivity gain'.
Its a failure and dangerous to design jobs that cant be done within the funded hours.
No one should call that 'productivity gain'.
Its a failure and dangerous to design jobs that cant be done within the funded hours.
August 19, 2025 at 6:05 AM
NHS annual survey suggests unpaid overtime equates to circa 54,000 wte.
No one should call that 'productivity gain'.
Its a failure and dangerous to design jobs that cant be done within the funded hours.
No one should call that 'productivity gain'.
Its a failure and dangerous to design jobs that cant be done within the funded hours.
Blimey that's some uptick in #mounjaro #tirzepatide prices!
August 14, 2025 at 9:00 AM
Blimey that's some uptick in #mounjaro #tirzepatide prices!
Lucky its nothing important like say our healthcare system.
Sir Keir Starmer’s plan to overhaul the NHS has been thrown into chaos after no money has been set aside to cover the costs of making thousands of redundancies at ICBs www.thetimes.com/article/14b7...
Starmer’s NHS reforms thrown into chaos by ‘£1bn layoff bill’
Patients could be put at risk as the one-off cost of redundancies, estimated at between £600 million and £1 billion, puts staff and services in limbo
www.thetimes.com
August 11, 2025 at 10:46 AM
Lucky its nothing important like say our healthcare system.
Who'd be in charge of an ICBs running costs.
Cant afford the cost of imposed change. Cant not afford the cost of imposed change.
Further evidence, if required, change is best planned following engagement rather than imposed without planning.
Cant afford the cost of imposed change. Cant not afford the cost of imposed change.
Further evidence, if required, change is best planned following engagement rather than imposed without planning.
August 1, 2025 at 1:09 PM
Who'd be in charge of an ICBs running costs.
Cant afford the cost of imposed change. Cant not afford the cost of imposed change.
Further evidence, if required, change is best planned following engagement rather than imposed without planning.
Cant afford the cost of imposed change. Cant not afford the cost of imposed change.
Further evidence, if required, change is best planned following engagement rather than imposed without planning.
On the day a former Tory PM whose life was saved by the #NHS brags about having private health insurance due to the condition the NHS is in after 14 years of Tory oversight, Badenoch thinks the answer is to disempower the workforce by outlawing NHS strikes.
July 27, 2025 at 1:55 PM
On the day a former Tory PM whose life was saved by the #NHS brags about having private health insurance due to the condition the NHS is in after 14 years of Tory oversight, Badenoch thinks the answer is to disempower the workforce by outlawing NHS strikes.
This is #NHS #leftshift has to be far more dramatic in budgetary terms than a slightly bigger share of growth sometime down the line.
July 19, 2025 at 6:56 PM
This is #NHS #leftshift has to be far more dramatic in budgetary terms than a slightly bigger share of growth sometime down the line.
Reposted by Paul Green - Dir of Primary Care
Health Secretary Wes Streeting has defended why the Government is only paying for half the population of England to get an NHS dentist.
Wes Streeting defends only paying for half the population to get an NHS dentist
www.mirror.co.uk
July 16, 2025 at 5:06 PM
Health Secretary Wes Streeting has defended why the Government is only paying for half the population of England to get an NHS dentist.
Sounds like #NHS #dentistry is shifting further towards urgent need focus. Without at least equal focus on maintain and prevent we risk ever growing urgent demand that will consume supply.
Already seeing supply shift from prevention to urgent need.
www.mirror.co.uk/news/uk-news...
Already seeing supply shift from prevention to urgent need.
www.mirror.co.uk/news/uk-news...
Major NHS change will see everyone get a dentist within next four years
Big win for the Mirror’s Dentists for All campaign as the Government commits to scrapping the “absurd” NHS dental contract this Parliament
www.mirror.co.uk
July 9, 2025 at 3:38 PM
Sounds like #NHS #dentistry is shifting further towards urgent need focus. Without at least equal focus on maintain and prevent we risk ever growing urgent demand that will consume supply.
Already seeing supply shift from prevention to urgent need.
www.mirror.co.uk/news/uk-news...
Already seeing supply shift from prevention to urgent need.
www.mirror.co.uk/news/uk-news...
made my way through the #NHS #10yearplan
It feels, perhaps unsurprisingly, rather like an updated 2008 plan.
Some good stuff, but:
1) it's v v broad, would narrower focus on high impact changes be better?
2) its so broad theres a lot that has little 'how'
Should a plan have little 'how'
It feels, perhaps unsurprisingly, rather like an updated 2008 plan.
Some good stuff, but:
1) it's v v broad, would narrower focus on high impact changes be better?
2) its so broad theres a lot that has little 'how'
Should a plan have little 'how'
July 4, 2025 at 7:51 AM
made my way through the #NHS #10yearplan
It feels, perhaps unsurprisingly, rather like an updated 2008 plan.
Some good stuff, but:
1) it's v v broad, would narrower focus on high impact changes be better?
2) its so broad theres a lot that has little 'how'
Should a plan have little 'how'
It feels, perhaps unsurprisingly, rather like an updated 2008 plan.
Some good stuff, but:
1) it's v v broad, would narrower focus on high impact changes be better?
2) its so broad theres a lot that has little 'how'
Should a plan have little 'how'
If DHSC + NHSE execs is 27, and new proposed DHSC execs is 25, is there less duplication than we were told?
June 30, 2025 at 10:12 AM
If DHSC + NHSE execs is 27, and new proposed DHSC execs is 25, is there less duplication than we were told?