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
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 👇
Reposted by Nicola Cooper
Women are watching abusive dynamics play out on the national stage and for many it feels very, very familiar to what they’ve experienced regularly—
I hope midterms are a referendum
I hope midterms are a referendum
November 18, 2025 at 4:39 PM
Women are watching abusive dynamics play out on the national stage and for many it feels very, very familiar to what they’ve experienced regularly—
I hope midterms are a referendum
I hope midterms are a referendum
Reposted by Nicola Cooper
Can you see the problem 🤷🏻♂️
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
November 16, 2025 at 4:07 PM
Can you see the problem 🤷🏻♂️
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
Wes Streeting can’t 🤦🏻♂️
31million/month consult GP practices with similar number having haircuts
102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries
On average people spend £400pa on hair
GPs receive £169pa per patient
Reposted by Nicola Cooper
Wes Streeting accused of taking “chaotic and incoherent approach” to reforming NHS which makes it unlikely Govt will hit targets, according to damning @instituteforgovernment.org.uk
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Wes Streeting accused of ‘chaotic and incoherent approach’ to NHS reform
Exclusive: thinktank report finds health secretary has failed to improve productivity, with the health service unlikely to meet its targets
www.theguardian.com
November 15, 2025 at 7:26 PM
Wes Streeting accused of taking “chaotic and incoherent approach” to reforming NHS which makes it unlikely Govt will hit targets, according to damning @instituteforgovernment.org.uk
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Reforms are chaotic, poorly handled, risk worsening GP & social care pressures
www.theguardian.com/politics/202...
Reposted by Nicola Cooper
Warnings rise for U.S. as a severe flu strain causes outbreaks. A flu strain that emerged over the summer is causing unprecedented outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly 2 months.
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
Warnings rise for U.S. as severe flu strain causes outbreaks in Canada, U.K.
A flu strain that emerged over the summer is causing "unprecedented" outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly two months.
www.nbcnews.com
November 13, 2025 at 2:19 AM
Warnings rise for U.S. as a severe flu strain causes outbreaks. A flu strain that emerged over the summer is causing unprecedented outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly 2 months.
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
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...
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
November 9, 2025 at 9:40 PM
Finally!
Reposted by Nicola Cooper
November 9, 2025 at 7:36 AM
Reposted by Nicola 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...
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...
November 8, 2025 at 7:56 PM
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...
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 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-...
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-...
November 8, 2025 at 8:44 AM
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-...
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 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
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
November 6, 2025 at 8:13 AM
‘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
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 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
A World Health Organization poster for today, November 3, One Health Day
November 3, 2025 at 7:14 AM
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
A World Health Organization poster for today, November 3, One Health Day
Reposted by Nicola 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
~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
October 28, 2025 at 10:00 AM
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
~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 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...
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
October 26, 2025 at 5:58 PM
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...
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...
Reposted by Nicola 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...
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
October 27, 2025 at 10:53 AM
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...
Royal College of Nursing calls on government to stop using anti-migrant rhetoric, which it says emboldens racist behaviour
www.theguardian.com/society/2025...
Reposted by Nicola 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
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
October 26, 2025 at 3:49 PM
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
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 Cooper
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
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
October 26, 2025 at 9:16 PM
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
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 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.
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
October 25, 2025 at 9:48 AM
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.
I hoped this madness would change with new government - sadly it has not.
Reposted by Nicola 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/...
🤦 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
October 24, 2025 at 9:56 AM
‘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/...
🤦 Unbelievably shortsighted, based on what exactly!
www.bmj.com/content/391/...
Reposted by Nicola Cooper
October 24, 2025 at 8:40 PM
Reposted by Nicola 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.
Have your say: ow.ly/g23550XatiH
Submit your responses by 9am on Monday 20 October 2025.
October 19, 2025 at 7:30 AM
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.
Have your say: ow.ly/g23550XatiH
Submit your responses by 9am on Monday 20 October 2025.
Reposted by Nicola 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...
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
October 14, 2025 at 9:44 AM
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...
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...
Reposted by Nicola 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
October 14, 2025 at 8:34 AM
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?
Reposted by Nicola 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
Press Release: www.wma.net/news-post/wo...
#MedicalEthics
October 14, 2025 at 12:55 PM
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
Press Release: www.wma.net/news-post/wo...
#MedicalEthics
Reposted by Nicola Cooper
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...
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
October 12, 2025 at 4:57 AM
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...
retractionwatch.com/2025/10/03/w...
Reposted by Nicola Cooper
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...
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
October 10, 2025 at 1:10 PM
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...
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...
Reposted by Nicola 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
380million appts in GP practices - half with GPs
But there is more to General Practice than just appts
@rthonwesstreeting.bsky.social
October 4, 2025 at 12:57 PM
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
380million appts in GP practices - half with GPs
But there is more to General Practice than just appts
@rthonwesstreeting.bsky.social