Sarah MacHale
@sarahmachale.bsky.social
Current GP Partner & Medical Educator
Ex LMC and FormerTrustee of CAB
Interests include palliative care, integrating community & voluntary sectors, supporting carers, improving MH services, GP &GPN survival and travel
Views my own sharing not E
Ex LMC and FormerTrustee of CAB
Interests include palliative care, integrating community & voluntary sectors, supporting carers, improving MH services, GP &GPN survival and travel
Views my own sharing not E
Reposted by Sarah MacHale
Big news for #PalliativeCare #Hospice #PrimaryCare #EoL providers and future users in UK
palliativecarecommission.uk
palliativecarecommission.uk
Palliative Care Commission
palliativecarecommission.uk
January 18, 2025 at 12:19 PM
Big news for #PalliativeCare #Hospice #PrimaryCare #EoL providers and future users in UK
palliativecarecommission.uk
palliativecarecommission.uk
Reposted by Sarah MacHale
'Increases in privatisation generally corresponded with worse quality of care, with no studies included in the review finding unequivocally positive effects on health outcomes.'
Nothing new here but govt still keen to increase use of private sector despite all the evidence that it doesn't help pts
Nothing new here but govt still keen to increase use of private sector despite all the evidence that it doesn't help pts
This is Oxford Uni sharing the Lancet study showing that giving out NHS contracts to private companies is WORSE for patients.
The only motive is profit. Anything else is BS designed to sneak this through.
www.ox.ac.uk/news/2024-02...
The only motive is profit. Anything else is BS designed to sneak this through.
www.ox.ac.uk/news/2024-02...
New study links hospital privatisation to worse patient care |
A new review has concluded that hospitals that are privatised typically deliver worse quality care after converting from public ownership. The study, led by University of Oxford researchers, has been
www.ox.ac.uk
January 8, 2025 at 8:18 AM
'Increases in privatisation generally corresponded with worse quality of care, with no studies included in the review finding unequivocally positive effects on health outcomes.'
Nothing new here but govt still keen to increase use of private sector despite all the evidence that it doesn't help pts
Nothing new here but govt still keen to increase use of private sector despite all the evidence that it doesn't help pts
Reposted by Sarah MacHale
Join our Primary Care Network's webinar on 15 January to gain a comprehensive overview of efforts to reform the GP funding model and the potential benefits of a more equitable approach.
🧵1/2
🧵1/2
January 7, 2025 at 12:00 PM
Join our Primary Care Network's webinar on 15 January to gain a comprehensive overview of efforts to reform the GP funding model and the potential benefits of a more equitable approach.
🧵1/2
🧵1/2
Reposted by Sarah MacHale
What's in store for health and care for 2025?
Kick off the new year at our free online lunchtime event, where our expert panel will provide insight into how the new government is delivering on its priorities for health and care.
Register your free place now. www.kingsfund.org.uk/events/whats...
Kick off the new year at our free online lunchtime event, where our expert panel will provide insight into how the new government is delivering on its priorities for health and care.
Register your free place now. www.kingsfund.org.uk/events/whats...
January 8, 2025 at 10:03 AM
What's in store for health and care for 2025?
Kick off the new year at our free online lunchtime event, where our expert panel will provide insight into how the new government is delivering on its priorities for health and care.
Register your free place now. www.kingsfund.org.uk/events/whats...
Kick off the new year at our free online lunchtime event, where our expert panel will provide insight into how the new government is delivering on its priorities for health and care.
Register your free place now. www.kingsfund.org.uk/events/whats...
Reposted by Sarah MacHale
I've just been updating my #palliativecare starter pack(s). This is the link to the second of two packs: go.bsky.app/E8o273Y You can find pack links in people's profile. Hope this is helpful. #hpm #hapc
January 7, 2025 at 11:36 PM
I've just been updating my #palliativecare starter pack(s). This is the link to the second of two packs: go.bsky.app/E8o273Y You can find pack links in people's profile. Hope this is helpful. #hpm #hapc
Reposted by Sarah MacHale
Here is the link to the first. Together there are nearly 250 #palliativecare people to follow if you are interested. @ctsinclair.bsky.social also has starter pack(s) too! #hpm #hapc go.bsky.app/582Y1Av
January 7, 2025 at 11:38 PM
Here is the link to the first. Together there are nearly 250 #palliativecare people to follow if you are interested. @ctsinclair.bsky.social also has starter pack(s) too! #hpm #hapc go.bsky.app/582Y1Av
Reposted by Sarah MacHale
Deep End workforce planning: ‘…for proper team based care, NOT task substitution’
Starfield’s : cost-effective primary care requires the 4 CS of 1st Contact +Continuity +Co-ordinated+ Comprehensive team care ( with Family Practitioner/ GP allocation matched to need/per capita).
#GPandPrimaryCare
Starfield’s : cost-effective primary care requires the 4 CS of 1st Contact +Continuity +Co-ordinated+ Comprehensive team care ( with Family Practitioner/ GP allocation matched to need/per capita).
#GPandPrimaryCare
Recommendation 4
Develop the Deep End GP Workforce
Get extra GPs into Deep End areas – teach Deep End skills, fund Health Equity Fellows,
(Other health professionals, too of course - for proper team-based care, NOT for task substitution.)
Develop the Deep End GP Workforce
Get extra GPs into Deep End areas – teach Deep End skills, fund Health Equity Fellows,
(Other health professionals, too of course - for proper team-based care, NOT for task substitution.)
December 15, 2024 at 10:17 AM
Deep End workforce planning: ‘…for proper team based care, NOT task substitution’
Starfield’s : cost-effective primary care requires the 4 CS of 1st Contact +Continuity +Co-ordinated+ Comprehensive team care ( with Family Practitioner/ GP allocation matched to need/per capita).
#GPandPrimaryCare
Starfield’s : cost-effective primary care requires the 4 CS of 1st Contact +Continuity +Co-ordinated+ Comprehensive team care ( with Family Practitioner/ GP allocation matched to need/per capita).
#GPandPrimaryCare
Reposted by Sarah MacHale
Yesterday I visted Staploe Medical Centre in #Soham to hear GPs’ concerns about rising employer NI contributions and the strain on primary care. Grateful for their hard work—our practices need proper support to keep delivering vital services. #EastCambs #PrimaryCare #NHS
December 7, 2024 at 10:12 AM
Yesterday I visted Staploe Medical Centre in #Soham to hear GPs’ concerns about rising employer NI contributions and the strain on primary care. Grateful for their hard work—our practices need proper support to keep delivering vital services. #EastCambs #PrimaryCare #NHS
Reposted by Sarah MacHale
December 4, 2024 at 8:39 PM
Reposted by Sarah MacHale
In England and Wales, the number of locally employed doctors grew by 75% between 2019 and 2023.
Doctors on the specialist register grew by 13% & GP register grew by 9%.
Training bottlenecks are being created, limiting opportunities for our doctors. www.gmc-uk.org/news/news-ar...
Doctors on the specialist register grew by 13% & GP register grew by 9%.
Training bottlenecks are being created, limiting opportunities for our doctors. www.gmc-uk.org/news/news-ar...
UK risks ‘sleepwalking’ into a waste of doctors’ skills, GMC Chief Executive warns
A GMC Website page that might be of interest to you.
www.gmc-uk.org
November 28, 2024 at 4:51 PM
In England and Wales, the number of locally employed doctors grew by 75% between 2019 and 2023.
Doctors on the specialist register grew by 13% & GP register grew by 9%.
Training bottlenecks are being created, limiting opportunities for our doctors. www.gmc-uk.org/news/news-ar...
Doctors on the specialist register grew by 13% & GP register grew by 9%.
Training bottlenecks are being created, limiting opportunities for our doctors. www.gmc-uk.org/news/news-ar...
2024 GMC “ Without action we will sleepwalk into a situation where lost legions of doctors are overlooked and undervalued”
If Drs strikes and GP collective action can’t stop the sleepwalking though what can?
www.gmc-uk.org/-/media/docu...
If Drs strikes and GP collective action can’t stop the sleepwalking though what can?
www.gmc-uk.org/-/media/docu...
www.gmc-uk.org
November 29, 2024 at 8:05 AM
2024 GMC “ Without action we will sleepwalk into a situation where lost legions of doctors are overlooked and undervalued”
If Drs strikes and GP collective action can’t stop the sleepwalking though what can?
www.gmc-uk.org/-/media/docu...
If Drs strikes and GP collective action can’t stop the sleepwalking though what can?
www.gmc-uk.org/-/media/docu...
Reposted by Sarah MacHale
Happy Thanksgiving to those celebrating in USA!🦃🍂
Sharing a fun fact I learned from @empoisonpharmd.bsky.social (thnx!):
The potatoes on your plate today contain ~38 μg/kg of diazepam. Plants have benzo receptors too!
Explains the carb-coma after a baked🥔feast!😴
#medsky #pharmsky #nursesky #GPsky
Sharing a fun fact I learned from @empoisonpharmd.bsky.social (thnx!):
The potatoes on your plate today contain ~38 μg/kg of diazepam. Plants have benzo receptors too!
Explains the carb-coma after a baked🥔feast!😴
#medsky #pharmsky #nursesky #GPsky
November 29, 2024 at 1:58 AM
Happy Thanksgiving to those celebrating in USA!🦃🍂
Sharing a fun fact I learned from @empoisonpharmd.bsky.social (thnx!):
The potatoes on your plate today contain ~38 μg/kg of diazepam. Plants have benzo receptors too!
Explains the carb-coma after a baked🥔feast!😴
#medsky #pharmsky #nursesky #GPsky
Sharing a fun fact I learned from @empoisonpharmd.bsky.social (thnx!):
The potatoes on your plate today contain ~38 μg/kg of diazepam. Plants have benzo receptors too!
Explains the carb-coma after a baked🥔feast!😴
#medsky #pharmsky #nursesky #GPsky
Reposted by Sarah MacHale
I qualified in 1998 and we regularly had young adults on the medical take with meningitis (including the sickest and scariest patient I ever looked after when I was an SHO on call)
Now on the medical take we very,very rarely see this disease
Now on the medical take we very,very rarely see this disease
UK on brink of defeating meningococcal C
The fight against meningococcal B continues.
www.gov.uk/government/n...
The fight against meningococcal B continues.
www.gov.uk/government/n...
November 28, 2024 at 10:33 PM
I qualified in 1998 and we regularly had young adults on the medical take with meningitis (including the sickest and scariest patient I ever looked after when I was an SHO on call)
Now on the medical take we very,very rarely see this disease
Now on the medical take we very,very rarely see this disease
Reposted by Sarah MacHale
Finally out. Asthma Guidelines NG245
Move over SABA ➡️ AIR & MART now main treatments
www.nice.org.uk/guidance/ng245
#PharmSky
Move over SABA ➡️ AIR & MART now main treatments
www.nice.org.uk/guidance/ng245
#PharmSky
November 27, 2024 at 7:13 AM
Finally out. Asthma Guidelines NG245
Move over SABA ➡️ AIR & MART now main treatments
www.nice.org.uk/guidance/ng245
#PharmSky
Move over SABA ➡️ AIR & MART now main treatments
www.nice.org.uk/guidance/ng245
#PharmSky
Reposted by Sarah MacHale
And we keep growing - on the 3rd Starter Pack! #PsychSky. Welcome to all interested.
For all things psychiatry, psychology and mental health. Message below if you’d like to be added to the starter pack! go.bsky.app/C36fgiD
November 26, 2024 at 7:36 PM
And we keep growing - on the 3rd Starter Pack! #PsychSky. Welcome to all interested.
Reposted by Sarah MacHale
Our very own little starter pack: members and associated organisations across the four research consortia that make up PHI UK. Please let us know if we've left you off.
November 26, 2024 at 2:40 PM
Our very own little starter pack: members and associated organisations across the four research consortia that make up PHI UK. Please let us know if we've left you off.
Reposted by Sarah MacHale
go.bsky.app/NmvpFtZ
Starter pack for #heartfailure - far from complete so flag up others i can add
#bsh #medsky #cardiosky
@poppybrooks.bsky.social @carysbarton.bsky.social
Starter pack for #heartfailure - far from complete so flag up others i can add
#bsh #medsky #cardiosky
@poppybrooks.bsky.social @carysbarton.bsky.social
November 21, 2024 at 7:27 AM
go.bsky.app/NmvpFtZ
Starter pack for #heartfailure - far from complete so flag up others i can add
#bsh #medsky #cardiosky
@poppybrooks.bsky.social @carysbarton.bsky.social
Starter pack for #heartfailure - far from complete so flag up others i can add
#bsh #medsky #cardiosky
@poppybrooks.bsky.social @carysbarton.bsky.social
Apologies if you have seen this before - I am continuing to share starter packs in case you are one of the millions of new arrivals to BlueSky so you feel welcome
Also sharing @emmavardy2.bsky.social British Geriatrics Society members, friends, and guru's in older peoples healthcare: go.bsky.app/EL1eBC4
November 24, 2024 at 8:38 PM
Apologies if you have seen this before - I am continuing to share starter packs in case you are one of the millions of new arrivals to BlueSky so you feel welcome
Reposted by Sarah MacHale
California Sets 15% Target for Primary Care Spending Over Next Decade kffhealthnews.org/news/article... via @kffhealthnews.bsky.social
California Sets 15% Target for Primary Care Spending Over Next Decade - KFF Health News
The state Office of Health Care Affordability has set a goal for insurers to direct 15% of their spending to primary care by 2034, part of a push to expand preventive care services. Health plans say i...
kffhealthnews.org
November 22, 2024 at 4:37 PM
California Sets 15% Target for Primary Care Spending Over Next Decade kffhealthnews.org/news/article... via @kffhealthnews.bsky.social
Reposted by Sarah MacHale
Bananas🍌
I paid 35p for mine, but happy to accept £3m & I’ll throw in the wall & the house it’s attached to
I paid 35p for mine, but happy to accept £3m & I’ll throw in the wall & the house it’s attached to
November 24, 2024 at 5:07 PM
Bananas🍌
I paid 35p for mine, but happy to accept £3m & I’ll throw in the wall & the house it’s attached to
I paid 35p for mine, but happy to accept £3m & I’ll throw in the wall & the house it’s attached to
Reposted by Sarah MacHale
#TeamGP OOH today.
Patient who I saw as a child with their parent, now with children of their own, wanting to see me because they have great memories of care provided.
The concept of family doctor is a powerful one for patients. This continuity of care is better for us in General Practice too.
Patient who I saw as a child with their parent, now with children of their own, wanting to see me because they have great memories of care provided.
The concept of family doctor is a powerful one for patients. This continuity of care is better for us in General Practice too.
November 24, 2024 at 4:59 PM
#TeamGP OOH today.
Patient who I saw as a child with their parent, now with children of their own, wanting to see me because they have great memories of care provided.
The concept of family doctor is a powerful one for patients. This continuity of care is better for us in General Practice too.
Patient who I saw as a child with their parent, now with children of their own, wanting to see me because they have great memories of care provided.
The concept of family doctor is a powerful one for patients. This continuity of care is better for us in General Practice too.
Reposted by Sarah MacHale
“Oral ibuprofen administered at doses of 400, 600, and 800 mg has similar analgesic efficacy for short-term pain relief in adult patients presenting to the ED with acute pain.”
👉 pubmed.ncbi.nlm.nih.gov/31383385/
#medsky #pharmsky #EMsky #GPsky #nursesky 2/2
👉 pubmed.ncbi.nlm.nih.gov/31383385/
#medsky #pharmsky #EMsky #GPsky #nursesky 2/2
Comparison of Oral Ibuprofen at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial - PubMed
Oral ibuprofen administered at doses of 400, 600, and 800 mg has similar analgesic efficacy for short-term pain relief in adult patients presenting to the ED with acute pain.
pubmed.ncbi.nlm.nih.gov
November 24, 2024 at 1:16 AM
Reposted by Sarah MacHale
Study in #JAMAOnc from Scotland/Wales of nearly 50k #breastcancer patients suggests vaginal estrogen use *NOT* associated w increase risk of breast cancer-specific mortality.
More reassuring data 👍
jamanetwork.com/journals/jam...
More reassuring data 👍
jamanetwork.com/journals/jam...
Vaginal Estrogen Therapy Use and Survival in Breast Cancer
This cohort study compares the mortality risk associated with vaginal estrogen therapy vs no hormone replacement therapy in 2 cohorts of patients with breast cancer in Scotland and Wales.
jamanetwork.com
November 23, 2024 at 2:28 PM
Study in #JAMAOnc from Scotland/Wales of nearly 50k #breastcancer patients suggests vaginal estrogen use *NOT* associated w increase risk of breast cancer-specific mortality.
More reassuring data 👍
jamanetwork.com/journals/jam...
More reassuring data 👍
jamanetwork.com/journals/jam...
Reposted by Sarah MacHale
I've updated the #hapc #palliativecare starter packs so now there are two. Do let me know if you want to be added (but check you aren't there first please!). Lots of great people to follow here. go.bsky.app/E8o273Y
November 23, 2024 at 10:52 PM
I've updated the #hapc #palliativecare starter packs so now there are two. Do let me know if you want to be added (but check you aren't there first please!). Lots of great people to follow here. go.bsky.app/E8o273Y
Reposted by Sarah MacHale
For those interested in all the unseen work done by GP practices, I recommend keeping an eye out for The Hidden Workload Study who are looking at this….
www.gppact.org/the-hidden-w...
www.gppact.org/the-hidden-w...
November 24, 2024 at 11:25 AM
For those interested in all the unseen work done by GP practices, I recommend keeping an eye out for The Hidden Workload Study who are looking at this….
www.gppact.org/the-hidden-w...
www.gppact.org/the-hidden-w...