Start line photo from the last cross country of the season. Mud, hills and sunshine 🏃🏻‍♀️😎

Type 2 fun this morning running the Farnborough Winter Half Marathon. Good to see so many familiar faces on the course, running and supporting. 💜

Pirates challenge completed (7Cs and an R for those unfamiliar) Aaaaaaaaarrrr 😂 I can recommend Cranleigh parkrun to those who enjoy mud and hills 🥵

Mudfest at LWC today for my first cross country of the season. Loved it! #SCCL

Had a conversation today about the difference between "kindness" & "niceness" in leadership so decided to post about it. The article & graphic explain why, as leaders, we should choose kindness over niceness:
lnkd.in/e6FfD8eQ. By Emmanuel Barrera.
Graphic: @justin-mecham.bsky.social via Dan Grimes

Hi, I’m Julie. I may be very bright but it doesn’t mean I have common sense!

My favourite day of the year - Evil Villain Day. When my walk to work is timed perfectly and the street lamps turn off as I walk past. Feeling powerful 💪 Love it! 😈

Good turn out at the #FemInEM dining club this evening 😋

12 hour waits for a bed in the ED used to be a red line, never to be crossed.

Now it is a just a part of life in ED.

For every 72 patients waiting 8-12 hours in ED there will be one excess death.

This is still unnacceptable.
@rcem.bsky.social
#resuscitateemergencycare
rcem.ac.uk/almost-300-d...

Genuine worry that if flow is ever fixed I won't remember how to practise what Emergency Medicine is meant to be, as I've spent quite a long time trying to get good at practising what it currently is.

Annual visit from the Local Authority today to make sure that we are providing suitable #HomeEducation for the teen. Again apologetic that no support / help available for him and that we have to do it all ourselves. #notfineinschool #ASD

Cove Joggers outing to Winchester parkrun, their 500th event! Sam’s wedding day and 100th parkrun 💜

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Could I be added please. UK Emergency Physician 🙏🏻

We were lucky enough to have the shop floor covered by the consultants from our sister site for the day. Hugely appreciative. ☺️

Work from home this morning with the sound of Home Education in the background - bagpipes and a history lesson in case you were wondering. Off to work now to give my ears a break 🙉 #ASD #HomeEd #notfineinschool

I love an emoji at the end of a message. It reminds my kids that I’m middle aged 🤣

What?????? Mind blown 🤯

I carry mine in my wallet. ❤️ #FOAMEd #MedTwitter

As well as the move from X to Bluesky I’ve made the move from Crunchy Nut Cornflakes to Overnight Oats for breakfast. This is adulting, right?!

Received another rude work email which has taken my mood down a notch for the day and stolen some energy. Will have to take some time to recharge before my next human encounter. 😢 We’re all doing our best here 🤷🏻‍♀️ #CivilitySavesLives #BeKind

Taking an hour to myself this morning to catch up with some long overdue life admin. I am now the proud owner of a dental appointment 😁

Well this is refreshing - no porn, violence or snuff movies cluttering up my feed. Just like the old Twitter. Looking forward to reconnecting. ☺️

Think of something you admire about each of your colleagues. Write it down. Give it to them.

Received a folder of positivity at the end of the Away Day yesterday. Feel very appreciated ☺️

#Appreciation #ValueYourColleagues

It is good to provide alternatives for patients in the community. But A&E remains a very strong, trusted brand with patients.

The effort to divert low acuity patients away, is effort probably best applied elsewhere.

If you enjoyed this thread: like, comment & follow

bsky.app/profile/codi...

The bottom line is that if you wish to improve A&E performance, the effort spent diverting low acuity patients away from A&E will probably not contribute very much.
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.../3

Answer:
There is no correlation between A&Es with a high % of low acuity patients - those patients with less urgent needs that can be seen elsewhere - and A&Es with worse waiting time performance, or vice versa.

.../2

Revealed: 50 A&Es where most patients ‘could be seen elsewhere’ The emergency departments where more than half of patients "could have been seen elsewhere" are revealed by new figures uncovered by HSJ.

Mythbuster: does diverting low acuity patients from A&E improve A&E performance?
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.../1

www.hsj.co.uk/emergency-ca...

Fresh air at lunchtime on our consultant away day. Much needed headspace away from the Emergency Department.

FemInEM weekend away started with a team parkrun ☺️