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Nicola Cooper

@profnicolacooper

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

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26.01.2025
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Latest posts by Nicola Cooper @profnicolacooper

#ntsummit

Baroness Casey mentioning the ageist way that Dementia/Frailty gets labelled in effect as social problems not clinical diagnoses/medical problems and so get marginalised in funding/service priorities

05.03.2026 14:54 πŸ‘ 13 πŸ” 8 πŸ’¬ 0 πŸ“Œ 0
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UK surgeon cleared of antisemitism criticises GMC’s plan to challenge ruling Dr Ghassan Abu-Sittah accuses regulator of seeking β€˜politically acceptable’ outcome after allegations dismissed

Am I the only person concerned about this absolute waste of GMC registrants money on silencing a legitimate critic of Israeli action at the apparent behest of "UK lawyers for Israel"?

Come on GMC you can do better than this.

www.theguardian.com/society/2026...

02.03.2026 20:34 πŸ‘ 5 πŸ” 6 πŸ’¬ 2 πŸ“Œ 0
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Trying to book a GP appointment?
Get a hospital result from your GP?
Organise a blood test at your GP that your hospital said was urgent?
Request a prescription?

Facts 11% fewer GPs than 15years ago with funding cut by 20%

Meanwhile πŸ‘‡πŸ»
researchbriefings.files.parliament.uk/documents/CB...

24.02.2026 10:34 πŸ‘ 26 πŸ” 24 πŸ’¬ 2 πŸ“Œ 2

New β€˜imposed’ GP contract

This represents very little indeed Β£1.50/patient/year at best after taking inflation out,

Β£1.50 to improve access, GP appointments, referrals, continuity, weight loss, prevention, chronic illness

And get back to you within 24 hrs with no cap on numbers

Wes is crazy

24.02.2026 14:44 πŸ‘ 30 πŸ” 20 πŸ’¬ 3 πŸ“Œ 1
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The greatest risk of AI in higher education isn't cheatingβ€”it's the erosion of learning itself Public debate about artificial intelligence in higher education has largely orbited a familiar worry: cheating. Will students use chatbots to write essays? Can instructors tell? Should universities ba...

β€œCognitive psychology has shown that students grow intellectually through doing the work of drafting, revising, failing, trying again, grappling with confusion, and revising weak arguments. This is the work of learning how to learn”
phys.org/news/2026-02...

22.02.2026 08:45 πŸ‘ 331 πŸ” 118 πŸ’¬ 18 πŸ“Œ 12
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Unpaid overtime in the NHS is fallingβ€”what this means for the workforce In 2024 NHS staff reported working unpaid overtime equivalent to at least 49 000 full time employees. Such discretionary effort has long underpinned NHS service delivery, but recent data show it is de...

In 2024 NHS staff reported working unpaid overtime equivalent to at least 49 000 full time employees.

A BMJ data analysis finds this discretionary effort, which has long underpinned NHS service delivery, is declining. What does this mean for workforce planning?
https://bit.ly/4cBRFOU

21.02.2026 17:07 πŸ‘ 23 πŸ” 11 πŸ’¬ 1 πŸ“Œ 3
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β€˜Don’t go to the US – not with Trump in charge’: the UK tourist with a valid visa detained by ICE for six weeks Karen Newton was in America on the trip of a lifetime when she was shackled, transported and held for weeks on end. With tourism to the US under increasing strain, she says, β€˜If it can happen to me, i...

'She has a message for other tourists considering a trip to America: β€œDon’t go – not with Trump in charge. It’s totally out of control over there. There’s no accountability. They don’t seem to need a reason for detaining you.”'
#ICE
www.theguardian.com/us-news/2026...

21.02.2026 12:47 πŸ‘ 2349 πŸ” 988 πŸ’¬ 126 πŸ“Œ 89
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"The goodwill of staff, which translates into assumptions about people working unpaid hours, must not be normalised by workforce planners."

In this Editor's Choice @kamranabbasi.bsky.social asks: how long can the NHS run on unpaid overtime?
www.bmj.com/content/392/...

19.02.2026 16:42 πŸ‘ 26 πŸ” 13 πŸ’¬ 1 πŸ“Œ 3

What the study emphatically did *not* show (as reported) is nurses can deliver medical care with the same outcomes as doctors. It showed what we already experience in clinical practice: *specialist* nurses are a valuable part of the multi-disciplinary team. 6/6

18.02.2026 08:19 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The study's bottom line: when specialist nurses substitute for doctors in specific and appropriate areas, outcomes appear to be comparable. But we need to consider the impact on an already depleted nursing workforce ... 5/6

18.02.2026 08:19 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

The study found no difference in mortality or quality of life for care delivered by specialist nurses or doctors in these specific settings, and that there 'may be' no difference in patient safety events ('low certainty evidence'). Costs were sometimes less, sometimes more ... 4/6

18.02.2026 08:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

14 studies looked at task substitution, e.g. screening colonoscopy. ~8 looked at minor injuries/ED care, 8 at protocol-led inpatient care, and 1 daytime neonatal ICU care. In most cases (as you'd expect) there was consultant oversight, protocols, and team-based care ... 3/6

18.02.2026 08:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

The researchers looked at 82 empirical studies that compared 'medical' care provided by specialist nurses with care provided by doctors. Most studies (~50) were nurse-led clinics for already diagnosed patients, follow-up clinics, and protocolised care (e.g. diabetes, Parkinson's, asthma) ... 2/6

18.02.2026 08:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Substitution of nurses for physicians in the hospital setting for patient, process of care, and economic outcomes - Butler, M - 2026 | Cochrane Library Select your preferred language for Cochrane reviews and other content. Sections without translation will be in English.

This study has received a lot of press: www.cochranelibrary.com/cdsr/doi/10....
But - since most journalists are not trained in scientific research - it hasn't been reported very well ... here's what it actually found ... 1/6

18.02.2026 08:19 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Medics in UK and US say they have been barred from Gaza after speaking out Israel accused of denying doctors re-entry into territory after they gave first-hand testimony on conflict
17.02.2026 11:42 πŸ‘ 10 πŸ” 11 πŸ’¬ 0 πŸ“Œ 0
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Ultraprocessed foods, Palantir, and political donations: how governments enable health system exploitation The Epstein scandal tells us much about how power is acquired, leveraged, and abused. One of the more sobering lessons is the mechanism by which governments are influenced and corrupted. We trust gove...

"One conclusion is clear, and it is this: a population’s health is primarily in the hands of the government, and it is a responsibility that politicians must embrace fully."

@kamranabbasi.bsky.social in Editor's Choice
https://bit.ly/40cMzRJ

16.02.2026 20:26 πŸ‘ 27 πŸ” 13 πŸ’¬ 1 πŸ“Œ 2
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Wow! This is some top-notch investigative journalism. The report claims the 3 million Epstein files released are only 2% of the total.

The massive scale of what’s still missing is hard to comprehend.

15.02.2026 05:08 πŸ‘ 13168 πŸ” 6006 πŸ’¬ 503 πŸ“Œ 393
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You may have read
the headlines & assumed someone had done due diligence & checked the facts before publishing

You’d be wrong

You may still need Doctors in the future, although Nurses ARE amazing at their jobs &
couldn’t do without them

www.cochranelibrary.com/cdsr/doi/10....

14.02.2026 10:05 πŸ‘ 24 πŸ” 15 πŸ’¬ 2 πŸ“Œ 1
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Physician Assistants Are Everywhere. Should You See One? (Science Times)

Our research quoted in the New York Times (article behind paywall so it’s reproduced here): breakingone.com/partners/nyt...

12.02.2026 13:27 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

What an idiot (Farage)

09.02.2026 22:19 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I'm no political strategist but has anyone in Labour considered *not* alienating any huge chunk of their base? I just feel like they tried alienating the left and the centre left and the public sector workers and the academics, and none of those things worked great, so maybe give my idea a whirl?

08.02.2026 21:44 πŸ‘ 1328 πŸ” 196 πŸ’¬ 55 πŸ“Œ 22
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We have referred the GMC to the Professional Standards Authority over its failure to meet their regulatory standards.

anaesthetistsunited.com/we-have-writ...

06.02.2026 18:40 πŸ‘ 6 πŸ” 4 πŸ’¬ 1 πŸ“Œ 0

Yes, quite. It's the biggest scandal of this administration, so far, probably. It's an average Tuesday under Johnson.

05.02.2026 13:40 πŸ‘ 1473 πŸ” 354 πŸ’¬ 47 πŸ“Œ 8
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Peter Mandelson is fleeing the House of Lords: now let’s throw out all the other rogues and idlers | Jenny Jones The disgraced politician throws all that is wrong with our present system into sharp focus. We need a second chamber the public can trust, says Jenny Jones, a Green party peer

www.theguardian.com/commentisfre...

04.02.2026 21:38 πŸ‘ 11 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
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Mandelson’s links with US tech firm Palantir must be fully exposed, campaigners warn Government faces call for transparency on former peer’s involvement amid fears he may have leaked more sensitive information

Palantir. Agents for the IDF and for ICE. Now we know how they got huge NHS contracts. Time they were removed.
www.theguardian.com/politics/202...

05.02.2026 06:31 πŸ‘ 7 πŸ” 6 πŸ’¬ 1 πŸ“Œ 0
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Good to see HSJ inspirihg private eye

04.02.2026 19:14 πŸ‘ 11 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0

Yep, a crucial element. There was no problem too solve. They had a pro in place. But they had to play Westminster silly buggers.

04.02.2026 14:35 πŸ‘ 619 πŸ” 122 πŸ’¬ 37 πŸ“Œ 5

I have spent several decades doing acute medical take and working in AMU and ED

Today was as grim as i can remember for a long time because no beds to admit to (wards closed with various outbreaks) and people in corridors/chairs/waiting room. Horrible for them. No fun for staff

03.02.2026 19:50 πŸ‘ 42 πŸ” 7 πŸ’¬ 4 πŸ“Œ 0
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Waddle this way! The sign-making genius who kept Britain’s drivers (and ducks) safe Airports, road signs, animal warnings … Margaret Calvert revolutionised how Britain looked and her brilliantly clear designs are still used today. We meet the font legend and Porsche lover

In the print version, the headline is "I Shot the Serif"

www.theguardian.com/artanddesign...

03.02.2026 07:27 πŸ‘ 5 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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TASME2026 – From Vision to Practice: Advancing Clinical Education - ASME

⏰ABSTRACT DEADLINE SOON⏰

TASME Conference Abstract submissions will be closing end of Monday 2nd February.

Get your educational research and innovation project submissions in ASAP for your chance to present at a national conference and win prizes!

01.02.2026 20:05 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0