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Paul Green - Dir of Primary Care

@greenpaul

Busy NHS Director of Primary Care in Devon. Occasional health and care commentator. Enthusiastic smallholder. Keen angler.

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Latest posts by Paul Green - Dir of Primary Care @greenpaul

You can add in a few chancellors. No per capita growth for a good long time.

17.11.2025 07:12 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Had the bureaucracy to be cut been defined yet?

Since this was announced ICBs report having their responsibilities expanded.

11.11.2025 23:14 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0
Post image
07.11.2025 08:32 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I can see no risks whatsoever with GP fit notes being replaced by non clinical review funded by ones employer.

No risks whatsoever.

None.

๐Ÿคฏ

#mayfieldreview

05.11.2025 07:52 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Unsure.

Not to directly compare to racism of course, but he could treat NHSE and ICB staff with a lot more respect.

05.11.2025 05:56 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

My 32nd working in the #NHS anniversary today.

(Currently going (v v v slowly) through reorganisation number 10)

01.11.2025 11:36 ๐Ÿ‘ 2 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

But, but, but...

25.10.2025 07:40 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Its hard not to conclude the handling of the #NHSE #ICB changes shows many of the traits of a #peoplelast belief system

23.10.2025 11:44 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Perhaps the coming one affects extreme wealth and therefore will get air time?

23.10.2025 10:41 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Farage never met him

23.10.2025 10:36 ๐Ÿ‘ 3 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Good to see #PMQs feature questions about #pharmacy and #dentistry

The #NHS is SO much more than acute hospitals.

22.10.2025 11:44 ๐Ÿ‘ 6 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

When 5 UK political parties are polling between 15% and 26% you know FPTP has to end.

22.10.2025 07:18 ๐Ÿ‘ 2 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

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'?

21.10.2025 18:01 ๐Ÿ‘ 2 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

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

21.10.2025 12:34 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Their own messaging strongly suggests the latter.

16.10.2025 10:38 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

๐Ÿ˜ญ

16.10.2025 10:37 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I do the portal, seen within 24 hours if clinically needed, within a few days if not. ๐Ÿ‘

15.10.2025 08:19 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Its that time of year where NHS staff are accused of genocide for administering the #covid vaccine, AND accused of genocide for not administering the #covid vaccine

08.10.2025 15:01 ๐Ÿ‘ 1 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Its pretty clear the 25/6 #GP estate investment programme has been designed to underspend.

Isn't it?

15.09.2025 06:57 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I wonder if @rthonwesstreeting.bsky.social has evidence for saying 'most NHS staff support NHS league tables'?

09.09.2025 06:24 ๐Ÿ‘ 1 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Then they're not Utd fans

30.08.2025 14:14 ๐Ÿ‘ 5 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

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?

22.08.2025 15:36 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

I wouldn't rule out him doing the same with Greenland

21.08.2025 12:51 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

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.

๐Ÿ˜”

19.08.2025 19:20 ๐Ÿ‘ 3 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

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.

19.08.2025 06:05 ๐Ÿ‘ 3 ๐Ÿ” 1 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

๐Ÿคฃ

14.08.2025 11:16 ๐Ÿ‘ 1 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Blimey that's some uptick in #mounjaro #tirzepatide prices!

14.08.2025 09:00 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Maybe they recognised her?

13.08.2025 15:27 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 1 ๐Ÿ“Œ 0

Or...'we want you to know if you commit a serious crime in the UK you may never spend a day in custody and be free to immediately sneak back to the UK'

11.08.2025 12:48 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0

Also, generous use of the word 'plan'.

11.08.2025 11:02 ๐Ÿ‘ 0 ๐Ÿ” 0 ๐Ÿ’ฌ 0 ๐Ÿ“Œ 0