GP, academic, father. Believe healthcare can do better for people through personalised care. Own opinions, obvs.https://bsky.app/profile/finnikin.bsky.socialhttps://bsky.app/profile/finnikin.bsky.social/post/3lwqvm4oaqs2pMy thought looking at this is that it wasn’t written by someone working in primary care. More and more specialists are expecting us to do more and more tests prior to referral. (And there’s more and more specialists whilst GP numbers are nowhere near keeping up) [contains quote post or other embedded content]19 Aug 2025 12:21 +0000at://did:plc:twlngdbnplcfcx5ftj64mulv/app.bsky.feed.post/3lwqvm4oaqs2phttps://bsky.app/profile/finnikin.bsky.social/post/3lgbxcduuas2yGlad this group have published this thoughtful challenge to current practice. We’ve lost our way somewhat and we wont get back on track without strong and reasoned voices. [contains quote post or other embedded content]21 Jan 2025 22:58 +0000at://did:plc:twlngdbnplcfcx5ftj64mulv/app.bsky.feed.post/3lgbxcduuas2yhttps://bsky.app/profile/finnikin.bsky.social/post/3ldniv5bjmk2lI agree. https://www.bmj.com/content/387/bmj.q2806?sso= Direct access to Knee MRI from GP is not, on the whole, helpful. I don't have access and don't want it. Same with back and head MRI. I can honestly say I can't order them so don't have to engage in long and fruitless conversations about why they aren't indicated19 Dec 2024 08:56 +0000at://did:plc:twlngdbnplcfcx5ftj64mulv/app.bsky.feed.post/3ldniv5bjmk2lhttps://bsky.app/profile/finnikin.bsky.social/post/3ldnhg6n5gc2jImportant piece by @lucypgeridoc.bsky.social et al in @bmj.com this week. We need better data on harms and benefits of heart failure treatments in frailty to inform SDM. Pts deserve better https://www.bmj.com/content/387/bmj-2023-07818819 Dec 2024 08:30 +0000at://did:plc:twlngdbnplcfcx5ftj64mulv/app.bsky.feed.post/3ldnhg6n5gc2jhttps://bsky.app/profile/finnikin.bsky.social/post/3lcmrn7kftc2fThis is a great paper, thanks for posting Tom. It's not good enough for risk prediction tools to be accurate. We must demonstrate that their use is clinically useful and cost-effective before adoption. [contains quote post or other embedded content]06 Dec 2024 08:35 +0000at://did:plc:twlngdbnplcfcx5ftj64mulv/app.bsky.feed.post/3lcmrn7kftc2fhttps://bsky.app/profile/finnikin.bsky.social/post/3lcj5zdw2xs2qLove how Bluesky put these two posts together for me….. Do read @ritamc.bsky.social excellent thread on why private primary care is not the answer.04 Dec 2024 22:06 +0000at://did:plc:twlngdbnplcfcx5ftj64mulv/app.bsky.feed.post/3lcj5zdw2xs2qhttps://bsky.app/profile/finnikin.bsky.social/post/3lbyl2o4dj22pThe debate on assisted dying has been, on the whole, thoughtful and considered. It’s complex and important. I do wonder whether those opposing assisted dying are, sometimes, holding onto a degree of medical paternalism of a bygone era.28 Nov 2024 07:44 +0000at://did:plc:twlngdbnplcfcx5ftj64mulv/app.bsky.feed.post/3lbyl2o4dj22phttps://bsky.app/profile/finnikin.bsky.social/post/3lbxgadhm3k2aDoes anyone else find pts statins being stopped in hospital because of “deranged lfts” - with GP to consider restarting in the community. I’m not sure of the logic of stopping. The statin sure as hell isn’t causing the LFT issue. Is it unsafe to continue? #medsky27 Nov 2024 20:45 +0000at://did:plc:twlngdbnplcfcx5ftj64mulv/app.bsky.feed.post/3lbxgadhm3k2a