Nicola Cooper
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profnicolacooper.bsky.social
Nicola Cooper
@profnicolacooper.bsky.social

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

Mathematics 37%
Economics 33%
Pinned
Diagnostic error is the most costly, most common, and most dangerous of medical mistakes. Which is why teaching clinical reasoning is so important. Check out www.creme.org.uk and 👇
🚨The Petition calling for a public inquiry into Russian influence on UK politics & democracy has now rocketed past 65,000 signatures! Let’s get it to 70,000 tonight. If a petition is what it’s going to take let’s get this done!

petition.parliament.uk/petitions/74...
SEN. KELLY : “They informed me of this in a tweet because this is not about the law. This is about the media cycle, and intimidation… We basically repeated the uniform code of military justice, and they're saying that's in violation of it. It's absurd. Comical.”
🚨 BREAKING 🚨

The Green Party has now reached over 170,000 members!

Membership growth, polling surges, by-election wins and defections, the Green Party is making hope normal again.

Join today to be part of it ⤵️

Reposted by Nicola J. Cooper

So much of the UK’s steady decline post war can be explained by how easy it is for some people to fail upwards. Some spectacular examples with COVID and Brexit - often the same people in both. And easily identifiable by the frequency of their appearance on BBC Radio 4 Today programme

Reposted by Nicola J. Cooper

GPs up & down the country warned Wes Streeting, Department of Health and Social Care 6w ago that forcing the implementation of online forms without safeguards was a fools errand & raise false expectations

Have now decided not to talk to @BMA_GP @doctor_katie @DavidGWrigley

So here we are 🤷🏻‍♂️
1/ How does the COVID Inquiry's Module 2 report align with what we said in @independentsage.bsky.social at the time? A 🧵on Transparency, Early & Decisive Action, Scientific Advice, Integration of Social & Economic Harms, Communication and Behavioural Science, Governance, Data and Preparedness

Reposted by Nicola J. Cooper

TOO LITTLE, TOO LATE. For shame, Mr Johnson and the team you pretended to lead. Preventable deaths on your hands. They will not return to us. You live on, rich and vainglorious.
www.theguardian.com/uk-news/2025...
‘Too little, too late’: damning report condemns UK’s Covid response
Report on handling of pandemic contains stinging criticism of ‘toxic and chaotic’ culture inside Boris Johnson’s No 10
www.theguardian.com
Eat out to Help Out was killing people, but they “kept it out of the news”.
Women are watching abusive dynamics play out on the national stage and for many it feels very, very familiar to what they’ve experienced regularly—

I hope midterms are a referendum
Can you see the problem 🤷🏻‍♂️

Wes Streeting can’t 🤦🏻‍♂️

31million/month consult GP practices with similar number having haircuts

102,000 hairdressers in England with 40,000 salons
38,000 GPs with 6200 Surgeries

On average people spend £400pa on hair
GPs receive £169pa per patient

Reposted by Nicola J. Cooper

Wes Streeting accused of taking “chaotic and incoherent approach” to reforming NHS which makes it unlikely Govt will hit targets, according to damning @instituteforgovernment.org.uk

Reforms are chaotic, poorly handled, risk worsening GP & social care pressures

www.theguardian.com/politics/202...
Wes Streeting accused of ‘chaotic and incoherent approach’ to NHS reform
Exclusive: thinktank report finds health secretary has failed to improve productivity, with the health service unlikely to meet its targets
www.theguardian.com

Reposted by Nicola J. Cooper

Warnings rise for U.S. as a severe flu strain causes outbreaks. A flu strain that emerged over the summer is causing unprecedented outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly 2 months.
www.nbcnews.com/health/healt...
Warnings rise for U.S. as severe flu strain causes outbreaks in Canada, U.K.
A flu strain that emerged over the summer is causing "unprecedented" outbreaks in Japan, as well as in Canada and the U.K. The CDC hasn't provided insights on flu in the U.S. in nearly two months.
www.nbcnews.com

Finally!
🚨 INVESTIGATION: Britain's maternity crisis has deeper roots, extending into the universities trusted to train the next generation of midwives. A majority are still promoting a normal birth ideology while women are more complex than ever:

READ: www.thetimes.com/article/b4fe...
Stop promoting natural birth ideology, midwife courses told
Despite a litany of scandals, universities are still pushing ‘normal birth’ over medical interventions. Now our investigation has prompted the regulator to act
www.thetimes.com

Reposted by Nicola J. Cooper

On this day we remember them.

We will never forget.

#RemembranceSunday
🚨 INVESTIGATION: Britain's maternity crisis has deeper roots, extending into the universities trusted to train the next generation of midwives. A majority are still promoting a normal birth ideology while women are more complex than ever:

READ: www.thetimes.com/article/b4fe...
Stop promoting natural birth ideology, midwife courses told
Despite a litany of scandals, universities are still pushing ‘normal birth’ over medical interventions. Now our investigation has prompted the regulator to act
www.thetimes.com

Reposted by Nicola J. Cooper

This report was published 20 October 2022

This was the day Liz Truss announced her resignation

Also the day General Practice was ignored & lost potentially forever

publications.parliament.uk/pa/cm5803/cm...

Reposted by Nicola J. Cooper

GPs - ‘Lazy, laggards’

1.3million appts take place in General Practice each day

20 x more than A&E
3.5 x more than hospital out-patients

5million more appts each month than 2019

Wes Streeting has decided he doesn’t need GPs

Let’s see if people agree

www.kingsfund.org.uk/insight-and-...

Reposted by Nicola J. Cooper

‘Professional protectionism’ = patient protection

It’s really important people understand why knowledge is needed in patient care

Protecting a role eg Nurse/Dr is about protecting patients from harm

You don’t know what you don’t know or understand what you have never been taught

Reposted by Nicola J. Cooper

You might have seen me using the #OneHealth hashtag often: this is why...

A World Health Organization poster for today, November 3, One Health Day

Reposted by Nicola J. Cooper

GP Crisis is due to Top-Down management

~20% cuts in £/patient funding in 10yr
~Partnership future undermined
~NI hikes
~£ moved to Primary Care Networks
~GP roles cut from practices using ARRS

More costly services being promoted by Govt/NHSE at the cost of patient care

Reposted by Nicola J. Cooper

Racist incidents against UK nurses surge by 55%

Royal College of Nursing calls on government to stop using anti-migrant rhetoric, which it says emboldens racist behaviour

www.theguardian.com/society/2025...
Racist incidents against UK nurses surge by 55%
Royal College of Nursing calls on government to stop using anti-migrant rhetoric, which it says emboldens racist behaviour
www.theguardian.com
As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep

Govt banned them in case I was influenced to prescribe medications

This should also be banned

Influence being bought in Govt

Patients should influence not the healthy & wealthy

Reposted by Nicola J. Cooper

Physican Assistant - Associate - Assistant

Started as a good idea but was soon a very bad idea for patients when pushed by those who had no idea about safe medicine

It’s time to make sure the Leng Review recommendations are implemented

substack.com/@drstevetayl...
Dr Steve Taylor (@drstevetaylor)
Physician Assistants were first muted as an idea an concept in the early 2010s as a way of alleviating the workforce shortage in General Practice, helping GPs deal with some of the more simple and mun...
substack.com

Reposted by Nicola J. Cooper

The ‘manager’ is blaming the players, #NHS is ‘broken’ according to Wes Streeting

But he has spent a year ‘breaking’ the teams who provide care for patients

Waiting lists⬆️, A&E waits⬆️, GPs & Resident Drs in dispute, NHS leaders leaving, NHSE reform on pause

Reposted by Nicola J. Cooper

This is madness - how can they justify yearly flu vaccination for all staff (and seriously encourage staff to have it with various deals) but then ignore the other infection that is hitting staff on regular basis?

I hoped this madness would change with new government - sadly it has not.
Covid-19: Excluding doctors from vaccination programme puts patients at risk, clinicians warn
Doctors have warned that the government’s decision to exclude health and social care workers from its covid vaccination programme is putting patients at risk and will have a major impact on an overstr...
www.bmj.com

Reposted by Nicola J. Cooper

Reposted by Nicola J. Cooper

‘Doctors have warned that the government’s decision to exclude health and social care workers from its covid vaccination programme is putting patients at risk and will have a major impact on an overstretched NHS.’

🤦 Unbelievably shortsighted, based on what exactly!

www.bmj.com/content/391/...
Covid-19: Excluding doctors from vaccination programme puts patients at risk, clinicians warn
Doctors have warned that the government’s decision to exclude health and social care workers from its covid vaccination programme is putting patients at risk and will have a major impact on an overstr...
www.bmj.com

Reposted by Nicola J. Cooper

If you're a physician working in England, share your insights to shape our submission to the government’s call for evidence on the 10 Year Workforce Plan.

Have your say: ow.ly/g23550XatiH

Submit your responses by 9am on Monday 20 October 2025.

Reposted by Nicola J. Cooper

WMA has adopted a landmark Statement on Artificial and Augmented Intelligence in Medical Care, outlining global ethical principles to guide the safe and responsible use of artificial intelligence in healthcare.

Press Release: www.wma.net/news-post/wo...

#MedicalEthics

Reposted by Nicola J. Cooper

Write to your MP: Save the future of general practice

We have been increasingly concerned about the messages aimed at GPs from Wes Streeting, Stephen Kinnock & Department of Health

They have said this is just a few BMA leaders

It’s not pleas write here👇🏼 and share
dauk.org/write-to-you...
Write to your MP: Save the future of general practice | DAUK
DAUK has launched a letter-writing campaign to highlight the critical state of general practice with MPs and policy makers
dauk.org