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Dr Katie Bramall @drkatie.bsky.social · 5h

Reposted by Dr Katie Bramall

drcarolinegp.bsky.social @drcarolinegp.bsky.social · 9d

Our practice gets a minimum average of 44 online queries an hour on a Monday. 31 an hour the rest of the week We don’t have the resourcing to cope with this unless we cancel all other work. In the past two weeks we have had two sick babies put through on admin form. Despite our website saying don’t

Dr Katie Bramall @drkatie.bsky.social · 9d

According to this data

💥5,967 (over 96%) of practices in England have at least one online consultation system

💥5.1 million patient online submissions occurred in August

💥3.5 million clinical, the rest admin

(For context every A&E nationwide offers 67,000/day)

3/x

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Reposted by Dr Katie Bramall

Dr Steve Taylor @drstevetaylor.bsky.social · 9d

GPs have done all they can to keep patients safe and provide as much as possible
1.4million people will consult today
Compare this with 67,000 in A&E

The reason for the concerns is we have a capacity problem & a funding crisis
The 8 am rush (it’s bad) will be replaced by the GP waiting list (worse)

Dr Katie Bramall @drkatie.bsky.social · 9d

If @wesstreeting thinks GPs are stuck in 20thC, visit a hospital

We are the science museum!

➡️Electronic records since 1991
➡️Online triage
➡️Ambient scribes
➡️SMS
➡️Online bookings
➡️Electronic prescribing
➡️Online referrals
➡️Video consults DAYS after 1st lockdown….

1/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

Pls RT if you care about
- patient safety
- speaking truth to power
- want better access to your GP
- worry about future of NHS

GPs want to work WITH this govt
Talk to us!

@ShaunLintern @parthaskar @drlukeevans @Parody_RCGP @DailyMailUK @RoyLilley @doctor_oxford @bmj_latest

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Dr Katie Bramall @drkatie.bsky.social · 9d

And so too support your ICBs & teams under huge pressure & redundancy threats to work WITH their practices again supporting patient safety

Again this is the need for co-production not top-down diktat

Trust your 6,331 neighbourhood health services = Your GP practices!

10/11

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Dr Katie Bramall @drkatie.bsky.social · 9d

Pls, @wesstreeting @SKinnock

Let us talk

Let’s support your ambition but give us a guarantee that you won’t breach practices that are trying their best to deliver this

Get @NHSEngland to engage with @theHSSIB recommendations in interest of pt safety @PatientsAssoc

9/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

@Accurx @KlinikUK @TPP_SystmOne @econsult keen to work with practices to make this safe

@NHSEngland @DHSCgovuk why won’t you join us?

8/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

Patients deserve safe & quick access to their GP

Any economics student will explain if you need quick + safe, it won’t be cheap

But GP costs under £140 per pt per year - less than your pet insurance

Less than the cost of 🍎 a day!

& we know continuity of care saves lives

7/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

Patients deserve safe & quick access to their GP

Any economics student will explain if you need quick + safe, it won’t be cheap

But GP costs under £140 per pt per year - less than your pet insurance

Less than the cost of 🍎 a day!

& we know continuity of care saves lives

7/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

We lack the resources, capacity and capabilities to meet the needs of our patients if we can’t switch off online requests when we are full

Not to mention mandating we MUST contact the patient THAT SAME DAY no matter how many patients contact us 🤯

Not safe

6/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

Not just opinion of @BMA_GP but also @theHSSIB

I wonder what @CQCProf & @gmcuk think?

This break’s Jess’ Rule

5/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

On average 88.9 submissions per 1,000 patients in August 2025

The range = 0 to 884.8 online consults, per day, per practice

Why do @NHSEngland @DHSCgovuk insist on treating all practices the same?

Why can’t we temporarily pause online when we are full?

This is not safe

4/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

According to this data

💥5,967 (over 96%) of practices in England have at least one online consultation system

💥5.1 million patient online submissions occurred in August

💥3.5 million clinical, the rest admin

(For context every A&E nationwide offers 67,000/day)

3/x

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Dr Katie Bramall @drkatie.bsky.social · 9d

And guess what? @NHSEngland own data from August:

I’ve just found the following dataset:

digital.nhs.uk/data-and-infor…

“Submissions via Online Consultation Systems in General Practice, August 2025”

Well well well… 🕵️‍♀️

2/x

https://digital.nhs.uk/data-and-infor…

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Dr Katie Bramall @drkatie.bsky.social · 9d

If @wesstreeting thinks GPs are stuck in 20thC, visit a hospital

We are the science museum!

➡️Electronic records since 1991
➡️Online triage
➡️Ambient scribes
➡️SMS
➡️Online bookings
➡️Electronic prescribing
➡️Online referrals
➡️Video consults DAYS after 1st lockdown….

1/x

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Dr Katie Bramall @drkatie.bsky.social · 26d

Govt now need to *listen* to our solutions for how to avoid potential disputes, and how this won’t cost Treasury a penny.

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Dr Katie Bramall @drkatie.bsky.social · 26d

@BMA_GP have articulated our concerns professionally & in good faith

GPs have been labelled “laggards” & “blockers of progress” despite eRS; EPS; GPSoC; GPC-UR read access; 99% surgeries on cloud-based telephony; & access higher than any point in 77 yr Hx of NHS: 1.5m pts/day

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Dr Katie Bramall @drkatie.bsky.social · 26d

Equally true:

@TheBMA warns Secretary of State the NHS will die, should Labour lose the next election, because they refused to work with Drs & imposed unevidenced top-down reforms & dangerous contracts risking patient safety…

theguardian.com/society/2025/s…

@BMA_GP @rcgp @TheDA_UK

https://theguardian.com/society/2025/s…

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